Details of a Researcher - HIRANO Michiyo

Papers - HIRANO Michiyo

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Developing and testing a draft scale evaluating older adults' perceptions of community-based connectedness with people: A pilot study.

Mami Kikuchi, Atsuko Ikeda, Michiyo Hirano

[Nihon koshu eisei zasshi] Japanese journal of public health 2024.12 [Refereed] [Domestic journal]

Authorship： Corresponding author

Objective Connectedness is essential for maintaining the physical and mental health of older adults. However, measurements that consider the presence of community-dwelling people and explicitly focus on an individual's subjective sense of connectedness have not yet been established. This pilot study aimed to develop a draft scale that comprehensively measured older adults' perceptions of community-based connectedness with people.Methods The scale development comprised three phases; item review, pre-test, and field verification. Phase 1 (item review) involved creating an item pool and evaluating content validity. Phase 2 (pretest) involved evaluating face validity and conducting item analysis on the preliminary version of the scale. Phase 3 (field verification) involved distributing the preliminary scale to 800 Japanese men and women aged ≥ 65 years residing in Asahikawa, Hokkaido, Japan. Validity was assessed by factorial validity using exploratory factor analysis and concurrent validity using correlation analysis. Reliability was confirmed by Cronbach's α coefficient using the internal consistency method.Results The evaluation of content validity in Phase 1 and face validity in Phase 2 yielded 30 items. In phase 3, of the 800 questionnaires that were distributed, 343 were returned, of which 309 included responses to all items and were analyzed. Exploratory factor analysis resulted in a 22-item scale comprising three factors that assessed perceptions of community-based connectedness. The Cronbach's α for the total scale was 0.967, and the α coefficients for inclusion, reciprocity through provision, and reciprocity through reception were 0.941, 0.915, and 0.928, respectively. The total scale scores were significantly positively correlated with purpose in life (rs = .453, P < .001) and negatively correlated with loneliness (rs = -.307, P < .001).Conclusion The 22-item draft scale exhibited adequate reliability and validity. Perceptions of connectedness measured by this scale can be used to support public healthcare interventions for community-dwelling older adults.

DOI PubMed

都市部に在住する中壮年期男性が認識する近隣とのつきあい

瀬尾采子, 平野美千代

日本公衆衛生看護学会誌 ( (一社)日本公衆衛生看護学会 ) 13 ( 3 ) 177 - 185 2024.12 [Refereed]

Authorship： Corresponding author

DOI

Help-seeking preference in obtaining social support for older adults in depopulated areas.

Hanami Tone, Michiyo Hirano

Australasian journal on ageing 43 ( 3 ) 561 - 569 2024.09 [Refereed] [International journal]

Authorship： Corresponding author

OBJECTIVE: To clarify the circumstances of help-seeking preference among older adults in depopulated areas and the relationship between help-seeking preference and social support. METHODS: This was a cross-sectional study that included a sample of 271 men and women aged 65-79 years living in Japan. A questionnaire survey was conducted to assess help-seeking preference, social cohesion (community trust, norms of reciprocity and community attachment), socialising (interaction with neighbors and social network) and social support. Multiple regression analysis was performed with items that were found to be significantly associated with social support in the univariate analysis. Then, we examined the significance of the change in the coefficient of determination between a model that included help-seeking preference as an independent variable and a model that did not. RESULTS: Social support was related to help-seeking preference, living arrangements, economic status, norms of reciprocity and social networks. There was a significant difference in the coefficient of determination between the models with and without help-seeking preference. CONCLUSIONS: For older adults in depopulated areas to obtain social support, it is important to build trusting relationships with others and shows a willingness to seek and accept help.

DOI PubMed

日本語版Positive Solitude尺度の開発および信頼性・妥当性の検証

中尾凪沙, 平野美千代

日本公衆衛生雑誌 ( 日本公衆衛生学会 ) 71 ( 7 ) 349 - 356 2024.07 [Refereed]

