IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i4p1782-d498149.html
   My bibliography  Save this article

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

Author

Listed:
  • 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
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/4/1782/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/4/1782/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Joann Seo & Melody S. Goodman & Mary Politi & Melvin Blanchard & Kimberly A. Kaphingst, 2016. "Effect of Health Literacy on Decision-Making Preferences among Medically Underserved Patients," Medical Decision Making, , vol. 36(4), pages 550-556, May.
    2. MoonKi Choi, 2020. "Association of eHealth Use, Literacy, Informational Social Support, and Health-Promoting Behaviors: Mediation of Health Self-Efficacy," IJERPH, MDPI, vol. 17(21), pages 1-12, October.
    3. Bandura, Albert, 1991. "Social cognitive theory of self-regulation," Organizational Behavior and Human Decision Processes, Elsevier, vol. 50(2), pages 248-287, December.
    4. Margaret von Faber & Zsuzsu Tavy & Suzan van der Pas, 2020. "Engaging Older People in Age-Friendly Cities through Participatory Video Design," IJERPH, MDPI, vol. 17(23), pages 1-15, December.
    5. Ryuichi Ohta & Yoshinori Ryu & Daisuke Kataoka & Chiaki Sano, 2021. "Effectiveness and Challenges in Local Self-Governance: Multifunctional Autonomy in Japan," IJERPH, MDPI, vol. 18(2), pages 1-14, January.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    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 & 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.
    6. 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.
    7. 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.
    8. 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.
    9. 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.
    10. 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.
    11. 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.
    12. 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.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ryuichi Ohta & Koichi Maiguma & Akiko Yata & Chiaki Sano, 2022. "Rebuilding Social Capital through Osekkai Conferences in Rural Communities: A Social Network Analysis," IJERPH, MDPI, vol. 19(13), pages 1-10, June.
    2. 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.
    3. 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.
    4. Carlos Bazan, 2022. "Effect of the University’s Environment and Support System on Subjective Social Norms as Precursor of the Entrepreneurial Intention of Students," SAGE Open, , vol. 12(4), pages 21582440221, October.
    5. Irene Chu & Mai Chi Vu, 2022. "The Nature of the Self, Self-regulation and Moral Action: Implications from the Confucian Relational Self and Buddhist Non-self," Journal of Business Ethics, Springer, vol. 180(1), pages 245-262, September.
    6. Church, Bryan K. & Kuang, Xi (Jason) & Liu, Yuebing (Sarah), 2019. "The effects of measurement basis and slack benefits on honesty in budget reporting," Accounting, Organizations and Society, Elsevier, vol. 72(C), pages 74-84.
    7. Narwal, Preeti & Rai, Shivam, 2022. "Individual differences and moral disengagement in Pay-What-You-Want pricing," Journal of Business Research, Elsevier, vol. 149(C), pages 528-547.
    8. Xu, Xiaojing & Chen, Chien-fei & Zhu, Xiaojuan & Hu, Qinran, 2018. "Promoting acceptance of direct load control programs in the United States: Financial incentive versus control option," Energy, Elsevier, vol. 147(C), pages 1278-1287.
    9. Jaeyeob Jeong & Myeonggil Choi, 2017. "The Expected Job Satisfaction Affecting Entrepreneurial Intention as Career Choice in the Cultural and Artistic Industry," Sustainability, MDPI, vol. 9(10), pages 1-16, September.
    10. Anna Savoldelli & Daniele Landi & Caterina Rizzi, 2024. "Exploring Quantitative Methodologies for Assessing the Environmental, Social, and Economic Impacts of Telemedicine: A Literature Review," Sustainability, MDPI, vol. 16(6), pages 1-25, March.
    11. Jay A. Richards & Martin P. Johnson, 2014. "A Case for Theoretical Integration," SAGE Open, , vol. 4(2), pages 21582440145, May.
    12. Pedro Marques-Quinteiro & Luís Curral & Ana Passos, 2012. "Adapting The Revised Self-Leadership Questionnaire to The Portuguese Context," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 108(3), pages 553-564, September.
    13. Yi Sun & Shihui Li & Lingling Yu, 2022. "The dark sides of AI personal assistant: effects of service failure on user continuance intention," Electronic Markets, Springer;IIM University of St. Gallen, vol. 32(1), pages 17-39, March.
    14. Eldor, Liat & Hodor, Michal & Cappelli, Peter, 2023. "The limits of psychological safety: Nonlinear relationships with performance," Organizational Behavior and Human Decision Processes, Elsevier, vol. 177(C).
    15. Nur Hazelen Mat Rusok Author_Email: hazelen@kelantan.uitm.edu.my & Mohamed Husny Basir & PM Dr. Zainudin Awang & Farahiyah Akmal Mat Nawi, 2011. "The Influence Of Constructive Thought Pattern Strategies On Entrepreneur Innovative Behavior," Annual Summit on Business and Entrepreneurial Studies (ASBES 2011) Proceeding 2011-034-087, Conference Master Resources.
    16. Mohammed-Aminu Sanda, 2011. "Managerial Self-efficacy and Discretionary Behavior Improving Work Environment for Small Firm Performance," Information Management and Business Review, AMH International, vol. 2(6), pages 259-266.
    17. Ooi Pei-Boon & Wan Marzuki Wan Jaafar & Ang Chin-Siang & Chan Nee-Nee, 2020. "Psychometric Properties of the Sources of Counseling Self Efficacy in a Sample of Malaysian Secondary School Counselors," SAGE Open, , vol. 10(1), pages 21582440209, January.
    18. Sabrina Harris & Michael Brooks & Robin Liles & Glacia Ethridge & Quinton Boston & Kacie Blalock, 2019. "Understanding Differences between CORE and CACREP Counselors-in-Training Perceptions of Self-Efficacy," International Journal of Social Science Studies, Redfame publishing, vol. 7(1), pages 40-52, January.
    19. Liu, Dewen & Han, Shenghao & Zhang, Jieqiong, 2022. "The golden mean: Research on the mechanism of customer participation in employee service innovation," Journal of Retailing and Consumer Services, Elsevier, vol. 68(C).
    20. Anne Seneca Terkelsen & Christian Tolstrup Wester & Gabriel Gulis & Jørgen Jespersen & Pernille Tanggaard Andersen, 2022. "Co-Creation and Co-Production of Health Promoting Activities Addressing Older People—A Scoping Review," IJERPH, MDPI, vol. 19(20), pages 1-20, October.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:4:p:1782-:d:498149. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.