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

{"title":"[Characteristics of Internet use for child health information and e-health literacy levels among mothers].","authors":"Sonoko Suzuki, Chu Hyang Oh, Emiko Saito","doi":"10.11236/jph.25-082","DOIUrl":"10.11236/jph.25-082","url":null,"abstract":"<p><p>Objectives　This study aimed to clarify the characteristics of Internet use to research health-related information concerning children among mothers and their e-health literacy levels.Methods　An anonymous self-administered questionnaire was administered to 672 mothers eligible for 18-month dental and 3-year general health checkups at an urban health center. Questionnaires were collected by mail. Survey items assessed basic attributes, the eHealth Literacy Scale (eHEALS), sources of information and consultations regarding pediatric health, and general Internet usage.Results　Of 203 questionnaires collected (30.2% response rate), seven were excluded for missing data, leaving 196 (29.2% valid response rate) for analysis. Of 196 respondents, 112 (57.1%) attended 18-month dental health checkups and 84 (42.9%) attended 3-year general health checkups. The largest age group was mothers in their 30s (n = 141, 71.9%). Of the total respondents, 190 (96.9%) used the Internet to find child health information. Overall mean eHEALS score (and associated standard deviation) was 25.7 (5.9), with 28.1 (3.7) for respondents in their 20s and 26.0 (5.9) for those with university or postgraduate education. eHEALS scores were significantly higher among Instagram and Twitter users than non-users (P = .021 and P = .018, respectively). Regarding Internet usage intentions, participants who agreed that information was readily available and problems could be easily solved scored significantly higher than those who did not agree (P = .024 and P = .014, respectively). Conversely, those who felt the information was too complex scored significantly lower (P = .013).Conclusion　Most mothers used the Internet to find child health information. Results suggest healthcare and welfare workers should support mothers in improving e-health literacy, including selecting reliable information sources and applying obtained information effectively.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"645-653"},"PeriodicalIF":0.0,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147517216","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":"[Association between social networking service usage time and breakfast consumption patterns among Japanese university students: Analysis using breakfast, brunch, and skipping categories].","authors":"Yumiko Iwase","doi":"10.11236/jph.25-096","DOIUrl":"10.11236/jph.25-096","url":null,"abstract":"<p><p>Objectives　Extensive social networking service (SNS) use has been associated with unhealthy lifestyle behaviors among university students. Breakfast skipping raises concerns regarding reduced academic performance and inadequate nutritional status. Although many students consume brunch as a breakfast substitute, prior studies have rarely distinguished it from breakfast. This study examined associations between SNS usage time and breakfast consumption patterns among Japanese university students and assessed whether breakfast consumption patterns are associated with socioeconomic and psychological factors.Methods　A secondary analysis was conducted on 20,171 records from the 58th Student Life Survey (2022), obtained from the Institute of Social Science, University of Tokyo. Participants were undergraduate university students in Japan. The dependent variable was breakfast consumption pattern. Participants were categorized into the breakfast (before 9:00 a.m.), brunch (9:00-11:00 a.m.), and skipping (nothing in the morning) groups. The independent variable was SNS usage time. Multinomial logistic regression analysis was performed adjusting for demographic, socioeconomic, and psychological factors.Results　Multinomial logistic regression analysis showed that each additional SNS hour significantly increased odds for the brunch (odds ratio [OR]: 1.14, 95% confidence interval [CI]: 1.04-1.25, P < 0.001) and skipping (OR: 1.10, 95% CI: 1.01-1.19, P = 0.021) groups compared to the breakfast group. In the brunch group, the highest odds were observed for living away from home and having part-time employment. In the skipping group, the highest odds were observed for living away from home and poor living conditions; having no one to consult also showed significantly higher odds. Science and medical students as well as females had significantly lower odds in both groups.Conclusion　Longer SNS use was significantly associated with greater odds of being in the brunch or skipping groups compared to the breakfast group. In the brunch group, higher odds were associated with living away from home and part-time employment. In the skipping group, higher odds were observed for financial difficulty and having no one to consult. These findings suggest subsidized breakfast programs and cooking support are needed for the skipping group. Additionally, informational and environmental support from early university years is needed for both groups.