地域在住高齢者に対するタブレットを通した生活スタイル向上プログラム（Lifestyle Improvement Program through Tablets）の開発に関する予備的研究

Pilot study on development of a social participation support program that connects life and ICT for the elderly living in the community

要旨：地域在住の高齢者に対し，タブレットを通した生活スタイル向上プログラムを実施し，プログラム実施前後で成果指標を比較した．対象は東京都A区に在住する65歳以上の高齢者34名であり，講義と演習からなる全8回のプログラムを実施した．結果，ICT機器使用に関する質問項目のすべて，WHO-QOL26における心理的領域，環境領域，FAIで有意差が認められた．本研究により，健康高齢者に対する介護予防プログラムとしてタブレットを用いた介入は，ICT機器使用に関する主観的評価に肯定的な効果がある可能性が示された．

　The purpose of this study was to evaluate the effectiveness of a health promotion program using tablets among the community-dwelling elderly. Participants were 34 healthy adults 65 years of age or older, and the program consisted of 8 sessions. In lectures we elicited discussion among them on the importance of good life balance. In practice, they reviewed their lives, and then learned how to use tablets and search for a meaningful task. Quality of life (QOL), living function, and occupational competence were assessed before and after the task using the WHOQOL-BREF, and Franchay Activity Index (FAI). The analysis was a within-group comparison, and all of the evaluation indexes were calculated using the Wilcoxon signed-rank test.

　The follow-up rate for the research was 81.0%. Participants were 34 community-dwelling healthy elderly, 65 years of age or older (mean age±SD, 75.1±5.67 years). Mean change of the following items after the task was significantly greater than before the task: mental and environment areas of WHOQOL-BREF, and total points of FAI.

　The findings provided evidence that the program using tablets can improve QOL. The results indicated a fair possibility of using tablets as a health promotion agent among the elderly.