• Search Research Projects
  • Search Researchers
  • How to Use
  1. Back to previous page

Interventions for empowering the elderly with early dementia and family caregivers living in a rural community : participatory action research study

Research Project

Project/Area Number 17592316
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Community health/Gerontological nurisng
Research InstitutionEhime Prefectural University of Health Science

Principal Investigator

NOMURA Michie  Ehime Prefectural University of Health Science, Department of Nursing, Professor (50218369)

Co-Investigator(Kenkyū-buntansha) KATO Motoko  Nagoya City University, School of Nursing, Department of Community Health Nursing, Professor (60290053)
MIYAUCHI Kiyoko  Ehime Prefectural University of Health Sciences, 保健科学部, Professor (20239346)
SHIBA Tamami  Ehime Prefectural University of Health Sciences, 保健科学部, Assistant (60382397)
IKEDA Manabu  Kumamoto University, Faculty of Medical and Pharmaceutical Sciences, Department of Psychiatry and Neuropathobiology, Professor (60284395)
Project Period (FY) 2005 – 2007
Project Status Completed (Fiscal Year 2007)
Budget Amount *help
¥3,740,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥240,000)
Fiscal Year 2007: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2006: ¥1,000,000 (Direct Cost: ¥1,000,000)
Fiscal Year 2005: ¥1,700,000 (Direct Cost: ¥1,700,000)
KeywordsBackground The increase in the number of people su / Early Dementia / Family Caregiver / Participatory Action Research / Cognitive Rehabilitation / Empowerment / 家族支援 / グループアクティビティ
Research Abstract

Background: The increase in the number of people suffering from dementia is of increasing global concern. A survey on the living conditions of the elderly in a Japanese rural community revealed a high prevalence of early dementia and the necessity for interventions not only for the elderly with early dementia but also for their families.
Objective: To describe the implementation and process evaluation of a programme based on cognitive rehabilitation aimed at empowering the elderly with early dementia and education and counseling programmes aimed at likewise empowering their family caregivers.
Design: This study used a community health action research model. Participatory action research (PAR)was conducted through a cycle of planning, action, and reflection to identify effective interventions to empower participants with dementia (PsWD)and their caregivers.
Setting: A rural town in Japan.
Participants: This project involved 37 community-dwelling elderly with early or mild dementia and 31 fa … More mily caregivers.
Methods: A focus group interview was used for assessment. A monthly activity-based programme based on cognitive rehabilitation was developed to improve cognitive function. Three types of data were collected: observational data collected during the activities, written comments from the caregivers, the record of phone interviews and counselings with caregivers. These data were compiled in chronological order into a portfolio for analysis. To empower family caregivers, educational and counseling programmes were offered.
Results: The PAR lasted for five years and evolved over three cycles: individual, group and community. In the first cycle, the major focus of the intervention was to regain procedural skills for each PWD through a cooking programme. In the second cycle, to increase interactions with family members and with other PsWD, group activities that promoted communication among family members as well as among PsWD were implemented. The collective values and the beliefs of the PsWD's generation were validated by a series of trips to temples and shrines. In the third cycle, community participation was planned and implemented through culturally relevant sequential activities. PsWD demonstrated their expert skills and regained confidence. For family caregivers, the educational programme provided knowledge about dementia and utilization of social resources. Face-to-face and phone counselings were offered as needed to coach problem-focused coping. These programmes helped to interpret the symptoms of dementia and to reduce the behavioural problems.
Conclusions Cognitive rehabilitation theory was useful to restore lost procedural skills and regain confidence for PsWD. This PAR illustrated the importance of interventions for both community dwelling elderly with early dementia and their family caregivers. Less

Report

(4 results)
  • 2007 Annual Research Report   Final Research Report Summary
  • 2006 Annual Research Report
  • 2005 Annual Research Report
  • Research Products

    (29 results)

All 2007 2006 2005 Other

All Journal Article (17 results) (of which Peer Reviewed: 6 results) Presentation (12 results)

  • [Journal Article] 地域における初期認知症高齢者と家族介護者への支援方法:文献検討2007

    • Author(s)
      野村 美千江
    • Journal Title

      愛媛県立医療技術大学紀要 4(1)

      Pages: 35-42

    • NAID

      110006644123

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] Interventions for Elderly with Early Dementia and Family Caregivers : Review of the Literature2007

    • Author(s)
      Nomura, M
    • Journal Title

      Bulletin of Ehime Prefectural University of Health Sciences 4(1)

      Pages: 35-42

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] 地域における初期認知症高齢者と家族介護者への支援方法:文献検討2007

