Do Japan’s Health Care Personnel Meet the Personal Health Goals of the “National Health Promotion Program”?

2021 ◽  
pp. 101053952110087
Author(s):  
Nobutaka Hirooka ◽  
Takeshi Sano ◽  
Reiko Yasumura ◽  
Yuji Maeyama ◽  
Nakamoto Hidetomo

To improve health among the population and reduce the societal burden of care and health-related costs in a rapidly aging environment, the Japanese government launched the “National Health Promotion Program in the 21st Century” (HJ21), which contains goals concerning areas such as lifestyle behavior and the use of preventive medicine. While health care personnel are responsible for guiding others’ health choices, they may not maintain healthy lifestyles themselves. Whether these individuals are meeting the HJ21 goals has not yet been examined. This study aims to determine whether certified specialists in health management are meeting such goals, and to compare their performance with the national average. This is a cross-sectional survey study. Study participants, sourced from all prefectures in Japan, were specialists certified in health management. We measured data concerning demographic information, lifestyle (physical activity, nutrition, diet, sleep, rest, smoking, and alcohol use), and the use of preventive medicine. The study participants exhibited many characteristics of high health literacy. They had an overall healthy lifestyle and met most of the HJ21 goals of healthy lifestyle, and a high proportion underwent health maintenance examinations and cancer screenings. These practices and behaviors maybe associated with high health literacy and social engagement activities.

2019 ◽  
Author(s):  
Nobutaka Hirooka ◽  
Takeshi Sano ◽  
Reiko Yasumura ◽  
Yuji Maeyama ◽  
Hidetomo Nakamoto

Abstract Background: In Japan, where the population is aging particularly rapidly, “healthy aging” is being advocated as a means of addressing the potential societal burdens caused by older adults’ need for nursing care and the high associated health-care costs. To improve healthy aging among the population, the Japanese government has launched the “National Health Promotion in the 21st Century” (HJ21), which contains goals concerning areas such as lifestyle behavior and use of preventive medicine. Low health literacy is associated with many health-related issues; however, whether individuals with high health literacy are meeting the HJ21 goals has not yet been examined. This study aims to determine whether a cohort with high health literacy are meeting such goals, and to compare the cohort’s performance with the national average. Methods: This is a cross-sectional survey study. Study participants, sourced from all prefectures in Japan, were professional specialists in health management certified by the Japanese Association of Preventive Medicine for Adult Disease. We measured data concerning the cohort’s demographic information, health perception, lifestyle (including physical activity) and use of preventive medicine. Results: The cohort showed many characteristics of high health literacy. The cohort had an overall healthy lifestyle and met most of the HJ21 goals; in particular, a high proportion underwent health-maintenance exams and cancer screenings. Conclusions: The high health literacy cohort showed a healthy lifestyle. Compared to the national average, a higher proportion of the cohort met the HJ21 goals and received preventive medicine.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nobutaka Hirooka ◽  
Takeru Kusano ◽  
Shunsuke Kinoshita ◽  
Ryutaro Aoyagi ◽  
Nakamoto Hidetomo

Abstract Background The national health promotion program in the twenty-first century Japan (HJ21) correlates life purpose with disease prevention, facilitating the adoption of healthy lifestyles. However, the influence of clustered healthy lifestyle practices on life purpose, within the context of this national health campaign remains uninvestigated. This study assessed the association between such practices and life purpose, in line with the HJ21. Methods We performed a nationwide cross-sectional survey on certified specialists in health management. Participants’ demographic information, lifestyle, and purpose in life were measured using a validated tool. The cohort was median-split into two groups based on their clustered health-related lifestyle score. The values for health-related lifestyle and purpose were compared between the two groups and the correlation between health-related lifestyle and purpose in life was measured. Results Data from 4820 participants were analyzed. The higher-scoring health-related lifestyle group showed a significantly higher life purpose than the lower group (35.3 vs 31.4; t = 23.6, p < 0.001). There was a significant association between the scores of clustered healthy lifestyle practices and life purpose (r = 0.401, p < 0.001). The higher-scoring health-related lifestyle group achieved a higher life purpose than the lower-scoring group. This association between healthy lifestyle practices and life purpose denotes a positive and linear relationship. Conclusions Our results suggest that individuals who have a better health-related lifestyle gain a higher sense of life purpose. In other words, a healthy lifestyle predicts a purpose in life. Our findings posit that examining the causal relationship between healthy lifestyle and purpose in life may be a more efficient approach toward health promotion.


2021 ◽  
Author(s):  
Nobutaka Hirooka ◽  
Takeru Kusano ◽  
Shunsuke Kinoshita ◽  
Ryutaro Aoyagi ◽  
Hidetomo Nakamoto

Abstract Background The national health promotion program in 21st century in Japan (HJ21) correlates life purpose with disease prevention; facilitating the adoption of healthy lifestyles. However, the influence of clustered healthy lifestyle practices on life purpose, in the context of a national health campaign, remains uninvestigated. Hence, this study assessed the association between such practices and life purpose in line with the HJ21. Methods A nationwide cross-sectional survey was given to certified specialists in health management. Participants’ demographic information, lifestyle, and purpose in life using a validated tool were measured. The cohort was median-split into two groups based on their clustered health-related lifestyle score. Health-related lifestyle and purpose were compared between the two groups, and the correlation between health-related lifestyles and purpose in life was measured. Results Data from 4,820 participants were analyzed. The higher scoring health-related lifestyle group showed a significantly higher life purpose than the lower group (35.3 vs 31.4; t = 23.6, p < 0.001). The association between the scores of clustered healthy lifestyle practices and life purpose was significant (r = 0.401, p < 0.001). The better health-related lifestyle group achieved a higher life purpose than the lower group. This association between healthy lifestyle practices and life purpose denotes a positive and linear relationship. Conclusions The present study suggest that individuals who have a better health-related lifestyle gain a higher sense of life purpose. Healthy lifestyle predicted purpose in life. Examining causal relation between healthy lifestyle and purpose in life may provide more efficient approach for health promotion.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Wrzesinska ◽  
K Binder ◽  
J Rakoczy ◽  
K Tabała ◽  
A Lipert

