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9. The Evaluation of an International Symposium using Skype ―Aiming at Further Development of Rehabilitation in Mongolia―

Author

Sanjmyatav, Bulganchimeg, Khulan, Gaalan, Shimoda, Kaori, Murano, Maika, Sakamoto, Masaaki, Tozato, Fusae, Mori, Yosie, Kikuchi, Senichiro, Tsuchiya, Kenji, Noguchi, Naoto, Ochi, Takako, and Saitoh, Takayuki

Subjects
リハビリテーション, 国際シンポジウム, Rehabilitation, モンゴル国, Mongolia, International Symposium, Skype
Abstract

目 的：モンゴル国のリハビリテーションの発展に貢献することを目指し，Skypeを活用して開催した国際シンポジウムの評価を分析し，教育支援の課題について示唆を得ることである．方 法：国際シンポジウムは，モンゴル国と群馬大学の交流の経緯・遠隔教育に関する講演と集団討議により構成し，その両方でSkypeを用いた．アンケートにより対象者の属性，国際シンポジウムとSkype活用の有益性，感想等を調査した．結 果：研究対象者は教員，保健医療人材，学生であった．国際シンポジウム・Skypeの活用を有益と答えた人は8割以上で，対象者の属性による回答の偏りは無かった．感想は交流の経緯の理解，発展への期待，遠隔教育の可能性等に分類された．結 論：Skypeを活用した国際シンポジウムは，モンゴル国におけるリハビリテーションの専門職を育成する教育支援に有益であると考えられ，モンゴル国のリハビリテーションの発展に貢献する可能性があることが示唆された．

Published
2019

11. The Evaluation of an International Symposium using Skype

Author

Shimoda, Kaori, primary, Sanjmyatav, Bulganchimeg, additional, Murano, Maika, additional, Sakamoto, Masaaki, additional, Tozato, Fusae, additional, Mori, Yosie, additional, Khulan, Gaalan, additional, Kikuchi, Senichiro, additional, Tsuchiya, Kenji, additional, Noguchi, Naoto, additional, Ochi, Takako, additional, and Saitoh, Takayuki, additional

Published
2019
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12. Key factors affecting the integration of interprofessional education into human resources for health reform: a Lao People’s Democratic Republic case study

Author

Lee, Bumsuk, primary, Phrasisombath, Ketkesone, additional, Shinozaki, Hiromitsu, additional, Vangkonevilay, Phouthone, additional, Bouphavanh, Ketsomsouk, additional, Prabouasone, Khamphanh, additional, Sounthavong, Outhip, additional, Tokita, Yoshiharu, additional, Makino, Takatoshi, additional, Matsui, Hiroki, additional, Saitoh, Takayuki, additional, Tozato, Fusae, additional, Kama, Akinori, additional, and Watanabe, Hideomi, additional

Published
2019
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13. Systematic inclusion of mandatory interprofessional education in health professions curricula at Gunma University: a report of student self-assessment in a nine-year implementation

Author

Makino Takatoshi, Tozato Fusae, Abe Yumiko, Matsuda Tamiko, Iwasaki Kiyotaka, Asakawa Yasuyoshi, Hayashi Tomoko, Ogawara Hatsue, Koizumi Misako, Yasukawa Takako, and Watanabe Hideomi

Subjects
Medicine (General), R5-920, Public aspects of medicine, RA1-1270
Abstract

Abstract Background The mandatory interprofessional education programme at Gunma University was initiated in 1999. This paper is a statistical evaluation of the programme from 1999 to 2007. Methods A questionnaire of 10 items to assess the achievement levels of the programme, which was developed independently of other assessment systems published previously, was distributed, as well as two or three open-ended questions to be answered at the end of each annual module. A multivariate analysis of variance model was used, and the factor analysis of the responses was performed with varimax rotation. Results Over all, 1418 respondents of a possible 1629 students completed the survey, for a total response rate of 87.1%. Cronbach's alpha of 10 items was 0.793, revealing high internal consistency. Our original questionnaire was categorized into four subscales as follows: "Role and responsibilities", "Teamwork and collaboration", "Structure and function of training facilities", and "Professional identity". Students in the Department of Occupational Therapy reached a relatively lower level of achievement. In the replies to the open-ended questions, requests for the participation of the medical students were repeated throughout the evaluation period. Conclusion The present four subscales measure "understanding", and may take into account the development of interprofessional education programmes with clinical training in various facilities. The content and quality of clinical training subjects may be remarkably dependent on training facilities, suggesting the importance of full consultation mechanisms in the local network with the relevant educational institutes for medicine, health care and welfare.

