研究者詳細 - 田平　隆行

論文 - 田平　隆行

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Shimokihara S., Tabira T., Maruta M., Makizako H., Han G., Kamasaki T., Akasaki Y., Hidaka Y., Kumura Y., Kukizaki W., Kubozono T., Ohishi M. . Associations Between the Diverse Aspects of Psychological Frailty and Health-Related Outcomes in Community-Dwelling Older Adults: A Cross-Sectional Study . Psychogeriatrics26 ( 1 ) e70115 2026年1月国際誌

記述言語：日本語掲載種別：研究論文（学術雑誌）出版者・発行元：Psychogeriatrics

Background: Psychological frailty (PsF), encompassing cognitive and emotional vulnerabilities, remains understudied despite its potential impact on health outcomes in older adults. This cross-sectional study aimed to explore the characteristics of diverse aspects of PsF, including cognitive frailty (CF), lower cognitive function, and affective frailty (AF), and to examine their associations with health-related outcomes in community-dwelling older adults. Methods: Data were analysed from 420 community-dwelling older adults participating in the Tarumizu Study in Japan, excluding those exhibiting physical or social frailty. Participants were categorised into Robust, Lower cognitive function, CF, AF, and Multi-domain PsF groups. AF was assessed using five items from the Geriatric Depression Scale, focusing on emotional vulnerability. Health outcomes included self-rated health, subjective memory complaints (SMC), and functional ability of daily living. Associations were analysed using adjusted multiple regression models controlling for covariates. Results: PsF was present in 39.5% of the cohort (lower cognitive function: 18.1%, CF: 7.6%, AF: 11.0%, Multi-domain PsF: 2.9%). In the adjusted models, only AF showed a significant positive association with SMC (adjusted risk ratio = 1.62, 95% CI: 1.06–2.42, p = 0.023). No significant associations were found between any PsF domain and subjective health or daily functional ability in the adjusted models. Conclusions: AF, characterised by emotional vulnerability, was uniquely associated with SMC, suggesting emotional factors may play a more central role than cognitive decline in shaping perceptions of memory problems. These findings highlight the heterogeneous nature of PsF and underscore the need for nuanced assessments to inform targeted prevention and intervention strategies.

DOI： 10.1111/psyg.70115

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PubMed

下木原俊, 丸田道雄, 田平隆行 . 福祉・医療の現場から　アプリ版生活行為工程分析表(PADA-D)の開発と地域支援への展望　認知症を有する高齢者の残存能力を活かすための多職種連携ツール . 地域ケアリング27 ( 14 ) 40 - 42 2025年12月

記述言語：日本語出版者・発行元：(株)北隆館

本研究では,従来の紙面版PADA-Dの課題であった動作イメージ共有の難しさを改善するため,全210工程をイラスト化し,評価結果をグラフ・データとして出力できるアプリ版PADA-Dを開発した。プレテストの結果,操作性や多職種間共有,経過観察への有用性が高く評価された。評価結果は,PDF・CSV形式で出力可能であり,臨床・研究へ活用できる。PADA-Dアプリは,認知症を有する高齢者の残存能力を可視化し,生活行為支援の質向上と地域包括ケアにおける連携促進に寄与するツールとしての活用が期待される。(著者抄録)

Shimokihara S., Tabira T., Ikeda Y., Maruta M., Han G., Kamasaki T., Hidaka Y., Akasaki Y., Kukizaki W., Kumura Y. . Association between smartphone glances during application-based navigation and pedestrian navigation performance: a real-world experimental study . Mhealth11 1 - 11 2025年10月国際誌

