論文 - 堀田　聰子

Micro Happiness Episode Data Service for Supporting Well-Being with Dementia

Shinozawa R., Oono M., Hotta S., Nishida Y.

Procedia Computer Science 238   281 - 289 2024年

　概要を見る

Developing support technology for elderly people with dementia is an urgent issue. The purpose of this study was to propose a computational method for designing "micro happiness" by applying the concept of subjective experience to dementia. In this paper, subjective experiences that can positively affect the quality of life are referred to as micro happiness. The proposed method provides experience recommendations by evaluating both the similarity of life functions and the similarity of experiences among elderly people. To verify the effectiveness of the method, the authors created a database consisting of 1124 subjective experiences of 77 people with dementia using a knowledge graph. The authors confirmed that the prototype data service system could recommend plausible social events considering the life functions and past subjective experiences of a target person with dementia. From the evaluations, it was suggested that the proposed method could be used to present candidates for positive experiences to elderly people with dementia.

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Family caregiver’s concerns and anxiety about unaccompanied out-of-home activities of persons with cognitive impairment

Tsuda S., Matsumoto H., Takehara S., Yabuki T., Hotta S.

BMC Geriatrics （BMC Geriatrics）  23 （ 1 ）  2023年12月

　概要を見る

Background: Although people with cognitive impairment highly value social participation in out-of-home activities, their families typically perceive concerns and experience anxiety over such activities. This study aimed to elucidate the underlying concerns and factors associated with family caregivers’ anxiety over the individual’s unaccompanied out-of-home activities. Methods: In December 2021, we conducted a cross-sectional e-survey of family caregivers of individuals with early-stage cognitive impairment. Caregivers’ concerns about ten common risks related to out-of-home activities were cross-tabulated by specific anxiety levels to examine trend associations. With the variables of caregivers and their individuals across the five domains, we ran logistic regression analyses to determine explanatory models for anxiety. Results: The study participants were 1,322 family caregivers of people whose cognitive function varied from intact to possible mild dementia according to the Dementia Assessment Sheet for Community-based Integrated Care System 8-item. Significant associations were found between the prevalence of concerns and the degree of anxiety, even without actual experience with the issues of concern. Among the five domains, individual dementia characteristics and social behaviors were the predominant factors attributed to caregiver anxiety. Caregivers’ no anxiety state was significantly associated with: younger age (OR 4.43, 95% CI 1.81–10.81), no detectable cognitive decline (OR 3.34, 95% CI 1.97–5.64), free from long-term care (LTC) (OR 3.52, 95% CI 1.72–7.21), no manifestation of behavioral and psychological symptoms of dementia (BPSD) (OR 13.22, 95% CI 3.06–57.01), and not engaging in unaccompanied out-of-home activities (OR 3.15, 95% CI 1.87–5.31). Their severe anxiety was positively associated with being on LTC (OR 3.39, 95% CI 2.43–4.72) and minor BPSD (OR 1.43, 95% CI 1.05–1.95), and negatively associated with engagement in unaccompanied out-of-home activities (OR 0.31, 95% CI 0.23–0.43). Conclusions: The study found that family caregivers’ anxiety was associated with concerns about behavioral issues, regardless of actual experiences. There were two significant associations in opposite directions between caregivers’ anxiety and the individual’s engagement in out-of-home activities. In the early phase of cognitive impairment, caregivers may intuitively interpret the individual’s behavior and feel anxious. Educational support may provide reassurance and enable caregivers to facilitate out-of-home activities.

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Exploring the meaning of journal writing in people living with dementia: a qualitative study

Tsuda S., Jinno M., Hotta S.

Psychogeriatrics （Psychogeriatrics）  22 （ 5 ） 699 - 706 2022年06月

研究論文（学術雑誌）, 共著, 最終著者, 査読有り,  ISSN  13463500

　概要を見る

Background: People living with dementia face a constant struggle in re-establishing their means of living a meaningful life. Journal writing exhibits the potential to help them regain a sense of control over their lives. This study explores the experience, meaning, and value of journal writing for people living with dementia who autonomously engage in the activity. Methods: We conducted individual, semi-structured interviews with eight people living with dementia who each kept a personal, paper-based daily journal. The interviews were thematically analyzed. Results: We identified four main themes. Theme 1. Recognition of the harsh reality of life under dementia. Theme 2. Observation of and compensation for weaknesses. Theme 3. Reacknowledgement and reaffirmation of one's identity, and Theme 4. Resignation and regret over comparisons to one's ‘former’ self. Themes 2 and 3 suggest that journal writing enabled self-reflection on daily activity functions and sense of self. However, Theme 4 represents the downside where an individual more acutely realises their deteriorating condition and regrets over their perceived loss of self. Conclusion: While acknowledging the possible adverse effect of amplifying pessimistic perceptions toward life, journal writing is a powerful ‘self-help’ strategy for people living with dementia and provides an avenue to recover and thrive.

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The Value and Impact of a Health Café Organized by Primary Care Physician, On Visitors, Clinics, and the Community: A Qualitative Study

Oishi Y., Son D., Hotta S.

