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A multidisciplinary intervention care program to prevent adverse health outcomes for the dependent community-dwelling elderly : a cluster randomized controlled trial.

Research Project

Project/Area Number 21659127
Research Category

Grant-in-Aid for Challenging Exploratory Research

Allocation TypeSingle-year Grants
Research Field Medical sociology
Research InstitutionNagoya University

Principal Investigator

KUZUYA Masafumi  名古屋大学, 大学院・医学系研究科, 教授 (10283441)

Co-Investigator(Renkei-kenkyūsha) SUZUKI Yusuke  名古屋大学, 大学院・医学系研究科, 講師 (90378167)
HIRAKAWA Yoshihisa  名古屋大学, 医学部附属病院, 助教 (00378168)
Project Period (FY) 2009 – 2011
Project Status Completed (Fiscal Year 2011)
Budget Amount *help
¥3,570,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥270,000)
Fiscal Year 2011: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2010: ¥1,000,000 (Direct Cost: ¥1,000,000)
Fiscal Year 2009: ¥1,400,000 (Direct Cost: ¥1,400,000)
Keywords要介護高齢者 / 介護保険 / ケアマネジャ / ケアプラン / 複合介入 / ランダム化比較試験 / 主介護医者 / 老年症候群 / ケアマネジャー
Research Abstract

To determine whether multiple interventions to enhance the quality of care management program for community-dwelling dependent elderly who have at least one of the risks of following 5 domains(falls, aspiration pneumonia, malnutrition, medication management, caregiver burden) through care manager provide better health outcomes during 2-year follow-up. There were no differences in mortality, hospitalization and institutionalization rates between control and intervention groups(hazard ration(HR), 95% confidence interval(CI); 0. 99 : 0. 76-1. 29, 1. 08 : 0. 90-1. 28, 0. 98 : 0. 69-1. 38, respectively after adjusting for confounders).

Report

(4 results)
  • 2011 Annual Research Report   Final Research Report ( PDF )
  • 2010 Annual Research Report
  • 2009 Annual Research Report
  • Research Products

    (51 results)

All 2012 2011 2010 2009

All Journal Article (31 results) (of which Peer Reviewed: 31 results) Presentation (15 results) Book (5 results)

  • [Journal Article] Day-care service use is a risk factor for long-term care placement in community-dwelling dependent elderly2012

    • Author(s)
      Kuzuya M, Izawa S, Enoki H, Hasegawa J
    • Journal Title

      Geriatr Gerontol Int

      Volume: (In press)

    • NAID

      10031148000

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Physical and functional factors in activities of daily living that predict falls in community-dwelling older women2011

    • Author(s)
      Aoyama M, Suzuki Y, Onishi J, Kuzuya M.
    • Journal Title

      Geriatr Gerontol Int

      Volume: 11 Pages: 348-357

    • NAID

      10031147975

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Association between the caregiver's burden and physical activity in community-dwelling caregivers of dementia patients2011

    • Author(s)
      Hirano A, Suzuki Y, Kuzuya M, Onishi J, Hasegawa J, Ban N, Umegaki H.
    • Journal Title

      Arch Gerontol Geriatr

      Volume: 52 Pages: 295-298

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Impact of informal care levels on discontinuation of living at home in community-dwelling dependent elderly using various community-based services2011

    • Author(s)
      Kuzuya M, Hasegawa J, Hirakawa Y, Enoki H, Izawa S, Hirose T, Iguchi A.
    • Journal Title

      Arch Gerontol Geriatr

      Volume: 52 Pages: 127-132

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Impact of caregiver burden on adverse health outcomes in community-dwelling dependent oldercare recipients2011

    • Author(s)
      Kuzuya M, Enoki H, Hasegawa J, Izawa S, Hirakawa Y, Shimokata H, Iguchi A
    • Journal Title

      Am J Geriatr Psychiatry

      Volume: 19 Pages: 382-391

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] 鬱の程度は、在宅療養要介護高齢者の死亡、入院の原因となるか2011

    • Author(s)
      広瀬貴久, 長谷川潤, 井澤幸子, 榎裕美, 葛谷雅文
    • Journal Title

      日本老年医学会雑誌

      Volume: 48 Pages: 163-169

    • Related Report
      2011 Annual Research Report 2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] 要介護高齢者の経口摂取困難の実態ならびに要因に関する研究2011

    • Author(s)
      葛谷雅文、榎裕美、井澤幸子、広瀬貴久、長谷川潤
    • Journal Title

      静脈経腸栄養

      Volume: 26 Pages: 1265-1270

    • NAID

      130004487251

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Working group on guidelines for medical treatment and its safety in the elderly. Survey on geriatricians' experiences of adverse drug reactions caused by potentially inappropriate medications : commission report of the Japan Geriatrics Society2011

    • Author(s)
      Akishita M, Arai H, Arai H, Inamatsu T, Kuzuya M, Suzuki Y, Teramoto S, Mizukami K, Morimoto S, Toba K
    • Journal Title

      Geriatr Gerontol Int

      Volume: 11 Pages: 3-7

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Impact of caregiver burden on adverse health outcomes in community-dwelling dependent older care recipients2011

    • Author(s)
      Kuzuya M, Enoki H, Hasegawa J, Izawa S, Hirakawa Y, Shimokata H, Iguchi A
    • Journal Title

      Am J Geriatr Psychiatry

      Volume: 19 Pages: 382-91

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Impact of informal care levels on discontinuation of living at home in community-dwelling dependent elderly using various community-based services2011

    • Author(s)
      Kuzuya M, Hasegawa J, Hirakawa Y, Enoki H, Izawa S, Hirose T, Iguchi A
    • Journal Title

      Arch Gerontol Geriatr

      Volume: 52 Pages: 127-32

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Inhibition of mineralocorticoid receptor is a renoprotective effect of the 3-hydroxy-3-methylglutaryl-coenzyme A reductase inhibitor pitavastatin.2011

    • Author(s)
      Cheng XW, Kuzuya M, et. al.
    • Journal Title

      J Hypertens

      Volume: 印刷中(未定)

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Influence of regular exercise on subjective sense of burden and physical symptoms in community-dwelling caregivers of dementia patients : A randomized controlled trial.2011

    • Author(s)
      Hirano A, Suzuki Y, Kuzuya M, et. al.
    • Journal Title

      Arch Gerontol Geriatr

      Volume: 印刷中(未定)

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Survey on geriatricians' experiences of adverse drug reactions caused by potentially inappropriate medications : commission report of the Japan Gerlatrics Society.2011

    • Author(s)
      Akishita M, Arai H, et. al.
    • Journal Title

      Geriatr Gerontol Int.

      Volume: 11 Pages: 3-7

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Impact of caregiver burden on adverse health outcomes in community-dwelling dependent older care recipients.2011

    • Author(s)
      Kuzuya M, Enoki H, et. al.
    • Journal Title

      American Journal of Geriatric Psychiatry

      Volume: 印刷中(未定)

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Factors associated with nonadherence to medication of community-dwelling disabled elderly in Japan2010

    • Author(s)
      Kuzuya M, Enoki H, Izawa S, Hasegawa J, Yusuke S, Iguchi A.
    • Journal Title

      J Am Geriatr Soc

      Volume: 58 Pages: 1007-1009

    • Related Report
      2011 Final Research Report 2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Factors influencing death at home in terminally ill cancer patients2010

    • Author(s)
      Nakamura S, Kuzuya M, Funaki Y, Matsui W, Ishiguro N.
    • Journal Title

      Geriatr Gerontol Int

      Volume: 10 Pages: 154-160

    • NAID

      10027272103

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Depressive symptoms of informal caregivers are associated with those of community-dwelling dependent care recipients2010

    • Author(s)
      Izawa S, Hasegawa J, Enoki H, Iguch A, Kuzuya M.
    • Journal Title

      Int Psychogeriatr

      Volume: 22 Pages: 1310-1317

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] 在宅療養要介護高齢者の介護環境ならびに生命予後、入院、介護施設入所リスクの性差2010

    • Author(s)
      葛谷雅文、長谷川潤、榎裕美、井澤幸子、平川仁尚、広瀬貴久、井口昭久
    • Journal Title

      日本老年医学会誌

      Volume: 47 Pages: 461-467

    • NAID

      10027914181

    • Related Report
      2011 Final Research Report 2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] The longitudinal change in anthropometric measurements and the association with physical function decline in Japanese community-dwelling frail elderly2010

    • Author(s)
      Izawa S, Enoki H, Hirakawa Y, Iwata M, Hasegawa J, Iguchi A, Kuzuya M
    • Journal Title

      Br J Nutr

      Volume: 103 Pages: 289-294

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Urinary incontinence and behavioral symptoms are independent risk factors for recurrent and injurious falls, respectively, among residents in long-term care facilities2010

    • Author(s)
      Hasegawa J, Kuzuya M, Iguchi A.
    • Journal Title

      Arch Gerontol Geriatr

      Volume: 50 Pages: 77-81

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Matrix Metalloproteinase-2 (MMP-2) Regulates the Expression of Tissue Inhibitor of MMP-2 (TIMP-2).2010

    • Author(s)
      Kimura K, Cheng XW, et. al.
    • Journal Title

      Clin Exp Pharmacol Physiol.

      Volume: 37 Pages: 1096-1101

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Exercise training stimulates ischemia-induced neovascularization via phosphatidylin ositol 3-kinase/Akt-dependent hypoxia-induced factor-1 alpha reactivation in mice of advanced age.2010

    • Author(s)
      Cheng XW, Kuzuya M, et. al.
    • Journal Title

      Circulation

      Volume: 122 Pages: 707-716

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Depressive symptoms of informal caregivers are associated with those of community-dwelling dependent care recipients.2010

    • Author(s)
      Izawa S, Hasegawa J, et. al.
    • Journal Title

      Int Psychogeriatr.

      Volume: 22 Pages: 1310-1317

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] AT1 Blockade Attenuates Atherosclerotic Plaque Destabiliization Accompanied by the Suppression of Cathepsin S Activity in ApoE-Deficient Mice.2010

    • Author(s)
      Sasaki T, Kuzuya M, et. al.
    • Journal Title

      Atherosclerosis

      Volume: 210 Pages: 430-437

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Ca2+channel blocker benidipine promotes coronaly angiogenesis and reduces both left ventricular diastolic stiffness and mortality in hypertensive rats.2010

    • Author(s)
      Nishizawa T, Cheng XW, et. al.
    • Journal Title

      J Hypertens

      Volume: 28 Pages: 1515-1526

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Factors associated with nonadherence to medication of community-dwelling disabled elderly in Japan.2010

    • Author(s)
      Kuzuya M, et al.
    • Journal Title

      J Am Geriatr Soc (In press)

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] The longitudinal change in anthropometric measurements and the association with physical function decline in Japanese community-dwelling frail elderly.2010

    • Author(s)
      Izawa S, Kuzuya M, et al.
    • Journal Title

      Br J Nutr 103

      Pages: 289-94

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Urinary incontinence and behavioral symptoms are independent risk factors for recurrent and injurious falls, respectively, among residents in long-term care facilities.2010

    • Author(s)
      Hasegawa J, Kuzuya M, et al.
    • Journal Title

      Arch Gerontol Geriatr. 50

      Pages: 77-81

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Opinion survey of nursing or caring staff at long-term care facilities about end-of-life care provision and staff education2009

    • Author(s)
      Hirakawa, Y ; Kuzuya, M ; Uemura, K.
    • Journal Title

      Arch Gerontol Geriatr

      Volume: 49 Pages: 43-48

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Opinion survey of nursing or caring staff at long-term care facilities about end-of-life care provision and staff education.2009

    • Author(s)
      Hirakawa, Y ; Kuzuya, M, et al.
    • Journal Title

      Arch Gerontol Geriatr. 49

      Pages: 43-8

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Increased caregiver burden associated with hearing impairment but not vision impairment in disabled community-dwelling older people in Japsn.2009

    • Author(s)
      Kuzuya M, et al.
    • Journal Title

      J Am Geriatr Soc 57

      Pages: 357-8

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Presentation] 要介護高齢者の栄養状態と老年症候群の集積施設入所高齢者と在宅高齢者2011

    • Author(s)
      広瀬貴久,長谷川潤,井澤幸子,榎裕美,葛谷雅文
    • Organizer
      第53回日本老年医学会学術集会
    • Place of Presentation
      東京
    • Year and Date
      2011-06-17
    • Related Report
      2011 Annual Research Report 2011 Final Research Report
  • [Presentation] 通所サービス使用と介護施設入所との関連2011

    • Author(s)
      葛谷雅文,広瀬貴久,長谷川潤,榎裕美,井澤幸子
    • Organizer
      第53回日本老年医学会学術集会
    • Place of Presentation
      東京
    • Year and Date
      2011-06-17
    • Related Report
      2011 Annual Research Report 2011 Final Research Report
  • [Presentation] 要介護高齢者の食事形態と介護負担感との関連について2011

    • Author(s)
      榎裕美,長谷川潤,井澤幸子,広瀬貴久,井口昭久,葛谷雅文
    • Organizer
      第53回日本老年医学会学術集会
    • Place of Presentation
      東京
    • Year and Date
      2011-06-15
    • Related Report
      2011 Annual Research Report 2011 Final Research Report
  • [Presentation] 高齢者の栄養管理2010

    • Author(s)
      葛谷雅文
    • Organizer
      第4回日本静脈経腸栄養学会東海支部学術会議
    • Place of Presentation
      名古屋
    • Year and Date
      2010-07-24
    • Related Report
      2010 Annual Research Report
  • [Presentation] 高齢者低栄養の評価とその対策2010

    • Author(s)
      葛谷雅文
    • Organizer
      第52回日本老年医学会学術集会
    • Place of Presentation
      神戸国際会議場
    • Year and Date
      2010-06-26
    • Related Report
      2010 Annual Research Report
  • [Presentation] 要介護高齢者の在宅療養の継続に対する家族介護レベルの影響2010