Authorship： Corresponding author

目的孤独はSolitudeとLonelinessに分けられ,日本では孤独を不快で苦痛を伴う体験であるLonelinessとして捉えている研究が主である。一方,Solitudeは他の人といる時でも人と関わらないことを選択することで発生するものであり,必ずしも否定的な感情を伴うものではない。本研究ではSolitudeに着目し,"一人でいることをポジティブな経験として,意識的・自発的に決定すること"を測定する日本語版Positive Solitude尺度(Japanese version of Positive Solitude Scale:JPSS)を開発し,その信頼性と妥当性を検証する.方法 JPSSはPalgi et al.(2021)のPositive Solitude Scaleの日本語版である.対象は,札幌市A区に在住する20歳以上の男女700人とし,2023年5～8月に,無記名自記式質問紙調査を実施した.調査項目は,基本属性,JPSS,収束的妥当性を検証するために主観的健康感,主観的Well-being,抑うつ,弁別的妥当性を検証するためにソーシャルネットワーク,孤独感で構成した.分析は,主成分分析と相関分析を用いた.結果回収数は245部,有効回答数237部(有効回答率33.9%)であった.対象者の平均年齢は58.5±1.2歳,性別は「男性」111人(46.8%)であった.JPSS得点のCronbach α係数は0.92であった.主成分分析の結果,9項目すべてで主成分負荷量が0.6を超えており,尺度全体の累積寄与率は62.3%であった.尺度総点は主観的健康感(ρ=0.210,P=0.001),ポジティブ感情(ρ=0.302,P<0.001),生活満足度(ρ=0.241,P<0.001)と有意な正の相関であった.また抑うつ,ネガティブ感情,ソーシャルネットワーク,孤独感とは有意な相関はなかった.結論 JPSSは信頼性と妥当性を有したソーシャルネットワークなどの社会的関係に影響を受けない尺度である.本尺度は,孤独感とは異なるポジティブな感情として自分の時間の認識を測定できる新たな尺度であると考えられる.(著者抄録)

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Online health information searching and health literacy among middle-aged and older adults: A cross-sectional study.

Shiho Ishizuki, Michiyo Hirano

Nursing & health sciences 26 ( 1 ) e13098 2024.03 [Refereed] [International journal]

Authorship： Corresponding author

Given the rapid increase in health information available, health literacy is now more important than ever when searching for health information online. Furthermore, health literacy and online health information searching are reported to be associated with support from others. In this study, we examined the associations of health literacy and social support with online health information searching among individuals in their 50s and 60s. Between March and May 2022, an anonymous self-administered questionnaire was administered among 750 middle-aged and older adults (age 50-69) living in northern Japan. The questionnaire items included personal characteristics, frequency of online health information searching, health literacy domains, and social support. A total of 237 respondents answered all the items (response rate: 31.6%). Multiple logistic regression analysis revealed that communicative health literacy was significantly associated with searching for information about illnesses and health promotion, while critical health literacy was significantly associated with searching for information about medical institutions. Controlling for personal characteristics, health literacy, was associated with online health information searching, suggesting that improving health literacy is important in a digital and information society.

DOI PubMed

Development of Older Adults’ Perceptions on Community‐based Connectedness with People Scale: Reliability and validity evaluation

Mami Kikuchi, Atsuko Ikeda, Michiyo Hirano

Japan Journal of Nursing Science ( Wiley ) 2024.01 [Refereed]

Authorship： Corresponding author

Abstract Aim We developed a self‐assessment scale—Older Adults' Perceptions of Community‐based Connectedness with People—to assess older adults' comprehensive perceptions of their connectedness with others in the community. A specific aim of this study is to evaluate the reliability and validity of this scale. Methods Participants consisted of 1000 men and women aged 65 years or older, living in Sapporo, Hokkaido, Japan. Factorial validity was assessed using exploratory and confirmatory factor analysis, while concurrent validity was assessed using correlation analysis. Reliability was confirmed by Cronbach's α coefficient using the internal consistency method, and the stability coefficient was confirmed using the test–retest method. Results Responses were received from 380 participants, and 358 participants who responded to all items were included in the analysis. The developed scale comprised 22 items with three factors: “Perception of Inclusion” (α = .947), “Perception of Reciprocity through Reception” (α = .937), and “Perception of Reciprocity through Provision” (α = .910). Correlation analyses indicated that concurrent scales were positively correlated with Ikigai and negatively correlated with loneliness on the total scale. The model fit was comparative fit index = 0.933, goodness‐of‐fit index = 0.854, adjusted goodness‐of‐fit index = 0.818, and root mean square of approximation = 0.081. The stability coefficient of the total scale scores was 0.875 (95% CI: [0.830, 0.908]). Conclusions The developed scale had adequate reliability and validity. The perceptions of connectedness measured using this scale can be used by public health and nursing care professionals to prevent loneliness and isolation among older adults living in the community.

