Practice and Research on Media Literacy Workshop in Disaster-stricken Areas

本論文では，防災カードゲーム「クロスロード」のフォーマットを用いて，携帯電話やネット・コミュニケーションにおけるさまざまなトラブルなどの問題に応用したワークショップを，東日本大震災の被災地で実施した試みについて紹介する．これまでの研究から「クロスロード」を用いた実践は，メディアリテラシーの啓発と向上に効果をもたらしうることが確認されてきた．本研究においては，震災被災者を対象に実施することで，従来のインタヴュー調査などでは引き出しにくいと考えられる，深い内容のデータも収集しうるのではないかという目論見から調査実践をおこなった．結果としては，期待した成果を十分得られなかった部分もあったが，ワークショップのデザインを修正していくことにより，方法の発展の余地があることも確認された．This study discusses the proceedings of a workshop that examined the format of a disaster prevention card gaming called “Crossroad,” applied to resolve various problems related with mobile phone usage and Internet communication. Through subsequent studies, we have also confirmed that it is effective forpractices applied the Crossroad method to enlighten people and to improve media literacy. As this method could dig out the deeply bottomed content which had been seemed to be difficult to be picked up with great disaster victims, we were going to make workshops of gaming in this case. Though we could not derive the expected results, we also recognized possibilities for improvement with the design of the workshop

Criterion-related validity of Bedriddenness Rank with other established objective scales of ADLs, and Cognitive Function Score with those of cognitive impairment, both are easy-to-use official Japanese scales: A prospective observational study.

AimBedriddenness Rank (BR) and Cognitive Function Score (CFS), issued by the Ministry of Health, Labour and Welfare, Japan, are easy-to-use and widely used in the medical and long-term care insurance systems in Japan. This study aims to clarify the criterion-related validity of the CFS with the Mini-Mental State Examination (MMSE) and ABC Dementia Scale (ABC-DS), and to re-evaluate the criterion-related validity of BR with the Barthel Index (BI) or Katz Index (KI) in more appropriate settings and a larger population compared with the previous study.MethodsA single-center prospective observational study was conducted in an acute care hospital in a suburban city in Japan. All inpatients aged 20 years or older admitted from October 1, 2018 to September 30, 2019. The relationship between BR and the BI and KI, and the relationship between CFS and the MMSE and ABC-DS were analyzed using Spearman's correlation coefficients.ResultsWe enrolled 3,003 patients. Of these, 1,664 (56%) patients exhibited normal BR. The median (interquartile range) values of the BI and KI were 100 (65-100) and 6 (2-6), respectively. Spearman's rank correlation coefficients between BR and the BI and KI were -0.891 (p < 0.001) and -0.877 (p < 0.001), respectively. Of the patients, 1,967 (65.5%) showed normal CFS. The median (interquartile range) MMSE of 951 patients with abnormal CFS and ABC-DS of all patients were 15 (2-21) and 117 (102-117), respectively. Spearman's rank correlation coefficients between CFS and MMSE and ABC-DS were -0.546 (p < 0.001) and -0.862 (p < 0.001), respectively.ConclusionsBR and CFS showed significant criterion-related validity with well-established but complicated objective scales for assessing activities of daily living and cognitive functions, respectively. These two scales, which are easy to assess, are reliable and useful in busy clinical practice or large-scale screening settings