[Nihon koshu eisei zasshi] Japanese journal of public health最新文献

{"title":"Navigating the Evolving Landscape of Public Health and Social Medicine: Opportunities and Challenges for Trainees in Japan's Healthcare System.","authors":"Soichiro Saeki","doi":"10.11236/jph.24-111","DOIUrl":"https://doi.org/10.11236/jph.24-111","url":null,"abstract":"","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Development of the shortened scale for health interest].","authors":"Takuya Yamada, Kumi Sugimoto, Yoko Nishizawa, Hirono Ishikawa, Yoshiharu Fukuda","doi":"10.11236/jph.24-070","DOIUrl":"https://doi.org/10.11236/jph.24-070","url":null,"abstract":"<p><p>Objective　Addressing the needs of a population that is indifferent to health is becoming increasingly important. Previous research has developed the \"Interest in Health Scale,\" which assesses the level of interest in health. It comprises three subscales; health consciousness, motivation, and value. This study aimed to enhance the usability of the 12-item Interest in Health Scale by creating a shortened version.Methods　Using data from a web survey of 800 participants, factor analysis was conducted on the 12-item Interest in Health Scale to select items for the shortened version. From the factor analysis, two items were selected from each subscale based on their factor loadings to create a 6-item scale, and a 4-item scale was created, excluding two items from the health value subscale. We evaluated the reliability of the newly created shortened version, its correlation with the 12-item version, and its validity through correlations with health literacy (CCHL scale) and lifestyle habits (diet, exercise, alcohol consumption, and smoking).Results　Cronbach's alpha was 0.72 and 0.80 for the 6- and 4-item scale, respectively. The correlation coefficients between the 12-item and 6- and 4-item versions were 0.94 and 0.88, respectively. The correlation with health literacy were 0.28, 0.27, and 0.22 for the 12-, 6-, and 4-item versions, respectively. The correlation coefficients for the four lifestyle habits were similar across all the three scales.Conclusion　This study created 6- and 4-item versions of the scale with reliability and validity comparable to that of the 12-item version. While the 6-item version, containing all three subscales, is preferable for measuring health interest more easily, the 4-item version, which excludes health value for convenience, can be used.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Examining the perspective of community general support centers and promoting the use of early stage dementia-intensive support teams: Comparing institutions with and without support teams].","authors":"Yumi Kozaki","doi":"10.11236/jph.24-014","DOIUrl":"https://doi.org/10.11236/jph.24-014","url":null,"abstract":"<p><p>Objectives　Although numerous studies have explored early stage dementia-intensive support teams, focusing on their effectiveness and associated challenges, there is insufficient research on community comprehensive support centers that use support teams. Thus, we focused on community comprehensive support centers from the perspectives of their operators and users, examined the actualities and challenges of support team use, and considered ways to encourage such use.Methods　A questionnaire survey was mailed to 2,000 community general support centers selected through evenly-spaced sampling from 5,625 centers in Japan. The survey was conducted from November to December 2022. The survey included basic attributes (institution and presence of a support team), number of times a support team was used, actual number of users, and issues with support team use. For the analysis, we defined centers with and without support teams as \"operators\" and \"users,\" respectively, and analyzed each group. The participants' demographic details and data related to the frequency of use of support teams were tabulated. Text mining was used to analyze free-field responses.Results　A total of 773 responses were received (response rate; 38.8%). Among the respondents, 313 (41.5%) had support teams and 441 (58.4%) did not. The support team use rate was 86.6% for the former and 79.4% for the latter. In 2021, most respondents noted that approximately \"1-5 individuals\" used support teams, regardless of whether the support center had one.Challenges with support team use identified by centers without support teams were as follows; requirements of support recipients and rules for use under \"mechanisms of use,\" involvement of team doctors and expertise of team members under \"support functions,\" and collaborative support relationship and dissemination of project information under \"system for use.\" Support centers with support teams identified the following challenges; requirements of support recipients and management rules under \"management mechanisms,\" involvement of team doctors and healthcare collaboration under \"support functions,\" and team members role awareness and staff shortage under \"management system.