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"625-634"},"PeriodicalIF":0.0,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147517248","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 and preliminary validation of the \"Skill Checklist\" to enhance lifestyle modification skills among registered dietitians].","authors":"Misa Adachi, Asuka Suzuki, Mariko Watanabe, Kazue Yamaoka","doi":"10.11236/jph.25-135","DOIUrl":"10.11236/jph.25-135","url":null,"abstract":"<p><p>Objective　To improve the effectiveness of nutritional interventions by registered dietitians (RDs) in preventing and managing lifestyle-related diseases, this study developed and evaluated the \"Skill Checklist,\" a tool supporting the structured individual-based lifestyle education (SILE) lifestyle improvement program based on the Nutrition Care Process.Methods　The \"Skill Checklist\" enables RDs to conduct seven self-assessments across 12 weeks at each SILE program stage. Twenty-five RDs were assessed for Nutrition Skill Score reliability and validity and inter-rater reliability of three independent evaluators. Construct validity was examined through score differences by experience level. Reproducibility was tested in 21 RDs using Spearman's correlation at 1-week intervals. A nutritional counseling survey was conducted at baseline and 12 weeks.Results　Of the 24 RDs who completed the study, 75% worked in pharmacies. Experience level (< 3 vs. ≥ 3 years) and monthly counseling frequency (< 10 vs. ≥ 10) were balanced. Cronbach's alpha for the Nutrition Skill Score was 0.907. Construct validity was supported by significantly higher evaluator scores for more experienced RDs (P = 0.024, P = 0.023). Inter-rater reliability (ICC (2,1)) was 0.758 (95% CI: 0.610-0.906). Reproducibility was confirmed (n = 21, r = 0.689, P < 0.001). Week-12 scores were significantly higher than baseline in self-assessments and evaluator ratings (P = 0.004, P < 0.001), remaining significant after covariate adjustment (P = 0.002, P < 0.001). RDs reporting successful counseling increased from 25.0% to 58.3%, while those reporting difficulty perceiving effectiveness decreased from 83.3% to 45.8%.Conclusion　This study demonstrated the reliability and validity of the \"Skill Checklist.\" The tool may help RDs visualize and strengthen nutritional intervention and lifestyle modification competencies.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"654-661"},"PeriodicalIF":0.0,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147517228","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":"[Structure and challenges of meal provision systems by residential type in Japanese children's homes].","authors":"Hiroko Yoshida, Hiromi Ishida, Nobuko Murayama","doi":"10.11236/jph.25-106","DOIUrl":"10.11236/jph.25-106","url":null,"abstract":"<p><p>Objective　Children's homes provide a stable living environment for children without guardians or those who have experienced abuse. In Japan, there is a movement toward smaller-scale residential care facilities to realize \"a more homelike environment.\" This study considered meal provision within children's daily living spaces as a component of the home environment, aimed to classify children's homes into four residential types and examined the characteristics and challenges of their meal provision systems.Methods　In January 2022, a nationwide questionnaire survey was conducted in 606 children's homes (500 responses, 82.5%). The analysis focused on directly operated facilities in which in-house staff were responsible for meal provision. Facilities were categorized into four residential types based on their configuration;(a) no unit,(b) large unit (>8 children), (c) small unit (≤8 children), and(d) branch-type small-scale group care (located outside the main facility).　The classification considered meal preparation location and method (\"centralized cooking in one kitchen\" or \"unit-based cooking\") and occupations involved in meal provision. In facilities with unit kitchens, their use was categorized (\"cooked from all raw ingredients\" or \"partially cooked such as only rice\"), and compared by cooking style.Results　Data from 420 directly operated facilities, (680 residential units; 99 no-units, 78 large units, 296 small units, and 207 branch-type units) were analyzed. Facilities that used centralized cooking were common in no-unit (100.0%) and large unit (83.3%) types, but less common in branch-type units (23.2%). Contrastingly, unit-based cooking was most prevalent in branch-type units (74.9%). Facilities using unit kitchens to cook all meals from raw ingredients were significantly more common among those using unit-based cooking than among those using centralized cooking (P < .001). Childcare workers and nursery teachers were significantly more involved in meal provision in branch-type units, whereas registered dietitians/dietitians were significantly less involved (P < .001).Conclusion　Meal provision systems differed by residential type. Branch-type small-scale group care units, which provide a more home-like environment, relied heavily on childcare workers and nursery teachers for meal provision, whereas the involvement of dietitians is limited. These findings highlight the need for meal support systems that balance homelike environments with trained professional support.