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Wakui Tomoko

    -　Researcher
Last Updated :2025/04/04

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J-Global ID

Published Papers

Conference Activities & Talks

  • Informal Male Caregivers’ Work Productivity Loss: Absenteeism and Presenteeism  [Not invited]
    Tomoko Wakui; Ichiro Kai
    第77回日本公衆衛生学会総会  2018  ビッグパレット福島, 福島
  • 家族介護者における介護経験の活用可能性に関する探索的研究．  [Not invited]
    児玉寛子; 涌井智子; 中里和弘; 島田千穂
    第20回日本老年行動科学会大会  2017
  • 看取りにおける「家族」とは何か-介護職・看護職の語りから-  [Not invited]
    平山亮; 涌井智子; 島田千穂; 原沢優子
    第25回日本家族社会学会大会  2015
  • なぜ高齢化率の高い地域に住む高齢者の主観的幸福感は高いのか？-福井県における縦断調査データから-  [Not invited]
    斎藤民; 涌井智子; 甲斐一郎
    第55回日本老年社会科学会大会  2013
  • 老研式活動能力指標における地域間格差の予備的検討: 年齢と性別に着目して.  [Not invited]
    斎藤民; 涌井智子; 甲斐一郎
    第54回日本老年社会科学会大会  2012
  • 後期高齢者の健康格差と社会的環境要因との関連に関する生態学的研究.  [Not invited]
    斎藤民; 涌井智子; 甲斐一郎
    第70回日本公衆衛生学会  2011
  • ソーシャルキャピタルと居住地区環境−柏市民調査の結果から（第1報）−.  [Not invited]
    村山洋史; 菅原育子; 涌井智子; 荒見玲子; 吉江悟
    第69回日本公衆衛生学会, 奈良  2009
  • ソーシャルキャピタルと介護意識−柏市民調査の結果から（第2報）−.  [Not invited]
    涌井智子; 荒見玲子; 村山洋史; 菅原育子; 吉江悟
    第68回日本公衆衛生学会総会  2009
  • 地域保健福祉組織への信頼の要因−柏市民調査の結果から（第3報）−.  [Not invited]
    荒見玲子; 村山洋史; 吉江悟; 涌井智子; 菅原育子
    第68回日本公衆衛生学会総会  2009
  • 失語症者の介護者の経験; 介護者へのインタビュー調査から  [Not invited]
    大久保豪; 涌井智子
    第50回日本老年社会科学会大会  2008
  • 在宅介護者の社会・余暇活動が介護負担感に与える影響  [Not invited]
    涌井智子; 斎藤民; 甲斐一郎
    第49回日本老年社会科学会大会  2007
  • 介護者支援電話相談事業の評価(その１) -電話相談内容の分析-  [Not invited]
    山崎貴子; 檜山大; 涌井智子; 甲斐一郎
    第67回日本公衆衛生学会
  • 介護者支援電話相談事業の評価（その２）-介護職員への電話相談事業評価-  [Not invited]
    涌井智子; 甲斐一郎; 山崎貴子; 檜山大
    第67回日本公衆衛生学会
  • 失語症・構音障害者の介護者に対する地域支援のあり方 第１報 -失語症者の介護経験-.  [Not invited]
    大久保豪; 涌井智子; 甲斐一郎
    第32回高次脳機能障害学会
  • 失語症・構音障害者の介護者に対する地域支援のあり方 第２報 -地域リハビリテーションが介護者に与える影響-.  [Not invited]
    涌井智子; 大久保豪; 甲斐一郎
    第32回高次脳機能障害学会
  • 家族介護者の精神的負担軽減のための支援ニーズおよび支援利用実態についての研究.  [Not invited]
    涌井智子; 甲斐一郎; 檜山大
    第51回日本老年社会科学会大会
  • 家族介護者の社会活動制限が健康に与える影響−在宅介護者の社会活動制限の性差に着目して−.  [Not invited]
    涌井智子; 斎藤民; 甲斐一郎
    第19回日本健康医学会
  • Neighborhood Environment and Sense of Community: Multilevel Analysis in Suburban City of Tokyo  [Not invited]
    Murayama, H; Sugawara, I; Yoshie, S; Wakui, T; Arami, R
    138th Annual Meeting and Exposition, the American Public Health Association
  • Does district-level social capital have a beneficial effect on self-rated health? A study in a suburban city in the greater Tokyo area?  [Not invited]
    Murayama H; Wakui T; Arami R; Sugawara I; Yoshie S
    141st Annual Meeting and Exposition, the American Public Health Association
  • The Effects of Spousal Illness on Self-Rated Health in Older People: Do Their Informal Networks Make a Difference?  [Not invited]
    Saito-Kokusho T; Wakui T; Kai I
    The 66th Annual Scientific Meeting, Gerontological Society of America
  • 独居高齢者の支援ニーズに関する予備的検討〜同居者のいる高齢者との比較から〜  [Not invited]
    斎藤民; 甲斐一郎; 涌井智子
    第56回日本老年社会科学会大会
  • 被介護者の要介護度と同居主介護者の健診受診率との関連  [Not invited]
    杉山雄大; 田宮菜奈子; 涌井智子; 柴山大賀; 森山葉子; 山岡祐衣; 野口晴子
    第73回日本公衆衛生学会総会
  • 地域在住要介護高齢者の災害対策における居宅系介護サービス従事者の役割  [Not invited]
    児玉寛子; 涌井智子; 新名正弥; 石崎達郎
    第19回日本在宅ケア学会学術集会
  • 地域在住要介護者と家族の災害準備における課題と災害支援ニーズの把握  [Not invited]
    涌井智子; 児玉寛子; 新名正弥; 石崎達郎
    第19回日本在宅ケア学会学術集会
  • 親の終末期医療の意思決定に向けたこの態度とその関連要因  [Not invited]
    島田千穂; 中里和弘; 涌井智子; 平山亮
    第58回日本老年医学会学術集会