Published
2009
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14. Health-related Quality of Life in Home Care Patients with Intractable Neurological Diseases

Author

Kato, Yuri, Lee, Bumsuk, Tsuchiya, Kenji, Shimoda, Kaori, Katsuyama, Shiori, and Tozato, Fusae

Subjects
health-related quality of life, intractable neurological diseases, 在宅生活, home care, 健康関連QOL, 神経難病
Abstract

本研究では在宅神経難病患者の健康関連QOL の調査を行い, 関連する要因について検討した. 研究に同意の得られた在宅生活を営む神経難病患者とその家族43例を対象とし質問紙を用い調査を行った. 健康関連QOL はMOS 36-Item Short-Form Health Survey(SF-36)を,基本的ADL はBarthel Index (BI),手段的ADLはFrenchay Activities Index (FAI), 心理的適応はThe Nottingham Adjustment Scale Japanese Version(NAS-J) を尺度とした. SF-36の身体機能, 日常役割機能(身体), 日常役割機能(精神), 社会生活機能はBI・FAI 得点と, SF-36の全ての下位尺度得点がNAS-Jの下位尺度と正の相関が認められた. 在宅神経難病患者の健康関連QOL にはADL,手段的ADL のみならず心理的適応が関連していた.（Kitakanto Med J 2014；64：197～203）, In this study, we investigated the health-related quality of life (QOL) in home care patients with intractable neurological diseases(IND)to clarify the factors correlated with the health-related QOL. We administered a questionnaire to 43 study subjects (home care patients with IND and their family members),who consented to study participation. The health-related QOL was evaluated with the MOS 36-Item Short-Form Health Survey(SF-36). Concerning the factors correlated with the health-related QOL, we used the Barthel Index (BI), Frenchay Activities Index (FAI), and Nottingham Adjustment Scale Japanese Version (NAS-J)to assess basic ADL,instrumental ADL,and psychological adjustment, respectively. The SF-36 subscales of physical functioning, role physical, role emotional, and social functioning were positively correlated with both BI and FAI scores,and all of the SF-36 subscales with NAS-J subscale scores. Thus, the health-related QOL of home care patients with IND was correlated not only with basic and instrumental ADL,but also psychological adjustment.（Kitakanto Med J 2014；64：197～203）

Published
2014

16. The Reaction Time of Mental Rotation Influenced by the Dominant Eye

Author

Hara, Daichi, Yamaguchi, Shunsuke, Shimoda, Kaori, Katsuyama, Shiori, Masuda, Tatsuki, Toeda, Haruka, Nakazawa, Nobuaki, Lee, Bumsuk, and Tozato, Fusae

Subjects
利き手, 連動イメージ, 性差, dominant hand, dominant eye, motor image, sex, メンタルローテーション, 利き目, mental rotation
Abstract

