Japan-Korea joint research on monitoring institutionalized residents with dementia using the integrated circuit tag system

• Project/Area Number: 17406032
• Research Category: Grant-in-Aid for Scientific Research (B)
• Allocation Type: Single-year Grants
• Section: 海外学術
• Research Field: Community health/Gerontological nurisng
• Research Institution: Osaka University
• Principal Investigator: MAKIMOTO Kiyoko Osaka University, Graduate school of Medicine, Professor (80262559)
• Co-Investigator(Kenkyū-buntansha): SUZUKI Mizue Mie Prefecture Nursing University, Nursing, Professor (40283361) ; IZUMI Kiyoko Kanazawa University, Medical school, Professor (20115207) ; ASHIDA Nobuyuki Koshien University, Contemporary business administration, Professor (50184164) ; YAMAKAWA Miyae Osaka University, Graduate school of Medicine, Assistant Professor (80403012) ; 許田 志津子 大阪大学, 医学系研究科, 助手 (30362693)
• Project Period (FY): 2005 – 2007
• Project Status: Completed (Fiscal Year 2007)
• Budget Amount: ¥9,740,000 (Direct Cost: ¥8,900,000、Indirect Cost: ¥840,000); Fiscal Year 2007: ¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000); Fiscal Year 2006: ¥2,500,000 (Direct Cost: ¥2,500,000); Fiscal Year 2005: ¥3,600,000 (Direct Cost: ¥3,600,000)
• Keywords: elderly / movement pattern / dementia / auality of clinical care / IC tag / monitorin / 認知機能 / 俳徊 / モニター / 安全 / 徘徊

Research Abstract

In the first phage of the research in Korea, 13 patients in a dementia care unit, Soule, Korea were monitored for 14 days to develop objective measures of movement patterns. Then, the IC tag monitoring system was upgraded and became able to handle greater number of antennas to capture movements. Then, the validity of the new monitoring system was tested in a semi-acute dementia care unit, Osaka, Japan for 4 months. In total, 36 patients were monitored. In addition to the indicators developed in the first phase, clinical data and were collected to examine the pattern of movement in relation to these clinical indicators behavioral and psychological symptoms of dementia. The series of studies were conducted to explore patterns of movement by type of dementia, the relationship between the distance moved per day and body weight changes per month. Further, alteration in the movement patterns following admission was explored in several cases, which demonstrated the improvement in reversed sleep-awake cycles and other disorders. An environmental control intervention, closing door policy, prevented the patient from entering the room other than his and sleeping other patient's bed during the day. The success of the intervention was measured by the percentage of the hours with movement and the distance moved per time period. This study demonstrated the usefulness of objective measurement to evaluate the intervention for dementia patients as well as the importance of dementia type specific intervention. In the third phase, cross-cultural comparison of pattern of movement in dementia patients between Korea and Japan. Eleven patients were monitored for a month. Although the number of subjects was small, the indicators of movements showed the association between the age at which dementia symptom manifested was associated with the distance moved per day. Further analysis is underway.