記述言語：日本語掲載種別：研究論文（学術雑誌）出版者・発行元：Mhealth

Background: The percentage of people owning smartphones is rapidly increasing due to the digitalization of modern society. Among the smartphone’s features, route guidance using navigation applications establishes spontaneous and independent outdoor mobility, and can potentially support people’s health. Despite some known concerns regarding smartphone use while walking, navigation performance and eye-tracking behavior while walking with navigation applications in real-world environments are unclear. This study aimed to investigate the association between gaze behavior, particularly glancing at smartphones, and navigation performance among adult users of navigation applications while walking. Methods: This cross-sectional experimental study involved 33 healthy adults aged 20 years and older (20–81 years, 66.7% female) not requiring assistance with walking or activities of daily living. A route navigation task (RNT) of approximately 1,300 m was performed in a real outdoor environment. The participants were required to complete the route as quickly as possible, following the instructions of the navigation application. Simultaneously, the fixation time, number of fixations, number of saccades, total saccade angle, and number of glances at the smartphone were recorded using a wearable eye-tracking device. After checking the distribution of the obtained outcomes and performing correlation analysis, a generalized linear model (GLM) was created to investigate the relationship between the number of glances at the smartphone and the participants’ navigation performance and gaze behavior. To confirm the validity of the estimates for each GLM, a bootstrap sample of 2,000 iterations was used to evaluate the estimates. Results: Correlation analysis showed that the number of stops and route errors were moderately and positively correlated with the number of times participants glanced at their smartphones (P<0.05). In the original GLM, the number of stops and route errors showed a significant positive association with the number of glances at the smartphone (P<0.05). This significant positive relationship persisted even after examining the bootstrap sample. Conclusions: In healthy adults, frequent screen glances while walking with a navigation application may interfere with navigation performance. Establishing an alternative navigation system that does not rely on screen-checking may help pedestrians move more efficiently and safely.

DOI： 10.21037/mhealth-25-33

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Shiratsuchi D., Makizako H., Akaida S., Miyake Y., Kiyama R., Tabira T., Tateishi M., Otsuka R., Takenaka T., Kubozono T., Ohishi M. . Combinations of intrinsic capacity and frailty and their associations with self-rated health in community-dwelling older adults . Aging Clinical and Experimental Research37 ( 1 ) 275 - 275 2025年9月国際誌

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Aging Clinical and Experimental Research

Background: Intrinsic capacity (IC) and frailty are distinct but complementary frameworks for understanding the heterogeneity of aging. Although both have been linked to self-rated health, little is known about how their combined status relates to older adults’ health perceptions. This cross-sectional study investigated how combinations of IC and frailty status were associated with self-rated health among community-dwelling older adults. Method: Data from 593 participants (mean age: 73.9 years, female: 62.2%) in the 2019 Tarumizu Study were analyzed. IC was evaluated across five key screening domains (cognition, vitality, sensory, locomotion, and psychological) using a 10-point scale, with scores ≥ 9 classified as high IC. Frailty was assessed using the Japanese version of the Cardiovascular Health Study criteria and dichotomized into robustness and frailty (pre-frailty or frailty). Self-rated health was assessed with a four-point item and dichotomized into good or poor. Participants were classified into four groups: robust with high IC, frailty with high IC, robust with low IC, and frailty with low-IC. Results: Group proportions were: 30.0% (robust with high IC), 23.1% (frailty with high IC), 15.9% (robust with low IC), and 31.0% (frailty with low IC). Multivariable logistic regression showed that only the frailty with low-IC group had significantly greater odds of poor self-rated health compared to the robust with high-IC group (OR = 3.55, 95% CI: 1.34–9.36). Conclusions: Co-occurrence of low IC and frailty was significantly associated with poor self-rated health. These findings suggest that considering IC and frailty may enhance understanding of self-rated health in later life.