    • Author(s)
      野村 美千江
    • Journal Title

      愛媛県立医療技術大学紀要 第4巻第1号

      Pages: 35-42

    • NAID

      110006644123

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 初期認知症者の自動車運転中止の過程とその関連要因2007

    • Author(s)
      野村美千江, 豊田ゆかり, 中平洋子, 柴珠実, 宮内清子
    • Journal Title

      地域看護学会誌 9(2)

      Pages: 53-59

    • NAID

      110009865234

    • Related Report
      2006 Annual Research Report
  • [Journal Article] A longitudinal study regarding conversion from mild memory impairment to dementia in a Japanese community2006

    • Author(s)
      Ishikawa T, Ikeda M, Matsumoto N, Shigenobu K, Brayne C, Tanabe H.
    • Journal Title

      International Journal of Geriatric Psychiatry 21

      Pages: 134-139

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] A longitudinal study regarding conversion from mild memory impairment to dementia in a Japanese community2006

    • Author(s)
      Ishikawa T, Ikeda M, Matsumoto N, Shigenobu K, Brayne C, Tanabe, H
    • Journal Title

      International Journal of Geriatric Psychiatry 21

      Pages: 134-139

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] 認知症と社会的側面〜わが国における認知症ドライバー研究の動向2006

    • Author(s)
      上村直人, 池田学, 荒井由美子, 野村美千江, 博野信次
    • Journal Title

      脳と神経 58(6)

      Pages: 463-470

    • NAID

      40007368018

    • Related Report
      2006 Annual Research Report
  • [Journal Article] 認知症高齢者の自動車運転と権利擁護に関する研究(特集認知症-予防とケアの最前線)2006

    • Author(s)
      池田学, 上村直人, 荒井由美子, 野村美千江, 博野信次
    • Journal Title

      公衆衛生 70(9)

      Pages: 692-694

    • NAID

      40007445157

    • Related Report
      2006 Annual Research Report
  • [Journal Article] A longitudinal study regarding conversion from mild memory impairment to dementia in a Japanese community.2006

    • Author(s)
      Ishikawa T, Ikeda M, Matsumoto N, et al.
    • Journal Title

      International Journal of Geriatric Psychiatry 21

      Pages: 134-139

    • Related Report
      2005 Annual Research Report
  • [Journal Article] 農村に暮らす初期痴呆高齢者と配偶者の生活特性とその全体像2005

    • Author(s)
      野村 美千江, 大名門 裕子
    • Journal Title

      日本看護研究学会雑誌 28(1)

      Pages: 91-100

    • NAID

      10017146130

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] Seniors with Early Dementia and Their Spouses Living in a Rural Communit -The Overall Picture of The Characteristics of Their Lives2005

    • Author(s)
      Nomura, M., Ohnakado, H
    • Journal Title

      Journal of Japanese Society of Nursing Research 28(1)

      Pages: 91-100

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] 農村に暮らす初期痴呆高齢者と配偶者の生活特性とその全体像2005

    • Author(s)
      野村美千江, 大名門裕子
    • Journal Title

      日本看護研究学会雑誌 28(1)

      Pages: 91-100

    • NAID

      10017146130

    • Related Report
      2005 Annual Research Report
  • [Journal Article] 痴呆高齢者が自動車運転を断念する過程-家族対処とジレンマ2005

    • Author(s)
      野村美千江, 柴珠実, 豊田ゆかり, 宮内清子
    • Journal Title

      精神神経学雑誌 107(12)

      Pages: 1344-1347

    • NAID

      10020402312

    • Related Report
      2005 Annual Research Report
  • [Journal Article] 軽度認知障害と早期アルツハイマー病2005

    • Author(s)
      石川智久, 池田学
    • Journal Title

      総合臨床 54

      Pages: 3071-3077

    • Related Report
      2005 Annual Research Report
  • [Journal Article] Empowering the elderly with early dementia and family caregivers:A participatory action research study

    • Author(s)
      Nomura M, Makimoto K, Kato M, Shiba T, Matsuura C, Shigenobu K, Ishikawa T, Matsumoto N, Ikeda M.
    • Journal Title

      International Journal of Nursing Studies (in press)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] Empowering the elderly with early dementia and family caregivers : A participatory action research study

    • Author(s)
      Nomura M, Makimoto K, Kato M, Shiba T, Matsuura C, Shigenobu K, Ishikawa T, Matsumoto N, Ikeda, M
    • Journal Title

      International Journal of Nursing Studies (in press)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Empowering the elderly with early dementia and family caregivers:A participatory action research study

    • Author(s)
      Nomura M.
    • Journal Title

      International Journal of Nursing Studies (in press)

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Presentation] 地域型アクションリサーチによる認知症予防活動(1)-初期認知症者と家族へのプログラム開発2007