Abstract Issue/problem Young people with visual impairment (VI) are more likely to have low literacy comparing to the rest of population. Additionally, they are at the high risk of obesity what has been attributed to poor food choices or lack of physical activity. Hence, interventions to support their nutrition status are needed. Description of the problem One hundred eighty six students aged 10-18 years (M = 13.9; SD = 2.44) selected from 6 schools for pupils with VI. An intervention describing healthy lifestyle guidelines was performed. Two innovative tools concerning nutrition guidelines tailored to the needs of people with VI were used during intervention: The Healthy Lifestyle Pyramid (HLP) and the Puzzle Game (PG). Participants were devoted to the Control Group (CG; N = 94) where only HLP was used and the Study Group (SG, N = 92) who participated in the classes with both tools: HLP and PG. Before and just after intervention a single-choice questionnaire regarding health literacy comprising 15 questions was used to verify the level of required knowledge regarding nutrition. Results There was a significant main effect of using HLP in the CG F(1. 132)=14.524, p &lt; 0.001. The main effect of using HLP and PG in the SG was also significant, F(1. 132)=6.188, p = 0.014. The actual difference in mean scores between SG and CG was medium. The effect size, calculated using partial eta squared, was .045. Lessons The interventions with tools tailored to the needs of people with VI had positive significant impact on nutrition knowledge. Health promotion activities focusing on the health literacy improvement are more effective when various approaches are used to present information. Future health promotion activities should be adjusted to the needs of different populations to provide an equal access to healthy behaviours and to enhance health literacy. Key messages Using tools tailored to the needs of people with VI provide an equal access to health promotion. Health promotion activities are more effective when range approaches are used to present information.


2020 ◽  
pp. 174462952095744
Author(s):  
Kathleen McCarty ◽  
Alicia Dixon-Ibarra ◽  
Megan MacDonald

Introduction: Individuals with intellectual disabilities are a known health disparities group. The Team Wellness (TW) health promotion program was developed to provide healthy lifestyle information to target this population. The purpose of this study was to conduct a qualitative program evaluation on Team Wellness. Methods: Interviews were conducted via one-on-one format with program coaches (n = 4, mean age = 25, female = 2, male = 2) and focus group with program athletes (n = 6, mean age = 45, female = 4, male = 2) who completed the TW program. Results: Themes that emerged included: (1) Program Perceptions; (2) TW Support; and (3) Program Feedback. Program perceptions were positive and continued athlete participation was anticipated. Coaches felt prepared to facilitate based on previous experience though program fidelity varied. Conclusion: Study participants enjoyed TW and identified valuable recommendations. Program fidelity and marketing efforts are important for future consideration. Further quantitative assessment is needed to determine the effectiveness the program.


1989 ◽  
Vol 4 (2) ◽  
pp. 128-133 ◽  
Author(s):  
E. Andrew Wood ◽  
Gary W. Olmstead ◽  
James L. Craig

The purpose of this article is to compare health risk factors and rates of absenteeism of employees at General Mills, Inc. after participating for two years in a voluntary, self-directed health promotion program, called the “TriHealthalon.” Twelve hundred field sales employees were initially targeted to participate in this program, which focused on improving participants' physical, mental, and social well-being. Participants were asked to fill out a computerized lifestyle appraisal form before they started the program in 1985, and again in 1986. The rates of absenteeism were monitored for each individual in the participant and nonparticipant groups for the years 1984 (before the program started), 1985, and 1986. T-tests were performed to compare the rate of absenteeism between the two groups. Observations show that after two years in the TriHealthalon program, there was an increase in healthy lifestyle behaviors in the participant group, with a five percent decrease in the number of smokers, a 37 percent increase in the number of people who use their seat belts, and a 23 percent increase in the number of people who exercise three times a week. There was no significant difference in absenteeism between the groups in 1984, before the program began. Absenteeism was significantly (p < .05) less in the participant group during 1985 and 1986 after the initiation of the program.


Author(s):  
Vineta Silkane ◽  
Agnese Davidsone ◽  
Linda Veliverronena

Patient satisfaction has become one of the central indicators to measure quality of provision of health care services. However, it has been made clear in previous literature that the effectiveness and efficiency of the health care services is not directly proportional to the satisfaction level, because an array of patient’s personal, psychological, and cognitive factors such as beliefs, expectations, knowledge and others may come into play. In this current article, we report on a study aiming to examine the role of health literacy in predicting patient satisfaction with health care in Latvia. In summer-autumn 2017, data were collected from a random sample of 451 participants (44 % male) in age from 18 to 81 years. The participants filled-in the questionnaire consisting of: Patient Satisfaction Questionnaire (PSQ-III, Ware, Snyder, & Wright, 1976) and European Health Literacy Survey Questionnaire (HLS-EU-Q, HLS-EU Consortium, 2012). We measured four out of the seven aspects of PSQ, namely, general satisfaction, technical quality, interpersonal aspects, and communication. HLS-EU-Q contains three subscales: health care, disease prevention, and health promotion. Study results confirm that one of the health literacy aspects - health care - was the most important predictor of all patient satisfaction aspects, while health promotion predicted technical quality.  


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