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Development and Evaluation of a Gatekeeper Training Program Regarding Anxiety about Radiation Health Effects Following a Nuclear Power Plant Accident: A Single-Arm Intervention Pilot Trial

Author

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  • Masatsugu Orui

    (Department of Public Health, School of Medicine, Fukushima Medical University, Fukushima 960-1295, Japan
    Sendai City Mental Health and Welfare Center, Sendai 980-0845, Japan)

  • Maiko Fukasawa

    (Department of Mental Health, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan)

  • Naoko Horikoshi

    (Department of Public Health, School of Medicine, Fukushima Medical University, Fukushima 960-1295, Japan
    Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan)

  • Yuriko Suzuki

    (Department of Public Health, School of Medicine, Fukushima Medical University, Fukushima 960-1295, Japan
    National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo 187-8553, Japan)

  • Norito Kawakami

    (Department of Mental Health, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan)

Abstract

After the Fukushima Daiichi Nuclear Power Plant accident in March 2011, residents perceived a radiation exposure risk. To address the concerns about radiation exposure and the subsequent effects on their health, we developed the gatekeeper training program for radiation health anxiety and mental health issues. The program consisted of a presentation and roleplay, with educational objectives to the increase knowledge and understanding around radiation health anxiety, alcoholism, depression, and suicide. Twenty-six counselors participated in the program as a single-arm intervention. To measure the outcomes, the subjects reported self-confidence when they counselled with residents with radiation health anxiety and other mental health issues. Comparing the answers to pre- and 2-month follow-up surveys, the confidence levels were higher after 2 months than at baseline, especially for the question “How confident are you at supporting a resident with mental health issues?”, which showed the largest increase ( p < 0.001). Regarding radiation health anxiety the questions “Can you communicate coping skills to a resident with radiation health anxiety?” ( p = 0.007) and “Can you refer a resident with radiation health anxiety to professionals who can cope appropriately?” ( p = 0.016) showed significant increases in their confidence levels. This program could be useful for on-going health activities and future nuclear disasters.

Suggested Citation

  • Masatsugu Orui & Maiko Fukasawa & Naoko Horikoshi & Yuriko Suzuki & Norito Kawakami, 2020. "Development and Evaluation of a Gatekeeper Training Program Regarding Anxiety about Radiation Health Effects Following a Nuclear Power Plant Accident: A Single-Arm Intervention Pilot Trial," IJERPH, MDPI, vol. 17(12), pages 1-15, June.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:12:p:4594-:d:376667
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    References listed on IDEAS

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    1. Masatsugu Orui & Yuka Ueda & Yuriko Suzuki & Masaharu Maeda & Tetsuya Ohira & Hirooki Yabe & Seiji Yasumura, 2017. "The Relationship between Starting to Drink and Psychological Distress, Sleep Disturbance after the Great East Japan Earthquake and Nuclear Disaster: The Fukushima Health Management Survey," IJERPH, MDPI, vol. 14(10), pages 1-15, October.
    2. Amy J Morgan & Anna Ross & Nicola J Reavley, 2018. "Systematic review and meta-analysis of Mental Health First Aid training: Effects on knowledge, stigma, and helping behaviour," PLOS ONE, Public Library of Science, vol. 13(5), pages 1-20, May.
    3. Yoshitake Takebayashi & Yuliya Lyamzina & Yuriko Suzuki & Michio Murakami, 2017. "Risk Perception and Anxiety Regarding Radiation after the 2011 Fukushima Nuclear Power Plant Accident: A Systematic Qualitative Review," IJERPH, MDPI, vol. 14(11), pages 1-13, October.
    4. Yuriko Suzuki & Yoshitake Takebayashi & Seiji Yasumura & Michio Murakami & Mayumi Harigane & Hirooki Yabe & Tetsuya Ohira & Akira Ohtsuru & Satomi Nakajima & Masaharu Maeda, 2018. "Changes in Risk Perception of the Health Effects of Radiation and Mental Health Status: The Fukushima Health Management Survey," IJERPH, MDPI, vol. 15(6), pages 1-11, June.
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    Cited by:

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    2. Masatsugu Orui & Suzuka Saeki & Shuichiro Harada & Mizuho Hayashi, 2021. "Practical Report of Disaster-Related Mental Health Interventions Following the Great East Japan Earthquake during the COVID-19 Pandemic: Potential for Suicide Prevention," IJERPH, MDPI, vol. 18(19), pages 1-14, October.
    3. Makiko Orita & Yasuyuki Taira & Hitomi Matsunaga & Masaharu Maeda & Noboru Takamura, 2020. "Quality of Life and Intention to Return among Former Residents of Tomioka Town, Fukushima Prefecture 9 Years after the Fukushima Daiichi Nuclear Accident," IJERPH, MDPI, vol. 17(18), pages 1-9, September.
    4. Yujiro Kuroda & Masatsugu Orui & Arinobu Hori, 2021. "Trends in Suicide Mortality in 10 Years around the Great East Japan Earthquake: Analysis of Evacuation and Non-Evacuation Areas in Fukushima Prefecture," IJERPH, MDPI, vol. 18(11), pages 1-10, June.
    5. Masatsugu Orui, 2022. "Suicide and Suicide Prevention Activities Following the Great East Japan Earthquake 2011: A Literature Review," IJERPH, MDPI, vol. 19(17), pages 1-19, September.
    6. Yuka Ueda & Fumikazu Hayashi & Tetsuya Ohira & Masaharu Maeda & Seiji Yasumura & Itaru Miura & Shuntaro Itagaki & Michio Shimabukuro & Hironori Nakano & Kenji Kamiya & Hirooki Yabe, 2022. "A Six-Year Prospective Study on Problem Drinking among Evacuees of the Great East Japan Earthquake: The Fukushima Health Management Survey," IJERPH, MDPI, vol. 20(1), pages 1-21, December.
    7. Lennart Reifels & Michel L. A. Dückers, 2023. "Disaster Mental Health Risk Reduction: Appraising Disaster Mental Health Research as If Risk Mattered," IJERPH, MDPI, vol. 20(11), pages 1-14, May.
    8. Masatsugu Orui & Chihiro Nakayama & Nobuaki Moriyama & Masaharu Tsubokura & Kiyotaka Watanabe & Takeo Nakayama & Minoru Sugita & Seiji Yasumura, 2020. "Current Psychological Distress, Post-traumatic Stress, and Radiation Health Anxiety Remain High for Those Who Have Rebuilt Permanent Homes Following the Fukushima Nuclear Disaster," IJERPH, MDPI, vol. 17(24), pages 1-14, December.

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