2019 Volume 38 Issue 2 Pages 129-139
We sought to determine the effects of the Comprehensive Life Goal Setting Technique method of Preventive Care Management (C-LGST-PCM), which supports achievement of life goals regarding Activity and Participation Level (APL) using a multidisciplinary team for preventive care outcomes in a preventive care program for frail community-dwelling elderly. Methods:This was a cluster-nonrandomized controlled trial. Participants were frail older people living in Izumi, Osaka, Japan, all of whom attended weekly 120-min preventive care exercise classes over 3 months. We compared the C-LGST group, which introduced the C-LGST-PCM, and a control group. We introduced the C-LGST-PCM from the assessment stage at a community center and assessed outcomes by comparing baselines and follow up at 3, 6, and 9 months. The primary outcome measure was preventive care outcomes according to the Kihon Checklist for assessment of frailty, which was analyzed by chi-square test. Results:No significant differences were found between the two groups for any variables. Improvement as per the Kihon Checklist for the C-LGST group was approximately 60% from baseline to the 9-month follow up;the control group improved by approximately 40%. The difference between groups was significant both at 3 and 6 months (p=0.039), but not at the 9-month follow up. Conclusion:This study shows that C-LGST-PCM, which supports achievement of life goals for APL by a multidisciplinary team, benefited preventive care outcomes in a preventive care program for frail community-dwelling elderly. Furthermore, the effect of preventive care was maintained after 6 months.