\"Conclusion　Many comprehensive centers infrequently used support teams. To promote support team use, the system must be reviewed from the operator and user perspectives to simplify the support team system's rules and ease the requirements for support recipients. Moreover, all dementia supporters must engage in regular and ongoing discussions about the dementia support system, focusing on the municipal responsibility for system operation.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Factors associated with program implementation competencies used to improve health service development capacity of public health nurses: a nationwide survey of prefectures and cities with public health centers].","authors":"Mirei Shimodawa, Reiko Okamoto, Keiko Miyamoto, Keiko Koide, Masako Kageyama","doi":"10.11236/jph.24-054","DOIUrl":"https://doi.org/10.11236/jph.24-054","url":null,"abstract":"<p><p>Objectives　Public health nurses (PHNs) are necessary in introducing evidence-based health programs to address various health challenges. This study aimed to identify the factors related to PHNs' ability to implement programs across different career-level groups.Methods　A self-administered questionnaire was administered to PHNs working in prefectures or cities with public health centers. PHNs were categorized into three career-level groups based on their seniority and position; novice with ≥ 5 years of experience, no-position with ≥ 6 years of experience without a position, and with-position with ≥ 6 years of experience holding a position. Simple regression analysis was conducted using the Implementation Degree Assessment Sheet (Okamoto et al., 2022; IDAS) score as the dependent variable and experience in developing new projects, learning experiences, horizontal development exposure, and PHNs' competency scale scores as independent variables. Stepwise multiple regression analysis was conducted with the IDAS score as the dependent variable and statistically significant variables in the simple regression analysis as the independent variables. The competency measurement scales used were the Professional Development Scale (PDS), Reflective Practice Skill Scale (RPS), and Research Utilization Competency Scale (RUC).Results　We obtained 702 out of 966 valid responses (72.7%). The overall mean IDAS scores was 115.7; 107.6 for novice PHNs, 111.3 for no-position PHNs, and 119.6 for with-position PHNs. Multiple regression analysis revealed that RPS and PDS scores contributed to novice and with-position PHNs' abilities. Additionally, \"recognition of the importance of horizontal development: agree\" significantly influenced novice PHNs' ability, whereas RUC score contributed to with-position PHNs' ability. RUC scores and recognition of the current implementation of horizontal development significantly contributed to the ability of No-position PHNs.Conclusion　For improving PHNs' program implementation abilities, novice PHNs should focus on reflective practices, improve professional knowledge and skills, acquire knowledge and competence in program implementation, and improve understanding of its importance. Moreover, no-position PHNs must collect, examine, and use information, such as recent research findings. With-position PHNs must continuously improve their skills and apply them comprehensively in management and program implementation. These findings underscore the importance of tailored program implementation training for each career level, providing opportunities to reflect on practice and one's own activities, and assessing the level of mastery.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Support provided for persons with disabilities and patients with intractable diseases during the COVID-19 pandemic].","authors":"Chisato Tanikake, Jinichi Suzuki, Tatsuko Sugii, Tomoko Tachibana, Yoshimi Hashimoto, Tomoko Kodama","doi":"10.11236/jph.24-091","DOIUrl":"https://doi.org/10.11236/jph.24-091","url":null,"abstract":"<p><p>Objectives　Considering the difficulty and importance of supporting persons with disabilities (PWDs) and patients with intractable diseases during the COVID-19 pandemic, we monitored and reported support activities for PWDs and patients with intractable diseases.Methods　We attempted to identify the issues to be resolved by the keywords \"disability\" and \"intractable disease\" from 2019-2022 during the COVID-19 pandemic. The information materials were (1) abstracts from the general meetings of the Japanese Society of Public Health and the Society of Local Public Health journals (2019-2021), (2) foreign academic journals; (3) newspapers (national papers [Asahi Shimbun, Yomiuri Shimbun, Mainichi Shimbun, Sankei Shimbun], in 2021), media information, such as magazines and websites, (4) legislation, notifications, and research expenses, and (5) patient group information. We made several proposals for