研究者業績

石井 佳代子

イシイ カヨコ  (Kayoko Ishii)

基本情報

所属
和洋女子大学 看護学部 看護学科
学位
博士(看護学)

研究者番号
20983977
J-GLOBAL ID
202301003038781283
researchmap会員ID
R000050368

論文

 5
  • Kayoko Ishii, Hiroko Sumita, Hitomi Nagamine, Kumiko Morita
    BMC public health 24(1) 537-537 2024年2月21日  査読有り筆頭著者
    BACKGROUND: In occupational health, the maintenance and promotion of workers' health, especially lifestyle motivation-based interventions, have gained considerable attention and are actively implemented. Motivational theories include self-determination theory, and some studies focus on healthy lifestyles. However, the effectiveness of health promotion interventions varies depending on the health awareness and motivation of the participants. Therefore, this study aimed to clarify the processes by which workers are motivated to improve their health and to identify the need for and type of support according to their motivation. METHODS: Using a mixed-research design, an initial questionnaire survey of 94 employees (mean age = 40.97 ± 9.65) at a multicenter company in Japan, followed by semi-structured interviews with 16 employees (mean age = 40.13 ± 9.45) from the high- and low-motivation groups, were conducted. Multiple regression analysis followed by modified grounded theory-based analysis of the results of the first stage was used and the quantitative and qualitative results were integrated. RESULTS: In the first stage, autonomous motivation scores were predicted by the behavioral change stage and relatedness satisfaction/frustration. The second stage revealed that "the process of reflecting and managing one's own health while receiving support and feedback for maintaining and improving health" was the motivational process of workers. Result integration revealed that motivation increased through repeatedly escaping and adjusting to real problems and situational coping until the behavioral change. Despite interruptions during behavioral change, receiving feedback from others could increase motivation and continued behavioral change. CONCLUSION: Regardless of their level of motivation for health behaviors, workers indicated that support from others was essential. The nature of this support was found to range from providing information to offering feedback. Interventions individualized by the identified process could enable customized motivation-driven health guidance.
  • Kayoko Ishii, Kumiko Morita, Hiroko Sumita
    BMC public health 22(1) 1892-1892 2022年10月11日  査読有り筆頭著者
    BACKGROUND: Motivational interventions are used as preventive measures in occupational health. However, existing studies primarily focus on motivation methods and not the stage of motivation-the process from extrinsic to intrinsic motivation. The treatment self-regulation questionnaire (TSRQ) can predict workers' health at each motivational stage. Accordingly, this study examined the reliability and validity of the Japanese version of the TSRQ (Diet and Exercise) in occupational health settings. METHODS: Responses of 912 workers were analyzed. In this study, the Cronbach's alphas were 0.85 for Diet and 0.84 for Exercise after excluding items with low Item-Total correlations. Regarding convergent validity, there was a weak correlation between behavior modification stages and the TSRQ. Regarding structural validity, confirmatory factor analysis was performed assuming a four-factor structure. RESULTS: The goodness-of-fit indices were: Comparative Fit Index (CFI) = 0.94, Tucker Lewis Index (TLI) = 0.92, and Root Mean Square Error of Approximation (RMSEA) = 0.07 for Diet and CFI = 0.92, TLI = 0.91, and RMSEA = 0.08 for Exercise. CONCLUSION: The Japanese version of the TSRQ has a certain degree of reliability and validity. It can measure motivation for Diet and health-related behaviors in occupational health settings. The findings of this study may serve as a basis for promoting primary and secondary prevention.
  • 石井 佳代子, 森田 久美子
    日本健康医学会雑誌 31(1) 71-77 2022年4月  査読有り筆頭著者
  • 永嶺 仁美, 森田 久美子, 小林 美奈子, 青木 利江子, 山本 晴美, 大竹 文, 丸山 佳代, 保木 みか, 角田 紘子, 石井 佳代子, 佐々木 明子
    日本世代間交流学会誌 11(2) 11-20 2022年3月20日  査読有り
    本稿は、居場所の継続年数の長所による運営上の課題と多世代交流実施の違いを比較し、継続年数ごとの課題への支援の在り方を検討した。地域の茶の間(新潟市)主催者に対し、自記式質問紙を配布し有効回答303件を分析対象とした。継続年数の長所は、「開設から3年未満(3年未満群)」「開設から3年以上(3年以上群)」の2群とし、運営上の課題の有無・課題内容(15項目)、多世代交流の実施有無をFisherの直接法にて分析した。運営上の課題内容では、3年未満群は「運営上のノウハウの不足」、3年以上群は「後継者の育成の課題」を選択した。自由記述の分析では両群ともに運営上の課題で【高齢化】【参加者の不足】【参加者の意識】【ノウハウの不足】等を抽出した。多世代交流の有無は両群に差はなく約3割で実施されていた。自由記述では両群で【実施への前向きさ】【実施開始の困難さ】を3年以上群で【交流効果】【継続実施の困難さ】を抽出した。
  • Kumiko Morita, Minako Kobayashi, Rieko Aoki, Hitomi Nagamine, Harumi Yamamoto, Fumi Ohtake, Mika Hoki, Hiroko Sumita, Kayo Maruyama, Kayoko Mitsuhashi, Akiko Sasaki
    Archives of Public Health 79(1) 2021年3月25日  査読有り
    Abstract Background In the process of community building, it is important to create a place for multigenerational exchanges. To promote multigenerational exchanges in regional locations, it is essential to clarify whether such exchanges are related to government infrastructure, regional characteristics, and social capital, and how these exchanges contribute to community building. Methods A cross-sectional questionnaire study was conducted with representatives from 455 Chiiki no Cha-no-Ma (literal translation “community living room,” and hereafter “Cha-no-Ma”) in Niigata City, Japan. Responses were received from 405 representatives (response rate: 89.0 %), and 401 agreed to participate (4 declined). The survey details included basic information (e.g., date each location was established, frequency of meetings, number of caretakers and participants, qualifications of the representative), activities reflecting local culture, a social capital scale, the effects of the Cha-no-Ma implemented by the representative (12 items), challenges for management (16 items), and the implementation of multigenerational exchanges. Results Most of the age groups that participated in the Cha-no-Ma were elderly, and multigenerational exchanges took place in 125 locations (31.5 %). Items that had a significant connection to the implementation of multigenerational exchanges were “Frequency of meetings” (p < 0.001) and “Activities reflecting local culture” (p = 0.026). Binomial logistic regression analysis indicated that a high frequency of meetings was associated with the implementation of multigenerational exchanges (Odds ratio = 3.839). There was a significantly higher ratio of implementation of multigenerational exchanges when the effects were a “connection with the region” (p = 0.006) and “conversations with different generations” (p = 0.004), and when the challenge was “no support from residents” (p = 0.002). Conclusions Cha-no-Ma participation is low among young people. The following ideas can be considered in order to increase multigenerational exchanges in regional locations. These exchanges may be promoted by increasing the frequency of meetings with qualified personnel and by adding activities that reflect local culture, such as festivals and making local foods. This community-based study clearly indicates that implementing multigenerational exchanges is an important activity for community building because it is related to connection within the community.

