{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T06:59:15Z","timestamp":1790405955949,"version":"4.1.0"},"reference-count":24,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Gen and Family Med"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Rural communities face aging, depopulation, shrinking resources, and increasing social isolation. This study examined how a Community\u2010Based Participatory Research (CBPR) partnership was formed and negotiated in rural Japan, focusing on collaborative decision\u2010making and arts\u2010based engagement as a foundation for social inclusion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A qualitative descriptive study was conducted in Nagi Town, Okayama Prefecture, Japan. Between February 2018 and January 2020, eight CBPR meetings were held with 13 participants, including family physicians, public health nurses, community\u2010based participants, and theater professionals. Audio\u2010recorded discussions, field notes, and documents were analyzed thematically using Braun and Clarke's framework, focusing on partnership formation, equality and representation, arts\u2010based knowledge generation, decision\u2010making, and implementation challenges during the pre\u2010action phase.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Four cross\u2010cutting themes were identified: equality and mutual learning, discovery of hidden community strengths, arts as a bridge for dialogue and participation, and fragility and resilience of collaborative action planning. Collaboration evolved from facilitator\u2010led learning to shared local interpretation and distributed action planning. Two working groups explored ways to identify socially isolated residents and designed art\u2010 and memory\u2010based events. The \u201c\n                      <jats:italic>Choi\u2010waru<\/jats:italic>\n                      Reunion\u201d, using local photographs and films, created opportunities for intergenerational dialogue. The planned participatory theater workshop involving persons with disabilities or experiences of social withdrawal was canceled because of COVID\u201019, but the preceding process supported co\u2010learning, creative planning, and cross\u2010sector relationships.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>CBPR combined with arts\u2010based engagement may support relationship\u2010building, shared reflection, and collaborative planning in rural communities. Rather than demonstrating intervention effectiveness, this study highlights preparatory processes as a foundation for future social inclusion efforts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jgf2.70179","type":"journal-article","created":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T07:10:27Z","timestamp":1789629027000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Community\u2010Based Participatory Research to Promote Social Inclusion in a Rural Town in Japan: Process Evaluation of a Pre\u2010\n                    <scp>COVID<\/scp>\n                    \u201019 Collaboration Among Residents and Professionals"],"prefix":"10.1002","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7053-162X","authenticated-orcid":false,"given":"Daisuke","family":"Son","sequence":"first","affiliation":[{"name":"Department of Community\u2010Based Family Medicine, Faculty of Medicine Tottori University  Yonago Tottori Japan"},{"name":"Department of Medical Education Studies, International Research Center for Medical Education, Graduate School of Medicine The University of Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akira","family":"Matsushita","sequence":"additional","affiliation":[{"name":"Nagi Family Clinic, Tsuyama Family Clinic, Yunogo Family Clinic, Family Practice Centre of Okayama  Okayama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michinori","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Okayama Psychiatric Medical Center  Okayama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mina","family":"Ueharu","sequence":"additional","affiliation":[{"name":"Department of Community\u2010Based Family Medicine, Faculty of Medicine Tottori University  Yonago Tottori Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1573-0327","authenticated-orcid":false,"given":"Yusuke","family":"Yamauchi","sequence":"additional","affiliation":[{"name":"Morimoto Home Medical Care Clinic  Matsuyama Ehime Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kunihiro","family":"Tsujikawa","sequence":"additional","affiliation":[{"name":"Tsuyama Family Clinic, Family Practice Centre of Okayama  Tsuyama Okayama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shoko","family":"Uetsuki","sequence":"additional","affiliation":[{"name":"Nagi Town Office  Okayama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoko","family":"Tateishi","sequence":"additional","affiliation":[{"name":"Nagi Town Office  Okayama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masako","family":"Nishi","sequence":"additional","affiliation":[{"name":"Minna no Ouchi \u201cPokkappoka\u201d  Okayama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akiko","family":"Ichii","sequence":"additional","affiliation":[{"name":"Connecting Communities Research Institute  Okayama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suhkye","family":"Shin","sequence":"additional","affiliation":[{"name":"Seinendan Theatre Company  Toyooka Hyogo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoki","family":"Sugawara","sequence":"additional","affiliation":[{"name":"Nagi Family Clinic, Tsuyama Family Clinic, Yunogo Family Clinic, Family Practice Centre of Okayama  Okayama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,17]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"World Health Organization \u201cSocial Isolation and Loneliness Among Older People: Advocacy Brief \u201d2021 https:\/\/www.who.int\/publications\/i\/item\/9789240030749."},{"key":"e_1_2_12_3_1","unstructured":"Government Printing Bureau \u201cAnnual Report on the Aging Society 2024 \u201d2024 https:\/\/www8.cao.go.jp\/kourei\/english\/annualreport\/2024\/pdf\/2024.pdf."},{"key":"e_1_2_12_4_1","volume-title":"Community\u2010Based Participatory Research for Health: Advancing Social and Health Equity","author":"Wallerstein N.","year":"2017"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.publhealth.19.1.173"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.5152\/pcp.2022.22429"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.2196\/79043"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.4081\/hpr.2020.9068"},{"key":"e_1_2_12_9_1","volume-title":"Pedagogy of the Oppressed. 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