研究者詳細 - 香田　将英

論文 - 香田　将英

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PCATの概要と展望 ―プライマリ・ケアの視点から見た災害医療支援― 招待

香田将英, 原田奈穂子, 鈴木諭, 安藤崇之, 伊藤竜彦, 井上淑恵, 江川孝, 小幡篤, 加古まゆみ, 鷺坂彰吾, 隅田英憲, 高橋晶, 井垣敦, 大橋博樹

月刊地域医学 39 ( 4 ) 426 - 431 2025年4月

Changes in Healthcare Utilization in Japan in the Aftermath of the COVID-19 Pandemic: A Time Series Analysis of Japanese National Data Through November 2023 査読

Tanoue Yuta, Alton Cao, Masahide Koda, Nahoko Harada, Cyrus Ghaznavi, Shuhei Nomura

Healthcare 12 ( 22 ) 2307 - 2307 2024年11月

Enhancing Medical Interview Skills Through AI-Simulated Patient Interactions: Nonrandomized Controlled Trial 査読

Akira Yamamoto, Masahide Koda, Hiroko Ogawa, Tomoko Miyoshi, Yoshinobu Maeda, Fumio Otsuka, Hideo Ino

JMIR Medical Education 10 e58753 - e58753 2024年9月

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：JMIR Publications Inc.

Background

Medical interviewing is a critical skill in clinical practice, yet opportunities for practical training are limited in Japanese medical schools, necessitating urgent measures. Given advancements in artificial intelligence (AI) technology, its application in the medical field is expanding. However, reports on its application in medical interviews in medical education are scarce.

Objective

This study aimed to investigate whether medical students’ interview skills could be improved by engaging with AI-simulated patients using large language models, including the provision of feedback.

Methods

This nonrandomized controlled trial was conducted with fourth-year medical students in Japan. A simulation program using large language models was provided to 35 students in the intervention group in 2023, while 110 students from 2022 who did not participate in the intervention were selected as the control group. The primary outcome was the score on the Pre-Clinical Clerkship Objective Structured Clinical Examination (pre-CC OSCE), a national standardized clinical skills examination, in medical interviewing. Secondary outcomes included surveys such as the Simulation-Based Training Quality Assurance Tool (SBT-QA10), administered at the start and end of the study.

Results

The AI intervention group showed significantly higher scores on medical interviews than the control group (AI group vs control group: mean 28.1, SD 1.6 vs 27.1, SD 2.2; P=.01). There was a trend of inverse correlation between the SBT-QA10 and pre-CC OSCE scores (regression coefficient –2.0 to –2.1). No significant safety concerns were observed.

Conclusions

Education through medical interviews using AI-simulated patients has demonstrated safety and a certain level of educational effectiveness. However, at present, the educational effects of this platform on nonverbal communication skills are limited, suggesting that it should be used as a supplementary tool to traditional simulation education.

DOI： 10.2196/58753

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Comparing health care outcomes before and after employing nurse practitioners in cardiovascular hospitals in Japan: A retrospective chart review 査読

Suzuki Miho, Sekiguchi Natsuko, Saitoh Masato, Koda, Masahide, Harada, Nahoko, Honda, Kazuya, Araki Tomoko, Kudo Takemi, Watanabe Takako

J Am Assoc Nurse Pract 2024年7月

プライマリ・ケア医へのトラウマインフォームドケアの普及に向けて

香田将英

トラウマティック・ストレス 22 ( 1 ) 48 - 57 2024年6月

The Importance of Methodological Vigilance: Reevaluating Suicide Trends in Japan Post-2022 査読

Masahide Koda, Nahoko Harada, Shuhei Nomura

Psychiatry and Clinical Neurosciences Reports 3 ( 2 ) e214 - e214 2024年6月

The Performance of ChatGPT-4V in Interpreting Images and Tables in the Japanese Medical Licensing Exam 査読