the Japanese Society of Public Health.Results　In 2020, facilities for PWDs did not have a system for receiving advice from infection control experts. During the COVID-19 pandemic, PWDs experienced trouble because of the characteristics of their disabilities, such as difficulty in accessing COVID-19 information. Children with disabilities felt stressed owing to the closure of daycare facilities. Further web research is necessary, considering the changes in working style. In 2021, local governments were requested to prepare manuals to provide information to PWDs and respond to infections according to the characteristics of each disability, and support from academic societies was anticipated. In 2022, local governments led collaborations with medical care facilities, health, and welfare. Support from academic societies was desirable to eliminate regional disparities, such as creating manuals for infection control and COVID-19.Conclusion　We believe that receiving advice from various experts on supporting welfare systems for facilities for PWDs during the COVID-19 pandemic helped us achieve our initial goals. We hope that all the experts will continue to work from the perspective of whether anyone is left behind concerning health and welfare.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Factors associated with language development delay of early childhood: Analysis of health checkup questionnaire for children].","authors":"Marie Sugihara, Etsuko Toyazaki, Mami Iwata","doi":"10.11236/jph.24-025","DOIUrl":"10.11236/jph.24-025","url":null,"abstract":"<p><p>Objectives　Language development is assessed in health checkups for children aged 18 and 36 months in public health centers to identify those with language delay and promote language development in early childhood. This study examines factors associated with language development to provide parents with evidence-based information.Methods　We used the data from the health checkup questionnaire filled by parents of 18- and 36-month-old children born between April 2019 and March 2020 and undergone 18- and 36-month health checkups by March 2023 in Yokohama city, Japan. The sample included 12,710 children. Language delay was defined as the inability to speak at least three words and three-word sentence for 18- and 36-month-old children, respectively. Bivariate and multivariate logistic regression were applied to assess the odds ratios (OR) for language delay in 18 and 36 months and associated factors; birth order, weeks of birth, mother's age, and existence of a ternary relationship in 18 months. Moreover, we assessed the OR for language delay in 18 and 36 months to understand the language development in early childhood.Results　Language delay was observed in 17.5% and 6.7% of 18- and 36-month-old children, respectively. Multivariate logistic regression analysis revealed significant associations of language delay in 18-month-old children and assessed factors; first-born children (OR; 1.39 [1.25-1.53]); preterm birth (OR; 1.80 [1.46-2.21]); and pregnancy at age ≥ 35 years (OR; 1.24 [1.12-1.37]), but no significant associations of language delay in 36-month-old children and these factors. Language delay in 18- and 36-month-old children were significantly associated, adjusting for potential confounders (OR; 6.81 [5.79-8.00]).Conclusion　Children's background since birth should be checked to assess 18-month language development during health checkups. Children with language development delay at 18-month health checkups should be identified and followed for further support.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"52-60"},"PeriodicalIF":0.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Changes in attitudes toward suicide after brief gatekeeper education: Findings from population-based repeated cross-sectional surveys conducted among middle-aged and older adults].","authors":"Hirofumi Oyama, Yuko Harima, Tomoe Sakashita, Hisanaga Sasaki, Haruka Oyama, Yoshimi Maguchi","doi":"10.11236/jph.24-021","DOIUrl":"10.11236/jph.24-021","url":null,"abstract":"<p><p>Objective　This study aimed to investigate changes in attitudes toward suicide following a universal home visitation program that included a brief face-to-face educational session focusing on gatekeeper roles in Japan.Methods　Between 2015 and 2017, members of 169 households in an intervention district from a northern Japanese township were invited to attend an educational session during home visits. The participation rate was 72.8%, with 94.5% of the participants aged over 40. Repeated cross-sectional population-based surveys were conducted among adults in the towns in 2015 and 2021. Data from the surveys, focusing on individuals aged 40-79 years and residing in the intervention and matched control districts (where no visits occurred and only information was distributed through leaflets), were used to assess the prevalence of self-reported views toward suicide. The