    • Author(s)
      野村 美千江, 柴 珠実, 松浦 千枝子, 西村 道子, 加藤 基子, 牧本 清子, 宮内 清子
    • Organizer
      第66回日本公衆衛生学会
    • Place of Presentation
      松山市
    • Year and Date
      2007-10-26
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Annual Research Report 2007 Final Research Report Summary
  • [Presentation] 地域型アクションリサーチによる認知症予防活動(2)-多職種チームの力量形成2007

    • Author(s)
      柴 珠実, 野村 美千江, 西村 道子, 松浦 千枝子, 加藤 基子, 牧本 清子, 宮内 清子
    • Organizer
      第66回日本公衆衛生学会
    • Place of Presentation
      松山市
    • Year and Date
      2007-10-26
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Annual Research Report 2007 Final Research Report Summary
  • [Presentation] 中山間地の街部に暮らす高齢者の認知症発症に関連する要因のコホート予備研究2007

    • Author(s)
      柴 珠実, 野村 美千江, 宮内 清子, 加藤 基子
    • Organizer
      日本地域看護学会第10回学術集会
    • Place of Presentation
      横須賀市
    • Year and Date
      2007-07-29
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Annual Research Report 2007 Final Research Report Summary
  • [Presentation] Empowering the multi-disciplinary team through monthly activity program for the elderly with early stage dementia:an action research in a rural community2007

    • Author(s)
      NOMURA M, KATO M, SHIBA T, NISHIMURA M, MAKIMOTO K.
    • Organizer
      ICN(International Council of Nurses)Conference
    • Place of Presentation
      Yokohama,Japan
    • Year and Date
      2007-05-31
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Empowering the multi-disciplinary team through monthly activity program for the elderly with early stage dementia:an action research in a rural community2007

    • Author(s)
      Michie Nomura
    • Organizer
      ICN(International Council of Nurses)Conference 2007
    • Place of Presentation
      Yokohama,Japan
    • Year and Date
      2007-05-31
    • Related Report
      2007 Annual Research Report
  • [Presentation] Nomura M, Kato M, Makimoto K, Shiba T, Mouri S, Nishimura M, Matsuura, C. Empowering the multi-disciplinary team through monthly activity program for the elderly with early stage dementia : an action research in a rural community2007

    • Author(s)
      Nomura M, Kato M, Makimoto K, Shiba T, Mouri S, Nishimura M, Matsuura, C
    • Organizer
      ICN(International Council of Nurses) Conference
    • Place of Presentation
      Yokohama, Japan
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] The factors related to the onset of the elderly with early dementia in a rural community : A cohort preliminary study2007

    • Author(s)
      Shiba T, Nomura M, Miyauchi K, Kato, M
    • Organizer
      The 10th Conference of Japan Academy of Community Health Nursing
    • Place of Presentation
      Yokosuka, Japan
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Development of community care by action research : Empowering the elderly with early stage dementia and family caregivers2007

    • Author(s)
      Nomura M, Shiba T, Matsuura C, Nishimura M, Kato M, Makimoto K, Miyauchi, K
    • Organizer
      The 66th Conference of Japan Society of Public Health
    • Place of Presentation
      Matsuyama Japan
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Development of community care by action research : Empowering the multi-disciplinary team2007

    • Author(s)
      Shiba T, Nomura M, Nishimura M, Matsuura C, Kato M, Makimoto K, Miyauchi, K
    • Organizer
      The 66th Conference of Japan Society of Public Health
    • Place of Presentation
      Matsuyama, Japan
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 中山間地で暮らす高齢者のADL維持に関連する要因2006

    • Author(s)
      加藤 基子, 野村 美千江
    • Organizer
      第26回日本看護科学学会学術集会
    • Place of Presentation
      神戸市
    • Year and Date
      2006-12-03
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Community-based Empowerment Group Activity Program for Elderly with Early-stage Dementia2005

    • Author(s)
      NOMURA M, KATO M, SHIBA T, NISHIMURA M, MAKIMOTO K.
    • Organizer
      The 3rd International Conference on Community Health Nursing Research
    • Place of Presentation
      Tokyo
    • Year and Date
      2005-10-02
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] The factors related to maintenance of Activity Daily Living of the elderly in a rural community2005

    • Author(s)
      Kato M, Nomura, M
    • Organizer
      The 26th Academic Conference of Japan Academy of Nursing Science
    • Place of Presentation
      Kobe, Japan
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary

URL: 

Published: 2005-04-01   Modified: 2016-04-21  

Information User Guide FAQ News Terms of Use Attribution of KAKENHI

Powered by NII kakenhi