  • 終末期ケアプランニングに向けた親子間コミュニケーションと親の介護ニーズとの関連  [Not invited]
    涌井智子; 中里和弘; 平山亮; 島田千穂
    第58回日本老年医学会学術集会
  • 終末ケアに関する親子間の会話に影響する子どもの態度  [Not invited]
    中里和弘; 島田千穂; 涌井智子; 平山亮
    第58回日本老年社会科学会大会
  • 終末期医療に関する家族との事前のコミュニケーション促進・阻害要因〜家族への配慮はどうするか〜  [Not invited]
    島田千穂; 中里和弘; 平山亮; 涌井智子; 伊東美緒; 大澤誠
    第21回老年看護学会学術集会
  • 日本の家族介護における介護タスク分担の可能性〜米国の介護タスク分担の状況から〜  [Not invited]
    涌井智子
    第26回日本家族社会学会大会
  • 定年退職者が仕事をはじめたきっかけと生きがいとの関連-再就職した高齢者に対するインタビュー調査から-  [Not invited]
    栗延孟; 涌井智子; 石崎達郎
    第59回日本老年社会科学会大会
  • 看取りを終えたポスト介護者の介護経験汎用に関する研究  [Not invited]
    涌井智子; 中里和弘; 児玉寛子; 島田千穂
    第59回日本老年社会科学会大会
  • Effects of social and leisure activities on caregiving distress among Japanese caregivers.  [Not invited]
    Wakui, T; Saito, T; Kai, I
    IAGG 8th Asia/Oceania Regional Congress of Gerontology and Geriatrics  Beijing, China
  • Social Support for Caregivers of People with Aphasia in Japan: Effects of Group Rehabilitation Therapy  [Not invited]
    Wakui T; Okubo S Kai I
    Horiba・APRU Research Conference, Tokyo, Japan  The University of Tokyo, Tokyo
  • Needs and usage of support services to ameliorate psychological burden among Japanese informal caregivers.  [Not invited]
    Wakui, T; Kai, I
    19th IAGG World Congress of Gerontology and Geriatrics  Palais des congres, Paris, France
  • Relationship between social capital and loneliness among the elderly in Japan  [Not invited]
    Saito-Kokusho, T; Wakui, T; Kai, I; Liang, J
    IAGG 9th Asia/Oceania Regional Congress of Gerontology & Geriatrics  Melbourne Convention & Exhibition Centre, Melbourne, Australia.
  • Filial obligation and caregiving burden among Japanese family caregivers  [Not invited]
    Wakui, T; Agree, E. M; Saito, T; Kai, I
    IAGG 9th Asia/Oceania Regional Congress of Gerontology & Geriatrics  Melbourne Convention & Exhibition Centre, Melbourne, Australia.
  • Neighborhood Socio-environmental influences on Psychological Health among Informal Caregivers  [Not invited]
    Wakui, T; Saito, T; Agree, EM; Kai, I
    64th Annual Scientific Meeting, Gerontological Society of America  John B. Hynes Convention Center/ Sheraton Boston Hotel, Boston, USA.
  • Effects of community care resource environments on caregiving burden in Japan.  [Not invited]
    Wakui T; Saito T; Agree EM; Kai I
    65th Annual Scientific Meeting, Gerontological Society of America  San Diego Convention Center/San Diego Marriott Marquis & Mrina, San Diego, CA, USA.
  • Predictors of loneliness among elderly men and women in Japan: results from the Japanese longitudinal study of health in an aged society (J-LOHAS)  [Not invited]
    Saito-Kokusho T; Wakui T; Kai I
    The 20th IAGG World Congress of Gerontology and Geriatrics  Intercontinental Seoul COEX, Seoul, Korea
  • Use of community-based long-term care services by family caregivers to older Japanese adults  [Not invited]
    Wakui T; Agree EM; Saito T; Kai I
    The 20th IAGG World Congress of Gerontology and Geriatrics  Intercontinental Seoul COEX, Seoul, Korea
  • Care-friendly Environments in Communities: The Relationship between Community Environments and Continuity of Family Care  [Not invited]
    Wakui T; Saito T; Agree EM; Kai I
    The 66th Annual Scientific Meeting, Gerontological Society of America  Sheraton New Orleans/New Orleans Marriott, New Orleans, LA, USA
  • Caregiving and Social Activity in the US and Japan: Preliminary Results from the US National Study of Caregiving and the Fukui Longitudinal Caregiver Survey in Japan  [Not invited]
    Wakui T; Agree EM; Saito T; Kai I
    The 66th Annual Scientific Meeting, Gerontological Society of America  Sheraton New Orleans/New Orleans Marriott, New Orleans, LA, USA
  • Specialization in Caregiving Networks  [Not invited]
    Agree E.M; Wakui T
    The 18th International Sociological Association World Congress of Sociology  Pacifico Yokohama, Yokohoama, Japan
  • Disaster Preparedness Among Older People with Long-Term Care Needs and Family Caregivers: Who Is Vulnerable and What Do They Need for Preparedness in Communities?  [Not invited]
    Wakui T; Agree EM; Saito T; Kai I
    The 18th International Sociological Association World Congress of Sociology  Pacifico Yokohama, Yokohoama, Japan
  • The trends of Japanese family caregiving: country report  [Not invited]
    Wakui T; Kai I
    The 2nd International Conference on Global Aging Tsukuba  Tsukuba University, Tsukuba, Japan
  • Emergency Preparedness among Community-dwelling Older Adults with Long-term Care Needs: Family Perspectives  [Not invited]
    Wakui T; Agree EM; Saito-Kokusho T; Kai I
    The 67th Annual Scientific Meeting, Gerontological Society of America  Walter E. Washington Convention Center Washington Marriott MarquisWashington DC, USA
  • Live-in and Live-out Caregiving of Adult Children and Children-in-law of older adults in the US and in Japan: Differences and Similarities  [Not invited]
    Wakui T; Agree EM; Saito-Kokusho T; Ishizaki T; Kai I
    The 67th Annual Scientific Meeting, Gerontological Society of America  Walter E. Washington Convention Center Washington Marriott MarquisWashington DC, USA
  • Task Sharing in Caregiver Networks  [Not invited]
    Agree E.M; Wakui T
    The 67th Annual Scientific Meeting, Gerontological Society of America  Walter E. Washington Convention Center Washington Marriott MarquisWashington DC, USA
  • Caregiving in Japan: 10-Year Changes, the Family Support System, and Future Issues  [Not invited]
    Wakui T; Agree EM; Ishizaki T; Kai I
    International Association of Gerontology and Geriatrics European Region 8th Congress  Convention Centre Dublin, Dublin, Ireland
  • Fourteen-year changes of Japanese caregiving after implementation of Long-Term Care Insurance Program: the Family Support System, filial responsibility and the future trends  [Not invited]
    Wakui T; Agree EM
    International sociological association Research Committees on Aging and Family- Aging Families/ Changing Families: International conference  Syracuse University, Syracuse, NY, USA
  • Families’ readiness for end-of-life care of older adults with care needs  [Not invited]
    Wakui T; Aita K; Kai I
    The 3nd International Conference on Global Aging Tsukuba  Tsukuba University, Tsukuba, Japan
  • Challenges to promoting disaster preparedness among community-dwelling older adults with care needs in Japan  [Not invited]
    Wakui T; Kodama H; Ishizaki T; Kai I
    International Association of Gerontology and Geriatrics Asia/Oceania Region 10th Congress  The International Convention and Exhibition Centre Commemorating His Majesty's 7th Cycle Birthday Anniversary, Chiang Mai, Thailand