【序論】Mental rotation (以下,MR) とは, 3次元空間で自由に回転する図形が何であるのかを照合する心的活動である.リハビリテーション領域においても治療的介入手段として,MR の基礎研究・臨床応用が進められている. 身体部位を用いた回転画像を提示した時の反応時間は, 回転角度の増加に伴い遅延すると報告している. 反応時間は, 加齢やスポーツ実施などによる影響があると報告されている. このように年齢や表示角度に関するMR の関連については報告がみられているが, 視覚情報の入力に関与すると思われる眼機能(利き目) とMR との関係を報告した論文は少ない. したがって, 本研究では身体部位である手の回転画像を用いて,これまでに報告されてきたMR 反応時間と性差,利き手との関連に加え,利き目の属性との関連を検討することを目的とした. 【方法】本研究は群馬大学倫理審査委員会により承認された. 対象は103名の健常大学生(平均年齢20.9±2.2歳,男性51名,女性52名,右利き目者59 名,左利き目者44名) であった.課題は両手の画像が0°, 90°, 180°, 270°回転してある32枚の写真によって構成され, それらの写真がランダムにPC の画面に表示された. 被験者は画像を見て, それが右手なのか左手なのかをPC のキーを押すことで回答し,MR 反応時間と回答が記録された.統計解析は一元配置分散分析,独立したt 検定を行った.解析には統計ソフトIBM SPSS Statistics 20を使用し, 有意水準を5％とした. 【結果】MR 反応時間は, 回転角度の180°と0°, 90°, 270°間で有意差がみられた(p＜0.05). 利き目では有意差がみられたが(p＜0.05), 性別, 利き手では有意差はなかった. 【考察】MR 反応時間は性別, 利き手ではなく利き目と関連があることが示唆された. すなわちMR に関連する情報処理過程は利き目によって異なることが示唆された.

Published
2014

18. Health science students’ attitudes towards healthcare teams: A comparison between two universities

Author

Makino, Takatoshi, primary, Lee, Bumsuk, additional, Matsui, Hiroki, additional, Tokita, Yoshiharu, additional, Shinozaki, Hiromitsu, additional, Kanaizumi, Shiomi, additional, Abe, Yumiko, additional, Saitoh, Takayuki, additional, Tozato, Fusae, additional, Igarashi, Ayako, additional, Sato, Mika, additional, Ohtake, Shigeki, additional, Tabuchi, Noriko, additional, Inagaki, Michiko, additional, Kama, Akinori, additional, and Watanabe, Hideomi, additional

Published
2017
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21. An acute bout of housework activities has beneficial effects on executive function

Author

Tsuchiya,Kenji, Mitsui,Shinichi, Fukuyama,Ryuji, Yamaya,Noriki, Fujita,Takaaki, Shimoda,Kaori, Tozato,Fusae, Tsuchiya,Kenji, Mitsui,Shinichi, Fukuyama,Ryuji, Yamaya,Noriki, Fujita,Takaaki, Shimoda,Kaori, and Tozato,Fusae

Abstract

Kenji Tsuchiya,1 Shinichi Mitsui,1 Ryuji Fukuyama,2 Noriki Yamaya,3 Takaaki Fujita,4 Kaori Shimoda,1 Fusae Tozato1 1Department of Rehabilitation Sciences, Gunma University Graduate School of Health Sciences, Gunma, 2Department of Rehabilitation, Gunma Seishi Ryougoen, Gunma, 3Department of Health Sciences, Gunma University School of Medicine, Gunma, 4Department of Rehabilitation, Faculty of Health Sciences, Tohoku Fukushi University, Miyagi, Japan Purpose: Although acute bouts of exercise reportedly have beneficial effects on executive function, inactive people may find it difficult to start exercising. In this study, we focused on housework activities (HAs) that generate a sense of accomplishment and require a mild intensity of physical activity. We examined the impact of an acute bout of HA on executive function and oxygenated hemoglobin (oxy-Hb) flow to related cortical regions. Materials and methods: Twenty-five participants (age, 18–21 years; mean, 19.88±0.60 years; six males and 19 females) underwent two experiments, ie, HA and control experiments, which were conducted on different days. Participants vacuumed a dirty floor in the HA experiment and mimicked the same motion with an unplugged vacuum cleaner on a clean floor in the control experiment.Results: Heart rate recorded during the experiments showed no significant difference in the intensity of physical activity between control and HA groups. A questionnaire revealed a sense of accomplishment after completing the HA experiment. Participants performed the Stroop color–word task (SCWT) pre- and post-experiments; cortical hemodynamic changes were simultaneously monitored using functional near-infrared spectroscopy. Variation in Stroop interference scores for SCWT total response between pre- and post-experiments was significantly higher in the HA group than in the control group, and that for SCWT correct response showed a similar trend. Variation in the Stroop interfere

