Comprehensive Geriatric Assessment Using the Yoitoko Check-Up, a Novel Health Check-Up Providing Positive Feedback to Older Adults: A Before-After Study.
Comprehensive Geriatric Assessment Using the Yoitoko Check-Up, a Novel Health Check-Up Providing Positive Feedback to Older Adults: A Before-After Study.
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DOI：
10.2147/ijgm.s307423
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发表时间：
2021
影响因子：
2.3
通讯作者：
Okayama M
中科院分区：
文献类型：
--
作者：
Yahata S;Tamura M;Yamaoka A;Fujioka Y;Okayama M
Yoitoko检查是一种提供积极反馈的新型健康检查，是为了促进老年人的健康而开发的，由几个综合的老年评估项目组成。本报告的目的是，通过使用前后研究设计，从综合功能的角度，对参与者的短期行为变化进行评价，来描述阳井子检查的详细情况，并探讨今后进行检查的可能性。在2018年12月至2019年9月期间，每隔3个月进行了4次Yoitoko检查。年龄≥65岁的研究受试者包括接受过≥2次Yoitoko检查的受试者。将第二次检查后每次访视的结果与基线结果进行回顾性比较，并分别使用配对t检验或McNemar检验计算平均变化和比值比。在84名参与者中，分析了16名（19.0%）参与者的结果。平均（标准差）年龄为75.3（4.7）岁。东京都老年学研究所能力指数的平均得分，高水平的功能能力的措施，增加了0.9（95%置信区间;范围，0.2-1.5）点之间的第一次和第二次访问。我们开发了Yoitoko检查，并介绍了它的细节。我们的研究结果表明，Yoitoko检查可以进一步激励老年人改善他们的健康状况，并促进积极的行为改变。未来的研究需要评估这种新的评估方法的有效性。
The Yoitoko check-up, a novel health check-up providing positive feedback, has been developed to promote health among older adults, and consists of several comprehensive geriatric assessment items. This report aimed to describe the details of the Yoitoko check-up and to explore the future possibility of the check-up by evaluating the participants’ short-term behavioral changes in terms of comprehensive functioning, using a before-after study design. Four Yoitoko check-ups were conducted, at 3-month intervals, between December 2018 and September 2019. Study participants aged ≥65 years included those who had undergone ≥2 Yoitoko check-ups. The results of each visit after the second check-ups were retrospectively compared with those of the baseline, and the mean changes and the odds ratios were calculated using a paired t-test or a McNemar test, respectively. Of 84 participants, the results of 16 (19.0%) participants were analyzed. The mean (standard deviation) age was 75.3 (4.7) years. The mean Tokyo Metropolitan Institute of Gerontology Index of Competence score, a measure of high-level functional capacity, increased 0.9 (95% confidence interval; range, 0.2–1.5) points between the first and second visits. We developed the Yoitoko check-up and introduced the details of it. Our study findings suggested that the Yoitoko check-up may further motivate older adults to improve their health and promote positive behavioral changes. Future studies are needed to evaluate the effectiveness of this novel assessment method.