2025 Volume 44 Issue 4 Pages 407-415
The purpose of this study was to verify the effects of interventions based on reablement in the Service C model business. The intervention was conducted over a 12-week period, once a week, targeting 18 participants, including service recipients and individuals requiring support. The intervention outcomes were measured using grip strength, the Timed Up and Go (TUG) test, the five-times sit-to-stand test, the 5-meter walk test, the Tokyo Metropolitan Institute of Gerontology Index of Competence, the Self-completed Occupational Performance Index (SOPI), and the EQ-5D-5L. To detect effects even with a small sample size, a generalized linear mixed model with Bayesian estimation was employed. Additionally, the Minimal Clinically Important Difference (MCID) was used to assess the relationship with the outcomes that showed significant intervention effects. As a result, significant improvements were observed in the five-times sit-to-stand test, TUG, and SOPI, and these improvements were also confirmed to be clinically meaningful based on MCID.
