2022 Fiscal Year Final Research Report

Building an evaluation model and evaluation system for a preventive care program based on program evaluation.

Research Project

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Project/Area Number	19K11220
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Multi-year Fund
Section	一般
Review Section	Basic Section 58080:Gerontological nursing and community health nursing-related
Research Institution	Yamato University (2021-2022) Aichi Medical University (2020) Aichi Prefectural University (2019)
Principal Investigator	Shimozono Mihoko 大和大学, 保健医療学部, 教授 (90632638)
Co-Investigator(Kenkyū-buntansha)	大山早紀子川崎医療福祉大学, 医療福祉学部, 講師 (20722284) 新藤健太日本社会事業大学, 社会福祉学部, 講師 (00752205) 加藤宏公愛知県立大学, 看護学部, 助教 (00825531)
Project Period (FY)	2019-04-01 – 2023-03-31
Keywords	プログラム評価 / インパクト理論 / プロセス理論 / 効果的援助要素 / 閉じこもり予防 / 介護予防プログラム
Outline of Final Research Achievements	This study created evaluation models for impact evaluation, process evaluation, and organizational evaluation of an integrated program targeting individuals at high risk of social withdrawal, involving home visit support and community salons, in collaboration with two regional comprehensive support centers. Subsequently, the model was revised based on insights from mental healthcare. Using the revised model, the "Integrated Program for Home Visit Support and Group Support Targeting Individuals at High Risk of Social Withdrawal," a nationwide survey was conducted in February 2023. A web survey was conducted among 5,270 regional comprehensive support centers nationwide. The survey consisted of 128 items, and 296 valid responses were collected (5.61% response rate). While individual support services were generally well-established, further consideration is needed for information sharing, collaborative frameworks, and personnel development required for community collaboration.
Free Research Field	公衆衛生看護学、評価学
Academic Significance and Societal Importance of the Research Achievements	本研究は高齢者の閉じこもり予防に対して、成果をあげるために必要な対象者の行動変容の状態像と効果的な援助要素を抽出して尺度化するとともに、構築した評価モデルを用いて全国の地域包括支援センターでの活動状況の把握と、実際の活動と評価モデルとの親和性の確認や今後検討すべき活動支援の方向性を見出すことができた。高齢者の閉じこもりは、支援拒否やセルフ・ネグレクトなど孤立死に移行しやすいハイリスク状態である。しかし、効果的な支援の在り方やどの状態になれば成果とみなすのかを設定するのは非常に困難である。このように現場での支援が困難で対応に苦慮しているケースへの支援を検討する際の一助となると考える。