The Journal of the Japanese Association of Health Communication
Vol. 11, No.2


Impact of Announcements from Public Figures about a Breast Cancer Diagnosis on Awareness, Knowledge and Behavior of Breast Cancer among Japanese Women

Miyawaki Rina1), Sibata Ai2), Isii Kaori3), Oka kouitirou3)

1) School of Arts and Letters, Meiji University, 2) Faculty of Health and Sport Sciences, University of Tsukuba, 3) Faculty of Sport Sciences, Waseda University

This study aimed to examine the impacts of announcements by public figures about a breast cancer diagnosis on breast cancer perceptions, knowledge and preventive behavior among Japanese women. The participants were 2,933 Japanese women aged 20-69 years who responded to an internet-based cross-sectional survey. Multivariable logistic regression analysis was used to examine the associations of sociodemographic attributes and perceptions, knowledge and preventive behavior of breast cancer with obtaining information of announcement. Overall, 77.4% of the respondents had obtained information about a public figure’s breast cancer diagnosis. This was more likely among respondents with children (adjusted odds ratio [AOR] 1.50, 95% confidence interval [CI] 1.12-1.83), or with friends and co-workers who had survived breast cancer (AOR 1.82, 95% CI 1.46-2.27). Obtaining information was positively associated with a perception of fear (AOR 1.90, 95% CI 1.52-2.38), and knowledge of breast cancer screening (target age: AOR 1.73, 95% CI 1.31-2.27, interval: AOR 2.29, 95% CI 1.64-3.20). Overall, 30.4% of respondents took action to prevent breast cancer. The findings suggest that announcements by public figures about cancer had a meaningful effect on public health. It may be helpful to develop messages about cancer control to use when public figures make an announcement about cancer.

The Influence of Physicians’ Body Position During Examinations Using an Electronic Chart: Conducting a Simulated Medical Examination with the Use of Video

Yoshiko Aihara

Kenkikai Medical Corporation Aihara Clinic Dermatology and Plastic Surgery

We reviewed the influence of a physician’s body position during examinations using an electronic chart. In medical examinations, the computer is usually on the desk, thus the physician is normally looking at the chart and not the patient. Physicians tends to fix their eyes on the computer screen without looking at the patient which reduces patient satisfaction. We developed a new approach where the physician sits face to face with the patient while looking at the electronic chart. This improved eye-contact thus increased patient satisfaction during such examinations. A simulated first outpatient examination was conducted with the physician in the normal lateral position and then in the face to face position. Next, 206 subjects watched the examinations online and thereafter answered a questionnaire. This study used the t-test on a five-point scale for “first impression”, “level of satisfaction”, “willingness to again visit the clinic”, “willingness to recommend family/friends” The scores were higher for every category when the physician examined the patient face to face. This study had the main limitation of being a simulated examination using a video, however, we believe that these findings will help to greatly improve medical interviews of physicians using electronic charts in the future.

Problems and Difficulties of Families Caring for Dementia Patients at Home Extracted from Log Data of Q & A Services on the Web

Ayaka Ozawa1), Kazuya Taira1)2), Taich Murayama3), Sumio Fujita4), Mikiko Ito1), Eiji Aramaki3)

1) Department of Public Health Nursing, Faculty of Nursing, Shiga University of Medical Science , 2) Department of Human Health Science, Graduate School of Medicine, Kyoto University, 3) )Social Computing Lab, Graduate School of Information Science, Nara Institute of Science and Technology, 4) Yahoo Japan Corporation

The purpose of this study is to clarify the problems and concerns of families caring for dementia patients using the submission log data of an online Q&A service. From among the 102,267 questions submitted to the “Nursing Care/Social Welfare” category of Yahoo! Answers from January 2014 to April 2018, we selected 3,446 questions submitted by family members caring for dementia patients. We identified and qualitatively categorized 100 words related to “dementia,” as well as 100 words each in relation to the “concerns,” “problems,” and “struggles” that represented the difficulties caregivers face. The 100 terms that strongly correlated to “dementia” fell into three core categories: “symptoms of dementia,” “treatment/care service usage and procedures,” and “family and community responses to change as the patient ages and the condition progresses.” Consequently, we identified the following unique concerns and problems unidentified by previous studies: psychological conflict related to selection of treatment venues and the decision-making that accompanies lifestyle changes, dissatisfaction with treatment/care services, and concerns about consultants with whom families come into contact prior to medical/welfare professionals, that is, confusion over who to contact regarding problems and concerns. The study’s findings should serve as a foundation for building future online caregiver support systems.

