[Conceptual clarification and future perspectives on work-like activities (shuro-teki katsudo) and their support: A focus on social participation in later life].

Abstract

Abstract　In rapidly aging Japan, supporting older adults in maintaining meaningful social roles is an important public health priority for extending healthy life expectancy and preventing the need for long-term care. In response, the Work-like Activity (Shuro-teki Katsudo) Support Coordinator Placement Program was introduced in 2020 to promote role-based social participation among older adults. Within this policy framework, this paper clarifies the concepts of work-like activities and work-like activity support. By reviewing diverse definitions and practices and examining their alignment with documents issued by the Ministry of Health, Labour and Welfare, we identify key conceptual issues related to work-like activities and emphasize their significance as meaningful forms of social participation, particularly regarding paid activities outside formal employment. Two central perspectives on work-like activity support are highlighted: (1) aligning activities with older adults' preferences and functional conditions and (2) developing and expanding opportunities that accommodate diverse health and functional states. This conceptual framework may support the planning and implementation of municipal programs while providing a common foundation for future research on the prevalence and effects of work-like activities.