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Differences of expected intervention effects between participant-led and facilitator-led preventive care services in Japan
| Title: | Differences of expected intervention effects between participant-led and facilitator-led preventive care services in Japan |
| Authors: | Yun, Shan Browse this author | | Takashima, Risa Browse this author | | Yoshida, Kazuki Browse this author →KAKEN DB | | Sawamura, Daisuke Browse this author →KAKEN DB | | Inoue, Takao Browse this author | | Sakai, Shinya Browse this author →KAKEN DB |
| Keywords: | Participant-led | | facilitator-led | | preventive care | | community-dwelling | | older adults |
| Issue Date: | Dec-2021 |
| Publisher: | SAGE Publications |
| Journal Title: | Hong Kong Journal of Occupational Therapy |
| Volume: | 34 |
| Issue: | 2 |
| Start Page: | 83 |
| End Page: | 93 |
| Publisher DOI: | 10.1177/15691861211022986 |
| PMID: | 34987346 |
| Abstract: | Objective To examine the effect of different management methods on the effectiveness of care preventive programmes for community-dwelling older adults. Methods This study comprised two facilitator-led (FL) and one participant-led (PL) preventive care classes in Japan. All participants received the intervention for approximately 12 weeks. Functional assessments, occupational dysfunctions, and subjective health were measured before and after the interventions. A two-way mixed design analysis of covariance (ANCOVA) was adopted to examine the effect of the interventions, adjusted for previous experiences with preventive care services. The level of significance was set at P < 0.05. Results Fourteen participants in the PL group (76.64 +/- 6.48 years, 92.9% women) and 29 participants in the FL group (76.55 +/- 5.75 years, 75.9% women) were included in the statistical analysis. ANCOVA showed significant group x time interaction effects in the Five Times Sit-to-Stand Test (FTSST), the Timed Up & Go (TUG), occupational deprivation of the Classification and Assessment of Occupational Dysfunction Scale, and self-rated health. Simple main effect tests showed that the TUG decreased significantly in the PL group, while occupational deprivation and self-rated health scores improved significantly. In contrast, FTSST scores significantly improved in the FL group. Conclusion PL-type management may be more appropriate for preventing social isolation and withdrawal, while FL-type management may be more appropriate for preventing physical frailty. Selecting not only adequate programmes but also an appropriate management type that matches the service purpose can help provide more effective care preventive services. |
| Type: | article |
| URI: | http://hdl.handle.net/2115/83906 |
| Appears in Collections: | 保健科学院・保健科学研究院 (Graduate School of Health Sciences / Faculty of Health Sciences) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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