DOI： 10.1007/s40520-025-03189-z

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PubMed

中原伶奈, 田平隆行, 下木原俊, 赤﨑義彦, 日高雄磨, 久木崎航, 釜崎大志郎, 松永修歩, 久村悠祐, 丸田道雄, 韓侊熙, 牧迫飛雄馬, 菅原英輝, 寺薗英之, 窪薗琢郎, 大石充 . 主観的記憶障害を有する地域在住高齢者の服薬管理の特徴 . 日本老年療法学会誌4 ( 0 ) n/a 2025年7月

記述言語：日本語出版者・発行元：一般社団法人日本老年療法学会

<p>【目的】認知症の前臨床期である主観的記憶障害（SMC）段階からの複雑なIADL評価は重要であるが，SMC段階での服薬管理状況を詳しく調べた報告は希少である。本研究では，SMCを有する地域在住高齢者の服薬管理の具体的な特徴を明らかにすることを目的とした。【方法】本研究は，横断観察研究である。2019年度における地域コホート研究に参加した65歳以上の高齢者690名のうち，除外基準に該当する者を除外した573名を解析対象とした。対象者をSMCの有無で2群に分け，服薬状況調査項目との関連について2群間比較および共変量で調整した二項ロジスティック回帰分析を行った。【結果】対象者のうち，健常群が206名，SMC群が367名であり，共変量調整した二項ロジスティック回帰分析の結果，「残薬あり」（OR: 1.62, 95％ CI: 1.01–2.59, p＝0.04）と「抑うつ症状」（OR: 1.48, 95％ CI: 1.20–1.69, p＜0.001）はSMCと有意に関連した。【結論】地域在住高齢者において，SMCの段階から残薬の有無を把握し，服薬管理の早期支援を行うことは，認知機能低下が進行した際に服薬管理の介護負担を軽減し，残薬問題を解消する一助になる可能性がある。</p>

DOI： 10.57270/jgts.2024_013_oa

CiNii Research

Hidaka Y., Shimokihara S., Akasaki Y., Maruta M., Han G., Kamasaki T., Kumura Y., Kukizaki W., Nakahara R., Makizako H., Kubozono T., Ohishi M., Tabira T. . Longitudinal Relationship Between Grave Visitation and Depressive Symptoms Among Community-Dwelling Older Adults . Clinical Gerontologist 1 - 12 2025年7月国際誌

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Clinical Gerontologist

Objectives: Participating in religious activities benefits older adults’ mental health; however, the effects of grave visitation, a significant religious practice in Japan, on older adults’ mental health remain unclear. Therefore, this study examined the relationship between grave visitation frequency and depressive symptoms. Methods: A prospective cohort study of 273 community-dwelling older adults in Japan was conducted with baseline (2018) and follow-up (2022) assessments. Participants were categorized by visitation frequency: more or less than once a week. Changes in visitation frequency were classified as continued high, decreased, continued low, or increased. Depressive symptoms were assessed using the Geriatric Depression Scale (GDS-15). Multivariable linear regressions were used to examine the association between visitation and depressive symptoms. Results: Lower visitation at baseline was associated with worse GDS-15 scores in the follow-up. Those with decreased or continued low visitation had significantly worse depressive symptoms. After adjusting for baseline GDS-15 scores and covariates, the decreased group had significantly worse depressive symptoms than the continued high group. Conclusions: The findings indicate that changes in grave visitation frequency are significantly associated with depressive symptoms. Clinical Implications: Supporting older adults’ access to grave visitation through transportation or community programs may help maintain their well-being and emotional health.

DOI： 10.1080/07317115.2025.2538105

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中原伶奈, 田平隆行, 下木原俊, 赤崎義彦, 日高雄磨, 久木崎航, 釜崎大志郎, 松永修歩, 久村悠祐, 丸田道雄, 韓こう煕, 牧迫飛雄馬, 菅原英輝, 寺薗英之, 窪薗琢郎, 大石充 . 主観的記憶障害を有する地域在住高齢者の服薬管理の特徴　高齢化率40%を超える地域における横断的研究 . 日本老年療法学会誌4 jgts.2024_013_OA - jgts.2024_013_OA 2025年7月