Soshi Takagi, Masahide Koda, Takashi Watari

JMIR Medical Education 10 e54283 - e54283 2024年5月

Excess suicides in Japan: A three-year post-pandemic assessment of gender and age disparities

Haruka Sakamoto, Masahide Koda, Akifumi Eguchi, Kaori Endo, Takahiro Arai, Nahoko Harada, Takashi Nishio, Shuhei Nomura

Psychiatry Research 334 115806 - 115806 2024年4月

アトピー性皮膚炎のある成人が経験するかゆみに関する記述研究査読

平見有希, 藤本要子, 香田将英, 原田奈穂子

統合科学 ( 4 ) 9 - 18 2024年3月

Changes in Place of Death Among Patients With Dementia During the COVID-19 Pandemic in Japan: A Time-series Analysis 査読

Nahoko Harada, Masahide Koda, Akifumi Eguchi, Masahiro Hashizume, Motoi Suzuki, Shuhei Nomura

Journal of Epidemiology JE20230279 2024年2月

Nurse Practitioner Placement in A Nursing Home in Japan 査読

Masahide Koda, Nahoko Harada, Naoko Sato, Tomoko Araki, Kazuya Honda, Takemi Kudo, Takao Watanabe, Miho Suzuki

The Journal for Nurse Practitioners 20 ( 1 ) 104845 - 104845 2024年1月

Early Outcomes of Changes to Collection of Suicide Data in Japan 査読

Nahoko Harada, Masahide Koda, Shuhei Nomura

JAMA Network Open 6 ( 12 ) e2347543 - e2347543 2023年12月

COVID-19流行下の自殺対策招待

香田将英

自殺予防と危機介入 43 ( 2 ) 18 - 24 2023年9月

Implications of Nonhuman “Authors.” 査読国際誌

Kentaro Matsui, Masahide Koda, Kazunari Yoshida

JAMA 330 ( 6 ) 566 - 566 2023年8月

Effectiveness of psychological first aid in infectious disease pandemics: An overview of systematic reviews 査読

Masahide Koda, Toru Horinouchi, Nozomu Oya, Morio Aki, Akihisa Iriki, Kazufumi Yoshida, Yusuke Ogawa, Hironori Kuga, Tomohiro Nakao

Psychiatry and Clinical Neurosciences Reports 2 ( 2 ) e107 2023年6月

担当区分：筆頭著者,　責任著者記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Wiley

Abstract

There is insufficient research on the usefulness of psychological interventions, such as psychological first aid (PFA), during outbreaks. We searched for and critically appraised systematic reviews that examined the effectiveness of PFA during infectious disease outbreaks, such as the novel coronavirus disease (COVID‐19). Systematic reviews that examined the efficacy of PFA in the severe acute respiratory syndrome, Middle East respiratory syndrome coronavirus, Ebola virus disease, and COVID‐19 outbreaks were searched through PubMed on February 19, 2021. The three included systematic reviews were critically appraised and assessed using AMSTAR‐2. One review's overall confidence in its findings was evaluated as “high,” which suggested that PFA training had a favorable effect on healthcare personnel. Furthermore, the review also demonstrated that PFA was commonly used during outbreaks and could be delivered through multiple methods, such as a phone or video call. Although it was anticipated that PFA would improve subjective well‐being, reports showed no evidence of reduced depression or insomnia. Future studies should examine additional numbers of PFA recipients and conduct quasi‐experimental studies to better understand the effectiveness of PFA. Evidence on its effectiveness in infectious disease outbreaks is still lacking, along with research and evaluation methods. Quasi‐experimental studies, such as comparisons with other psychological interventions, are required to better understand the effectiveness of PFA.

DOI： 10.1002/pcn5.107

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都道府県レベルにおけるソーシャル・キャピタル指標と自殺死亡率との関連査読

中村恒穂, 井手一茂, 鄭丞媛, 髙橋聡, 香田将英, 尾島俊之, 近藤克則

厚生の指標 70 ( 1 ) 16 - 23 2023年1月