The evaluation for long-term effects of the health counselling to accelerate referral to local physicians and the assessment of AI programmed tools to support the health counselling

2021 Fiscal Year Final Research Report

• Project/Area Number: 18H03111
• Research Category: Grant-in-Aid for Scientific Research (B)
• Allocation Type: Single-year Grants
• Section: 一般
• Review Section: Basic Section 58080:Gerontological nursing and community health nursing-related
• Research Institution: Osaka University
• Principal Investigator: Noguchi Midori 大阪大学, 医学系研究科, 特任准教授(常勤) (20719322)
• Co-Investigator(Kenkyū-buntansha): 表 志津子 金沢大学, 保健学系, 教授 (10320904) ; 磯 博康 大阪大学, 医学系研究科, 教授 (50223053) ; 服部 聡 大阪大学, 医学系研究科, 教授 (50425154) ; 西連地 利己 獨協医科大学, 医学部, 准教授 (70453404) ; 斉藤 功 大分大学, 医学部, 教授 (90253781)
• Project Period (FY): 2018-04-01 – 2022-03-31
• Keywords: 保健指導 / 循環器疾患 / 生活習慣病予防 / KDBデータ / AI分析 / HbA1c

Outline of Final Research Achievements

The purpose of this study was to evaluate whether the health counseling based on the model for promoting clinic visit was also effective in reducing the occurrence of cerebrovascular and cardiovascular diseases.However, the final analysis was not completed due to the interruption of data collection caused by the COVID19 outbreak.
On the other hand, when the causal relationship between cerebrovascular and cardiovascular disease and each test variable was determined by giving a path diagram, the strongest association with cerebrovascular disease was HbA1c, and the strongest association with cardiovascular disease was diastolic blood pressure. Factors associated with the development of cardiovascular disease by AI were age, metabolic syndrome status, and LDL cholesterol, in that order.

Free Research Field

循環器疾患予防

Academic Significance and Societal Importance of the Research Achievements

ハイリスク者の受療を効果的に促す保健指導が、ひいては脳・心臓血管疾患の発症抑制につながることが明らかとなることは、我が国の保健指導の意義の転換につながるため、データ収集を継続させ、最終評価していく予定である。また、脳・心臓血管疾患とリスクファクターの関連の強さが年代や性別によって異なることが明らかになったことは、効果的な保健指導のための新たな根拠を提供するものである。