  • Changes in Japanese Family Caregiving Over the Last Decade: Diversification of Caregiving Arrangements and Support Needs  [Not invited]
    Wakui T; Agree EM; Ishizaki T; Kai I
    International Association of Gerontology and Geriatrics Asia/Oceania Region 10th Congress  The International Convention and Exhibition Centre Commemorating His Majesty's 7th Cycle Birthday Anniversary, Chiang Mai, Thailand
  • Relationship between Social Support and Caregiving Burden in Dual Caregiving Responsibilities  [Not invited]
    Wakui T; Agree EM; Saito T; Kai I
    International Association of Gerontology and Geriatrics Asia/Oceania Region 10th Congress  The International Convention and Exhibition Centre Commemorating His Majesty's 7th Cycle Birthday Anniversary, Chiang Mai, Thailand
  • Changes in Japanese family caregiving over the last decade and their impacts on caregiving  [Not invited]
    Wakui T; Agree EM; Saito T; Ishizaki T; Kai I
    The 68th Annual Scientific Meeting, Gerontological Society of America  Walt Disnery World Swan and Dolphin, Orlando, Florida, USA
  • Do Parents’ Care Needs or Adult Children’s Caregiving Roles Matter for End-of-life Care Preparedness?  [Not invited]
    Wakui T; Hirayama R; Nakazato K; Shimada C
    The 23rd Nordic Congress of Gerontology (23NKG)  Congress and Concert Centre, Tampere Hall, Tampere, Finland
  • Diversification of Japanese Family Caregiving Arrangements and the Emerging Self-Management Caregiver Support System  [Not invited]
    Wakui T
    HAT-MASH (Health Aging Tech mashup service, information technology and service engineering) at The 2nd international workshop  Keio University, Kanagawa, Japan
  • Intergenerational Solidarity and Parent-Child Discussion on End-of-Life Care in Japan  [Not invited]
    Ryo Hirayama; Chiho Shimada; Tomoko Wakui; Kazuhiro Nakazato
    The 21st IAGG World Congress of Gerontology and Geriatrics  Moscone West and the San Francisco Marriott Marquis, San Francisco, California, USA
  • The Relational Nature of Children’s Perceptions of Parental Aging: Findings From a Japanese Sample  [Not invited]
    Kazuhiro Nakazato; Ryo Hirayama; Tomoko Wakui; Chiho Shimada
    The 21st IAGG World Congress of Gerontology and Geriatrics  Moscone West and the San Francisco Marriott Marquis, San Francisco, California, USA
  • What Encourages Japanese Adult Children to Initiate End-of-Life Discussion With Aging Parents?  [Not invited]
    Chiho Shimada; Ryo Hirayama; Kazuhiro Nakazato; Tomoko Wakui
    The 21st IAGG World Congress of Gerontology and Geriatrics  Moscone West and the San Francisco Marriott Marquis, San Francisco, California, USA
  • Caregiving Networks and Benefits of Caregiving: Differences by Race and Ethnicity  [Not invited]
    Emily M Agree; Tomoko Wakui
    The 21st IAGG World Congress of Gerontology and Geriatrics  Moscone West and the San Francisco Marriott Marquis, San Francisco, California, USA
  • Impacts of Changing Families on Public Long-Term Care Insurance Program in Japan  [Not invited]
    Tomoko Wakui; Emily M Agree; Ichiro Kai
    The 21st IAGG World Congress of Gerontology and Geriatrics  Moscone West and the San Francisco Marriott Marquis, San Francisco, California, USA
  • What Leads Care Managers to Engage in End-of-Life Discussions with Older Clients in Japan? An Examination on the Effect of Clients’ Use of Home-Visiting Medical Care Services  [Not invited]