Journal of Primary Care and Community Health （Journal of Primary Care and Community Health）  2022 Jan-Dec （ 13 ）  2022年03月

研究論文（学術雑誌）, 共著, 最終著者, 査読有り,  ISSN  21501319

　概要を見る

Introduction: Reflecting the rapidly aging society, there has been a worldwide increase in the number of health cafés and dementia cafés which can provide a variety of support to people with illnesses and their families in the community. Nevertheless, health cafés organized by primary care physicians are rarely reported, and the social value of these activities has not yet been fully elucidated. Objectives: This study was aimed to investigate the value and impact that the health café organized by the primary care physician, brings to the visitors, the clinic, and the community. Methods: Conversations between the author (YO), who belongs to a medical clinic that has been operating for many years in Shizuoka City, and visitors of the health café were qualitatively analyzed using Steps for Coding and Theorization (SCAT), which is a sequential and thematic qualitative analysis technique consisting of 4 steps. Results: Sixteen people participated in the study. The values and impacts of holding a health café were social support, opportunities for cognitive and behavioral changes, complementary functions to outpatient care, advantages for medical care, the creation of encounters with diverse individuals, connections with local community organizations, and motivating visitors to become proactive actors. Conclusion: It was considered valuable for physicians in community-based medical clinics to have opportunities to interact with patients and local residents outside the clinical settings. Because they can potentially enhance their role as primary care physicians in the community. In addition, the impact on the community is that local residents can receive social support, increase community ties, and make people more proactive about their health.

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認知症とともに一人で暮らす高齢者本人の経験と在宅での生活継続が困難になる要因

堀田聰子,大村綾香,津田修治,大森千尋

老年精神医学雑誌 33 （ 3 ） 224 - 229 2022年03月

研究論文（学術雑誌）, 共著, 筆頭著者

安心して認知症になれる社会環境を当事者とともに創り出すー認知症未来共創ハブのチャレンジ

堀田聰子

老年精神医学雑誌 33 （ 3 ） 297 - 302 2022年03月

研究論文（学術雑誌）, 単著, 筆頭著者

Older Adults Used Fewer Home Care Services during the COVID-19 Pandemic: Findings from a Secondary Analysis of an Urgent Survey in Japan

Matsumoto H., Kawagoe M., Hotta S.

Annals of Geriatric Medicine and Research （Annals of Geriatric Medicine and Research）  25 （ 4 ） 286 - 293 2021年11月

研究論文（学術雑誌）, 共著, 最終著者, 査読有り,  ISSN  25084798

　概要を見る

Background: This study aimed to identify reduced home care use among older people and its impact on user numbers and service provider revenues during the coronavirus disease 2019 (COVID-19) pandemic. Methods: We conducted this secondary analysis of cross-sectional data from long-term care providers in Japan and estimated the probability of client cancellations and service contraction for institutional and home care services adjusted for the service type, area, size, infection occurrence, and staff employment impacts. We then estimated the rate of change in user numbers and revenue related to reduced usage. Results: Seventy-two percent of home care providers experienced client cancellations and 42.1% experienced service contraction, both of which were more prevalent in home care than in institutional care (adjusted odds ratio [AOR]=11.09 and 1.60). Home-visit (AOR=0.70) and short-term stay (AOR=0.38) services were less likely to experience client cancellations compared with adult day services. Service contraction was less likely in home-visit services (AOR=0.60) but were more likely in short-stay services (AOR=1.49) compared to adult day services. The estimated reductions in user numbers and revenue related to service contraction for adult day services were 9.1% and 7.1%, respectively. Home-visiting services decreased by an estimated 3.4% owing to service contraction. Conclusion: The secondary effects of the COVID-19 pandemic include reduced use of home care services, especially adult day services that include social contact. These secondary effects of the COVID-19 pandemic may cause functional deterioration in non-infected clients and financially impact service providers.

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地域共生社会の構築とコンヴィヴィアリティ

堀田聰子

コミュニティ心理学研究 25 （ 1 ） 15 - 31 2021年09月

研究論文（学術雑誌）, 単著, 筆頭著者

「認知症」と出会い直すー経験専門家／人生の先輩である認知症のある方とともにー

堀田聰子

介護福祉  （ 122 ） 22 - 31 2021年06月

単著

社会的処方

堀田聰子

治療 100 （ 1 ） 44 - 48 2018年

単著

人間的で持続可能なケアと地域づくりに向けた移行―オランダ・ビュートゾルフを手がかりに

堀田 聰子

地域リハビリテーション 11 （ 11 ） 709-713 2016年11月

単著

人間的で持続可能なケアと地域づくりに向けた移行:オランダを手がかりに

堀田 聰子

Geriatric Medicine 54 （ 6 ） 569-573 2016年06月

単著

人を、地域を、社会を変えるチームスピリット　オランダの地域ナースの活躍を手がかりに

堀田 聰子

日本在宅看護学会誌 4 （ 2 ） 38-40 2016年03月

単著

地域包括ケアの担い手を考える : 人間中心のケアとまちづくりに向けて

堀田聰子

月刊メディカルリハビリテーション 188   41 - 46 2015年09月

単著

オランダの認知症国家戦略

堀田聰子

作業療法ジャーナル 49 （ 7 ）  2015年06月

単著

地域包括ケアの担い手を考える：支えあい育みあうまちづくり

堀田聰子

医療と社会 24 （ 4 ） 367 - 380 2015年

単著

Buurtzorg解体新書

堀田聰子

訪問看護と介護 119 （ 6 ） 440 - 448 2014年06月

Buurtzorg Nederland and ICT Innovation :The Shift from Bureaucracy to Accountability

A.Leferink, J. de Blok, S. Nandram, S. Hotta

病院 73 （ 6 ） 470 - 475 2014年06月

共著

オランダの認知症国家戦略：我が国におけるオレンジプランの推進に向けて

堀田聰子

統計    29 - 36 2013年12月

単著

オランダの認知症ケア―各地域の利用者視点による問題抽出を起点に

堀田聰子

日本認知症ケア学会誌 11 （ 4 ） 781 - 787 2013年01月

単著