Evaluation of Promotional Program in Palliative Care for small communities

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  • 町内会単位で緩和ケアを普及・啓発するプログラムの効果評価
  • チョウナイカイ タンイ デ カンワ ケア オ フキュウ ・ ケイハツ スル プログラム ノ コウカ ヒョウカ

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Abstract

Purpose: The aims of this study were to evaluate the effectiveness of promotional program in palliative in raising awareness of palliative care and to consider an effective promotional program model for small communities. Method: 154 adults in three different regions in Hokkaido participated in this semi-interventional study. The participants chose one of two programs - palliative care education (experimental group） including lectures on the principles of palliative care with the use of visual materials or preventive physical exercise (control group）. Pre data was collected by the means of a questionnaire – experiences of palliative care, attitudes including feeling and meaning towards palliative care from both group and post data was collected from the experimental group. For the experimental group, pre and post data were compared. Each variable between two groups was analyzed by the chi-square. Results: 95 people participated in the experimental group and 59 people are in the control group. From the pre data, more people in the experimental group head of ‘palliative care’ and understood its meaning, however, no difference was found in both group regarding the image of palliative care. From the post data, more people consider palliative care‘ hope’,‘ great care’ and‘ able to receive from the beginning. Also, people who want to receive palliative care as needed increased from 43％ to 67％ , and who believe palliative care do not offer at home decreased from 45.2％ to 5 ％ . Conclusion: The result indicates that promoting program for small communities has positive effects on the image of palliative care, helps a deeper understanding of palliative care and expands the possibility to choose palliative care as it needed. This type of program can be applied as a community based reach out program.

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