Published
2017

26. Quantifying lower extremity and trunk function for dressing in stroke patients: a retrospective observational study.

Author

Fujita, Takaaki, Sato, Atsushi, Iokawa, Kazuaki, Yamane, Kazuhiro, Yamamoto, Yuichi, Ohira, Yoko, Otsuki, Koji, and Tozato, Fusae

Subjects
LEG physiology, TORSO physiology, CLOTHING & dress, POSTURAL balance, MOTOR ability, MUSCLE strength, SCIENTIFIC observation, RESEARCH funding, RETROSPECTIVE studies, RECEIVER operating characteristic curves, DATA analysis software, STROKE patients, DESCRIPTIVE statistics
Abstract

Background Dressing performance relates strongly with balance function, and it is mainly influenced by the motor functions of the affected and unaffected lower extremity and trunk function in stroke patients. For the remedial approach to be effective, ascertaining the degree of function needed in the affected and unaffected lower extremities and trunk to achieve balance function requisite for dressing is necessary. Objectives This study aimed to elucidate standards of lower extremity and trunk function necessary for stroke patients to gain balance requisite for dressing. Methods The study included 105 first-time stroke patients, who were classified by Berg Balance Score ≥44 or not and ≥32 or not which are previously reported standard indicators for independent and supervision level in dressing. Receiver operating characteristic curves were determined for the stroke impairment assessment item of sensory and motor function of affected lower extremity, abdominal muscle strength, and knee extension muscle strength. Results Area under the curve was ≥0.7 for all variables. In BBS 44-point analyses, the calculated cut-off values were 4 points for SIAS hip flexion, 4 points for SIAS knee extension, 2 points for SIAS foot pat on the affected side, 3 points for SIAS tactile and position sensation of the affected lower extremity, 3 points for SIAS abdominal muscle strength, and 3 points for SIAS knee extension muscle strength on the unaffected side. Conclusions These cut-off values can be used as targets for motor functions, when using the remedial approach for achieving dressing independence. [ABSTRACT FROM AUTHOR]

Published
2018
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27. Amount of balance necessary for the independence of transfer and stair-climbing in stroke inpatients.

Author

Fujita, Takaaki, Sato, Atsushi, Ohashi, Yuji, Nishiyama, Kazutaka, Ohashi, Takuro, Yamane, Kazuhiro, Yamamoto, Yuichi, Tsuchiya, Kenji, Otsuki, Koji, and Tozato, Fusae

Subjects
ACADEMIC medical centers, POSTURAL balance, LIFE skills, REGRESSION analysis, REHABILITATION centers, RESEARCH funding, SCALE analysis (Psychology), MULTIPLE regression analysis, STAIR climbing, RETROSPECTIVE studies, RECEIVER operating characteristic curves, TRANSPORTATION of patients, DATA analysis software, FUNCTIONAL assessment, STROKE rehabilitation, STROKE patients, DESCRIPTIVE statistics
Abstract

Purpose: The purpose of this study was to clarify the amount of balance necessary for the independence of transfer and stair-climbing in stroke patients. Method: This study included 111 stroke inpatients. Simple and multiple regression analyses were conducted to establish the association between the FIMVR instrument scores for transfer or stair-climbing and Berg Balance Scale. Furthermore, receiver operating characteristic curves were used to elucidate the amount of balance necessary for the independence of transfer and stair-climbing. Result: Simple and multiple regression analyses showed that the FIMVR instrument scores for transfer and stair-climbing were strongly associated with Berg Balance Scale. On comparison of the independent and supervision-dependent groups, Berg Balance Scale cut-off values for transfer and stair-climbing were 41/40 and 54/53 points, respectively. On comparison of the independent-supervision and dependent groups, the cut-off values for transfer and stair-climbing were 30/29 and 41/40 points, respectively. Conclusions: The calculated cut-off values indicated the amount of balance necessary for the independence of transfer and stair-climbing, with and without supervision, in stroke patients. Berg Balance Scale has a good discriminatory ability and cut-off values are clinically useful to determine the appropriate independence levels of transfer and stair-climbing in hospital wards. [ABSTRACT FROM AUTHOR]