記述言語：日本語出版者・発行元：(一社)日本老年療法学会

【目的】認知症の前臨床期である主観的記憶障害(SMC)段階からの複雑なIADL評価は重要であるが,SMC段階での服薬管理状況を詳しく調べた報告は希少である。本研究では,SMCを有する地域在住高齢者の服薬管理の具体的な特徴を明らかにすることを目的とした。【方法】本研究は,横断観察研究である。2019年度における地域コホート研究に参加した65歳以上の高齢者690名のうち,除外基準に該当する者を除外した573名を解析対象とした。対象者をSMCの有無で2群に分け,服薬状況調査項目との関連について2群間比較および共変量で調整した二項ロジスティック回帰分析を行った。【結果】対象者のうち,健常群が206名,SMC群が367名であり,共変量調整した二項ロジスティック回帰分析の結果,「残薬あり」(OR:1.62,95%CI:1.01-2.59,p=0.04)と「抑うつ症状」(OR:1.48,95%CI:1.20-1.69,p<0.001)はSMCと有意に関連した。【結論】地域在住高齢者において,SMCの段階から残薬の有無を把握し,服薬管理の早期支援を行うことは,認知機能低下が進行した際に服薬管理の介護負担を軽減し,残薬問題を解消する一助になる可能性がある。(著者抄録)

久村悠祐, 田平隆行 . 【一歩先のがん患者の作業療法】(第2章)臨床家のための,一歩先を行く作業療法研究　周術期高齢がん患者における術後せん妄発症が心身機能の改善に与える影響 . 臨床作業療法NOVA22 ( 2 ) 127 - 130 2025年6月

久村悠祐, 田平隆行 . 【一歩先のがん患者の作業療法】(第2章)臨床家のための,一歩先を行く作業療法研究　臨床家が研究をはじめるにあたり,知っておくべきこと . 臨床作業療法NOVA22 ( 2 ) 119 - 121 2025年6月

田平隆行, 下木原俊 . アルツハイマー病のIADL・BADL障害のリハビリテーション治療 . リハビリテーション医学62 ( 4 ) 382 - 387 2025年4月招待

Mishima Y, Nakamura M, Matsuda Y, Nishi K, Takaoka R, Kanno T, Takenaka T, Tabira T, Makizako H, Kubozono T, Ohishi M, Sugiura T, Okui T, On Behalf Of The Collaborative Group . Association Between Cognitive Impairment and Poor Oral Function in Community-Dwelling Older People: A Cross-Sectional Study. . Healthcare (Basel, Switzerland)13 ( 6 ) 2025年3月国際誌

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Healthcare Switzerland

Background/Objectives: The population of Japan has a high life expectancy, but there is room for improvement in terms of the country’s healthy life expectancy. The long period of care dependency among Japan’s elderly is also a major economic health challenge. Dementia is a major factor in the need for care, and its prevention is a crucial and urgent challenge. There are recent reports of a possible association between changes in oral function and cognitive impairment, but the details of this association remain unclear. To clarify the relationship between poor oral function and cognitive impairment, we conducted an exploratory investigation using a cognitive function assessment (Mini-Cog) administered in a large-scale study and its relevance to oral function. Methods: The study population was 678 community-dwelling individuals aged ≥65 years living in Tarumizu city, Japan, in 2019. Cognitive function was assessed using the Mini-Cog test, and the oral survey was a modification of the content of the Oral Hypofunction Examination as defined by the Japanese Society of Gerodontology. Results: The participants’ median age was 73 years. The oral function results revealed median scores below the oral hypofunction criterion for occlusal force, tongue pressure, oral diadochokinesis, and swallowing function. The results of a binomial logistic regression analysis indicated that tongue–lip motor function was independently associated with oral function in relation to cognitive impairment. Conclusions: The oral function associated with cognitive impairment in this study was tongue–lip motor function. Aiming to improve this function may prevent the exacerbation of cognitive impairment.