    Chiho Shimada; Ryo Hirayama; Tomoko Wakui; Mio Ito
    13th International Congress of the European Union Geriatric Medicine Society  Acropolic Convention Center, Nice, Provence Alpes Cote, France
  • A Dyadic Approach to the Relational Context of Spousal Caregiving  [Not invited]
    Ryo Hirayama; Madoka Ogawa; Tomoko Wakui
    2017 National Conference of Family Relations Annual Conference  Rosen Centre Hotel, Orlando, Florida, USA
  • Information Matters: Adult Children’s Attitudes Toward End-of-Life Discussions With Parents in Japan  [Not invited]
    Chiho Shimada; Tomoko Wakui; Ryo Hirayama; Kazuhiro Nakazato
    International Conference on Communication in Healthcare 2018  Faculty of Engineering of the University of Porto, Porto, Portugal
  • The families’ verbalizing of gratitude and apology to patients at end of life - a questionnaire survey with bereaved family members-  [Not invited]
    Kazuhiro Nakazato; Chiho Shimada; Tomoko Wakui; Hiroko Kodama
    International Conference on Communication in Healthcare 2018  Faculty of Engineering of the University of Porto, Porto, Portugal
  • The Nature and Components of Filial Involvement With Advanced Care Planning for Parents in Japan  [Not invited]
    Nakazasto K; Wakui T; Hirayama R; Shimada C
    The 23rd Nordic Congress of Gerontology (23NKG)  Congress and Concert Centre, Tampere Hall,Tampere, Finland
  • Advance Care Planning for Whom? Sociocultural Influences on Older Adults’ Views on End-of-Life Care in Japan  [Not invited]
    Shimada C; Hirayama R; Nakazato K; Wakui T
    The 23rd Nordic Congress of Gerontology (23NKG)  Congress and Concert Centre, Tampere Hall,Tampere, Finland
  • Positioning families as the premise and vehicle for end-of-life care system in Japan  [Not invited]
    Wakui T
    The 23rd Nordic Congress of Gerontology (23NKG)  Congress and Concert Centre, Tampere Hall,Tampere, Finland
  • New Voices from Japan -Dilemma of the balance of formal and informal care -Japanese approaches to long-term care-  [Not invited]
    Wakui T
    Japan America Society in Houston,  Houston, Texas, USA
  • New Voices from Japan: Perspectives on Energy, Demographics, and Economic Reform- Dilemma of the balance of formal and informal care -Japanese approaches to long-term care-  [Not invited]
    Wakui T
    East-West Center, Washington DC, USA  East-West Center, Washington DC, USA
  • Keep the Golden Years Shining: The Challenges of Long-Term Elderly Care in Japan and Beyond - Dilemma of the balance of formal and informal care -Japanese approaches to long-term care-  [Not invited]
    Wakui T
    Woodrow Wilson Center, Washington DC, USA  Woodrow Wilson Center, Washington DC, USA
  • New Voices from Japan: Confronting Climate Change, Aging Society, and Fiscal Deficits - Dilemma of the balance of formal and informal care -Japanese approaches to long-term care-  [Not invited]
    Wakui T
    Weatherhead Center for International Affairs,  Harvard Univgersity, Boston, USA
  • Family Caregiving in Japan: Fifteen-year Changes, the Family Support System, and Future Issues  [Not invited]
    Wakui T
    Seminar at Families in the Era of Risk Society: Focusing on elderly family caregivers and families in crisis  International Conference Hall, Korean Women's Policy Institute, Seoul, Korea