self-reported views encompassed \"no substantial thoughts,\" \"inevitable,\" \"shameful,\" \"annoying,\" \"tragic,\" \"must be managed,\" and \"romantic\" in addition to personal and perceived stigma, depressive symptoms (assessed using the Kessler Psychological Distress Scale-6), and suicidal ideation. Data were analyzed using generalized linear mixed models. The Cochran-Armitage test was used to analyze linear trends in the proportion of views that exhibited changes.Results　Participation rates were 61.8% (n ＝ 357) in 2015 and 52.8% (n ＝ 257) in 2021. The intervention group showed a significant difference in the prevalence of the \"inevitable\" view between baseline and 4-year follow-up (P ＝ 0.026). Marginal pre-post differences were observed among the two types of stigma; however, the symptoms remained unchanged. A marginally significant difference in the change of the \"inevitable\" view was observed between the two groups. In the follow-up, more knowledgeable respondents in the intervention group were less likely to view suicide as \"inevitable,\" a trend not seen in the control group.Conclusions　The universal home visitation program, including a face-to-face session focusing on the gatekeeper role, was associated with a decreased prevalence of the \"inevitable\" attitude between the baseline and 4-year follow-up among community-dwelling adults aged 40-79. This suggests that face-to-face interactions with healthcare professionals can reduce the tendency to condone suicide among middle-aged and older adults in community settings.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"12-21"},"PeriodicalIF":0.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Cross-sectional study of factors related to declining participation in community gathering places providing communal meals: A social marketing framework].","authors":"Tatsunosuke Gomi, Keiko Motokawa, Maki Shirobe, Masanori Iwasaki, Ayako Edahiro, Shuichi Obuchi, Yoshinori Fujiwara, Hidenori Arai, Shuichi Awata, Hirohiko Hirano","doi":"10.11236/jph.24-003","DOIUrl":"10.11236/jph.24-003","url":null,"abstract":"<p><p>Objectives　While Community gathering places known as \"kayoi-no-ba\" providing communal meals play a crucial role in promoting the health of older adults, the researches supporting their operations and maintenance is limited. Social marketing has been successful in implementing strategic public health programs. This study aimed to identify factors associated with declining participation in kayoi-no-ba providing communal meals using a social marketing framework based on the 4Ps marketing mix (product, promotion, place, and price).Methods　In November 2019, this cross-sectional study surveyed kayoi-no-ba providing communal meals nationwide via a mail. A total of 580 kayoi-no-ba organizers with complete data participated. Changes in the number of participants were assessed using a questionnaire in order to determine the decrease since their establishment. Survey items were organized based on the 4Ps marketing mix framework and treated as independent variables. Multivariate Poisson regression analysis was conducted with participant decrease as the dependent variable, and prevalence ratios (PR) were calculated. The opening period and the number of participants at the time of the survey were included as covariates.Results　A total of 154 kayoi-no-ba experienced the decline in participants (26.6%). Multivariate analysis revealed the following. For product variables, a high frequency of monthly events was significantly associated with a lower PR for participant decrease (0.92). Among promotion variables, kayoi-no-ba with a registration system had a significantly higher PR for participant decrease (1.49). For place variables, a higher population density in the region was significantly associated with a lower PR (0.90), whereas a higher ratio of the population aged 65 years and older was significantly associated with a higher PR (1.05). The price variables did not show a significant association with the decrease in participants.Conclusions　Except price, the other three marketing 4Ps were significantly associated with decreases in participants at kayoi-no-ba providing communal meals. Future efforts should focus on developing and evaluating kayoi-no-ba strategies to ensure sustained participant engagement and promote the health of older adults through communal meals.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"22-31"},"PeriodicalIF":0.