DOI： 10.3390/healthcare13060589

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Kamasaki T., Otao H., Hachiya M., Kubo A., Okawa H., Sakamoto A., Fujiwara K., Hosaka K., Kitajima T., Shimokihara S., Maruta M., Han G., Mizokami Y., Kamata M., Tabira T. . Examination of Factors Associated with Self-Reported Cane Use among Community-Dwelling Older Adults . Annals of Geriatric Medicine and Research29 ( 1 ) 102 - 110 2025年1月国際誌

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Annals of Geriatric Medicine and Research

Background: This study investigates factors influencing cane use among older adults and identifies most significant determinants. Methods: This study is a cross-sectional study. A total of 160 community-dwelling older adults (mean age, 79±7 years) were included in the analysis. Binomial logistic regression analysis was conducted using the presence or absence of cane use as the dependent variable, and the associated factors were investigated. Results: There were 108 participants (mean age, 77±7 years) in the cane-non-using group and 52 (mean age, 83±6 years) in the cane-using group. Factors associated with the presence or absence of cane use were open-eyed one-leg standing time (odds ratio [OR]=0.81; 95% confidence interval [CI], 0.70–0.93; p=0.003) and depressed mood (OR=2.78; 95% CI, 1.31–5.91; p=0.008). Conclusion: Older adults with reduced balance ability and depressive mood need to use a cane. This highlights the need to assess balance ability and depressed mood in prescribing a cane to older adults. Appropriate prescription of canes has the potential to enrich the lives of older adults by contributing to their safe range of activities.

DOI： 10.4235/agmr.24.0181

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Akasaki Y., Shimokihara S., Hidaka Y., Maruta M., Han G., Kamasaki T., Kumura Y., Kukizaki W., Nakahara R., Makizako H., Kubozono T., Ohishi M., Tabira T. . Changes in satisfaction with meaningful activities and subsequent subjective memory complaints: a two-wave longitudinal analysis of Japanese older adults . Aging and Mental Health 1 - 12 2025年国際誌

記述言語：日本語掲載種別：研究論文（学術雑誌）出版者・発行元：Aging and Mental Health

Objectives: This two-wave longitudinal study examined whether changes in satisfaction with meaningful activities (MA) were associated with subsequent subjective memory complaints (SMC) among community-dwelling older adults between 2019 and 2021. Method: Health surveys were conducted among local people at two time points: baseline (2019, before the COVID-19 pandemic) and follow-up (2021, during the pandemic). The participants were 275 community-dwelling older adults aged ≥65 years without cognitive decline at baseline. Satisfaction with MA was assessed using the Aid for Decision-Making in Occupation Choice and categorized as maintained/improved or decreased at follow-up. SMC was measured using four items developed by Tsutsumimoto and quantified according to the total number of complaints. Results: Older adults who maintained or improved satisfaction with MA showed no significant increase in SMC (p = 0.30), whereas those who demonstrated decreased satisfaction experienced a significant increase in SMC (p = 0.02). In the generalized linear mixed-effects model adjusted for covariates, a significant association was observed between decreased satisfaction with MA and increased SMC scores (β = 0.32, 95% CI = 0.09–0.55, p < 0.01). Conclusion: Maintaining and improving satisfaction with MA may be associated with a reduced risk of SMC increase in older adults.

DOI： 10.1080/13607863.2025.2570823

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Akasaki Y., Shimokihara S., Hidaka Y., Maruta M., Han G., Kamasaki T., Kumura Y., Kukizaki W., Nakahara R., Makizako H., Kubozono T., Ohishi M., Tabira T. . Satisfaction with Meaningful Activities and Sleep in Community-Dwelling Older Adults: Cross-Sectional Study . Clinical Gerontologist 1 - 15 2025年国際誌