Published
2018
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29. Professional identity acquisition process model in interprofessional education using structural equation modelling: 10-year initiative survey

Author

Kururi, Nana, primary, Tozato, Fusae, additional, Lee, Bumsuk, additional, Kazama, Hiroko, additional, Katsuyama, Shiori, additional, Takahashi, Maiko, additional, Abe, Yumiko, additional, Matsui, Hiroki, additional, Tokita, Yoshiharu, additional, Saitoh, Takayuki, additional, Kanaizumi, Shiomi, additional, Makino, Takatoshi, additional, Shinozaki, Hiromitsu, additional, Yamaji, Takehiko, additional, and Watanabe, Hideomi, additional

Published
2016
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32. Health science students’ attitudes towards healthcare teams: A comparison between two universities.

Author

Makino, Takatoshi, Lee, Bumsuk, Matsui, Hiroki, Tokita, Yoshiharu, Shinozaki, Hiromitsu, Kanaizumi, Shiomi, Abe, Yumiko, Saitoh, Takayuki, Tozato, Fusae, Igarashi, Ayako, Sato, Mika, Ohtake, Shigeki, Tabuchi, Noriko, Inagaki, Michiko, Kama, Akinori, and Watanabe, Hideomi

Subjects
UNIVERSITIES & colleges, INTERDISCIPLINARY education, MEDICAL personnel, MEDICAL practice, REGRESSION analysis, STUDENT attitudes, PATIENT-centered care, HEALTH occupations students, PSYCHOLOGY
Abstract

There have been few studies comparing the attitudes towards healthcare teams between different universities. This study analysed the differences in attitudes towards healthcare teams between health science students at Gunma University, Japan, which implements a comprehensive interprofessional education (IPE) programme, and Kanazawa University, a similar national university. Study populations were first- and third-year students at the Gunma University School of Health Sciences and the Kanazawa University School of Health Sciences. The present study was performed just after the IPE and multi-professional education subjects at Gunma University in the first term of the 2012 academic year. The first-year students were different cohort from the third-year students. The modified Attitudes Toward Health Care Teams Scale (ATHCTS) was used to measure attitudes towards healthcare teams. The overall mean score on the modified ATHCTS of students at Gunma University was significantly higher than that of those at Kanazawa University. In both first- and third-year students, the regression factor score of “patient-centred care” was significantly higher at Gunma University than at Kanazawa University. Based on the present study, it can be stated that IPE may foster the value of collaborative practice (CP) among health science students. [ABSTRACT FROM PUBLISHER]

Published
2018
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36. Repeated cross-sectional study of the longitudinal changes in attitudes toward interprofessional health care teams amongst undergraduate students

Author

Kururi, Nana, primary, Makino, Takatoshi, additional, Kazama, Hiroko, additional, Tokita, Yoshiharu, additional, Matsui, Hiroki, additional, Lee, Bumsuk, additional, Kanaizumi, Shiomi, additional, Abe, Yumiko, additional, Uchida, Yoko, additional, Asakawa, Yasuyoshi, additional, Shinozaki, Hiromitsu, additional, Tozato, Fusae, additional, and Watanabe, Hideomi, additional

Published
2014
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40. Attitudes toward interprofessional healthcare teams: A comparison between undergraduate students and alumni

Author

Makino, Takatoshi, primary, Shinozaki, Hiromitsu, additional, Hayashi, Kunihiko, additional, Lee, Bumsuk, additional, Matsui, Hiroki, additional, Kururi, Nana, additional, Kazama, Hiroko, additional, Ogawara, Hatsue, additional, Tozato, Fusae, additional, Iwasaki, Kiyotaka, additional, Asakawa, Yasuyoshi, additional, Abe, Yumiko, additional, Uchida, Yoko, additional, Kanaizumi, Shiomi, additional, Sakou, Keiko, additional, and Watanabe, Hideomi, additional

