Practice-Based Quality Improvement Initiative to Support Voluntary Frailty Prevention Through Autonomy-Supportive Dialogue
Masaki Yoneta, Tatehisa Seki, Dai Saiki · 2026
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Description
Japan's fast-aging countryside lacks rehabilitation staff, and many daycare centers for older adults still run on routine caregiving rather than prevention. Masaki Yoneta, Tatehisa Seki, and Dai Saiki report a quality improvement project in 2026 at a day center in Hokkaido. Staff held structured dialogues at each visit. The talks clarified each person's values, set reflective goals, and let users plan their own activity. Balance was measured at the start, six months, and one year.
Thirty-seven users qualified, and most stayed through six months. Staff adapted the talks for users with memory problems, using repetition and simpler reflection. Observers noted more self-directed activity and home exercise. The authors present dialogue as a low-cost way to support frailty prevention.
Catalog record
| CREATOR | Masaki Yoneta, Tatehisa Seki, Dai Saiki |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 48 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |