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Educational Intervention to Improve Citizen’s Healthcare Participation Perception in Rural Japanese Communities: A Pilot Study

Author

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  • Ryuichi Ohta

    (Community Care, Unnan City Hospital, Unnan 699-1221, Japan)

  • Yoshinori Ryu

    (Community Care, Unnan City Hospital, Unnan 699-1221, Japan)

  • Jun Kitayuguchi

    (Physical Education and Medicine Research Center Unnan, Unnan 699-1105, Japan)

  • Chiaki Sano

    (Department of Community Medicine Management, Faculty of Medicine, Shimane University, Izumo 693-8501, Japan)

  • Karen D. Könings

    (School of Health Professions Education, Faculty of Health, Medicine and Life Sciences, Maastricht University, Universiteitssingel 40, 6229 ER Maastricht, The Netherlands)

Abstract

In this mixed-methods study, we hypothesized that social cognitive theory (SCT)-based educational interventions for healthcare participation can improve the self-efficacy of older rural citizens in participating in their health management without any difficulties. Quasi-experimental study before and after SCT-based educational interventions and semi-structured interviews were conducted. Participants were Japanese elderly (>65 years) from rural communities. Propensity score matching was performed to estimate the effectiveness of educational interventions on participants’ perception (intervention: n = 156; control: n = 121). Interview contents were transcribed verbatim and analyzed based on thematic analysis. The intervention group scored significantly higher than the control group for participation in planning and managing self-care. Interviews revealed three themes: ability to manage health conditions, relationship with medical professionals, and relationship among citizens. Participants reported difficulties in judging symptoms and communicating with medical professionals. Hierarchy and low motivation to participate in healthcare hindered collaboration. The findings suggest that SCT-based educational interventions can positively impact rural citizens’ self-efficacy in healthcare participation.

Suggested Citation

  • Ryuichi Ohta & Yoshinori Ryu & Jun Kitayuguchi & Chiaki Sano & Karen D. Könings, 2021. "Educational Intervention to Improve Citizen’s Healthcare Participation Perception in Rural Japanese Communities: A Pilot Study," IJERPH, MDPI, vol. 18(4), pages 1-11, February.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:4:p:1782-:d:498149
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    References listed on IDEAS

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    Cited by:

    1. Shiho Amano & Ryuichi Ohta & Chiaki Sano, 2021. "Recognition of Anemia in Elderly People in a Rural Community Hospital," IJERPH, MDPI, vol. 18(21), pages 1-9, October.
    2. Ryuichi Ohta & Akiko Yata & Yuki Arakawa & Koichi Maiguma & Chiaki Sano, 2021. "Rural Social Participation through Osekkai during the COVID-19 Pandemic," IJERPH, MDPI, vol. 18(11), pages 1-9, May.
    3. Yumi Naito & Ryuichi Ohta & Chiaki Sano, 2021. "Solving Social Problems in Aging Rural Japanese Communities: The Development and Sustainability of the Osekkai Conference as a Social Prescribing during the COVID-19 Pandemic," IJERPH, MDPI, vol. 18(22), pages 1-15, November.
    4. Ryuichi Ohta & Yoshinori Ryu & Chiaki Sano, 2022. "Older People’s Help-Seeking Behaviors in Rural Contexts: A Systematic Review," IJERPH, MDPI, vol. 19(6), pages 1-12, March.
    5. Ryuichi Ohta & Mikiya Sato & Jun Kitayuguchi & Tetsuhiro Maeno & Chiaki Sano, 2021. "Potential Help-Seeking Behaviors Associated with Better Self-Rated Health among Rural Older Patients: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(17), pages 1-8, August.
    6. Ryuichi Ohta & Yoshinori Ryu & Chiaki Sano, 2022. "Improvement in Quality of Life through Self-Management of Mild Symptoms during the COVID-19 Pandemic: A Prospective Cohort Study," IJERPH, MDPI, vol. 19(11), pages 1-9, May.
    7. Ryuichi Ohta & Akinori Ueno & Chiaki Sano, 2021. "Changes in the Comprehensiveness of Rural Medical Care for Older Japanese Patients during the COVID-19 Pandemic," IJERPH, MDPI, vol. 18(20), pages 1-9, October.
    8. Moe Kuroda & Ryuichi Ohta & Kaku Kuroda & Seiji Yamashiro & Keiichiro Kita, 2021. "The Seamless Communication on a Rural Island in Japan: A Qualitative Study from the Perspective of Healthcare Professionals," IJERPH, MDPI, vol. 18(18), pages 1-12, September.
    9. Ryuichi Ohta & Koichi Maiguma & Akiko Yata & Chiaki Sano, 2022. "A Solution for Loneliness in Rural Populations: The Effects of Osekkai Conferences during the COVID-19 Pandemic," IJERPH, MDPI, vol. 19(9), pages 1-10, April.
    10. Ryuichi Ohta & Yoshinori Ryu & Chiaki Sano, 2021. "Family Medicine Education at a Rural Hospital in Japan: Impact on Institution and Trainees," IJERPH, MDPI, vol. 18(11), pages 1-14, June.
    11. Ryuichi Ohta & Mikiya Sato & Jun Kitayuguchi & Tetsuhiro Maeno & Chiaki Sano, 2021. "The Association between the Self-Management of Mild Symptoms and Quality of Life of Elderly Populations in Rural Communities: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(16), pages 1-10, August.
    12. Ryuichi Ohta & Chiaki Sano, 2022. "Associations between Perception of Help-Seeking Behaviors and Quality of Life among Older People in Rural Communities: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(20), pages 1-10, October.

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