We support to make attractive, healthy, and happy society (city/town, hospital, company, school settings) from the aspects of planning, implementation, and evaluation.

Cities / Towns
Hospitals (& Nursing Homes)

We have activities in

 ・Advising in planning, support in implementation,
  and evaluation for the local governments
  (mostly Department of Health)

 ・Support local governments in planning,
  implementation, and evaluation for health
  promotion projects such as Health Up Model
  projects, Specialized Health Education Project,
  or other national level projects issued from Ministry
  of Health and Labour

 ・Giving lectures to promote local organizations

 How can we make the environment of hospitals
 and nursing homes from "I wish I were in a
 different place" to "I wish I want to stay here forever!"?

 In order to seek for answers of this question,
 we will support your hospital or nursing home to
 make fun and trusting place, including introducing
 CliniClowns (clowns in hospitals). We support you
 by doing research on the effects of healthy and
 happy hospital environments on patients and their
 families, on medical staffs, and on community;
 by doing research on the relationship between
 hospital environments and medical lawsuit;
 and by consulting.

 EBINA is one of the members who established
 Japan CliniClown Association and has done research
  in the effects of CliniClown for children who have cancer
 since 2005. 


Companies
Schools

 How can we make environments in which
 the employees passionately work with pleasures,
 and increase their productivities?

 In order to seek for answers in this question,
 we support you by consulting from
 health sociological perspectives and organizational        communication's perspectives.

 How we can empower kids?

 We now make curriculums for total education for
 elementary schools and junior high schools and
 provide lectures for students, their parents,
 and teachers.


Presented the results of one of the health promotion projects at the 19th IUHPE World Conference.

TITLE:  THE EFFECTS OF THE HEALTH PROMOTION AND EDUCATION PROGRAM COMBINED WITH THE HEALTH COMMUNICATION STRATEGIES IN YANAHARA COMMUNITY

Presenters:        Ryoko Ebina, Global Health Communications
          Mayumi Murashima, Town of Misaki
          Toshiaki Kato, University of Tottori
          Norio Shimanouchi,
Juntendo University


PURPOSE:
Yanahara community implemented the 3-year national model project in order to develop the health promotion and education program that prevents lifestyle related diseases effectively since 2004.   The purpose of this presentation is to show the effects of the health promotion and education program focusing on exercise and healthy diet, combined with health communication strategies that applied theories in behavior science and psychology. 

METHOD:
The data was collected by 80 subjects, who were the insured, 40 to 69 years old, and had high risk factors that develop lifestyle related diseases but not yet under the medication.  Those subjects were divided into two groups; the intervention group that was provided the monthly program with the health communication strategies, and the control group that was provided the same program without them.  Process evaluations that used the graph showing emotional ups and downs and in-depth interviews were conducted not only to improve the intervention program, but also to compare perceived happiness during the class and everyday life of the groups.  All subjects were assessed Systolic Blood Pressure (SBP), Diastolic Blood Pressure (DBP), Total Cholesterol (TC), High Density Lipoprotein) HDL cholesterol , Low Density Lipoprotein (LDL) cholesterol, Triglycerides, Fasting Blood Sugar (FBS), HbAlc, and BMI at baseline and every 6 months.  The physical conditions were examined with ANOVA.  

RESULTS:
Significant effects on physical conditions were found on two measures (DBP, HDL) after 6 months,
five measures (DBP, TC, LDL, FBS, HbA1c) after 12 months, three measures (HDL, LDL, HbA1c) after 18 months in the intervention group.  The intervention group used lower annual individual medical costs through the years, had higher perceived happiness in both during the class and everyday life, and the dropout rate was lower. 

CONCLUSION:
Theparticipants in the intervention group went through the empowerment processes. At the 1st year, they increased their health knowledge and cognitions, and expanded their concepts of health; the 2nd year, they used their knowledge of health behaviors in everyday life and started to consider other participants as same community members; and the 3rd year, they used their knowledge with others coluntary in order to make health promotion movement.

Key words: health communication, lifestyle related diseases, health education, health promotion