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"614-624"},"PeriodicalIF":0.0,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516596","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":"[Evaluating the quality of collaboration in home-based palliative care for patients with terminal cancer: A scoping review].","authors":"Miyuki Yoshida, Kazumi Fujimura, Miyuki Shiomi, Mio Hirose, Airi Fujimoto, Tomoko Nishiyama","doi":"10.11236/jph.25-110","DOIUrl":"10.11236/jph.25-110","url":null,"abstract":"<p><p>Objectives　To integrate and analyze domestic and international literature on interprofessional collaboration (hereafter, collaboration) in home-based palliative care for patients with terminal cancer, and to support the development of the evaluation of indicators of collaboration.Methods　Medline, CINAHL, Cochrane Library, and Web of Science (via Igaku Chuo Zasshi) were searched using the terms \"terminal cancer\", \"home\", \"palliative care\", \"interprofessional\", and \"indicators\". The retrieved literature was thoroughly reviewed, emphasizing descriptions of the content, outcomes, and evaluation of \"collaboration\". The information obtained was organized according to the Donabedian framework for healthcare quality assessment: Structure (care-supporting resources and systems), Process (collaborative procedures and content), and Outcome (results or changes attributable to collaboration). All processes, from the formulation of the search strategy, to selection and classification of the literature, were conducted through discussion and agreement among the investigators.Results　The initial search identified 159 articles (Medline, 16; CINAHL, 10; Cochrane Library, 0; Web of Science via Igaku Chuo Zasshi, 133), of which 150 were excluded because they did not meet the inclusion criteria. Nine eligible articles were supplemented with 10 articles, yielding 19 articles for analysis. These articles, published between 2001 and 2020, included 13 Japanese and six international studies. The topics included five scale development and validation studies on \"collaboration\", five qualitative studies identifying \"collaboration\" indicators, seven studies evaluating initiatives to strengthen \"collaboration\", and two studies evaluating the introduction of \"collaboration\" tools. Structure indicators included the care system, team relationships, information sharing, operations, community-based comprehensive collaboration systems, and 24-hour drug supply systems. Process indicators included visualization of the collaboration process, unification of team policies, formation of team trust, active collaborative behaviors by professionals, and educational support to enhance collaborative capacity. Outcome indicators included subjective evaluations from patients, families, and diverse professionals, and objective evaluations based on performance data.Conclusion　The Structure, Process, and Outcome indicators identified in this study provide a foundation for developing measures to evaluate and promote collaboration. Future studies should standardize these indicators and assess their relationships with outcome measures to develop evaluation tools that enhance collaboration in clinical practice.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"591-603"},"PeriodicalIF":0.0,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147517226","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":"[Implementation status of support for fathers in Japanese municipalities: A nationwide survey focusing on support for fathers in maternal and child health programs and programs primarily targeting fathers].","authors":"Yasumasa Adachi, Etsuko Takagi, Yasuhiro Kozaki, Yuta Agawa, Kayo Maruyama, Kenji Takehara","doi":"10.11236/jph.26-010","DOIUrl":"https://doi.org/10.11236/jph.26-010","url":null,"abstract":"&lt;p&gt;&lt;p&gt;Objectives　This study aimed to clarify the implementation status of support for fathers in maternal and child health (MCH) programs and programs primarily targeting fathers in municipalities in fiscal year 2022, examine differences by municipality type, and obtain evidence regarding implementation challenges and future directions.Methods　A self-administered postal questionnaire survey was conducted among municipalities' MCH departments between September and November 2023. Questionnaires from municipalities with responses from public health nurses and data required for analysis were analyzed. Support for fathers in municipal MCH programs through MCH handbook