Evaluation of a dementia prevention program to improve health and social care and promote human rights among older adults

IF 1.2 Q4 HEALTH POLICY & SERVICES
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
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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.
评估旨在改善老年人健康和社会护理以及促进老年人人权的痴呆症预防计划
目的本研究旨在评估一项基于人权的痴呆症预防计划,该计划旨在促进老年人更好的健康和社会护理。在这项研究中,作者检验了双重任务训练是否会改善健康老年人的认知能力。设计/方法/方法参加日本老年人系统健康教育计划的个体被招募纳入研究,并被分为双任务训练组(TG)和对照组(CG)。TG接受了90 12人的每周双任务训练 周。使用简易精神状态检查(MMSE)测试来测量痴呆的严重程度。使用进行/不进行任务范式评估大脑功能,在此期间,使用功能性近红外光谱法额外测量脑血流量,以量化氧合血红蛋白(oxy-Hb),进行/不进行任务的错误次数和氧合血红蛋白值显示TG有显著改善。研究局限性/含义由于分配给CG的参与者人数较少,必须谨慎解释结果。基于大规模随机对照试验的复制和进一步验证是有必要的。实际意义这项研究强调了将痴呆症早期预防培训纳入人权友好健康教育计划的潜在好处。社会影响这项研究提出了一种潜在的方法,通过引入人权知情的痴呆症预防计划来降低社会保障和医疗保健成本。独创性/价值研究结果表明,基于预防痴呆症的人权知情健康教育计划,双重任务训练可以改善健康老年人的认知功能,从而有助于改善健康和改善社会医疗保健。
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来源期刊
CiteScore
2.90
自引率
7.10%
发文量
48
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.
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