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Understanding improvements in self-efficacy and engagement with the Long-term care Information system For Evidence
Tomoko Ohura1, Takehiko Doi2, Takeru Oka1
1Evidence-based Long-term Care Team, Center for Gerontology and Social Science, Research Institute, National Center for Geriatrics and Gerontology, Obu City, Aichi Prefecture, Japan.
Introduction:
LIFE is a Japanese digital database introduced by the Ministry of Health, Labour and Welfare to promote evidence-based care for older adults. Training sessions to promote the dissemination of the Long-term care Information system For Evidence (LIFE) commenced in 2021 in Japan. However, participants' subsequent understanding of the system and their self-efficacy in using it remained unclear.
Aim:
This study aimed to clarify the participants' understanding and self-efficacy regarding LIFE on the day of training and 3 months after the training.
Methods:
A "LIFE Workshop (Basic)" was held in 2024 in Japan in the cities of Hakata, Sapporo, and Sendai. An online survey was administered to participants directly after the workshop, on the same day of the training session, and again, 3 months later. The survey included 12 items to gauge the participants' (and by extension, their work colleagues') understanding in self-efficacy and engagement with LIFE. An analysis was conducted of 42 matched data using a paired t -test, with the effect size calculated using Hedges' g.
Results:
Three months after training, participants' understanding of the LIFE outline improved significantly (from 5.12 (2.43) to 6.19 (1.71), p < .001, Hedges' g = -0.471, 95% confidence interval [CI] [-0.736 to -0.206]). Significant improvements were observed in the following areas: performing the tests and measurements used in LIFE; interpreting and using the tests and measurements; planning and submitting LIFE data; and using the system within the organization. From the respondents' perspective, no significant improvement was found in their colleagues' understanding, practices, or use of the system.
Conclusions:
When introducing new initiatives to existing services, support must be provided for the organizational structure and the personnel who will take on leadership roles.
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