    • Author(s)
      長谷川潤,平川仁尚,榎裕美,井澤幸子,広瀬貴久,井口昭久,葛谷雅文
    • Organizer
      第52回日本老年医学会学術集会
    • Place of Presentation
      神戸
    • Year and Date
      2010-06-25
    • Related Report
      2011 Final Research Report
  • [Presentation] 在宅要介護高齢者の服薬アドヒアランス低下とその要因2010

    • Author(s)
      葛谷雅文,榎裕美,井澤幸子,長谷川潤,鈴木裕介,井口昭久
    • Organizer
      第52回日本老年医学会学術集会
    • Place of Presentation
      神戸
    • Year and Date
      2010-06-25
    • Related Report
      2011 Final Research Report
  • [Presentation] サルコペニアの疫学、診断2010

    • Author(s)
      葛谷雅文
    • Organizer
      第52回日本老年医学会学術集会
    • Place of Presentation
      神戸国際会議場
    • Year and Date
      2010-06-25
    • Related Report
      2010 Annual Research Report
  • [Presentation] 鬱の程度は、在宅療養要介護高齢者の死亡、入院の原因となるか2010

    • Author(s)
      葛谷雅文,榎裕美,井澤幸子,長谷川潤,鈴木裕介,井口昭久,葛谷雅文
    • Organizer
      第52回日本老年医学会学術集会
    • Place of Presentation
      神戸
    • Year and Date
      2010-06-24
    • Related Report
      2011 Final Research Report
  • [Presentation] 在宅要介護高齢者のうつと介護者のうつの関連について2010

    • Author(s)
      井澤幸子,長谷川潤,榎裕美,井口昭久,葛谷雅文
    • Organizer
      第52回日本老年医学会学術集会
    • Place of Presentation
      神戸
    • Year and Date
      2010-06-24
    • Related Report
      2011 Final Research Report
  • [Presentation] Meet the Expert嚥下困難2010

    • Author(s)
      葛谷雅文
    • Organizer
      第52回日本老年医学会学術集会
    • Place of Presentation
      神戸国際会議場
    • Year and Date
      2010-06-24
    • Related Report
      2010 Annual Research Report
  • [Presentation] 介護負担感と要介護者の健康との関係2009

    • Author(s)
      葛谷雅文,平川仁尚,榎裕美,井澤幸子,長谷川潤,広瀬貴久,井口昭久
    • Organizer
      第51回日本老年医学会学術集会
    • Place of Presentation
      横浜
    • Year and Date
      2009-06-20
    • Related Report
      2011 Final Research Report
  • [Presentation] 在宅要介護高齢者のInstrumental ADL低下の要因についての検討2009

    • Author(s)
      井澤幸子,榎裕美,平川仁尚,長谷川潤,井口昭久,葛谷雅文
    • Organizer
      第51回日本老年医学会学術集会
    • Place of Presentation
      横浜
    • Year and Date
      2009-06-20
    • Related Report
      2011 Final Research Report
  • [Presentation] 介護負担感と要介護者の健康との関係2009

    • Author(s)
      葛谷雅文
    • Organizer
      日本老年医学会
    • Place of Presentation
      横浜
    • Year and Date
      2009-06-20
    • Related Report
      2009 Annual Research Report
  • [Presentation] 在宅療養要介護高齢者の死亡場所ならびに死因についての検討2009

    • Author(s)
      長谷川潤,平川仁尚,井澤幸子,榎裕美,井口昭久,葛谷雅文
    • Organizer
      第51回日本老年医学会学術集会
    • Place of Presentation
      横浜
    • Year and Date
      2009-06-19
    • Related Report
      2011 Final Research Report
  • [Book] 新老年学(第3版)2010

    • Author(s)
      葛谷雅文
    • Total Pages
      12
    • Publisher
      東京大学出版
    • Related Report
      2010 Annual Research Report
  • [Book] 栄養塾症例で学ぶクリニカルパール2010

    • Author(s)
      葛谷雅文
    • Total Pages
      6
    • Publisher
      医学書院
    • Related Report
      2010 Annual Research Report
  • [Book] 高齢者の生活機能の総合的評価2010

    • Author(s)
      葛谷雅文
    • Total Pages
      5
    • Publisher
      新興医学出版
    • Related Report
      2010 Annual Research Report
  • [Book] 経腸栄養2010

    • Author(s)
      葛谷雅文
    • Total Pages
      4
    • Publisher
      医歯薬出版
    • Related Report
      2010 Annual Research Report
  • [Book] 栄養アセスメント2010

    • Author(s)
      葛谷雅文
    • Total Pages
      5
    • Publisher
      医歯薬出版
    • Related Report
      2010 Annual Research Report

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Published: 2009-04-01   Modified: 2016-04-21  

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