Effect of the Japanese preventive-care version of the Minimum Data Set--Home Care on the health-related behaviors of community-dwelling, frail older adults and skills of preventive-care managers: a quasi-experimental study conducted in Japan

Geriatr Gerontol Int. 2009 Sep;9(3):310-9. doi: 10.1111/j.1447-0594.2009.00531.x.

Abstract

Aim: To determine whether the Japanese preventive-care version of the Minimum Data Set-Home Care improves the health-related behaviors of older adults and the skills of preventive-care managers.

Methods: Municipal preventive-care managers were instructed on the use of the Japanese preventive-care version of the Minimum Data Set--Home Care and asked to employ it in their interactions with clients during the intervention period (intervention group). The health-related behaviors of older adults (maintenance of self-care and consumption of a balanced diet) were assessed by self-rating methods. The skills of the preventive-care managers were assessed by considering the number of and variations in the needs of the clients, as reflected in the care plans formulated by the managers.

Results: The clients' self-care levels were higher in the intervention group than in the control group (P < 0.05). A greater number of needs, as reflected in the care plans, were noted in the intervention group than in the control group (P < 0.05), and the variation in the assessed needs was greater in the former than in the latter.

Conclusion: This study suggests that the Japanese preventive-care version of the Minimum Data Set--Home Care may improve the skills of preventive-care managers, and consequently, the health-related behaviors of frail older clients.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living
  • Adult
  • Aged
  • Caregivers*
  • Female
  • Health Behavior*
  • Home Care Agencies*
  • Humans
  • Japan
  • Male
  • Middle Aged