記述言語：日本語掲載種別：研究論文（学術雑誌）出版者・発行元：Clinical Gerontologist

Objectives: To examine whether satisfaction with meaningful activities (MA) is associated with self-rated sleep quality and sleep duration among community-dwelling older adults. Methods: Data were drawn from 833 individuals aged ≥65 years who participated in a health survey between 2018 and 2019 in Japan. Sleep quality (good, moderate, or poor) and duration (< 6, 6–8, or ≥8 h) were assessed through a questionnaire. Participants selected the MA they considered most meaningful from a list of 95 activities in the Aid for Decision-Making in Occupation Choice, and their satisfaction with these MA were measured. Results: Ordinal logistic regression analysis, with sleep quality or duration as the dependent variable and satisfaction with MA as the independent variable, showed that higher satisfaction with MA was significantly associated with lower odds of poor sleep quality (OR: 0.84, 95% CI: 0.72–0.97, p =.03), but not with sleep duration. However, the association was not significant in sensitivity analyses that reversed the model. Conclusions: Satisfaction with MA may be associated with better sleep quality in older adults. Clinical Implications: Evaluating and enhancing satisfaction with MA may help identify older adults at risk of poor sleep quality, indicating that MA may be useful in supporting sleep.

DOI： 10.1080/07317115.2025.2597956

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Hidaka Y., Tabira T., Maruta M., Makizako H., Han G., Shimokihara S., Akasaki Y., Kamasaki T., Kukizaki W., Nakahara R., Kubozono T., Ohishi M. . Satisfaction with grave visitation and depressive symptoms among community-dwelling older Japanese adults . Mental Health Religion and Culture 2025年

記述言語：日本語出版者・発行元：Mental Health Religion and Culture

This cross-sectional observational study aimed to clarify the relationship between satisfaction with grave visitation and depressive symptoms among Japanese older adults. We analysed older adults who participated in a community health survey (n = 1025). Participants selected meaningful activities from the 95-item Aid for Decision-Making in Occupation Choice and rated their satisfaction on a five-point scale. Depression symptoms were assessed using the 15-item Geriatric Depression Scale. Grave visitation ranked fourth among all activities and was the most frequently chosen social activity. Higher satisfaction with grave visitation was associated with a significantly lower prevalence of depression, particularly in the hopelessness dimension. After adjusting for potential covariates in a Poisson regression analysis, satisfaction with grave visitation was significantly related to depression symptoms (prevalence ratio,.58; 95% confidence interval,.35–.96). Discussing beliefs about the deceased and ancestors and helping to increase satisfaction with grave visitation may help alleviate depressive symptoms.

DOI： 10.1080/13674676.2025.2516583

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Shimokihara S., Ikeda Y., Matsuda F., Tabira T. . Association of mobile device proficiency and subjective cognitive complaints with financial management ability among community-dwelling older adults: a population-based cross-sectional study . Aging Clinical and Experimental Research36 ( 1 ) 44 - 44 2024年12月国際誌

記述言語：日本語掲載種別：研究論文（学術雑誌）出版者・発行元：Aging Clinical and Experimental Research

Background: Mobile devices have been used by many older adults and have the potential to assist individuals with subjective cognitive complaints (SCCs) in daily living tasks. Financial management is one of the most complex daily activity for older adults, as it is easily impaired in the prodromal stage of dementia and cognitive impairment. Aim: To investigate financial management ability among older adults from SCCs and mobile device proficiency. Methods: A self-administered questionnaire was sent to 529 participants who were ≥ 65 years and regularly use mobile devices. Participants were divided into four groups based on SCC prevalence and scores of the Mobile Device Proficiency Questionnaire (MDPQ-16). Financial management abilities were compared between groups using the Process Analysis of Daily Activities for Dementia subscale. Regression model and crosstabulation table were used to investigate associations in detail. Results: A significant difference in financial management ability was observed among the four groups (p < 0.001), with the dual impairment group showed significantly lower than the robust and SCC groups (p < 0.001). Educational history, sex, and MDPQ-16 score were significantly associated with participants’ financial management ability (p ≤ 0.01). The proportion of participants who could use ATMs and electronic money independently was significantly lower among those with low proficiency in mobile devices (LPM), regardless of SCC (p < 0.05). Conclusion: The LPM group showed an impaired ability to manage their finances, particularly in situations where they would use information devices. Therefore, healthcare professionals should assess not only the SCC but also their proficiency with mobile devices to predict their impairment in activities of daily living.

