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Japan Foundation for Aging and Health.  2017 https:\/\/www.tyojyu.or.jp\/net\/topics\/tokushu\/koreisha-koritsu\/dokkyokoreisha.html. Accessed September 14, 2024."},{"key":"5","doi-asserted-by":"publisher","unstructured":"5. Noguchi T, Saito M, Aida J, et al. Association between social isolation and depression onset among older adults: a cross-national longitudinal study in England and Japan. BMJ Open 2021; 11: e045834.","DOI":"10.1136\/bmjopen-2020-045834"},{"key":"6","doi-asserted-by":"crossref","unstructured":"6. Iamtrakul P, Chayphong S. Exploring the influencing factors on living alone and social isolation among older adults in rural areas of Thailand. Int J Environ Res Public Health 2022; 19: 14572.","DOI":"10.3390\/ijerph192114572"},{"key":"7","unstructured":"7. Yamagata Z. FY2018 Ministry of Health, Labour and Welfare Administrative Policy Promotion Research Project Subsidy (Regional Healthcare Infrastructure Development Promotion Research Project). 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Difficulties in dementia support for professionals belonging to the Community General Support Centers in a Prefecture and Countermeasures. J Faculty and Graduate School of Nursing, University of Yamanashi Prefecture. 2020; 6: 9\u201319 (in Japanese)."},{"key":"11","doi-asserted-by":"crossref","unstructured":"11. Petriwskyj A, Gibson A, Parker D, et al. Family involvement in decision making for people with dementia in residential aged care: a systematic review of quantitative literature. Int J Evid-Based Healthc 2014; 12: 64\u201386.","DOI":"10.1097\/XEB.0000000000000003"},{"key":"12","unstructured":"12. General Incorporated Association Longevity Development Center summary report: a survey on daily challenges faced by community general support center staff in performing their duties (in Japanese).  2023 https:\/\/nenrin.or.jp\/research\/pdf\/research\/20230512_04.pdf. Accessed September 15, 2024."},{"key":"13","doi-asserted-by":"crossref","unstructured":"13. Wang H, Jin Y, Wang D, et al. Job satisfaction, burnout, and turnover intention among primary care providers in rural China: results from structural equation modeling. BMC Fam Pract 2020; 21: 12.","DOI":"10.1186\/s12875-020-1083-8"},{"key":"14","unstructured":"14. Yoshida T. A study on support system of long-term care support specialists and mental stress in designated in-home long-term care support providers. Jpn J Human Relations. 2012; 18: 1\u201310 (in Japanese)."},{"key":"15","doi-asserted-by":"crossref","unstructured":"15. Kitila KM, Wodajo DA, Debela TF, et al. Turnover intention and its associated factors among health extension workers in Illubabora zone, South West Ethiopia. J Multidiscip Healthc 2021; 14: 1609\u20131621.","DOI":"10.2147\/JMDH.S306959"},{"key":"16","doi-asserted-by":"crossref","unstructured":"16. Green AE, Miller EA, Aarons GA. 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Social Security Studies 2017; 2: 366\u2013378 (in Japanese)."},{"key":"20","unstructured":"20. Ministry of Health, Labour and Welfare. FY2018 Research project report on the actual work conditions of community general support centers, under the Ministry of Health, Labour and Welfare subsidy for elderly health care business promotion expenses (Elderly Health and Health Promotion Projects) (in Japanese).  2019 https:\/\/www.murc.jp\/wp-content\/uploads\/2019\/04\/koukai_190410_7.pdf. Accessed September 20, 2024."},{"key":"21","doi-asserted-by":"crossref","unstructured":"21. Ayabe A.Factors affecting the perspective of caregivers on assisting elderly living at home. J Jpn Academy of Nursing Sci 2007; 27: 2_43-2_52 (in Japanese).","DOI":"10.5630\/jans.27.2_43"},{"key":"22","unstructured":"22. Karasawa K, Inayoshi K. A study on the factors compromising elderly persons\u2019 ability to continue living alone. 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