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[A review of the literature on sedentary behavior].","authors":"Mikako Yasuoka, Takashi Nakagata, Yosuke Yamada, Koichiro Oka, Shigeru Inoue, Rei Ono","doi":"10.11236/jph.24-057","DOIUrl":"10.11236/jph.24-057","url":null,"abstract":"<p><p>Sedentary behavior (such as sitting, watching TV, and driving) is characterized by little physical movement and low energy expenditure (≤1.5 metabolic equivalents). Previous studies have shown associations between sedentary behavior and adverse outcomes, including cancer, cardiovascular disease, and death. This study is a narrative review that aims to summarize the assessment tools for sedentary behavior as well as the association between sedentary behavior and adverse health outcomes. Additionally, guidelines for future research on sedentary behavior are discussed.Sedentary behavior is assessed using subjective methods such as questionnaire responses or objective methods such as accelerometer readings. Although questionnaire methods have low validity, they allow researchers to collect information regarding the purpose or occasion of physical activity at a low cost. Accelerometers are expensive but collect precise information on the duration of sedentary behavior. Sedentary behavior is a risk factor for the incidence of cardiovascular diseases and cancer and associated mortality. The association between sedentary behavior and some diseases such as cancer type have been reported. Previous studies have found a dose-response relationship between sedentary time and adverse outcomes. Research on the associations between sedentary behavior and the subtypes of stroke, heart disease, and orthopedic diseases is insufficient; further studies are needed to clarify these associations. Recently, sedentary behavior has been the focus of guidelines in some countries because of increasing evidence on its adverse consequences. Intervention studies have shown that taking breaks and replacing sedentary behavior with vigorous or high-intensity physical activity benefit the health of participants. Future studies are needed to examine the cutoff values of sitting time that reduce the risk of morbidity for each disease and the health effects of interventions that shorten sitting time.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"3-11"},"PeriodicalIF":0.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Possibility of diffusion and challenges of a frailty prevention class hosted by older adults: Efforts by the Saitama Prefecture Silver Human Resources Center Federation Headquarters].","authors":"Yu Nofuji, Shoji Shinkai, Yosuke Osuka, Satoshi Seino, Miki Narita, Kumiko Nonaka, Yuri Yokoyama, Shizue Hagiwara, Toshie Fujikura, Yoshinori Fujiwara, Hiroshi Murayama","doi":"10.11236/jph.24-069","DOIUrl":"10.11236/jph.24-069","url":null,"abstract":"<p><p>Objectives　Since 2018, the Saitama Prefecture Silver Human Resources Center (SHRC) Federation Headquarters and Tokyo Metropolitan Institute for Geriatrics and Gerontology has attempted to diffuse a business model in which SHRC members are compensated for operating a frailty prevention class. This activity report clarifies these efforts, examines the feasibility of diffusing this model based on each SHRC's project implementation status, and summarizes the relevant issues.Methods　To promote the commercialization of classes, all 58 SHRCs in Saitama Prefecture were offered (1) class programs comprising a multifactorial program (exercise, nutrition, and social interactions) and teaching materials, (2) training courses for frailty prevention supporters who manage the classes (three days × four blocks/year), (3) project information exchange meetings (held once annually), and (4) consultation support for project implementation. A questionnaire survey on the project implementation status was conducted among SHRC employees to evaluate the possibility of project diffusion based on adoption, implementation, and continuation. Furthermore, project implementation issues were categorized using free descriptions as codes to create subcategories based on content and categories based on subcategory similarities.Results　Regarding adoption, among the 58 SHRCs, 43 (74.1%) participated in training courses for frailty prevention supporters and 34 (58.6%) implemented the project from 2018 onwards. Regarding implementation, 23 (39.7%) SHRCs provided rewards to frailty prevention supporters (67.6% of the SHRC that implemented the project). Regarding continuation, 21 of the 28 SHRCs (75.0%) that began the project by 2021 continued it for two years or longer. Moreover, implementation challenges related to project initiation, supporters, new entrants, and class management were categorized.Conclusions　More than half of the SHRCs implemented the project, 40% of SHRC provided rewards for frailty prevention supporters, and 75% of SHRCs that implemented the project continued working on it. Hence, the model may be extended to other regions. However, four issues have been identified. The model is likely to have a ripple effect, increasing the number of individuals involved in community frailty prevention and creating attractive employment opportunities for the elderly. We intend to address these challenges and disseminate our model further.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"42-51"},"PeriodicalIF":0.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}