Yonago acta medica最新文献

{"title":"Parental Issues and Support Needs in Selective Mutism in Japan: A Quantitative Content Analysis.","authors":"Tomohisa Yamanaka, Honami Koyama, Masahiko Inoue","doi":"10.33160/yam.2024.11.004","DOIUrl":"10.33160/yam.2024.11.004","url":null,"abstract":"<p><strong>Background: </strong>Selective mutism (SM) is an anxiety disorder in which children struggle to speak in specific social situations, and parents often have trouble coping with their child's symptoms. We analyzed parents' issues and support needs regarding SM through their responses to two open-ended questions, examining how these needs varied with diagnosis and comorbid conditions.</p><p><strong>Methods: </strong>Quantitative content analysis was conducted on responses obtained from 70 parents of children with SM (ages 29-63 years) recruited through SM information exchange group and social networking service. The participants responded to two open-ended questions regarding the issues they faced and the support they needed for their children's SM symptoms.</p><p><strong>Results: </strong>The results showed that issues faced by parents of children with SM could be divided into five groups: (A) Regret over Delayed Initial Response, (B) School Non-attendance in Children with SM, (C) Inadequate Support from Teachers, (D) Inconsiderate Communication Lacking Empathy from Others, and (E) Communication Barriers Leading to Bullying and Social Isolation. The support needs of parents were categorized into four groups: (a) Places for Consultation and Obtaining Information, (b) Growth in the Number of Supporters Who Understand SM, (c) Opportunities to Improve Knowledge about SM, and (d) Specific Methods for SM Improvement. Furthermore, although comorbid conditions did not significantly affect parental issues and support needs, slight differences were observed based on the presence of a diagnosis.</p><p><strong>Conclusion: </strong>This study highlights that parents of children with SM are troubled by professionals' lack of knowledge and their children's symptoms, driving them to seek better understanding and more resources. The results also suggest that the support needs of these parents vary depending on whether their child is diagnosed with SM. Future research should globally identify parental issues and support needs, determine the core elements, and establish a more comprehensive support system.</p>","PeriodicalId":23795,"journal":{"name":"Yonago acta medica","volume":"67 4","pages":"303-313"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11584234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Managing Dosage Adjustments in Pseudo-Hypocreatinemia: Insights from Vancomycin-Induced Nephrotoxicity in a Sarcopenic Patient.","authors":"Sosuke Taniguchi, Tomoaki Takata, Yukari Mae, Yudai Fujino, Kana Kageyama, Hinako Hanada, Takuji Iyama, Hajime Isomoto","doi":"10.33160/yam.2024.11.005","DOIUrl":"10.33160/yam.2024.11.005","url":null,"abstract":"<p><p>Adjusting the dosage of renal excretory drugs according to the patient's renal function is essential. Vancomycin necessitates such adjustments due to its potential to cause nephrotoxicity when administered in excess. Creatinine-based equations for assessing the glomerular filtration rate, such as the Cockcroft-Gault and Modification of Diet in Renal Disease equations, are often used for dosage adjustments. However, vancomycin-induced nephrotoxicity sometimes occurs in critically ill patients, even in those with a normal estimated glomerular filtration rate. This case involved a 64-year-old male with cholangitis who developed vancomycin-induced nephrotoxicity. The patient was sarcopenic and had multiple risk factors that predisposed him to drug-induced nephrotoxicity. Moreover, creatinine-based equations may lead to the overestimation of glomerular filtration rate and subsequent vancomycin overdose. This case underscores the need for careful interpretation of creatinine-based assessments. We propose strategies to optimize medication dosing, particularly in patients with sarcopenia, to mitigate such risks.