Stroke Impairment Assessment Set各項目の回復期リハビリテーション病棟入退院時得点変化パターン

藤田医科大

新型コロナウイルス感染症のヘルスリテラシーの違いによる対象者セグメンテーション

The purpose of this study is to identify the types of the risk communication for COVID-19.　We conducted the cross-sectional questionnaire survey, for 6,000 people (male = 3000, female = 3000, M = 49.41±16.59), regarded as health literacy. In the result, it is revealed there were 6 segments: "majority/social defense" in which people had the most common beliefs and thought PCR testing is necessary for all, "self-judgment/self-protection" that was highly literate, "threat denying" that completely denied threats and prevention of infection, "hoax affinity/optimism" that took in information without discernment, "vigilance/self-protection," in which people felt threatened by infection but thought that PCR testing was unnecessary, and "hyper vigilance/social defense," in which people protected others if there was even a small risk

新型コロナウイルス感染症のヘルスリテラシーとリスクテイク行動および予防行動との関連

In our previous study Survey 1, we found infection prevention behaviors were characterized by health literacy and found to be divided into six segments: "majority/social defense”, “self-judgment/self-protection”, "threat denying”, "hoax affinity/optimism," "vigilance/self-protection”, and "hyper-vigilance/social defense”. The purpose of this study is to confirm the validity of segmentation by health literacy and to examine its relationship with risk-taking behavior and infection prevention behavior. The 6,000 respondents to Survey 1 were asked to answer again, and the 3,800 who responded were targeting in the study. In the results, we found that the fear of infectious diseases and the cognitive bias to believe that they will not be infected led to a regression to each segment, with significant differences between the segments. Significant differences in risk-taking and infection prevention behaviors were also found among the segments. In addition, there was no significant difference in the use of the “ Go to campaign “ among the segments. In risk-taking behavior, "self-judgment and self-protection" is considered to be a risk-taking behavior if the risk of infection is judged to be low based on accurate information obtained by the individual. Threat denial" has the lowest level of infection prevention behavior and is considered to take high-risk behaviors without hesitation. Over-vigilance and social defense" is considered to be a preventive behavior instead of risk-taking behavior due to over-vigilance against infection. In the “Go to campaign” , even if the respondents were highly susceptible to infection and felt threatened by infectious diseases, and even if they had no cognitive bias against infectious diseases, they would use this campaign

新型コロナウイルス感染症のヘルスリテラシーと心身の健康及び生活への影響との関連

In our previous study Survey 1, we found infection prevention behaviors were characterized by health literacy and found to be divided into six segments: "majority/social defense”, “self-judgment/self-protection”, "threat denying”, "hoax affinity/optimism," "vigilance/self-protection”, and "hyper-vigilance/social defense”. The purpose of this study is to examine the real-life influences and behaviors of different types of health literacy. The 3,800 respondents to Survey 2 were asked to answer again, and the 3,000 who responded were targeting in the study. In the result, we found that "majority/social defense" and "hyper-vigilance/social defense" were lowered in their visits to the hospital for the purpose of prevention and visitation. In addition, the intention to vaccinate was lower for "hoax affinity/optimism" and "Threat denial”. Furthermore, "Threat denial" was the highest that respondents thought vaccines were unnecessary. This study revealed there were two potential high-risk factors in the life under infectious disaster. In the first, it is suggested that early detection of serious diseases may be delayed, resulting in a higher health risk than having an infectious disease. In the second, it is suggested that "hoax affinity/optimism" and "threat-denying" segments may be less likely to be vaccinated, and it is considered the segments needed the highly supports when infection prevention measures would be promoted

Pattern of item score change in Stroke Impairment Assessment Set in comprehensive inpatient rehabilitation wards

OBJECTIVES: Although numerous studies have examined activities of daily living (ADL) in stroke rehabilitation, there has been little focus on impairment, despite its close relationship to ADL. Therefore, we evaluated the change in impairment from admission to discharge of patients with stroke in comprehensive inpatient rehabilitation wards using the Stroke Impairment Assessment Set (SIAS). METHODS: Data from 3279 patients with first stroke who were admitted to comprehensive inpatient rehabilitation wards between 2004 and 2016 were analyzed. A scattergram of the items showing the percentage of the highest score on admission and the percentage of patients whose score improved during hospitalization was plotted. The items of the SIAS were grouped by their location on the scattergram. RESULTS: Three clusters could be discriminated on the scattergram. The upper right group, showed an improved score during hospitalization in combination with a high percentage of patients with the highest score on admission. This group consisted of the verticality, unaffected-side quadriceps, visuospatial, and pain items of the SIAS. The upper left group improved during hospitalization, but only contained a small percentage of patients with a high score on admission, and consisted of motor function items. The lower group was characterized by poor improvement during hospitalization and consisted of sensory, tone, range of motion, speech, and grip power items. CONCLUSIONS: Understanding the change in impairment during hospitalization using the three groups described above will facilitate design of a plan for stroke rehabilitation on admission

Exploratory study to characterise the individual types of health literacy and beliefs and their associations with infection prevention behaviours amid the COVID-19 pandemic in Japan: a longitudinal study

Background During a global infectious disease pandemic such as the coronavirus disease 2019 (COVID-19), individuals’ infection prevention/risk-taking behaviours are likely to differ depending on their health literacy and beliefs regarding the disease. To effectively promote infection prevention behaviours, it is necessary to enable information dissemination and risk communication that consider individuals’ health literacy and beliefs. In this study, we exploratorily characterised segments based on individual health literacy and beliefs regarding COVID-19 among the Japanese during the early stage of the COVID-19 pandemic, and investigated whether infection prevention/risk-taking behaviours and fear of COVID-19 differed among these segments. Methods In this study, we conducted two web-based longitudinal surveys in Japan (PHASE 1, 1–30 November 2020, 6,000 participants; PHASE 2, 1–31 December 2020, 3,800 participants). We characterised segments of the target population using cluster analysis on health literacy and beliefs regarding COVID-19 obtained in PHASE 1. We further investigated the associations between the clusters and infection prevention/risk-taking behaviours and fear of COVID-19, obtained from PHASE 2. Results Five clusters were identified: ‘Calm/hoax denial’, ‘Hoax affinity/threat denial’, ‘Minority/indifference’, ‘Over vigilance’, and ‘Optimism’. There were significant differences in infection prevention/risk-taking behaviours and fear of COVID-19 among the five clusters. The belief in susceptibility to infection, rather than affinity for hoaxes and conspiracy theories, was coherently associated with infection prevention/risk-taking behaviours and fear of infection across clusters. This study provides foundational knowledge for creating segment-specific public messages and developing interactive risk communication to encourage infection prevention behaviours