MISC

Research Grants & Projects

  • 日本学術振興会：科学研究費助成事業
    Date (from‐to) : 2021/04 -2025/03 
    Author : 涌井 智子; 森山 葉子; 中川 威; 平山 亮; 甲斐 一郎
  • Japan Society for the Promotion of Science：Grants-in-Aid for Scientific Research
    Date (from‐to) : 2021/04 -2025/03 
    Author : 森山 葉子; 涌井 智子; 松澤 明美; 越智 真奈美; 田宮 菜奈子; 高橋 秀人
     
    わが国の社会状況の変化：超高齢化、女性の社会進出、晩婚化、晩産化等に伴い、子世代、特に嫁が行ってきた高齢者介護は、実の息子・娘による介護、老老介護、ヤングケアアラー、ダブルケアなど多様化しており、伴う問題やその解決策、支援策も異なる可能性がある。これまでの我われの研究で、女性家族介護者の幸福感が低いこと、40代介護者の社会的ケア関連QOLが低いことを明らかにしており、この年代に特有の介護、育児、責任ある仕事等の重複プレッシャーやストレスの影響が考えられた。そこで、40・50代中年介護者にフォーカスをした介護のみならず、育児、仕事での支援も含め、ポジティブ心理学を応用した、介護者の幸福感を高める総合支援プログラムの開発・評価を行うことを目的としている。 本年度は、40・50代の介護者、特にダブルケアと呼ばれる介護と育児の両方を担っている介護者の実態把握、既存介護者支援プログラムについて、認知症の特徴やその接し方について、またポジティブ心理学に基づく育児支援、効果的な接し方、さらに幸福感を高める仕事法支援等の文献整理を行った。 また、介護者調査を用いて、当該年代の介護者を、介護のみ、介護と育児、介護と仕事、介護と育児と仕事を担うの4グループに分けて、幸福感やQOL等の実態を把握する分析を行った。
  • 日本学術振興会：科学研究費助成事業 基盤研究(B)
    Date (from‐to) : 2019/07 -2022/03 
    Author : 涌井 智子; 渡辺 健太郎; 池内 朋子; 三輪 洋靖; 伊藤 沙紀子; 木下 衆; 甲斐 一郎
     
