The social implementation and evaluation of a training program to assist older adults with dementia and their families in maintaining a high quality of life

2022 Fiscal Year Final Research Report

• Project/Area Number: 18H03115
• 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: Nagano College of Nursing (2021-2022); Miyagi University (2018-2020)
• Principal Investigator: Otsuka Mariko 長野県看護大学, 看護学部, 学長 (90168998)
• Co-Investigator(Kenkyū-buntansha): 丸山 優 埼玉県立大学, 保健医療福祉学部, 准教授 (30381429) ; 成澤 健 宮城大学, 看護学群, 助教 (90584491) ; 徳永 しほ 宮城大学, 看護学群, 助教 (90805491)
• Project Period (FY): 2018-04-01 – 2022-03-31
• Keywords: 認知症ケア / 多職種連携 / 連携ケア研修 / 社会実装 / 評価

Outline of Final Research Achievements

This social implementation study and evaluation concerns a training program which supports the long-term care of older adults with dementia, along with their families, through interprofessional collaborative practice in a community with a population of 28,000 and a population aging rate of 24.8%.
Collaborative dementia care competency was found to improve among training attendees after each course. Concerning short-term outcomes, collaborative dementia care competency tended to decline slightly or remain consistent among professionals from hospitals and care facilities for older adults; however, care competency tended to increase among supporters in the community. Growth was also seen in those who attended the leadership training, leading to a revitalization of dementia care initiatives throughout the community. Despite the impacts from the COVID-19 pandemic, the social implementation of the authors' collaborative dementia care training program did result in a certain level of success.

Free Research Field

老年看護学

Academic Significance and Societal Importance of the Research Achievements

本研究の学術的な意義は、WHOが推奨する専門職連携教育（Interprofessional Education）を認知症ケア研修に取り入れたこと、研修の評価にKirkpatrick（2006）の教育評価フレームワークを用いたこと、３年間にわたる社会実装の評価は茅ら（2015）の社会実装のロジックモデルを用いたことである。社会的意義は、本研究によって、認知症の早期発見から看取りまでの長期におよぶ認知症継続支援に携わる専門職や地域支援者への「認知症連携ケア研修」として体系図けられたことである。