Research Products

• [Journal Article] Temporal patterns of movements in institutionalizedelderly with dementia during 12-consecutive days observation in Seoul, Korea. (2008)
  • Author(s): Makimoto K, Lee EA, Kang Y, Yamakawa M, Ashida N, Shin KR.
  • Journal Title: American Journal of Alzheimer's Disease and Other Dementia 23(2) Pages: 200-206
  • Description: 「研究成果報告書概要(和文)」より
  • Peer Reviewed
• [Journal Article] Environmental Control Interventions for Frontotemporal Dementia with reversed sleep-wake cycles. (2008)
  • Author(s): Yamakawa, M., Shigenobu, K., Makimoto, K., Zhu, C., Ashida, N., Tabushi, K.
  • Journal Title: American Journal of Alzheimer's Disease and Other Dementia (in press)
  • Description: 「研究成果報告書概要(和文)」より
  • Peer Reviewed
• [Journal Article] Temporal patterns of movements in institutionalized elderly with dementia during 12-consecutive days observation in Seoul, Korea (2008)
  • Author(s): Makimoto, K, Lee, EA, Kang, Y, Yamakawa, M, Ashida, N, Shin, KR
  • Journal Title: American Journal of Alzheimer's Disease and O ther Dementia 23-2 Pages: 200-2
  • Description: 「研究成果報告書概要(欧文)」より
• [Journal Article] Environmental Control Interventions for Frontotemporal Dementia with reversed sleep-wake cycles (2008)
  • Author(s): Yamakawa, M., Shigenobu, K., Makimoto, K., Zhu, C., Ashida, N., Tabushi, K
  • Journal Title: American Journal of Alzheimer's Disease and O ther Dementia (in press)
  • Description: 「研究成果報告書概要(欧文)」より
• [Journal Article] Temporal patterns of movements in institutionalized elderly with dementia during 12-consecutive days observation in Seoul, Korea. (2008)
  • Author(s): Makimoto K, Lee EA, Kang Y, Yamakawa M, Ashida N, Shin KR.
  • Journal Title: American Journal of Alzheimer's Disease and Other Dementia (in press)
  • Peer Reviewed
• [Journal Article] Attempts to differentiate the patterns of temporal movements in Alzheimer's disease patients from vascular dementia patients by the IC tag monitoring system. (2008)
  • Author(s): Segawa, N. Yamakawa, M., Shigenobu, K., Makimoto, K., Miyoshi, R., Zhu, C., Ashida, N., Tabushi, K.
  • Journal Title: Psychogeriatrics. (in press)
  • Peer Reviewed
• [Journal Article] Attempts to differentiate the patterns of temporal movements in Alzheimer's disease patients from vascular dementia patients by the IC tag monitoring system.
  • Author(s): Segawa, N. Yamakawa, M., Shigenobu, K., Makimoto, K., Miyoshi, R., Zhu, C.., Ashida, N., Tabushi, K.
  • Journal Title: Psychogeriatrics. (in press)
  • Description: 「研究成果報告書概要(和文)」より
  • Peer Reviewed
• [Journal Article] Attempts to differentiate the patterns of temporal movements in Alzheimer's disease patients from vascular dementia patients by the IC tag monitoring system
  • Author(s): Segawa, N., Yamakawa, M., Shigenobu, K., Makimoto, K., Miyoshi, R., Zhu, C., Ashida, N., Tabushi, K
  • Journal Title: Psychogeriatrics (in press)
  • Description: 「研究成果報告書概要(欧文)」より
• [Presentation] 認知症高齢者の歩行距離と排便との関係-ICタグモニタリングシステムを用いた客観的指標による検討 (2007)
  • Author(s): 山川みやえ、繁信和恵、牧本清子、朱燦群、三好瑠美子、瀬川七重、芦田信之.
  • Organizer: 第12回日本老年看護学会学術集会
  • Place of Presentation: 神戸
  • Year and Date: 2007-11-11
• [Presentation] Indicators of stability of ambulation among 8 residents in a dementia care unit, Soule, Korea. (2007)
  • Author(s): Makimoto, K., Lee, K. E. Lee, J. Y., Ha, M. J., Lee, E. A., Yamakawa, M., Zhu, C., Ashida, N.,
  • Organizer: the 13th International Psychogeriatric Association Congress.
  • Place of Presentation: Osaka
  • Year and Date: 2007-10-17
  • Description: 「研究成果報告書概要(和文)」より
• [Presentation] Evaluating environmental control intervention for Fronto-temporal dementia with diurnal rhythm disturbance. (2007)
  • Author(s): Yamakawa, M., Shigenobu, K., Makimoto, K., Zhu, C., Nagato, C., Shimada, M., Ashida, N., Tabushi, K.
  • Organizer: the 13th International Psychogeriatric Association Congress.
  • Place of Presentation: Osaka
  • Year and Date: 2007-10-17
  • Description: 「研究成果報告書概要(和文)」より
• [Presentation] Association between activity level and the changes in bodyweight of people with dementia using the Integrated Circuit tag monitoring system. (2007)
  • Author(s): Miyoshi, R., Yamakawa, M., Shigenobu, K., Makimoto, K., Segawa, N., Shimada, M., Ashida, N., Tabushi, K.
  • Organizer: the 13th International Psychogeriatric Association Congress.
  • Place of Presentation: Osaka
  • Year and Date: 2007-10-17
  • Description: 「研究成果報告書概要(和文)」より
• [Presentation] Association between the mean distance walked and the type of dementia measured by the IC tag monitoring system. (2007)
  • Author(s): Segawa, N. Yamakawa, M., Shigenobu, K., Makimoto, K., Miyoshi, R., Hasegawa, I., Shimada, M., Ashida, N., Tabushi, K.
  • Organizer: the 13th International Psychogeriatric Association Congress.
  • Place of Presentation: Osaka
  • Year and Date: 2007-10-17
  • Description: 「研究成果報告書概要(和文)」より