MISC

 1
  • 永嶺,仁美, 小稲,文, 石井,佳代子, 河村, 秋
    和洋女子大学紀要 65 183-192 2024年3月1日  
    PDF 近年、40歳未満の若年成人からメタボリックシンドロームおよび生活習慣病一次予防が重要視されつつある。現在、約8割の自治体で40歳未満の健診機会がない者を対象とした健診(以下、40歳未満健診)が実施され、特に子育て中の被扶養者女性などが受けやすい健診となっている。しかし、この年代は他の年代と比べて健診無関心層が多く、理由に子育てで余裕がない、自身の健康を意識しづらい、健診日程・託児の制約等が挙げられる。一方、自治体の実施状況は様々で、健診中の託児や健診日・場所の充実等の受診環境は国民健康保険被保険者数(以下、被保険者数)や自治体の財政力(以下、財政力指数)によって異なると考える。本研究の目的は、被保険者数規模および財政力指数によって、各自治体の40歳未満健診の詳細な実施状況を明らかにし、自治体規模による今後のよりよい実施に向けて示唆を得ることである。 関東1都6県、自治体307箇所での40歳未満健診の実施内容を研究対象とした。自治体ホームページで公開されている40歳未満健診の実施に関する情報、自治体別の被保険者数規模・財政力指数を抽出した。被保険者数は「10万人以上」「5万人以上10万人未満」「1万人以上5万人未満」「3千人以上1万人未満」「3千人未満」の5区分にし、40歳未満健診の実施有無および詳細な実施状況との関連でχ2検定を実施し、調整済み残差を計算した。財政力指数との関連では、Mann-Whitney U検定、相関分析を実施した。 自治体307カ所中、40歳未満健診を実施している自治体保険者は215カ所(70.0%)あった。実施している215カ所中、「10万人以上」で12(70.6%)、「5万人以上10万人未満」で21(77.8%)、「1万人以上5万人未満」で107(70.4%)、「3千人以上1万人未満」で50(67.6%)、「3千人未満」で25(67.6%)と、有意差はなかった。「委託医療機関での個別健診」を実施している割合は、「10万人以上」「5万人以上10万人未満」で有意に高く、「3千人以上1万人未満」「3千人未満」で低かった(p <0.001)。「健診当日の保健師等との相談あり(集団健診)」は「1万人以上5万人未満」で、「健診後日の結果説明・相談会あり(集団健診)」は、「5万人以上10万人未満」で多かった。「委託医療機関での個別健診」実施、「子宮頸がん検診同時受診可の可能性」がある場合、「健診会場での託児あり(集団健診)」は、それぞれ自治体の財政力指数が有意に高かった(p =0.046, p =0.013, p =0.031)。また、財政力指数が高い自治体で、実施開始年齢が低い傾向があった(Spearmanの相関係数:-0.151, p =0.032)。40歳未満健診の受診率向上のための試みで自治体毎に工夫していると考えられる内容を確認し、自宅健診(スマホdeドック)や託児・子宮頸がん検診同時受診可の周知に関するホームページ上の工夫がみられた。子育て中の女性にとって、「がん検診とセット」が望まれるため、個別健診が可能で受診率向上を目指す自治体は、積極的に同時受診が可能な点をアピールすると良いと考える。「5万人以上10万人未満」「1万人以上5万人未満」の中規模保険者では、比較的に集団健診当日や後日の保健指導・説明会が実施しやすいことが示唆された。これは、中規模保険者の利点であり、健診受診率の向上を目指す自治体にとっては、アピールポイントとなりえると考えた。

講演・口頭発表等

 11

所属学協会

 4