</p>","PeriodicalId":23795,"journal":{"name":"Yonago acta medica","volume":"67 4","pages":"358-362"},"PeriodicalIF":0.9,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11584231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Optimal Transport Medium for SARS-CoV-2 Detection in the Direct Method of Rapid Microfluidic PCR System.","authors":"Miyako Takata, Masaki Nakamoto, Tsuyoshi Kitaura, Kensaku Okada, Hiroko Endou, Athok Shofiudin Ma'arif, Yukari Nishikawa, Kengo Mukuda, Shota Morishita, Hiromi Murota, Akira Yamasaki, Seiji Kageyama, Naoto Burioka, Hiroki Chikumi","doi":"10.33160/yam.2024.11.003","DOIUrl":"10.33160/yam.2024.11.003","url":null,"abstract":"<p><strong>Background: </strong>Recently developed rapid real-time reverse transcription PCR (RT-PCR) systems adopting microfluidic thermal cycling technology are ideal for point-of-care (POC) testing for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Because the RNA extraction step before real-time RT-PCR is rate-limiting, a direct RNA extraction method (direct method) that adopts chemical viral lysis and eliminates RNA purification steps is preferable for rapid real-time RT-PCR. In the direct method, selecting the transport medium is essential because it may be introduced into subsequent real-time RT-PCR steps, but might inhibit PCR. However, the influence of transport medium on the combination of the direct method and rapid real-time RT-PCR has been yet unstudied. In the present study, we examined the influence of various transport mediums when combining the direct method and rapid real-time RT-PCR of GeneSoC^® (GeneSoC^® RT-PCR), the recently developed compact PCR system that adapts novel microfluidic thermal cycling technology.</p><p><strong>Methods: </strong>To explore the influence of the transport medium on the GeneSoC^® RT-PCR, the concordance of the RNA extraction and direct method was evaluated in the clinical samples collected in viral transport medium (VTM) or eSwab^®. The sensitivity of GeneSoC^® RT-PCR combined with the direct method was assessed using spiked samples in generic (H₂O and PBS) or commercially available transport media (VTM and eSwab^®). Analytical sensitivity was examined using clinical specimens collected from the VTM and eSwab^®. The inhibitory effect of PCR inhibitors on clinical specimens was assessed using clinical samples diluted 1,000 times.</p><p><strong>Results: </strong>While only 1 copy/reaction of RNA was detected in H₂O and eSwab^® of the spiked samples, a minimum of 5 copies/reaction was detected in PBS (-) and VTM. Among the clinical specimens tested using the direct method, the detection of viral RNA was unstable in the samples containing less than 100 copies/reaction viral RNA in VTM, whereas less than 10 copies/reaction viral RNA were detected in eSwab^®. The positive, negative, and overall concordance between the RNA extraction and the direct method was 84%, 100%, and 85%, respectively, in eSwab^® samples, whereas the values were 35%, 100%, and 38%, respectively, in VTM samples. When the clinical samples were diluted 1,000 times, GeneSoC^® RT-PCR could detect as low as 1.15 copies/reaction RNA using direct method, and the sensitivity was comparable to that of RNA extraction.</p><p><strong>Conclusion: </strong>The combination of the direct method and microfluidic rapid PCR machine GeneSoC^® has a high sensitivity for detecting SARS-CoV-2 RNA in clinical samples with eSwab^® transport medium.</p>","PeriodicalId":23795,"journal":{"name":"Yonago acta medica","volume":"67 4","pages":"293-302"},"PeriodicalIF":0.9,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11584235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"<i>In Vitro</i> Efficacy of Photodynamic Antimicrobial Chemotherapy with TONS504 Using Blue Light Against <i>Pseudomonas aeruginosa</i>.","authors":"Tomoya Furujo, Norihiko Ito, Kazuki Harada, Isao Sakata, Tomohiro Osaki","doi":"10.33160/yam.2024.11.001","DOIUrl":"10.33160/yam.2024.11.001","url":null,"abstract":"<p><strong>Background: </strong><i>Pseudomonas aeruginosa</i> is an important causative agent of bacterial keratitis. This study investigates the antibacterial effect of photodynamic antimicrobial chemotherapy (PACT) with the chlorin derivative TONS504 (TONS504-PACT) and a blue light-emitting diode (LED) on <i>P. aeruginosa</i> <i>in vitro</i>. It also explores the synergistic effects of combining TONS504-PACT with EDTA, and compares the antibacterial effects of TONS504-PACT using blue light with those of previously reported red light.</p><p><strong>Methods: </strong>To evaluate the antibacterial effects of TONS504-PACT using blue light on <i>P. aeruginosa</i>, PACT with TONS504 (0-100 mg/L) was applied using a 405 nm LED at 0-30 J/cm² to <i>P. aeruginosa</i> (10^7-8 CFU/mL). The antibacterial effects were assessed by calculating the survival fraction. Subsequently, to compare the effects of TONS504-PACT using blue light with those of using red light, PACT with TONS504 (10 or 100 mg/L) was conducted using a 405 or 660 nm LED at 30 J/cm² and evaluated in the same manner. Finally, to investigate the synergistic antibacterial effects of TONS504-PACT with EDTA, PACT with TONS504 (0-100 mg/L) was applied using a 405 nm LED at 5 J/cm², both with and without EDTA (0.015 M), and its antibacterial effects were similarly assessed.