• [Presentation] Exploring factors associated with wandering in Alzheimer's disease patients using Integrated Circuittag monitoring system. (2007)
  • Author(s): Zhu, C., Shigenobu, K., Makimoto, K., Yamakawa, M., Hasegawa, I., Shimada, M., Ashida, N., Tabushi, K.
  • Organizer: the 13th International Psychogeriatric Association Congress.
  • Place of Presentation: Osaka
  • Year and Date: 2007-10-17
  • Description: 「研究成果報告書概要(和文)」より
• [Presentation] Indicators of stability of ambulation among 8 residents in a dementia care unit, Soule, Korea (2007)
  • Author(s): Makimoto, K., Lee, K.E., Lee, J.Y., Ha, M.J., Lee, E.A., Yamakawa, M., Zhu, C., Ashida, N
  • Organizer: the 13th International Psychogeriatric Association Congress
  • Place of Presentation: Osaka
  • Year and Date: 2007-10-17
  • Description: 「研究成果報告書概要(欧文)」より
• [Presentation] Evaluating environmental control intervention for Fronto-temporal dementia with diurnal rhythm disturbance (2007)
  • Author(s): Yamakawa, M., Shigenobu, K., Makimoto, K., Zhu, C., Nagato, C., Shimada, M., Ashida, N., Tabushi, K
  • Organizer: the 13th International Psychogeriatric Association Congress
  • Place of Presentation: Osaka
  • Year and Date: 2007-10-17
  • Description: 「研究成果報告書概要(欧文)」より
• [Presentation] Association between activity level and the changes in bodyweight of people with dementia using the Integrated Circuit tag monitoring system (2007)
  • Author(s): Miyoshi, R., Yamakawa, M., Shigenobu, K., Makimoto, K.,Segawa, N., Shimada, M., Ashida, N., Tabushi, K
  • Organizer: the 13th International Psychogeriatric Association Congress
  • Place of Presentation: Osaka
  • Year and Date: 2007-10-17
  • Description: 「研究成果報告書概要(欧文)」より
• [Presentation] Association between the mean distance walked and the type of dementia measured by the IC tag monitoring system (2007)
  • Author(s): Segawa, N., Yamakawa, M., Shigenobu, K., Makimoto, K., Miyoshi, R., Hasegawa, I., Shimada, M., Ashida, N., Tabushi, K
  • Organizer: the 13th International Psychogeriatric Association Congress
  • Place of Presentation: Osaka
  • Year and Date: 2007-10-17
  • Description: 「研究成果報告書概要(欧文)」より
• [Presentation] Exploring factors associated with wandering in Alzheimer's disease patients using Integrated Circuit tag monitoring system (2007)
  • Author(s): Zhu, C., Shigenobu, K., Makimoto, K., Yamakawa, M., Hasegawa, I., Shimada, M., Ashida, N., Tabushi, K
  • Organizer: the 13th International Psychogeriatric Association Congress
  • Place of Presentation: Osaka
  • Year and Date: 2007-10-17
  • Description: 「研究成果報告書概要(欧文)」より
• [Presentation] Association between activity level and the changes in body weight of people with dementia using the Integrated Circuit tag monitoring system. (2007)
  • Author(s): Miyoshi, R., Yamakawa, M., Shigenobu, K., Makimoto, K., Segawa, N., Shimada, M., Ashida, N., Tabushi, K.
  • Organizer: the 13th International Psychogeriatric Association Congress.
  • Place of Presentation: Osaka
  • Year and Date: 2007-10-17
• [Presentation] Exploring factors associated with wandering in Alzheimer's disease patients using Integrated Circuit tag monitoring system. (2007)
  • Author(s): Zhu, C., Shigenobu, K., Makimoto, K., Yamakawa, M., Hasegawa, I., Shimada, M., Ashida, N., Tabushi, K.
  • Organizer: the 13th International Psychogeriatric Association Congress.
  • Place of Presentation: Osaka
  • Year and Date: 2007-10-17
• [Presentation] 感染性胃腸炎による隔離がアルツハイマー型認知症患者の行動に与える影響 (2007)
  • Author(s): 山川みやえ、牧本清子.
  • Organizer: 第33回日本看護研究学会学術集会
  • Place of Presentation: 盛岡
  • Year and Date: 2007-07-29
• [Presentation] Japan-Korea joint research on monitoring institutionalized residents with dementia using the integrated circuit tag system. (2007)
  • Author(s): Yamakawa M, Makimoto K, Zhu C, Kang Y, Ashida N, Shin KR.
  • Organizer: International Council of Nurses 2007
  • Place of Presentation: Yokohama
  • Year and Date: 2007-05-30
  • Description: 「研究成果報告書概要(和文)」より
• [Presentation] Japan-Korea joint research on monitoring institutionalized residents with dementia using the integrated circuit tag system (2007)
  • Author(s): Yamakawa, M, Makimoto, K, Zhu, C, Kang, Y, Ashida, N, Shin, KR
  • Organizer: International Council of Nurses
  • Place of Presentation: Yokohama
  • Year and Date: 2007-05-30
  • Description: 「研究成果報告書概要(欧文)」より
• [Presentation] Japan-Korea Joint research on Monitoring People With Dementia. (2006)
  • Author(s): Makimoto, K. Yamakawa, M., Ashida, N., Kang, Y., Shin, KR.
  • Organizer: MEDNET
  • Place of Presentation: Tronto
  • Year and Date: 2006-10-17
  • Description: 「研究成果報告書概要(和文)」より
• [Presentation] Japan-Korea Joint Project on Monitoring People With Dementia (2006)
  • Author(s): Makimoto, K., Yamakawa, M., Ashida, N., Kang, Y., Shin, KR
  • Organizer: MEDNET
  • Place of Presentation: Toronto
  • Year and Date: 2006-10-17
  • Description: 「研究成果報告書概要(欧文)」より
• [Remarks] 「研究成果報告書概要(和文)」より
  • URL: http://sahswww.med.osaka-u.ac.jp/~agns1/epi/ictagpage.html