Effects of an interprofessional educational program for homecare professionals on building social capital: a trial in an urban area

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  • MURAYAMA Hiroshi
    Institute of Gerontology, The University of Tokyo
  • KOMIYAMA Emi
    Department of Nursing, Faculty of Medical Sciences, Teikyo University of Science
  • HIRAHARA Satoshi
    Home Care Support Center, Kajiwara Clinic
  • NONAKA Kumiko
    Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology
  • IIJIMA Katsuya
    Institute of Gerontology, The University of Tokyo
  • FUJIWARA Yoshinori
    Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology

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Other Title
  • 在宅医療推進のための多職種連携研修プログラム参加者におけるソーシャルキャピタル醸成効果：都市部での検証
  • 公衆衛生活動報告 在宅医療推進のための多職種連携研修プログラム参加者におけるソーシャルキャピタル醸成効果 : 都市部での検証
  • コウシュウ エイセイ カツドウ ホウコク ザイタク イリョウ スイシン ノ タメ ノ タショクシュ レンケイ ケンシュウ プログラム サンカシャ ニ オケル ソーシャルキャピタル ジョウセイ コウカ : トシブ デ ノ ケンショウ

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<p>Objectives　The importance of social capital in promoting interprofessional collaborations is well known. This study examined the effects of an interprofessional educational program for homecare professionals on building social capital in terms of homecare in an urban area.</p><p>Methods　The program was conducted at Kita Ward, Tokyo, from July 2014 to January 2015. We used a self-administered questionnaire before and after the program to collect data from homecare professionals in the ward, as well as from those who were interested in providing homecare. Physicians attended a five-day program, while other professionals attended a four-and-a-half-day program. Participants' attitude toward homecare practices was assessed to evaluate their motivation level for the job (i.e., the formation of a practical view of homecare and efficacy to engage in homecare practices). Regarding social capital, we assessed trust and norm of reciprocity for those in the same profession as the respondent (bonding and cognitive social capital) as well as for those in a different profession (bridging and cognitive social capital). Additionally, to professionals other than physicians, we asked about trust and norm of reciprocity regarding physicians (bridging and cognitive social capital) and collaborative conditions with physicians, which included the two sub-domains of cooperation and interaction (bridging and structural social capital). A generalized estimating equation was used to detect the effect size.</p><p>Results　Of the 54 program participants, 52 (including two physicians) completed both the pre- and post-program questionnaires. Participants' practical view of homecare was formed after the program, although their efficacy for homecare practices was unchanged. With regard to social capital, scores for both trust and norm of reciprocity for the same profession (bonding and cognitive social capital) increased, while those for different professions (bridging and cognitive social capital) were unchanged. Scores for both trust and norm of reciprocity regarding physicians and cooperation with physicians (bridging and cognitive social capital, and bridging and structural social capital) also increased. Finally, trust and norm of reciprocity for the participants improved after the program.</p><p>Conclusion　The interprofessional educational program for homecare professionals may foster social capital among the participants. The study results imply that this program can be a possible strategy to foster social capital in the field of homecare.</p>

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