issuances, prenatal classes for parents, infant and child health checkups, and home visits was investigated, including information provision for fathers, assessment of living conditions, health screening, and consultation/guidance. For programs primarily targeting fathers, implementation, objectives, content, performance, perceived necessity, and reasons for non-implementation were examined. Differences by municipality type (special wards/cities vs. towns/villages) were examined using Chi-square or Mann-Whitney U tests.Results　Of the 1,741 municipalities surveyed, 588 returned the questionnaire. Among them, the analysis included 528. Concerning support for fathers in municipal MCH programs, the highest proportion of municipalities reporting no such support was observed for infant and child health checkups (24.6%). For all program types, this proportion was significantly higher in towns/villages than in special wards/cities. In postnatal services, assessment of fathers' health status and consultation/guidance provision were performed by approximately 20-30% of the municipalities. Programs primarily targeting fathers were implemented in 10.4% of municipalities, with a significantly higher proportion in special wards/cities. Of the 473 municipalities that had not implemented such programs, 75.1% recognized their necessity for implementation. The proportion citing \"low priority for implementation because of regional characteristics\" was significantly higher in towns/villages.Conclusion　Support for fathers in municipal MCH programs was observed. However, in postnatal services, municipalities reporting no such support were identified, and support primarily comprised information collection. Furthermore, only a few municipalities implemented programs that primarily targeted fathers. Differences by municipality type were observed in the implementation status in municipal MCH programs and perceived need for programs primarily targeting fathers, indicating that regional characteristics, workload, and human and financial constraints may influence implementation. Therefore, future efforts should strengthen support in municipal MCH programs to ensure that support continues seamlessly from pregnancy through the postnatal period, while considering program development tailored to regional characteristics","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148537833","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":"[Current health guidance methods for evaluating the outcomes of the fourth phase of Specific Health Guidance by public health nurses and registered dietitians: A focus group interview].","authors":"Keiko Sakaguchi, Izumi Watai, Yu Kawabe, Hanako Naruse, Makoto Kageyama, Rumi Tsukinoki","doi":"10.11236/jph.25-160","DOIUrl":"https://doi.org/10.11236/jph.25-160","url":null,"abstract":"<p><p>Objective　In the fourth phase of Specific Health Checkups and Specific Health Guidance, outcome evaluation was introduced with a 2-cm reduction in abdominal circumference and a 2-kg reduction in body weight as the main achievement goals. This study aimed to clarify the health guidance methods that public health nurses and registered dietitians (health guidance practitioners) from various health insurance providers consider effective for achieving outcome evaluations from two perspectives: implementation methods for health guidance and methods for conducting interviews.Method　This qualitative descriptive study used focus group interviews. The participants were health guidance practitioners who were recruited using snowball sampling. Twenty-four participants were selected by including two groups of six from each job category. A descriptive qualitative analysis was conducted. Results　For implementation methods, 95 codes were extracted, generating 18 subcategories and five categories: utilizing tailored information and communication technology, prioritizing the initial interview in health guidance, preventing interruptions and dropouts, collaborating with other professions/organizations, and improving and standardizing health guidance quality. With regard to the methods of conducting interviews, 79 codes were extracted, generating 16 subcategories and four categories: using motivational expressions and approaches, providing theoretical explanations of current conditions and future prognoses, prioritizing trust building with participants, and enhancing awareness of outcome evaluation.Conclusion　Health guidance practitioners from various health insurance providers identified the following methods as effective approaches for implementing health guidance: combining face-to-face and online guidance, utilizing apps, providing guidance on the day of health checkups, collaborating with health management initiatives, and improving the food environment. Methods for conducting interviews included devising approaches to engage individuals receiving health guidance for the first time, conducting multifaceted assessments of daily life, building trust, setting goals tailored to an individual's readiness, and self-monitoring of weight and other factors. However, further interventional studies are required to validate these findings.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148537747","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 vegetable consumption frequency at breakfast among infants and parents, and association between these changes: A longitudinal study using infant health checkup data in Obu City, Aichi Prefecture].","authors":"Yukako Mano, Haruhiko Imamura","doi":"10.11236/jph.25-169","DOIUrl":"https://doi.org/10.11236/jph.25-169","url":null,"abstract":"<p><p>Objectives　Insufficient vegetable intake in children poses a public health challenge. This study investigated the frequency of vegetable consumption at breakfast and examined its association with vegetable consumption at breakfast among parents using longitudinal data from Japan.Methods　Longitudinal data were obtained from infant health checkups, including parental questionnaires, conducted at four months, one and a half years, and three years of age in Obu City, Aichi Prefecture, Japan. Among 1,053 children who underwent all three health checkups between 2019 and 2023, 896 children who provided valid responses were included in the analysis. These analyses determined vegetable consumption frequency at breakfast at three years of age for high (≥4 days/week) and low (≤3 days/week) frequency consumption groups. The exposure variable was vegetable consumption frequency at breakfast for the parents at each time point. Parental responses were divided into high- and low-frequency groups, and four trends were defined; maintained high frequency, decreased, increased, and maintained low frequency. Poisson regression analyses were conducted to calculate the prevalence ratios (PR) of parental trends associated with children's high-frequency consumption at three years after adjusting for potential confounding factors. Separate analyses were conducted for the parents.Results　Among the 896 children, 23.2% exhibited high-frequency consumption at three years of age and, a decrease from 47.8% at one and a half years. The proportions of mothers and fathers exhibiting high consumption were 30.0% and 19.5% (four months), 26.2% and 21.8% (one and a half years), and 25.4% and 19.0% (three years), respectively. Poisson regression analysis revealed that for mothers, compared with low frequency maintenance, high frequency maintenance (adjusted PR [95% confidence interval]; 4.49 [3.25-6.22]) and increased (4.91 [3.47-6.93]) trends were associated with high frequency consumption by children at three years. Similar associations were observed for high frequency maintenance (2.77 [2.10-3.65]) and increased (3.06 [2.29-4.09]) trends among fathers.Conclusion　Vegetable consumption frequency at breakfast among 3-year-old children decreased significantly from consumption at 1.5 years of age and was associated with mothers' vegetable consumption. As age three marks the completion of weaning and transition toward typical home-provided meals; promoting improvements in mothers' dietary habits before weaning could improve breakfast vegetable intake among children.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148537767","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":"[Education and training for nursing students and other health professionals on communication with individuals with limited Japanese proficiency in health settings].","authors":"Michiyo Higuchi, Asako Yoshino, Chifa Chiang, Noriyo Kaneko","doi":"10.11236/jph.26-006","DOIUrl":"https://doi.org/10.11236/jph.26-006","url":null,"abstract":"<p><p>Objectives　The growing number of foreign residents in Japan has increased linguistic and cultural diversity. Communication with individuals with limited Japanese proficiency has become an essential skill for health professionals; however, systematic educational approaches remain insufficient. This report aims to summarize the educational and training activities conducted by the authors and inform future evaluations and dissemination.Methods　Existing documents were reviewed to identify the advantages and challenges of communication methods for individuals with limited Japanese proficiency in health settings. Experiences from lectures and exercises on Plain Japanese (Yasashii Nihongo) were summarized by setting. A newly introduced practicum, the Multicultural Health Support Practicum, was described.Results　Six communication approaches were identified to support individuals with limited Japanese proficiency; medical interpretation, automatic translation, ad hoc interpretation by family members or others, translated documents, English language, and Yasashii Nihongo. Key challenges include the limited availability of medical interpreters, ethical and confidentiality concerns associated with ad hoc interpretation, and the limited role of English as a common language. Lectures and exercises on Yasashii Nihongo, conducted for 80-90 min, were implemented in