Kurasawa Yasuyuki, Yokokawa Yoshiharu
Department of Rehabilitation, Faculty of Health Sciences, Nagano University of Health and Medicine, Japan.
Department of Health Science, Graduate School of Medicine, Shinshu University, Japan.
J Phys Ther Sci. 2024 Oct;36(10):647-655. doi: 10.1589/jpts.36.647. Epub 2024 Oct 1.
[Purpose] This study investigated the potential of tailored message notifications based on municipal health check-up results to improve pre-frailty and frailty in older adults. [Participants and Methods] This study was conducted in Iiyama City, Nagano Prefecture, Japan, by using the Kihon Checklist to assess the health status of older adults. Since 2019, Iiyama City has sent notifications to individuals with pre-frailty (Kihon Checklist score: 4-7) and frailty (Kihon Checklist score: ≥8). A regression discontinuity design was used to estimate the effects of the intervention by comparing the groups with scores just above and below the cutoff points. Data from 6,382 individuals aged ≥65 years from 2019 to 2022 were analyzed. [Results] The intervention slightly improved the Kihon Checklist scores in the pre-frailty group. No statistically significant effects were observed in the frailty group or after multiple imputations for missing data. [Conclusion] The findings suggest that tailored message notifications can improve frailty prevention among pre-frail older adults. However, the limited frequency and content of these messages may have reduced their effectiveness. Therefore, more frequent and targeted messages are needed to address the needs of frail individuals.
[目的] 本研究调查了基于市政健康检查结果的个性化信息通知对改善老年人衰弱前期和衰弱状况的潜力。[参与者与方法] 本研究在日本长野县饭山市开展，使用简易检查表评估老年人的健康状况。自2019年起，饭山市向衰弱前期（简易检查表得分：4 - 7）和衰弱（简易检查表得分：≥8）的个体发送通知。采用回归间断点设计，通过比较得分刚好高于和低于临界点的组来估计干预效果。对2019年至2022年6382名年龄≥65岁个体的数据进行了分析。[结果] 干预使衰弱前期组的简易检查表得分略有提高。在衰弱组或对缺失数据进行多次插补后，未观察到统计学上的显著效果。[结论] 研究结果表明，个性化信息通知可改善衰弱前期老年人的衰弱预防。然而，这些信息的频率和内容有限，可能降低了其有效性。因此，需要更频繁、更有针对性的信息来满足衰弱个体的需求。
