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New behavioral practice for patients with dementia - Optimization of task difficulty and social reward

Research Project

Project/Area Number 15K08819
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Hygiene and public health
Research InstitutionBunkyo Gakuin University (2018)
Kitasato University (2015-2017)

Principal Investigator

Tanaka Hideki  文京学院大学, 保健医療技術学部, 助教 (90733585)

Co-Investigator(Kenkyū-buntansha) 鈴木 誠  北里大学, 医療衛生学部, 教授 (80554302)
福田 倫也  北里大学, 医療衛生学部, 教授 (80291649)
Project Period (FY) 2015-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Fiscal Year 2017: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2016: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2015: ¥2,600,000 (Direct Cost: ¥2,000,000、Indirect Cost: ¥600,000)
Keywords認知症 / リハビリテーション / 作業療法 / 行動学習 / 行動練習 / 予後予測 / 報酬
Outline of Final Research Achievements

Patients with dementia who are not able to lead a self-reliant life went through a rehabilitation program which uses a behavioral practice plan that gives rewards when they do well while giving a consideration to avoid failure experiences.
As a result, the amount of assistance for such daily activities as wearing clothes and going to a toilet decreased.
This shows that an approach to avoid failure and providing rewards when they do well is effective for patients with dementia undergoing rehabilitation.

Academic Significance and Societal Importance of the Research Achievements

本研究の結果から,認知症を発症した方に対するリハビリテーションをはじめとする行動練習の方法として,試行錯誤や失敗体験を少なくし,動作や行動が適切に遂行された場合には賞賛するという方法に一定の効果があることが明らかとなった.このことにより,認知症を発症した方への行動練習を実施する際に参考とすることができる.
またこれらの知見を実際に臨床で活用していく可能性を模索するために,実際にリハビリテーション専門職に対して研修会を開催して意見をいただいた.認知症を発症した方に対する治療手法の探求も重要であるが,それを活かすことができるチームマネジメントの重要性についても考えていく必要がある.

Report

(5 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Research-status Report
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (9 results)

All 2018 2017 2016 2015

All Journal Article (3 results) (of which Peer Reviewed: 3 results,  Open Access: 1 results,  Acknowledgement Compliant: 2 results) Presentation (6 results) (of which Int'l Joint Research: 2 results)

  • [Journal Article] 作業療法士のリーダーシップ2017

    • Author(s)
      田中秀宜
    • Journal Title

      作業療法教育

      Volume: vol.17 no.1 Pages: 78-79

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Predicting Cognitive and Behavioral Functions in Patients with Dementia: Practical Prognostic Models of Logarithmic and Linear Regression.2016

    • Author(s)
      Aki Watanabe, Makoto Suzuki, Harumi Kotaki, Hironori Sasaki, Takayuki Kawaguchi, Hideki Tanaka, Michinari Fukuda
    • Journal Title

      Edorium J Disabil Rehabil

      Volume: 2 Issue: 2 Pages: 144-153

    • DOI

      10.5348/d05-2016-22-oa-18

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] 認知症患者に対する行動練習:4症例の臨床的検討.2016

    • Author(s)
      佐々木寛法,鈴木誠,橋本友理,渡邊愛記,佐藤芳彦,田代大貴,山口真悟,石井健彦 ,田中秀宜,小滝治美
    • Journal Title

      行動リハビリテーション研究会学術誌

      Volume: 未定

    • NAID

      40020898901

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Presentation] 日本の作業療法士の国際的多職種間連携教育に関する文献研究~Literature review on the education for international multidisciplinary collaboration of Occupational Therapists in Japan2018

    • Author(s)
      田中秀宜,河村晃依,髙橋香代子
    • Organizer
      第52回日本作業療法学会
    • Related Report
      2018 Annual Research Report
  • [Presentation] Literature review on the continuous education for multi-disciplinary collaboration of occupational therapists in Japan.2017

    • Author(s)
      Hideki Tanaka, Makoto Watanabe, Akie Kawamura, Yuki Mashizume, Kayoko Takahashi
    • Organizer
      ASEAN Conference on Healthy Ageing 2017(Kuching, Malaysia)
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 脳卒中上肢麻痺に対する作業療法の評価尺度―文献レビューとICFに基づいた分析―2017

    • Author(s)
      髙橋香代子,田中秀宜,福田倫也
    • Organizer
      第51回日本作業療法学会
    • Related Report
      2017 Research-status Report
  • [Presentation] Predicting changes in cognitive and behavioral functions in patients with dementia.2015

    • Author(s)
      Aki Watanabe, Makoto Suzuki, Harumi Kotaki, Hironori Sasaki, Hideki Tanaka, Takayuki Kawaguchi, Michinari Fukuda
    • Organizer
      ABAI's Eighth International Conference
    • Place of Presentation
      京都府京都市(ホテルグランヴィア京都)
    • Year and Date
      2015-09-27
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] 認知症高齢者の転倒予測.2015

    • Author(s)
      田中秀宜,鈴木誠,山本亮輔,渡邊愛記,川口敬之,福田倫也
    • Organizer
      第4回行動リハビリテーション研究会年次大会
    • Place of Presentation
      東京都江東区(臨床福祉専門学校)
    • Year and Date
      2015-05-17
    • Related Report
      2015 Research-status Report
  • [Presentation] 認知症患者に対する行動練習プロトコルの構築2015

    • Author(s)
      佐々木寛法,小滝治美,鈴木誠,渡邊愛記,田中秀宜
    • Organizer
      第4回行動リハビリテーション研究会年次大会
    • Place of Presentation
      東京都江東区(臨床福祉専門学校)
    • Year and Date
      2015-05-17
    • Related Report
      2015 Research-status Report

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Published: 2015-04-16   Modified: 2020-03-30  

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