Relationship between Health Counselor Characteristics and Counseling Impact on Individuals at High-Risk for Lifestyle-Related Disease: Sub-Analysis of the J-HARP Cluster-Randomized Controlled Trial

Midori Noguchi, Minako Kinuta, Toshimi Sairenchi, Miyae Yamakawa, Keiko Koide, Shoko Katsura, Kazue Matsuo, Shizuko Omote, Hironori Imano, Hitoshi Nishizawa, Iichiro Shimomura, Hiroyasu Iso and On behalf of the J-HARP Research Group
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Midori Noguchi: Public Health, Department of Social Medicine, Graduate School of Medicine, Osaka University, Suita-shi 565-0871, Japan
Minako Kinuta: Public Health, Department of Social Medicine, Graduate School of Medicine, Osaka University, Suita-shi 565-0871, Japan
Toshimi Sairenchi: Center for Research Collaboration and Support, Comprehensive Research Facilities for Advanced Medical Science, Dokkyo Medical University, Mibu-machi 321-0293, Japan
Miyae Yamakawa: Geriatric Nursing, Division of Health Sciences, Graduate School of Medicine, Osaka University, Suita-shi 565-0871, Japan
Keiko Koide: Division of Health Sciences, Graduate School of Medicine, Osaka University, Suita-shi 565-0871, Japan
Shoko Katsura: Graduate School of Nursing, Miyagi University, Taiwa-cho 981-3298, Japan
Kazue Matsuo: Department of Public Health Nursing, Fukuoka Jo Gakuin Nursing University, Fukuoka-shi 811-1313, Japan
Shizuko Omote: Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa-shi 920-8640, Japan
Hironori Imano: Public Health, Department of Social Medicine, Graduate School of Medicine, Osaka University, Suita-shi 565-0871, Japan
Hitoshi Nishizawa: Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita-shi 565-0871, Japan
Iichiro Shimomura: Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita-shi 565-0871, Japan
Hiroyasu Iso: Public Health, Department of Social Medicine, Graduate School of Medicine, Osaka University, Suita-shi 565-0871, Japan
On behalf of the J-HARP Research Group: Membership of the J-HARP Research Group is listed in Appendix A.

IJERPH, 2022, vol. 19, issue 11, 1-13

Abstract: Early diagnosis and treatment are necessary to prevent lifestyle-related diseases among high-risk individuals. This study aimed to examine the impact of counselor characteristics on clinic visits among individuals at high risk for lifestyle-related diseases. A total of 8975 patients aged 40 to 74 years with lifestyle-related comorbidities, who underwent an annual health checkup and received health counseling, were included in this study. Data intervention timing, mode of counseling, number of counseling sessions, and explanation methods were collected. We assessed the impact of counselor characteristics, including profession (public health nurse, clinical nurse, and nutritionist), age, and years of counseling experience, on counseling outcomes. The probability ratios (95% confidence intervals) of clinic visits were 1.22 (1.11–1.35) for public health nurses and 1.04 (0.90–1.20) for nurses compared with nutritionists. After adjustment for participant and counselor characteristics and initial timing, mode, and number of counseling sessions, the corresponding probability ratios (95% confidence intervals) were 1.16 (1.05–1.29) and 1.12 (0.95–1.31), respectively. Counselor age and years of experience did not influence clinic visits of the target population. Public health nurses were more effective in increasing clinic visits among the target population owing to their profession-specific knowledge, skills, and experience.

Keywords: health counseling; referral to physicians; high-risk: lifestyle-related disease; community trial; public health nurse; competency (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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