    本研究が対象とする課題は、介護現場にテクノロジーをいかに導入するかということに加えて、テクノロジーの導入によって介護の効率、介護に対する考え方、介護を支える社会保障制度に対する信頼がいかに変わるかを、介護にかかわる介護職、家族介護者、高齢者、これからの高齢者である中高年、そしてテクノロジーの開発者の視点から明らかにし、技術や介護情報、テクノロジーを導入することによって福祉そのものに対する人々の信頼をいかに維持・醸成するか？という問いに答えようとするものである。 本年度は、地域在住の中高年を対象に行った介護におけるテクノロジー導入に対する意識調査データを解析し、高齢期のADLやIADLに関連したテクノロジー導入へのアクセプタンスを評価するとともに、介護におけるテクノロジー導入希望に対する関連要因には性差があること、学歴や介護提供経験が関連すること、また各々のテクノロジーに対する考え方に差があることが明らかになっている。また、介護における機器や技術開発者へのインタビュー調査からは、開発者が技術開発のためだけではなく、導入や機器使用継続に向けて介護現場との関係性の強化などを含めた様々な取り組みを行っている実態が明らかになった。 ２０２５年問題を目前に、介護保険制度の継続においては経済的・資源的に極めて緊迫した課題を抱えており、高齢者本人の自律と尊厳のためにも、介護とテクノロジー融合が介護システムの持続性の中に位置づけられることが期待される。介護施設における導入だけでなく、地域在住の一人暮らし等高齢者におけるテクノロジー導入の可能性について、今後の調査・解析によって検討をしていく予定である。
  • Japan Society for the Promotion of Science：Grants-in-Aid for Scientific Research
    Date (from‐to) : 2016/04 -2020/03 
    Author : WAKUI TOMOKO
     
    The purpose of this research is to study sustainability of a long-term care system by examining the roles of family, public Long-term care insurance, and community. We analyzed national data in Japan and the US to examine how family caregiving trends have changed, examined the relationships between the usage of in-home service and institutionalization among older adults with long-term care needs, and conducted a web-based questionnaire study among male working caregivers. This study shows the diversification of long-term care situation in Japan, which requires modification of public Long-term care insurance services. Also, the study suggests that companies in communities may be one of possibilities to sustain long-term care system.
  • Japan Society for the Promotion of Science：Grants-in-Aid for Scientific Research
    Date (from‐to) : 2015/07 -2020/03 
    Author : WAKUI TOMOKO
     
    The purpose of this study is to examine a support system for community-dwelling older adults and family caregivers with long-term care needs. By focusing on not only family caregivers but also post caregivers, who experienced providing care to family, as well as middle-aged population, who has not experienced caregiving yet, we delineated needs of comprehensive support system among community-dwelling older adults with long-term care needs and the families. The study also revealed a new feature of caregiving burden, which family caregivers were dealing in their daily caregiving situations.
  • 地域循環型家族介護支援システムの構築に関する研究
    日本学術振興会：科学研究費基盤研究（B）(特設分野研究)
    Date (from‐to) : 2015 -2019 
    Author : 涌井智子
  • Japan Society for the Promotion of Science：Grants-in-Aid for Scientific Research Grant-in-Aid for Young Scientists (B)
    Date (from‐to) : 2014/04 -2016/03 
    Author : WAKUI TOMOKO
     
    The current project examined social trends in caregiving in Japan by using national data of Comprehensive Survey of Living Conditions over the past 20 years, including changes since the implementation of the LTCI program. I used macro and micro level analysis from this dataset to predict future possible family caregiving profiles, which told whom and what types of caregiving should be given priority in establishing future policy at the societal level. The other project was a collaborative research at Johns Hopkins University to compare caregiving situations in Japan and the US. It aimed to clarify how care tasks were shared in both countries, and the impact these tasks had on family relationships and the psychological burdens. This comparison study had helped to reconsider the balance between formal and informal care.
  • Japan Society for the Promotion of Science：Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (A)
    Date (from‐to) : 2012/04 -2015/03 
    Author : TAMIYA Nanako; NOGUCHI Haruko; MATSUI Kunihiko; MIYAISHI Satoru; YAMAZAKI Kentaro; YAMAMOTO Hideki; SAITO Tamaki; ABE Toshikazu; TAKEDA Fumi; TAKAHASHI Hideto; KASHIWAGI Masayo; IZUMIDA Nobuyuki; MATSUMOTO Yoshio; SHIBAYAMA Taiga; SANKAI Tomoko; ABE Yoshiki; ASO Hideki; KIKUCHI Jun; MORIYAMA Yoko; YAMAOKA Yui; ITO Tomoko; KOBAYASHI Yoko
     