</p><p><strong>Results: </strong>TONS504-PACT using blue light decreased the survival of <i>P. aeruginosa</i>, depending on the light intensity. The greatest antibacterial effect was observed at 10 mg/L and 30 J/cm², showing a survival fraction of 3.5 × 10^-5. TONS504-PACT demonstrated a significantly greater antibacterial effect using blue light than that demonstrated using red light at 10 mg/L, though not at 100 mg/L. The combination of TONS504-PACT using blue light with EDTA significantly enhanced antibacterial effects at all concentrations.</p><p><strong>Conclusion: </strong>These findings confirm the effectiveness of TONS504-PACT using blue light against <i>P. aeruginosa</i> and suggest its potential as a treatment for bacterial keratitis.</p>","PeriodicalId":23795,"journal":{"name":"Yonago acta medica","volume":"67 4","pages":"284-292"},"PeriodicalIF":0.9,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11584238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Finding the Right Hepatic Artery Branching from the Gastroduodenal Artery in a Patient Undergoing Gastrectomy: A Rare Case of an Anatomical Variant.","authors":"Shota Shimizu, Tomoyuki Matsunaga, Tomohiro Takahashi, Yu Sakano, Yuji Shishido, Kozo Miyatani, Yusuke Kono, Yuki Murakami, Takehiko Hanaki, Kyoichi Kihara, Manabu Yamamoto, Naruo Tokuyasu, Shuichi Takano, Teruhisa Sakamoto, Toshimichi Hasegawa, Yoshiyuki Fujiwara","doi":"10.33160/yam.2024.11.002","DOIUrl":"10.33160/yam.2024.11.002","url":null,"abstract":"<p><p>Numerous vascular anomalies of the hepatic artery have been reported. Protection of the hepatic arterial supply is important during gastrectomy. We herein report a case in which an anatomical variant of the hepatic artery was discovered in a patient undergoing laparoscopic distal gastrectomy with D1+ lymph node dissection for early gastric cancer. A 50-year-old man was referred to our hospital because of epigastric pain and hematemesis, and he was diagnosed with early gastric cancer after hemostasis of a bleeding ulcer. Computed tomography showed an anatomical variation of the right hepatic artery, which branched from the gastroduodenal artery. Moreover, the right gastric artery branched from the right hepatic artery. Our preoperative understanding of this unusual branch of the hepatic artery enabled safe laparoscopic surgery with adequate lymph node dissection. No postoperative complications occurred. This vascular anomaly has not been previously reported in patients undergoing gastrectomy.</p>","PeriodicalId":23795,"journal":{"name":"Yonago acta medica","volume":"67 4","pages":"355-357"},"PeriodicalIF":0.9,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11584236/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Potentiality of Evaluating Flash Electroretinography with a Montage of Skin Electrodes Connecting the Inner Canthus to the Ear in Younger Children: A Pilot Study.","authors":"Masayoshi Oguri, Sotaro Kanai, Tohru Okanishi, Tatsuya Kawaguchi, Toshihiro Takamori, Yoshihiro Maegaki","doi":"10.33160/yam.2024.08.013","DOIUrl":"10.33160/yam.2024.08.013","url":null,"abstract":"<p><p>This study aimed to determine whether more stable electroretinography parameters could be obtained in younger children using skin electrodes placed at the inner canthus and ears compared to using contact lens electrodes. The study included three Japanese patients (two girls and one boy) who presented with epileptic spasms before the age of 3 years. We compared the electroretinography parameters obtained with skin electrodes and contact lens electrodes. We could record reproducible results using skin ERG with a montage of electrodes placed at the inner canthus and the ear in children. Moreover, standard data for younger children were created, enabling the evaluation of electroretinography parameters recorded with skin electrodes in individual pediatric patients. The skin electroretinography using the new montage may be stable parameters for evaluating retinal function in younger children.</p>","PeriodicalId":23795,"journal":{"name":"Yonago acta medica","volume":"67 3","pages":"280-283"},"PeriodicalIF":0.9,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11335925/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142081874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of an AI-Assisted Embryo Selection System Using Iberian Ribbed Newts for Embryo-Fetal Development Toxicity Testing.","authors":"Naofumi Saiki, Akiko Adachi, Hiroshi Ohnishi, Atsuro Koga, Masaru Ueki, Kiyotaka Kohno, Toshinori Hayashi, Tetsuya Ohbayashi","doi":"10.33160/yam.2024.08.011","DOIUrl":"10.33160/yam.2024.08.011","url":null,"abstract":"<p><strong>Background: </strong>The 3Rs (Reduction, Refinement, Replacement) principle is driving the need for alternative methods in animal testing. Despite advancements in in vitro testing, complex systemic toxicity tests still necessitate in vivo approaches. The aim of this study was to develop a developmental toxicity test protocol using the Iberian ribbed newt (<i>Pleurodeles waltl</i>) as a model organism, integrating AI image analysis for embryo selection to improve test accuracy and reproducibility.