multiple settings using public guidelines as teaching materials. After the introductory lecture, the participants rewrote words, short sentences, and longer texts individually or in groups, followed by presentations and peer feedback. Sessions were conducted with varying group sizes and delivered in-person and online. Additionally, a compulsory two-week Multicultural Health Support Practicum, involving hospital visits, roleplay exercises using simulated patients, visits to international centers with special lectures, community placements, and reflection sessions, was established for fourth-year nursing students, with preparatory lectures in the first and fourth years. Its components provide learning opportunities for health support within and outside medical institutions.Conclusion　For communication with individuals with limited Japanese proficiency in health settings, a balanced and appropriate strategy combining Yasashii Nihongo, automatic translation, and translated documents and using medical interpreters if necessary is required. Yasashii Nihongo lectures and exercises suggest that using publicly available materials, such training can be introduced with limited burden and implemented flexibly. Furthermore, the Multicultural Health Support Practicum presents an educational framework that enables stepwise learning through exposure to practices within and outside health settings. Collectively, these initiatives provide insights into educational approaches that will enhance learning in communication and health support skills and improve intercultural society.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148537856","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":"[Effects of shopping basket-based nudges on vegetable-purchasing behavior: A quasi-experimental study in supermarkets].","authors":"Satoshi Seino, Masaki Takebayashi, Sayuri Goryoda, Yuri Yokoyama, Tsuneo Konta","doi":"10.11236/jph.26-020","DOIUrl":"https://doi.org/10.11236/jph.26-020","url":null,"abstract":"<p><p>Objectives　The average daily vegetable intake of adults in Japan remains below recommended levels. As foods are primarily purchased at supermarkets (SMs), this study examined whether nudge interventions implemented in SMs are associated with increased vegetable purchases, using a quasi-experimental design.Methods　Among SMs operated by the same company within a single city, three medium-sized stores with similar customer numbers and vegetable sales trends that were located at least 3-km apart were non-randomly assigned to the intervention (stores A and B) or control (store C) condition. In the intervention stores, shopping baskets were equipped with flyers recommending vegetable purchases (Easy-Attractive nudge). Furthermore, Store B displayed a poster that visually presented 70-g portions of popular seasonal vegetables in the produce section (Attractive-Social-Timely nudge). Store C served as the control and received no intervention. The 1-month observation and intervention periods were October and November 2024, respectively. By comparing point-of-sale (POS) data from October to November 2024 with data from the corresponding period in the previous year, we calculated the year-on-year increase rates for daily vegetable sales (primary outcome) as well as non-vegetable and total sales (secondary outcomes), adjusted for relative changes in customer volume. During the final 2 days of the intervention, 50 customers per store were surveyed to obtain their basic demographics, socioeconomic status, awareness of the intervention materials, and impressions. Average treatment effects (ATEs) were estimated using a difference-in-differences approach that modeled outcomes, intervention status, and store and time indicators for the first and second halves of October and November. Store-specific analyses (A versus B) were also performed.Results　No significant differences were observed between stores regarding basic customer characteristics or socioeconomic status. The ATE for vegetable sales was ＋4.0 percentage points (95% confidence interval: 0.6-7.5), indicating a statistically significant increase. In contrast, no significant ATE was observed for non-vegetable sales (－4.4 percentage points: －14.2 to 5.5) or total sales (－3.6 percentage points: －13.0 to 5.9). Store-specific analyses revealed no additional differences between stores B and A. Awareness of shopping basket flyers was 95%. Among those aware, 24% reported purchasing vegetables, 51% expressed positive opinions, and 8% expressed negative opinions. The corresponding figures for the produce-section poster were 36%, 28%, 61%, and 0%, respectively.Conclusions　Easy-Attractive nudge flyers in shopping baskets were associated with increased vegetable purchases. This intervention potentially represents an effective strategy for promoting vegetable selection without increasing the overall customer spending.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148537843","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}