Background Affecting the Formation of Nursing Beliefs among Community Mental Health Nurse: A Qualitative Interview Study

Chizu Ishitomi, MPH1), Miho Iwakuma, Ph.D.2)

1) Dainikitayama Hospital Medical Corporation Sankokai , 2) Department of Medical Communication, Kyoto University School of Public Health

In recent years, mental health and welfare measures have changed psychiatric treatment from a focus on hospital treatment toward an individual community-based lifestyle. The demands of psychiatric home-visiting nursing have therefore increased. The difficulties of communicating with people with mental illness also force nurses to pay more attention to care techniques. This study explored the effect of background on the formation of nursing beliefs among community mental health nurses. It was an exploratory qualitative study using semi-structured interviews. Between July and November 2019, we used purposive sampling to select and interview people working for psychiatric home-visit nursing agencies in Kyoto City. We used thematic analysis to identify two main possibilities strongly influencing the organization of nursing beliefs of community mental health nurses. A shared culture between nurses and patients strongly influenced awareness and adaptation. Further research is necessary to investigate the influence of social environments on the formation of nursing beliefs and the treatment of patients as ordinary people.

Availability and Importance of Cancer Information for Adolescent and Young Adult Patients

Tomoko Takahashi1)2), Chikako Yamaki1), Tomoko Takayama1)3)

1) Center for Cancer Control and Information services, National Cancer Center, Japan, 2) Graduate School of Health Management Doctoral course, Keio University, 3) Department of Health Communication, School of Public Health, The University of Tokyo

Background Adolescent and young adult patients with cancer have various needs because of the overlap between cancer-related incidents and life events. However, a cancer control policy for these patients in Japan has only been initiated recently, so little is known about their needs. Purpose This study aimed to understand the availability and importance of information and consultations on the Internet. Method Between November 2017 and March 2018, we conducted an anonymous online survey among cancer patients aged > 20 years old, who had been diagnosed with cancer at 15–39 years old. The survey included 45 items and covered nine areas. It asked about the availability and importance of information and consultation status both now and during the participants’ initial diagnosis of cancer. Results We analyzed 31 responses. Most participants had obtained medical information, such as basic cancer knowledge and treatment. However, they had not been able to acquire statistical information or knowledge of support available. This information would have helped them to visualize and plan life after treatment.Conclusion Providing this information via the internet would have been useful for these patients.

Interventions for Health Promotion and Disease Prevention to Change Awareness, Attitudes and Behavior among Consumers in Japan: A Systematic Review Using the Database of The Japan Medical Abstracts Society

Katsuhiko Sato1), Nobuyasu Kaida2)3), Tomoko Ohura2)4), Haruka Ota2), Hiroko Nakayama2), Miho Morioka5), Chiharu Kai3), Hitoshi Koyanagi3), Takeo Nakayama2)

1) Asahi Soft Drinks Co., Ltd., 2) Kyoto University School of Public Health, 3) Dentsu Inc., 4)Naragakuen University, 5)WAKAYAMA SHIN-AI Women’s Junior College

Purpose To clarify the status of health promotion interventions designed to change consumers’ awareness, attitudes, and behavior in Japan, we conducted a systematic review of Japanese studies. Method Relevant articles were identified from the database of the Japan Medical Abstracts Society. Of the 197 retrieved, we selected 41 articles that fit our predetermined inclusion and exclusion criteria. Results Few of the studies were randomized controlled trials. Most studies aimed to change participant behavior, but none focused on consumers with a relatively low interest in health matters. We extracted 77 ideas/themes related to intervention methods and classified them into eight categories. Conclusion To improve interventions, designs should be reconsidered and reworked using the “5Ws/H” (“what”, “who”, “where”, “when”, “why”, and “how”), and should consider how to include individuals with a low interest in health matters. The potential role of industry in health promotion should also be evaluated.

A Device to Improve the Readability of Explanatory Documents in Veterinary Medicine for Owners of Dogs and Cats: A Study Based on Efforts at an Animal Hospital

Yoshio Miyazaki

Miyazaki Animal Hospital

As part of running an animal hospital for dogs and cats, creating and presenting documents for animal owners is an important task. The written documents need to summarize and supplement the oral explanations to confirm and enhance the owners’ understanding of medical treatment. This study purported to explore the use of a device to improve the readability of these explanatory documents, through articles in veterinary medicine published in magazines in Japanese. Seven points were identified as important for making documents easier to read: (1) making the text moderately large, (2) avoiding difficult Japanese characters, (3) shortening sentences, (4) drawing on a Japanese language dictionary for elementary school students to facilitate the owners’ comprehension, (5) including keywords, (6) orally explaining the purpose and content of the document, and (7) using headings. Several of these points could also be applied to oral explanations. In veterinary medicine for dogs and cats, there are limited discussions about how to make explanations simpler. Action may be needed to improve medical services.

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