\u65e5\u672c\u306b\u304a\u3044\u3066\u3001\u60a3\u8005\u306e\u79fb\u884c\u306b\u5bfe\u3059\u308b\u4fdd\u8b77\u8005\u306e\u8a8d\u8b58\u306b\u7126\u70b9\u3092\u5f53\u3066\u305f\u5148\u884c\u7814\u7a76\u306f\u5c11\u306a\u304f\u3001\u79fb\u884c\u306e\u5fc5\u8981\u6027\u3084\u8a66\u307f\u306b\u3064\u3044\u3066\u8cea\u7684\u306b\u8abf\u67fb\u3057\u305f\u3082\u306e\u3084\u75c7\u4f8b\u5831\u544a\u306b\u9650\u3089\u308c\u3066\u3044\u308b\u73fe\u72b6\u3067\u3059\uff08\u6df1\u5ddd, 2006; \u52a0\u85e4, \u4e2d\u91ce, 2015; \u6afb\u4e95, 2016\uff09\u3002
\u4fdd\u8b77\u8005\u304c\u6162\u6027\u75be\u60a3\u3092\u6301\u3064\u60a3\u8005\u306e\u79fb\u884c\u6e96\u5099\u72b6\u6cc1\u3092\u8a55\u4fa1\u3059\u308b\u30c4\u30fc\u30eb\u3068\u3057\u3066\u3001\u7c73\u56fd\u306eNazareth \u3089\uff082018\uff09\u304c\u958b\u767a\u3057\u305fThe STARx\uff08The Self-management and Transition to Adulthood with Therapeutics = Rx\uff09-P\uff08The Parent\uff09\u306f\u3001\u516813\u9805\u76ee\u3068\u201cDisease Knowledge\u201d\u3001\u201cProvider Communication\u201d\u3001\u201cSelf-management\u201d\u306e3\u3064\u306e\u4e0b\u4f4d\u5c3a\u5ea6\u304b\u3089\u69cb\u6210\u3055\u308c\u307e\u3059\uff08Nazareth et al., 2018\uff09\u3002 \u201cDisease Knowledge\u201d\u3067\u306f\u75be\u60a3\u306e\u5bfe\u51e6\u6cd5\u306a\u3069\u60a3\u8005\u306e\u6301\u3064\u75be\u60a3\u77e5\u8b58\u3092\u5c0b\u306d\u3001\u201cProvider Communication\u201d\u3067\u306f\u304b\u304b\u308a\u3064\u3051\u533b\u5e2b\u3068\u306e\u5354\u50cd\u306a\u3069\u533b\u7642\u8005\u3068\u306e\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u306e\u72b6\u6cc1\u3092\u5c0b\u306d\u3001\u201cSelf-management\u201d\u3067\u306f\u8a08\u753b\u7684\u306a\u5185\u670d\u306a\u3069\u60a3\u8005\u306e\u81ea\u5df1\u7ba1\u7406\u306e\u72b6\u6cc1\u3092\u5c0b\u306d\u307e\u3059\u3002\u56de\u7b54\u306f5\u30ea\u30c3\u30ab\u30fc\u30c8\u5f0f\u3067\u3042\u308a\u3001\u201cHow often did your child make an effort to understand what his\/her doctor told them?\u201d\u3084\u3001\u201c How often did your child need someone to remind him\/her to take their medicines?\u201d\u306a\u3069\u201cHow often\uff5e?\u201d\u3067\u5c0b\u306d\u308b\u8cea\u554f\u9805\u76ee\u306b\u306f\u201c Never\uff081\u70b9\u307e\u305f\u306f5\u70b9\uff09\u201d \u201c Almost Never\uff082\u70b9\u307e\u305f\u306f4\u70b9\uff09\u201d\u201cSometimes\uff083\u70b9\uff09\u201d\u201c Almost Always\uff084\u70b9\u307e\u305f\u306f2\u70b9\uff09\u201d\u201c Always\uff085\u70b9\u307e\u305f\u306f1\u70b9\uff09\u201d\u3067\u56de\u7b54\u3057\u307e\u3059\u3002\u201cHow much do you know about your illness?\u201d\u306a\u3069\u201cHow much\uff5e?\u201d \u3067\u5c0b\u306d\u308b\u8cea\u554f\u9805\u76ee\u306b\u306f\u201cNothing\uff081\u70b9\uff09\u201d \u201cNot Much\uff082\u70b9\uff09\u201d \u201cA Little\uff083\u70b9\uff09\u201d \u201cSome\uff084\u70b9\uff09\u201d\u201c A lot\uff085\u70b9\uff09\u201d\u3067\u56de\u7b54\u3057\u307e\u3059\u3002\u201cHow easy or hard is it for you to talk to your doctor?