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Testing a frailty prevention program for older men during <scp>COVID</scp>‐19: A 2‐year mixed‐methods pilot study

Michiyo Hirano, Risa Takashima, Ryuta Onishi, Hiroki Abe, Kazuko Saeki

International Journal of Older People Nursing ( Wiley ) 18 ( 6 ) 2023.09 [Refereed]

Authorship： Lead author , Corresponding author

Abstract Background Frailty is a syndrome related to declining functioning attributed to aging. As a reversible, often improved condition, preventive measures for frailty can be effective. Objective This study aimed to evaluate a frailty prevention program for older men comprising face‐to‐face meetings and an original social mobile application. We also examined the effect of COVID‐19‐associated social isolation on the implementation of this program. Methods We conducted a mixed‐methods pilot study featuring a single group before and after comparison of 11 man participants, ≥65 years, living in Japanese cities with a spouse or relatives. Program outcome measures included frailty, loneliness, grip strength, step count and mental health status. Process evaluation considered the experience of participants through a semi‐structured interview. Results The intervention period included an interval of self‐isolation owing to the spread of COVID‐19. Among the outcomes, grip strength decreased after intervention. No significant negative changes were observed in other items. Themes emerging from participant experiences with the program included ‘Cooperation with researchers and contributing to research’, ‘Greater awareness of health’, ‘Interest in and experience of “newness”’, ‘Hesitation over active engagement’, ‘Casual ties with members’ and ‘Relationships that do not breach personal boundaries’. Conclusions Although the COVID‐19 pandemic overlapped with the intervention, participants maintained their mental health. The program was a novel, stimulating experience for older men and demonstrated the usefulness of information and communication technology in supporting their social activities. Implications for practice As a community health nursing initiative for older people, we propose activities that combine group and online support. Frailty prevention programs for older men must contain content that stimulates their interests, such as ‘health’ and ‘newness’.

DOI

Older people's connectedness with people in the community in contemporary contexts: A concept analysis

Mami Kikuchi, Michiyo Hirano

Japan Journal of Nursing Science ( Wiley ) 21 ( 1 ) 2023.09 [Refereed]

Authorship： Corresponding author

Abstract Aim This study aimed to clarify the concept of older people's connectedness with people in the community within the literature. Methods This study was based on Walker and Avant's concept analysis method. We used PubMed, MEDLINE, CINAHL, and Web of Science databases and included peer‐reviewed articles that were published in English between January 2010 and April 2023. After assessing eligibility and applying exclusion criteria, 25 articles were analyzed. Results Attributes included sense of belonging to the community achieved through interactions and feeling of togetherness through interrelationships, which consequently led to the maintenance of healthy physical and mental states and independent living, the acquisition of the ability to overcome difficulties, and the creation of a sense of meaning in life through coexistence. Conclusion We identified the concept of older people's connectedness with people in the community in a contemporary context. Connectedness is a useful concept to consider in nursing care because it seems to evolve into comprehensive health, including the physical and psychosocial health of older adults.

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新型コロナウイルス感染症流行下における都市部在住男性高齢者の社会的孤立とICTおよび人づきあいとの関連

中尾凪沙, 瀬尾采子, 戸村友美, 石附史帆, 刀稱華未, 平野美千代

日本公衆衛生看護学会誌 12 ( 2 ) 99 - 108 2023.08 [Refereed]

Authorship： Last author , Corresponding author

DOI

Increasing the sense of maternal achievement from overcoming parental control challenges using human versus digital resources: A cross-sectional survey

Ryuta Onishi, Kazuko Saeki, Michiyo Hirano

Current Psychology ( Springer Science and Business Media LLC ) 2023.06 [Refereed]

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Effects of a ‘social activity program that encourages interaction’ on rural older people's psychosocial health: Mixed‐methods research

Mami Kikuchi, Ryuta Onishi, Risa Takashima, Kazuko Saeki, Michiyo Hirano

International Journal of Older People Nursing ( Wiley ) 18 ( 3 ) 2023.03 [Refereed]

Authorship： Last author , Corresponding author

DOI

Value of social activities and prerequisites for continued participation of rural older adults: A qualitative study

Ryuta Onishi, Risa Takashima, Kazuko Saeki, Michiyo Hirano

Nursing Open ( Wiley ) 2022.12 [Refereed]

Authorship： Corresponding author

DOI

地域在住高齢者の健康診査およびがん検診への受診行動に関連する要因 ―健康診査やがん検診に関する情報入手の媒体に焦点をあてて―

石附史帆, 山下愛, 笹木智香, 矢川果南子, 本多麻耶, 平野美千代

日本公衆衛生看護学会誌 11 ( 3 ) 152 - 162 2022.12 [Refereed]

Authorship： Corresponding author

DOI

Factors Associated with Loneliness in Rural Older Adults during the COVID-19 Pandemic: Focusing on Connection with Others

Hiyori Hanesaka, Michiyo Hirano

Healthcare ( MDPI AG ) 10 ( 3 ) 484 - 484 2022.03 [Refereed]