DOI： 10.1007/s40520-024-02697-8

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Akasaki Y, Tabira T, Maruta M, Makizako H, Shimokihara S, Hidaka Y, Kamasaki T, Kukizako W, Kubozono T, Ohishi M . Subjective Memory Complaints Related to Satisfaction With Meaningful Activities Among Community-Dwelling Older Adults. . Cureus16 ( 11 ) e73433 2024年11月国際誌

Shimokihara S., Tanaka H., Boot W.R., Nagata Y., Nakai S., Tenjin M., Tabira T. . Development of the Japanese version of the Mobile Device Proficiency Questionnaire: A cross-sectional validation study . Geriatrics and Gerontology International24 ( 11 ) 1223 - 1232 2024年11月

記述言語：日本語掲載種別：研究論文（学術雑誌）出版者・発行元：Geriatrics and Gerontology International

Aim: In response to the growing popularity of mobile devices among older adults in Japan, this study aimed to establish a reliable and valid measure of mobile device proficiency by developing a Japanese version of the Mobile Device Proficiency Questionnaire (MDPQ-J) for the Japanese population. Methods: To evaluate the reliability and validity of the MDPQ-J, we administered the questionnaire to 100 young or middle-aged participants (37.78 ± 13.90 years, 57.00% women), and 62 older participants (75.90 ± 6.01 years; 59.68% women). Results: The MDPQ-J showed a high degree of internal consistency (Cronbach's α = 0.98). Moreover, MDPQ-J scores in older participants tended to be lower than those in young or middle-aged participants. In terms of validity, the MDPQ-J score of older participants was significantly associated with age (ρ = −0.31), the amount of time using a mobile device per day (ρ = 0.64), and the system usability scale (ρ = 0.39). Additionally, the MDPQ-J scores were significantly positively associated with the importance (ρ = 0.37), performance (ρ = 0.57), and satisfaction (ρ = 0.29) associated with daily mobile device use in older participants. Conclusions: The high reliability and validity of the MDPQ-J in the Japanese population highlight its utility in adapting mobile devices for older adults, which is crucial in an increasingly digital society. Further research should explore the mediating role of mobile device proficiency in various health-related outcomes. Geriatr Gerontol Int 2024; 24: 1223–1232.

DOI： 10.1111/ggi.14994

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PubMed

日高雄磨, 森田優太朗, 山下裕美, 大勝秀樹, 田平隆行 . 生活行為分析表(PADA-D)の評価に基づく環境調整及び作業療法実践により在宅生活を継続できたパーキンソン病の一例 . 日本作業療法学会抄録集58回 PE - 4 2024年11月

田平隆行, 下木原俊 . 【他職種を知る;チーム医療・多職種協働を目指す専門医のために】チーム医療・多職種協働における作業療法士の役割　本人の個性や残存能力を活かした生活のなかでの大切な活動への支援 . 老年精神医学雑誌35 ( 11 ) 1137 - 1144 2024年11月

記述言語：日本語出版者・発行元：(株)ワールドプランニング

認知症基本法の施行に伴い,本人の個性や能力を最大限に活かした支援がさらに重要視されてきている.作業療法士は,日常生活活動(ADL)/手段的ADL(IADL)へのリハビリテーションはもとより,趣味や仕事,スポーツ,社会的役割など本人が大切にしている活動に対し,残存能力を活かし,認知機能障害を代償する環境調整を図り,その活動の継続や実現に向け支援する.認知症疾患修飾薬の効果に加え,今後のデジタル社会を見据えた超早期からの生活リハビリテーションはさらに重要となる.また,遠隔診療が進むなか,とくにアクセスの不良な地域に対する遠隔での生活リハビリテーションの必要性は高まると考える.認知症者本人を中心とし,ADL/IADLをはじめとした大切な活動に従事し,満足度・遂行度を高められるよう,多職種の連携・協働によって支援していきたい.その支援が,住み慣れた地域に暮らし続けること,地域共生社会の一助となると考えている.(著者抄録)

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