\u201d\u306a\u3069\u201cHow easy or hard\uff5e?\u201d\u3067\u5c0b\u306d\u308b\u8cea\u554f\u9805\u76ee\u306b\u306f\u201c Very Hard\uff081\u70b9\uff09\u201d\u201c Somewhat Hard\uff082\u70b9\uff09\u201d\u201c Neither Hard nor easy\uff083\u70b9\uff09\u201d\u201c Somewhat Easy\uff084\u70b9\uff09\u201d\u201fVery Easy\uff085\u70b9\uff09\u201d\u3067\u56de\u7b54\u3057\u307e\u3059\u3002\u5185\u670d\u306b\u95a2\u3059\u308b\u8cea\u554f\u9805\u76ee\u304c\u591a\u3044\u306e\u3067\u3059\u304c\u3001\u5185\u670d\u306e\u5fc5\u8981\u304c\u306a\u3044\u60a3\u8005\u306f\u305d\u306e\u5206\u3001\u79fb\u884c\u306e\u8ca0\u62c5\u304c\u8efd\u6e1b\u3055\u308c\u308b\u3068\u89e3\u91c8\u3067\u304d \u201cI do not take medicines right now\uff086\u70b9\uff09\u201d\u3092\u9078\u629e\u3055\u305b\u308b\u3053\u3068\u3067\u3001\u5185\u670d\u306e\u306a\u3044\u60a3\u8005\u3092\u9664\u5916\u3059\u308b\u3053\u3068\u306a\u304f\u7dcf\u3058\u3066\u3069\u3093\u306a\u60a3\u8005\u3067\u3082\u3053\u306e\u30c4\u30fc\u30eb\u3092\u7528\u3044\u3066\u8a55\u4fa1\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002\u9078\u629e\u3057\u305f\u56de\u7b54\u306b\u3088\u308a1\u9805\u76ee\u306b\u3064\u304d1\uff5e5\u70b9\u307e\u305f\u306f1\uff5e6\u70b9\u304c\u52a0\u7b97\u3055\u308c\u3001\u3053\u308c\u3089\u306e\u5168\u4f53\u306e\u5408\u8a08\u304a\u3088\u3073\u4e0b\u4f4d\u5c3a\u5ea6\u5f97\u70b9\u304c\u9ad8\u3044\u307b\u3069\u3001\u65e5\u5e38\u306e\u81ea\u8eab\u306e\u5065\u5eb7\u7ba1\u7406\u3084\u4e3b\u4f53\u7684\u306a\u53d7\u7642\u884c\u52d5\u304c\u7372\u5f97\u3067\u304d\u3066\u304a\u308a\u3001\u79fb\u884c\u6e96\u5099\u304c\u5186\u6ed1\u306b\u884c\u308f\u308c\u3066\u3044\u308b\u3068\u89e3\u91c8\u3055\u308c\u307e\u3059\u3002
The STARx-P\u539f\u7248\u306eCronbach’s \u03b1\u4fc2\u6570\u306f\u201cDisease Knowledge\u201d\u306f.759\u3001\u201cProvider Communication\u201d\u306f.696\u3001\u201cSelf-management\u201d\u306f.545\u3067\uff08Nazareth et al., 2018\uff09\u3001The STARx-P\u65e5\u672c\u8a9e\u7248\u306eCronbach’s\u306e\u03b1\u4fc2\u6570\u306f.759-.884\uff08\u5c3a\u5ea6\u5168\u4f53\u304a\u3088\u3073\u5404\u4e0b\u4f4d\u5c3a\u5ea6\uff09\u307e\u305f\u518d\u30c6\u30b9\u30c8\u6cd5\u306b\u304a\u3051\u308b\u7d1a\u5185\u76f8\u95a2\u4fc2\u6570\u306f.776-.900\uff08\u5c3a\u5ea6\u5168\u4f53\u304a\u3088\u3073\u5404\u4e0b\u4f4d\u5c3a\u5ea6\uff09\u3067\u3042\u308a\u3001\u5341\u5206\u306a\u5185\u7684\u4e00\u8cab\u6027\u3068\u518d\u73fe\u6027\u304c\u78ba\u8a8d\u3055\u308c\u3066\u3044\u307e\u3059\u3002The STARx-P\u65e5\u672c\u8a9e\u7248\u306e\u3054\u4f7f\u7528\u306b\u3064\u3044\u3066\u306f\u4ee5\u4e0b\u306e\u30a2\u30c9\u30ec\u30b9\u306b\u304a\u554f\u3044\u5408\u308f\u305b\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n
riewaki\u2605md.tsukuba.ac.jp\uff08\u2605\u3092\uff20\u306b\u7f6e\u304d\u63db\u3048\u308b\uff09<\/p>\n\n\n\n