日本におけるポイントベースの健康インセンティブプログラムと,その後の健康と福祉:結果全体的なアプローチ

Kazushige Ide¹, Atsushi Nakagomi¹, Kenjiro Kawaguchi¹

¹Center for Preventive Medical Sciences, Chiba University, Chiba, Japan.

Journal of the American Geriatrics Society

|September 6, 2025

まとめ

日本のポイントベースの健康インセンティブプログラムへの参加は,高齢者の健康的な食事と社会的関与を改善しました. このプログラムには悪影響はなく対象とする健康目標を超えた広範な利益が示唆されています

科学分野:

ゲロントロジー
公衆衛生
行動科学

背景:

高齢者の健康的な活動のための奨励プログラムは十分な証拠がない.
この研究は,日本でのポイントベースの健康インセンティブプログラムを調査しています.

研究の目的:

ポイントベースの健康インセンティブプログラムへの参加と,日本の高齢者の健康/福祉のさまざまな結果との関連を調べる.
プログラムが明示的な目標を超えて結果に影響を与えるかどうかを評価する.

主な方法:

日本ゲロントロジック評価研究 (n=2504) の3波データ (2020-2022) を用いた縦断分析.
ポイントプログラムへの参加 (健康診断,コミュニティ活動,目標達成のためのポイント) と22の健康/福祉の成果を評価した.
以前の結果値を含むベースラインコバリアートに調整した.

主要な成果:

プログラムへの参加は,フルーツと野菜の摂取量 (RR=1.30) を増加させ,社会活動 (学習グループ,コミュニティの場所,近隣の団体) に関する関与を高めました.
プログラム参加率 (RR=1.31) とも関連していた.
評価されたアウトカムにおいて有害な影響は認められなかった.

結論:

ポイントベースの健康インセンティブプログラムは標的型の健康行動とより広範な福祉を強化する可能性を示しています
ソーシャル・インタラクションと健康的な行動がこれらのポジティブな効果を引き起こす重要なメカニズムであるようです
このプログラムは,高齢者の健康と福祉の直接的な目的を超えて利益をもたらす可能性があります.

キーワード:

行動の変化健康に関する行動健康的な老化インセンティブ社会福祉について

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