Published
2012
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41. Changes in attitudes toward interprofessional health care teams and education in the first- and third-year undergraduate students

Author

Hayashi, Tomoko, primary, Shinozaki, Hiromitsu, additional, Makino, Takatoshi, additional, Ogawara, Hatsue, additional, Asakawa, Yasuyoshi, additional, Iwasaki, Kiyotaka, additional, Matsuda, Tamiko, additional, Abe, Yumiko, additional, Tozato, Fusae, additional, Koizumi, Misako, additional, Yasukawa, Takako, additional, Lee, Bumsuk, additional, Hayashi, Kunihiko, additional, and Watanabe, Hideomi, additional

Published
2012
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42. Preferred Pace Tapping Activates the Frontal Lobe

Author

Shimoda, Kaori, primary, Katsuyama, Shiori, additional, Lee, Bunsuk, additional, Kamegaya, Tadahiko, additional, Kururi, Nana, additional, Ando, Narumi, additional, Iwai, Tomohiro, additional, Hirano, Daisuke, additional, and Tozato, Fusae, additional

Published
2012
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43. Systematic inclusion of mandatory interprofessional education in health professions curricula at Gunma University: a report of student self-assessment in a nine-year implementation

Author

Ogawara, Hatsue, primary, Hayashi, Tomoko, additional, Asakawa, Yasuyoshi, additional, Iwasaki, Kiyotaka, additional, Matsuda, Tamiko, additional, Abe, Yumiko, additional, Tozato, Fusae, additional, Makino, Takatoshi, additional, Koizumi, Misako, additional, Yasukawa, Takako, additional, and Watanabe, Hideomi, additional

Published
2009
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47. Attitudes toward interprofessional healthcare teams: A comparison between undergraduate students and alumni.

Author

Makino, Takatoshi, Shinozaki, Hiromitsu, Hayashi, Kunihiko, Lee, Bumsuk, Matsui, Hiroki, Kururi, Nana, Kazama, Hiroko, Ogawara, Hatsue, Tozato, Fusae, Iwasaki, Kiyotaka, Asakawa, Yasuyoshi, Abe, Yumiko, Uchida, Yoko, Kanaizumi, Shiomi, Sakou, Keiko, and Watanabe, Hideomi

Subjects
TEAMS in the workplace, CHI-squared test, INTERDISCIPLINARY education, RESEARCH methodology, PROBABILITY theory, REGRESSION analysis, RESEARCH funding, SCALES (Weighing instruments), STATISTICS, SURVEYS, T-test (Statistics), U-statistics, DATA analysis, CROSS-sectional method, HEALTH occupations students, DATA analysis software, ALUMNAE & alumni, DESCRIPTIVE statistics, PSYCHOLOGY
Abstract

The goal of effective interprofessional education (IPE) is high-quality patient-care delivery and attaining a high level of patient satisfaction in clinical settings. We aimed to examine if alumni who have studied in an IPE program at a pre-licensure stage maintain a positive attitude toward collaborative practice (CP) in the postgraduate clinical experience. This paper presents a cross-sectional descriptive study which employed the modified attitudes toward health care teams scale (ATHCTS) to examine the relationship between exposure to clinical practice and the attitudes toward interprofessional healthcare teams. Results indicated that the overall mean score of alumni was significantly lower than that of undergraduate students on the modified ATHCTS. Only 'team efficacy' had a significantly lower regression factor score in alumni than undergraduate students. Our findings suggest that changes in professional identity in a team may be due to contact with patients after graduation in the postgraduate clinical healthcare experience. The reduction of attitudes toward healthcare teams in the postgraduate clinical experience may be related to 'team efficacy'. We emphasize the need for in-service IPE for sustaining attitudes and providing a useful CP, which results in good clinical outcome. [ABSTRACT FROM AUTHOR]

Published
2013
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