Keisuke Kaneko, F. Sasamori, Masao Okuhara, S. J. Maruo, Kazuki Ashida, Hisaaki Tabuchi, Hisaki Akasaki, Kazuki Kobayashi, Yuya Aoyagi, Noriaki Watanabe, T. Nishino, K. Terasawa
{"title":"Evaluation of a dementia prevention program to improve health and social care and promote human rights among older adults","authors":"Keisuke Kaneko, F. Sasamori, Masao Okuhara, S. J. Maruo, Kazuki Ashida, Hisaaki Tabuchi, Hisaki Akasaki, Kazuki Kobayashi, Yuya Aoyagi, Noriaki Watanabe, T. Nishino, K. Terasawa","doi":"10.1108/ijhrh-12-2021-0206","DOIUrl":null,"url":null,"abstract":"\nPurpose\nThis study aims to evaluate a human rights-informed dementia prevention program promoting better health and social care among older adults. In this study, the authors examined whether a dual-task training would improve cognition in healthy older adults.\n\n\nDesign/methodology/approach\nIndividuals attending the systematic health education program for older adults based in Japan were recruited for study inclusion, and divided into a dual-task training group (TG) and a control group (CG). The TG underwent 90 min of a weekly dual-task training for 12 weeks. Severity of dementia was measured using the Mini-Mental State Examination (MMSE) test. Brain function was assessed using a go/no-go task paradigm, during which cerebral blood flow was additionally measured using functional near-infrared spectroscopy to quantify oxyhemoglobin (oxy-Hb).\n\n\nFindings\nMMSE total score, number of errors in the go/no-go tasks and oxy-Hb values showed significant improvements in the TG.\n\n\nResearch limitations/implications\nOwing to the small number of participants allocated to the CG, the results must be interpreted with caution. Replication and further validation based on large-scale, randomized-controlled trials is warranted.\n\n\nPractical implications\nThis study highlights potential benefits of incorporating an early prevention training for dementia into a human rights-friendly health education program.\n\n\nSocial implications\nThis study suggests a potential means to reduce costs of social security and health care by introducing a human rights-informed dementia prevention program.\n\n\nOriginality/value\nThe results suggest that dual-task training may improve cognitive function in healthy older adults, thereby contributing to better health and improvement of social health care, based on a human rights-informed health education program for the prevention of dementia.\n","PeriodicalId":14129,"journal":{"name":"International Journal of Human Rights in Healthcare","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Human Rights in Healthcare","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1108/ijhrh-12-2021-0206","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"HEALTH POLICY & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose
This study aims to evaluate a human rights-informed dementia prevention program promoting better health and social care among older adults. In this study, the authors examined whether a dual-task training would improve cognition in healthy older adults.
Design/methodology/approach
Individuals attending the systematic health education program for older adults based in Japan were recruited for study inclusion, and divided into a dual-task training group (TG) and a control group (CG). The TG underwent 90 min of a weekly dual-task training for 12 weeks. Severity of dementia was measured using the Mini-Mental State Examination (MMSE) test. Brain function was assessed using a go/no-go task paradigm, during which cerebral blood flow was additionally measured using functional near-infrared spectroscopy to quantify oxyhemoglobin (oxy-Hb).
Findings
MMSE total score, number of errors in the go/no-go tasks and oxy-Hb values showed significant improvements in the TG.
Research limitations/implications
Owing to the small number of participants allocated to the CG, the results must be interpreted with caution. Replication and further validation based on large-scale, randomized-controlled trials is warranted.
Practical implications
This study highlights potential benefits of incorporating an early prevention training for dementia into a human rights-friendly health education program.
Social implications
This study suggests a potential means to reduce costs of social security and health care by introducing a human rights-informed dementia prevention program.
Originality/value
The results suggest that dual-task training may improve cognitive function in healthy older adults, thereby contributing to better health and improvement of social health care, based on a human rights-informed health education program for the prevention of dementia.
期刊介绍:
nternational Journal of Human Rights in Healthcare (IJHRH) is an international, peer reviewed journal with a unique practical approach to promoting race equality, inclusion and human rights in health and social care. The journal publishes scholarly and double blind peer-reviewed papers of the highest standard, including case studies and book reviews. IJHRH aims include: -To explore what is currently known about discrimination and disadvantage with a particular focus on health and social care -Push the barriers of the human rights discourse by identifying new avenues for healthcare practice and policy internationally -Create bridges between policymakers, practitioners and researchers -Identify and understand the social determinants of health equity and practical interventions to overcome barriers at national and international levels. The journal welcomes papers which use varied approaches, including discussion of theory, comparative studies, systematic evaluation of interventions, analysis of qualitative data and study of health and social care institutions and the political process. Papers published in IJHRH: -Clearly demonstrate the implications of the research -Provide evidence-rich information -Provoke reflection and support critical analysis of both challenges and strengths -Share examples of best practice and ‘what works’, including user perspectives IJHRH is a hugely valuable source of information for researchers, academics, students, practitioners, managers, policy-makers, commissioning bodies, social workers, psychologists, nurses, voluntary sector workers, service users and carers internationally.