Ueno Nobuhiro, Sakatani Aki, Ando Katsuyoshi, Saito Seisuke, Sugimura Kojiro, Tanaka Kazuyuki, Serikawa Shinya, Ishikawa Chisato, Muto Momotaro, Inaba Yuhei, Moriichi Kentaro, Fujiya Mikihiro
Department of General Medicine, Asahikawa Medical University Hospital, Midorigaoka-Higashi 2 - 1- 1- 1, Asahikawa, Hokkaido, 078 - 8510, Japan.
Department of Gastroenterological Sciences, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
J Gastroenterol. 2025 Apr 12. doi: 10.1007/s00535-025-02248-6.
Inflammatory bowel disease (IBD) significantly impacts employment and work productivity, necessitating support for balancing work and treatment (SBWT). While SBWT systems have been formalized in Japan, awareness among healthcare professionals remains low. This study aimed to evaluate the effectiveness of an educational program on SBWT for healthcare professionals in Hokkaido, Japan.
A 2-year questionnaire-based study was conducted across eight medical facilities in Hokkaido, Japan, from November 2022 to November 2024. The educational program, comprising lecture-based and self-directed learning formats, addressed six key components of SBWT. Pre- and post-program surveys assessed changes in awareness, interest, and behaviors related to SBWT.
Pre-program awareness of SBWT was low (36.7% among doctors, 28.2% among medical staff). Post-program, awareness increased significantly to 81.3% and 58.3%, respectively (p < 0.01). Interest in SBWT improved across several categories for both groups, with greater gains among medical staff. Behavioral changes, such as detailed employment-related consultations with IBD patients and improved reporting practices from medical staff to doctors, were observed but not statistically significant. Lecture-based learning was more effective than self-directed methods, in increasing awareness, interest, and engagement with SBWT, particularly for medical staff.
The educational program successfully enhanced awareness and interest in SBWT, with lecture-based methods proving more effective for medical staff. These findings emphasize the need for tailored educational strategies based on baseline knowledge. Future initiatives should focus on sustaining knowledge acquisition, expanding programs nationwide, and assessing long-term impacts on healthcare practices and patient outcomes.
炎症性肠病（IBD）对就业和工作生产力有重大影响，因此需要支持来平衡工作与治疗（SBWT）。虽然SBWT系统在日本已正式确立，但医疗保健专业人员的认知度仍然较低。本研究旨在评估针对日本北海道医疗保健专业人员的SBWT教育项目的效果。
2022年11月至2024年11月，在日本北海道的八个医疗机构开展了一项为期两年的问卷调查研究。该教育项目包括讲座式和自主学习形式，涵盖了SBWT的六个关键组成部分。项目前后的调查评估了与SBWT相关的认知、兴趣和行为的变化。
项目前对SBWT的认知度较低（医生中为36.7%，医务人员中为28.2%）。项目后，认知度分别显著提高到81.3%和58.3%（p < 0.01）。两组在几个类别中对SBWT的兴趣都有所提高，医务人员的提升幅度更大。观察到了行为变化，如与IBD患者进行详细的就业相关咨询以及医务人员向医生改进报告做法，但无统计学意义。讲座式学习在提高对SBWT的认知、兴趣和参与度方面比自主学习方法更有效，尤其是对医务人员。
该教育项目成功提高了对SBWT的认知和兴趣，事实证明讲座式方法对医务人员更有效。这些发现强调了基于基线知识制定量身定制的教育策略的必要性。未来的举措应侧重于维持知识获取、在全国范围内扩大项目以及评估对医疗实践和患者结局的长期影响。