</p><p><strong>Methods: </strong>We established a developmental toxicity test protocol based on the zebrafish test. Gonadotropin was administered to induce ovulation, and in vitro fertilization was performed. Embryos were imaged at 5-6 and 6-7 h post-fertilization. AI image analysis was utilized to assess embryo viability. The test chemical was administered 24-48 h post-fertilization, and morphological changes were observed daily until day 8. Additionally, a time-lapse photography system was constructed to monitor embryonic development.</p><p><strong>Results: </strong>Out of 24 cultured embryos, 75% developed normally to the late tail bud stage or initial hatching stage, whereas 25% experienced developmental arrest or death. AI image analysis achieved high accuracy in classifying embryos, with overall accuracies of 92.0% and 92.9% for two learning models. The AI system demonstrated higher precision in the selection of viable embryos compared to visual inspection.</p><p><strong>Conclusion: </strong>The Iberian ribbed newt presents a viable alternative model for developmental toxicity testing, adhering to the 3Rs principles. The integration of AI image analysis substantially enhances the accuracy and reproducibility of embryo selection, providing a reliable method for evaluating developmental toxicity in pharmaceuticals.</p>","PeriodicalId":23795,"journal":{"name":"Yonago acta medica","volume":"67 3","pages":"233-241"},"PeriodicalIF":0.9,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11335927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142081871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Gaps in Child Maltreatment Trends: A Narrative Review from the U.S. and Japan.","authors":"Tamaki Hosoda-Urban","doi":"10.33160/yam.2024.08.014","DOIUrl":"10.33160/yam.2024.08.014","url":null,"abstract":"<p><p>Child maltreatment affects millions globally across all economic levels. Despite its prevalence, comparative research and internationally comparable data are limited due to varied definitions, methodologies, and reporting systems. This narrative review aims to compare child maltreatment trends in the U.S. and Japan, highlighting the roles of sociocultural factors. Through a literature review and analysis of national data since 1990, the study estimates maltreatment and fatality rates in both countries. Findings suggest an increase in Japan's reported maltreatment cases, likely attributable to legislative changes and heightened public awareness, while the U.S. appears to show a decline, potentially linked to improved mental health services and socioeconomic advancements. In both nations, mothers are predominantly identified as perpetrators, with sociocultural factors influencing maltreatment types and rates. Japan faces challenges in accurately measuring maltreatment due to reporting inconsistencies and mental health stigma. Despite a higher victimization rate, Japan reports significantly fewer fatalities than the U.S., with the fatality rate in the U.S. being approximately 9 times higher than in Japan. This contrast underscores the critical role of healthcare access and mental health support. The review advocates for international efforts to standardize maltreatment definitions and reporting, suggesting the adoption of trauma-informed care and comprehensive healthcare access as effective strategies.</p>","PeriodicalId":23795,"journal":{"name":"Yonago acta medica","volume":"67 3","pages":"176-182"},"PeriodicalIF":0.9,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11335919/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142081872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Importance of qSOFA Score in Terms of Prognosis and Mortality in Critical Care Patients.","authors":"Yahya Kemal Günaydın, Dilber Üçöz Kocaşaban, Sertaç Güler, Erdal Demirtaş, Yeşim Çövüt, Mitat Can Öztürk, Jiyan Deniz İlgün, Nazire Belgin Akıllı","doi":"10.33160/yam.2024.08.009","DOIUrl":"10.33160/yam.2024.08.009","url":null,"abstract":"<p><strong>Background: </strong>Recent studies have analyzed the qSOFA (quick sequential organ failure assessment) score as a prognostic indicator in many diseases, particularly sepsis. However, the effect of qSOFA score on prognosis and mortality in critical care patients has not been sufficiently analyzed. There is not enough data, especially regarding its use as critical care mortality and prognosis scoring. In this study, we aimed to analyze the effect of qSOFA score on mortality and prognosis in critical care unit (CCU) patients.</p><p><strong>Methods: </strong>This study was conducted retrospectively using the chart review method. The APACHE II (Acute Physiology and Chronic Health Evaluation II) and SOFA (Sequential Organ Failure Assessment) scores of patients admitted to our CCU were compared with the qSOFA score. In addition, the need for intubation and mechanical ventilation, short- and long term mortality rates, the relationship between blood gas lactate values and qSOFA score were analyzed.</p><p><strong>Results: </strong>A total of 1816 patients were included in the study. During critical care follow-up, 374 (20.6%) of our patients died, and at the end of 6 months, 796 (43.8%) of our patients died. A statistically significant association was found between in-hospital mortality and qSOFA, SOFA scores and lactate levels (<i>P</i> = 0.001, <i>P</i> = 0.001, <i>P</i> = 0.01 respectively). A statistically significant association was found between 6-month mortality and SOFA score only. (<i>P</i> = 0.001) The SOFA score appeared to be the most successful predictor of mortality. The cut-off for mortality using the ROC curve was ≥ 7 [sensitivity 78.1%; specificity 85.9%; AUC 0.91; 95% confidence interval (CI), 0.89 to 0.92; <i>P</i> = 0.001]. qSOFA scoring also performed well. The cut-off value for mortality using the ROC curve was ≥ 2 (sensitivity 42.5%; specificity 93.9%; AUC 0.83;95% CI, 0.80-0.85; <i>P</i> = 0.001).</p><p><strong>Conclusion: </strong>We believe that the qSOFA score can be used as a marker for in-hospital mortality and prognosis in critical care patients. Especially in cases where the qSOFA score is ≥ 2, it provides valuable information regarding mortality and prognosis.</p>","PeriodicalId":23795,"journal":{"name":"Yonago acta medica","volume":"67 3","pages":"225-232"},"PeriodicalIF":0.9,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11335929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142081873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Online Parent Training for Vietnamese Parents of Children with Autism Spectrum Disorders.","authors":"Masahiko Inoue, Honami Yamaguchi, Keita Nakatani, Ayano Nishimoto, Kei Namiki, Satori Kuroda, Thi Viet Ha Tran, Nguyen Trang Thu Dinh","doi":"10.33160/yam.2024.08.008","DOIUrl":"10.33160/yam.2024.08.008","url":null,"abstract":"<p><strong>Background: </strong>Parent training (PT) programs have been implemented for neurodevelopmental disorders such as autism spectrum disorder (ASD) in recent years. However, in Southeast Asia, the diffusion of rehabilitation programs for children with ASD and that of PT as a parental support measure has been slow.</p><p><strong>Methods: </strong>This study assessed the effectiveness of an online PT program that was developed in Japan and remotely delivered to Vietnamese parents of children with ASD residing in Vietnam. Sixteen parents of Vietnamese children with ASD participated in seven online Tottori University-style PT sessions. The online PT was conducted in real-time from Japan, considering the two-hour time difference between countries. Lectures and exercises were presented in Vietnamese with PowerPoint materials. Japanese staff provided explanations in Japanese, which were then simultaneously translated by a Vietnamese interpreter. Attendance, completion of homework assignments, and the number of statements on Zoom and social media were tallied. A pre-post-test design was employed to measure changes in parents' mental health factors and children's behavior. A post-intervention questionnaire was administered to assess participant's acceptance of PT.</p><p><strong>Results: </strong>The findings showed that attendance and task completion rates were considerably high. The study found that the mental health scores of parents significantly improved after participating in online parenting training compared to before. However, there were no statistically significant improvements found in children's behavior. The study also confirmed high satisfaction with the cross-country online parenting training.</p><p><strong>Conclusion: </strong>This study confirmed that TUPT, developed in Japan and implemented as an online PT for parents of children with ASD living in Vietnam, was effective in improving parental mental health. The program acceptability questionnaire also showed positive results. This study is the first step in the evaluation and dissemination of Internet-based, cross-country parent training for parental support in Asia.</p>","PeriodicalId":23795,"journal":{"name":"Yonago acta medica","volume":"67 3","pages":"213-224"},"PeriodicalIF":0.9,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11335923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}