Authorship： Corresponding author

The spread of COVID-19 is considered to have strengthened people’s awareness of others. Additionally, the COVID-19 pandemic has reduced connection with others among older adults and increased loneliness. This study aimed to investigate the factors affecting loneliness among older adults in rural areas during the COVID-19 pandemic by focusing on the connection with others. The target group included 932 rural Japanese adults, aged 65–74 years. An anonymous, self-administered questionnaire survey was conducted. Valid responses were obtained from 405 participants (valid response rate: 43.5%). A multiple regression analysis was performed using the forced entry method with loneliness as the dependent variable. The independent variables were those showing significant associations with loneliness based on the univariate analysis. Sex (β = −0.139), economic situation (β = −0.103), neighborhood ties (β = −0.260), independent view of self (β = −0.213), interdependent view of self (β = 0.171), and communication through phone (β = −0.128) were significantly associated with loneliness. Connection with others and subjective views of the relationship between self and others were associated with loneliness in situations where one was more aware of the behavior of oneself and others in an infectious disease pandemic.

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Older rural people's perception of connectedness through a communication application: A qualitative descriptive study

Mami Kikuchi, Tamotsu Kamishima, Hiroki Abe, Ryuta Onishi, Risa Takashima, Michiyo Hirano

Nursing & Health Sciences ( Wiley ) 24 ( 1 ) 163 - 173 2022.03 [Refereed]

Authorship： Last author , Corresponding author

DOI

行政保健師のキャリア発達を総合的に測定する尺度第2版の開発

佐伯和子, 平野美千代, 本田光

看護ケアサイエンス学会誌 20 ( 2 ) 85 - 95 2022.01 [Refereed]

介護予防教室に参加する自立高齢者の社会活動満足度に関連する要因

飯田みなみ, 平野美千代

老年社会科学 43 ( 4 ) 371 - 381 2022.01 [Refereed]

Authorship： Corresponding author

Novice public health nurses’ home‐visit skills in Japan: A one‐year longitudinal study

Takako Miyata, Michiyo Hirano, Kazuko Saeki

Public Health Nursing ( Wiley ) 39 ( 1 ) 262 - 269 2022.01 [Refereed]

DOI

Factors Promoting Collaborative Research on Public Health Nursing by University and Municipalities

Hirano Michiyo, Onishi Ryuta, Takashima Risa, Abe Hiroki, Saeki Kazuko

Japanese Journal of Public Health Nursing ( Japan Academy of Public Health Nursing ) 10 ( 3 ) 121 - 129 2021.12 [Refereed]

Authorship： Lead author , Corresponding author

目的：大学と自治体との共同研究のプロセスを報告し，共同研究を推進させた要因を検討する．方法：対象は都市部と地方の2つの自治体とした．まず，自治体ごとに共同研究のプロセスを記述したシートを作成し，共同研究の推進要素を研究者の観点から整理した．次に，保健師へインタビューを実施し，インタビュー内容から共同研究の推進要素を保健師の観点から整理した．上記2つの結果をもとに，公衆衛生看護の共同研究を推進させた要因を検討した．結果・考察：共同研究を推進させた要因として，保健師と研究者の対等な関係性のなかでの目的共有があった．また，住民を第一義的にとらえる保健師の認識とそれに基づくコーディネートや，日々の活動を通じた保健師と住民との関係構築があった．さらに，共同研究と地域の健康課題解決の方向性を一致させる目的の再共有や，保健師の保健師活動に対する熱意や認識が示された．

DOI CiNii

Predictors and Importance of Social Aspects in Ikigai among Older Women

Kazuki Seko, Michiyo Hirano

International Journal of Environmental Research and Public Health ( MDPI AG ) 18 ( 16 ) 8718 - 8718 2021.08 [Refereed] [International journal]

Authorship： Corresponding author

Ikigai is a unique Japanese concept that encompasses not only joy and happiness, but also the purpose and meaning of life. The purpose of this study was to explore the factors that contribute to Ikigai, an important concept in the health of older women, and to clarify the relationship between Ikigai and the enhancement of the social aspects of their health. The participants in this longitudinal study, conducted between October 2017 and February 2020, were physically healthy older women aged 65 years and above (N = 132). Physical function and social activity were used as predictors of Ikigai. In addition, willingness for new interactions was used to examine the social aspects of health. A causal model was created from these factors, and path analysis was performed. The results demonstrated that participating in numerous interpersonal activities was predictive of increased Ikigai, but physical function was not. In addition, Ikigai was found to affect the willingness for new interactions. Further, Ikigai could be related to the willingness for new interactions. To enhance the social aspects of older women’s health, it is necessary to focus on Ikigai.

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Papers - HIRANO Michiyo