Long-term impact of a senior volunteer-driven frailty check programme on care dependency and expenditures: a 10-year population-based cohort study in Japan.
Background Although volunteer-driven, community-based interventions to prevent long-term care (LTC) dependency have shown promise, long-term evidence of their effectiveness and economic impact remains scarce. We aimed to evaluate the association of a volunteer-driven frailty check (FC) programme wit...
| Publicado en: | Age & Ageing Vol. 55; no. 6; pp. 1 - 9 |
|---|---|
| Autores principales: | , , , |
| Formato: | Artículo |
| Publicado: |
Oxford University Press / USA
Jun2026
|
| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=195099711&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 195099711 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Jun2026 vid: 55 iid: 6 pid: 622 pub: Oxford University Press / USA artinfo: ui: 195099711 10.1093/ageing/afag161 ppf: 1 ppct: 8 formats: tig: atl: Long-term impact of a senior volunteer-driven frailty check programme on care dependency and expenditures: a 10-year population-based cohort study in Japan. aug: au: Tanaka, Tomoki Yoshizawa, Yasuyo Lyu, Weida Iijima, Katsuya affil: Institute of Gerontology, The University of Tokyo, Bunkyo-ku, Tokyo, JapanInstitute for Future Initiatives, The University of Tokyo, Bunkyo-ku, Tokyo, JapanKashiwa City Hall, Kashiwa, Chiba, Japan Institute of Gerontology, The University of Tokyo, Bunkyo-ku, Tokyo, JapanKashiwa City Hall, Kashiwa, Chiba, JapanDepartment of Healthy Life Expectancy, Juntendo University, Bunkyo-ku, Tokyo, Japan Institute of Gerontology, The University of Tokyo, Bunkyo-ku, Tokyo, Japan Institute of Gerontology, The University of Tokyo, Bunkyo-ku, Tokyo, JapanInstitute for Future Initiatives, The University of Tokyo, Bunkyo-ku, Tokyo, Japan su: Japan Elder care Evaluation of human services programs Retrospective studies Dependency (Psychology) Population-based case control Frail elderly Long-term health care Descriptive statistics Longitudinal method Research Data analysis software Confidence intervals Proportional hazards models sug: subj: Elder care Evaluation of human services programs Retrospective studies Dependency (Psychology) Japan Continuing Care Retirement Communities Population-based case control Frail elderly Long-term health care Descriptive statistics Longitudinal method Research Data analysis software Confidence intervals Proportional hazards models keyword: aged aging community copyrightHolder:British Geriatrics Society copyrightYear:2026 frailty frailty check programme https://dx.doi.org/10.1093/ageing/afag161 inLanguage:en internship and residency long-term care medical residencies older people publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/42258776/ volunteer-driven aged aging community copyrightHolder:British Geriatrics Society copyrightYear:2026 frailty frailty check programme https://dx.doi.org/10.1093/ageing/afag161 inLanguage:en internship and residency long-term care medical residencies older people publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/42258776/ volunteer-driven ab: Background Although volunteer-driven, community-based interventions to prevent long-term care (LTC) dependency have shown promise, long-term evidence of their effectiveness and economic impact remains scarce. We aimed to evaluate the association of a volunteer-driven frailty check (FC) programme with LTC certification and benefit expenditures. Methods We conducted a 10-year retrospective, population-based cohort study in a municipality in Japan. Of 59 812 residents aged ≥65 years (2015–2024), FC participants were matched 1:1 with non-participants separately within each year using propensity scores, and the yearly matched sets were pooled for analysis, yielding 2672 participants and 2672 matched controls. Outcomes were incident LTC certification and annual per-capita LTC expenditures, analysed using Cox proportional hazards and generalised linear mixed-effects models. Results Among 5344 matched individuals (mean age 73.5 ± 4.9 years), 16.8% of participants and 19.8% of controls received LTC certification [hazard ratio 0.85, 95% confidence interval (CI) 0.75–0.97; absolute risk reduction 3.0%; number needed to treat 33]. Annual per-capita LTC expenditures were consistently lower among participants, with the gap widening over time (cost ratio 0.66, 95% CI 0.51–0.84), yielding cumulative savings of ~JPY443 000 per participant over 10 years. Exploratory analyses indicated slower growth in combined medical and LTC expenditures. Conclusion This programme was associated with lower LTC dependency and slower growth in combined medical and long-term care expenditures. Implemented in 106 municipalities in Japan, this volunteer-led, community-based model may offer a low-cost, scalable intervention to promote healthy ageing and sustainability in super-aged societies, with relevance for countries facing population ageing and fiscal constraints. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|