    This study is aimed at implementing the PDCA cycle (process improvement technique consisting of 4 steps:Plan,Do,Check, and Act) which has two main components, medical, long term care, and welfare care fieldsites and the university. We have planned to cooperate with the medical, long term care, welfare fieldsites by examining together the Tsukuba-city medical welfare case examination meetings, and providing feedback to Tsukuba City by analyzing their needs survey. We performed a scientific study using several types of data analysis, including big data from national long-term care benefit expenditures data and from the Comprehensive Survey of Living Conditions. We examined the regional comprehensive care promotion policy , including these findings, to clarify how to advance the cooperation between medical and long-term care, what kind of support require the persons in need of care, children with disabilities and the use situation of nursing care insurance services.
  • Japan Society for the Promotion of Science：Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (B)
    Date (from‐to) : 2011/04 -2014/03 
    Author : KAI Ichiro; AITA Kaoruko; SHIMIZU Tetsuro; HIGUCHI Norio; SUZUKI Yutaka; SAITO Tami; WAKUI Tomoko; OGA Yuka; SAITO Nami; MIURA Yasuhiko; MORIYAMA Toshiki; ISHIBASHI Yoshitaka; OWAKI Hiroka
     
    Some medical associations in Japan have issued end-of-life care guidelines including the Japan Geriatrics Society and the Japanese Society for Dialysis Therapy. We have created two notebook-type tools for elderly patients and their families to support their decision-making process when they need to consider AHN (artificial hydration and nutrition) or dialysis therapy. The tools include information related to AHN or dialysis therapy as well as those related to withholding and withdrawal of AHN or dialysis therapy. The tools guide patients and their families to write down the patients values and beliefs together with their narrative information so that they make a decision based on the narrative. We aim to promote shared decision-making among patients and their families and physicians and care providers.
  • 日本学術振興会：科学研究費助成事業 特別研究員奨励費
    Date (from‐to) : 2009 -2010 
    Author : 涌井 智子
     
    従来の研究では、介護負担感の関連要因として、高齢者の認知機能や日常生活動作能力(Activity of Daily Living)の低下、認知症による問題行動といった要介護者の要因に加え、介護者の年齢や、経済状態が低いことが報告されているが、これらの要因への介入は難しいために、負担軽減のための十分な支援に繋がっていないのが現状である。本研究では、直接の支援につなげることが可能な要因の一つとして地域の支え合いやネットワークといった地域環境要因に注目し、これらが介護者の精神健康に与える影響について検討を行うことを目的とした。本研究結果から、地域支援のあり方について提言を行うことができると期待される。 2010年3月～6月、A県の協力を得て、県内すべての15介護保険者と1介護保険広域連合の要介護認定者リストから、要介護1～5の認定を受けている第1号被保険者のうち、無作為に抽出された5639名を対象に、郵送による自記式質問紙調査を実施した。調査内容は、介護の負担、抑うつの程度、地域環境要因としての介護のしやすさ、地域のネットワーク、さらに、介護状況、介護保険サービスの利用状況等とした。回収率は51.4%で、最終分析対象は2511票であった。平均年齢は63歳、女性介護者75.4%、4割を超える介護者が65歳以上という老老介護の現状にあること、4割近くの介護者が「仕事」と「家族の介護」の両方を担っていること、認知症状を有する要介護者の介護者は7割近くいることが明らかになった。加えて、介護者自身に健康不安を抱えているものも4割近くおり、非常に脆弱な介護者の状況が明らかになった。また、地域環境要因と精神健康との関連では、地域環境要因の指標の一つである地域に対する信頼と互酬性を持つ介護者の方が、介護の負担や抑うつの程度は低く、地域の環境が介護者の精神健康に影響していることが明らかになった。今後は、本結果を基に地域支援に向けた具体的施策についての検討を行う予定である。

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