Background
J-HOPE1 | J-HOPE2 | J-HOPE3 | |
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Date | May–August 2007 | October 2010–April 2011 | May–July 2014 |
Participating institution | 56 designated cancer centers, 100 PCUs, 14 home hospices | 20 acute hospitals, 103 PCUs, 15 home hospices | 20 acute hospitals, 133 PCUs, 22 home hospices |
Participants | 8398 completed questionnaires for analysis: 2794 responses for designated cancer centers 5312 for PCUs 292 for home hospices | 7797 completed questionnaires for analysis: 1279 responses for acute hospitals 5820 for PCUs 698 for home hospices | 9126 completed questionnaires for analysis: 814 responses for acute hospitals 7294 for PCUs 1018 for home hospices |
Design | Cross-sectional, anonymous, self-report questionnaire survey | ||
Main outcome measurements | Care Evaluation Scale-Short Version Good Death Inventory-Short Version Overall Care Satisfaction Caregiving Consequence Inventory | Care Evaluation Scale-Short Version Good Death Inventory Overall Care Satisfaction | Care Evaluation Scale-Short Version Good Death Inventory-Short Version Overall Care Satisfaction Patient Health Questionnaire 9 Brief Grief Questionnaire |
Methods
Participating institutions
Participants
Questionnaires
Common questionnaire | Specific research questionnaire | Total | |
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Number of pages | 8 | 4 | 12 |
Included question items or scales | • Care Evaluation Scale-Short Version • Good Death Inventory-Short Version • Overall Care Satisfaction • Patient Health Questionnaire 9 • Brief Grief Questionnaire • Symptoms patients perceived 1 week before death • Participant Characteristics | Question items from two or three specific researches selected at random |
Title | |
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1. The impact of socioeconomic status on the outcomes of end-of-life care and bereavement 2. The experiences of patients and their families who had cancer of an unknown primary source 3. Care burden, turnover, and death incidences in family caregivers of cancer patients 4. Association between previous experience of end-of-life-care among family caregivers and preference of place of care and death 5. Factors that contribute to good death; perspectives form bereaved families of cancer patients 6. Relatives’ perceptions about the timing of referral and administration to hospice and palliative care units 7. Differences in perception of symptoms and the association between medical staff and caregivers and recommendations about the attitudes of medical staff 8. Non-pharmacological care preferred in the management of dyspnea for advanced cancer patients 9. Content and timing of communication between patients and their families that form the basis for end-of-life discussion; the influence on well-understood feelings and implementation of end-of-life discussion 10. Personalized symptom goal; perspectives from the bereaved family members 11. With or without chemical coping based on the judgment of the family: experiences, knowledge, and needs of the family on chemical coping 12. Bereaved family members’ preferences for timing of consultation/referral to palliative care 13. Effects of advanced care planning on its relationship and view of life and death 14. Desirable communication between cancer patients who have difficulty communicating and their families 15. Physician’s explanations about the discontinuation of aggressive anticancer therapy from the viewpoint of behavioral economics 16. Important outcomes of pharmacotherapy for dyspnea in terminal cancer patients from the perspective of the bereaved family 17. Positive effects of bereavement on the bereaved family 18. Psychological effects among families of deceased using electrocardiograph monitor within 24 h before death 19. Diagnosis of complicated grief and medical economic assessment 20. Desirable bereavement care in hospice and palliative care unit from perspective of bereaved families 21. Family experiences with terminal cancer patients with cognitive impairment 22. Effects of rehabilitation on terminal cancer patients on quality of life, and its desirable implementation 23. Families’ perceptions and needs of intravenous nutrition and hydration among advanced cancer patients 24. Coping behavior after bereavement and use of bereavement care services, and its association with grief/depression 25. Effect of family function after bereavement on depression and grief among the bereaved family 26. Bereaved family’s perceptions of immunotherapy 27. Validity of VOICES-SF Japanese version 28. Family conflicts of patients using specialized palliative care 29. Social dysfunction and labor gains/losses caused by grief after bereavement 30. Utilization of family-care leave and barriers that impede its utilization 31. Association between social distress experienced by bereaved families and social capital 32. Meaning/importance of taking a bath among Japanese terminal cancer patients 33. Spiritual pain among family caregivers of terminal cancer patients 34. Survey on cases where the place of death was not home despite transfer of place of care to the home 35. Needs in visiting nursing care and role strain in home hospice/palliative care settings 36. Chemical coping led by the family; experiences, knowledge, and needs of the family regarding to chemical coping 37. Coping behavior after the death of a loved one and use of bereaved family care services, and its association with grief/depression 38. Accuracy of recall on the patient’s symptoms, and medical practice and explanations among bereaved family 39. Does continuous deep sedation lessen communication between patients and their families? 40. Psychological outcomes of bereaved families who experience unexpected sudden death in the palliative care units 41. Bereaved families’ experiences regarding to death rattle and aspiration 42. Association between evaluation of bereaved families regarding the treatment and care for end-of-life delirium and their depression/grief/pain 43. Validity of the Good Death Scale Japanese version 44. What are the desirable death pronouncements in palliative care units? 45. Bereaved families’ opinions about pneumonia treatment 46. What symptoms and medical practices can easily cause family conflicts? 47. Influence of discussion about do-not-attempt-resuscitation with terminal cancer patients on the psychological burdens and thoughts of bereaved families 48. End of life experiences such as ‘Deathbed vision’ in palliative care units 49. Evaluation of sedation based on protocol by bereaved families 50. Quality of life of patients with malignant gastrointestinal obstruction at the end-of-life and influences on their families 51. Resilience of relatives of terminal cancer patients and its influence on their mental health 52. Association between events and care in the dying process of cancer patients and the mental health of bereaved families 53. Association between the use of ‘complementary and alternative medicines’ and depression or grief of bereaved families |