{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T02:37:04Z","timestamp":1770345424194,"version":"3.49.0"},"reference-count":35,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2020,6,26]],"date-time":"2020-06-26T00:00:00Z","timestamp":1593129600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>After the Fukushima Daiichi Nuclear Power Plant accident in March 2011, residents perceived a radiation exposure risk. To address the concerns about radiation exposure and the subsequent effects on their health, we developed the gatekeeper training program for radiation health anxiety and mental health issues. The program consisted of a presentation and roleplay, with educational objectives to the increase knowledge and understanding around radiation health anxiety, alcoholism, depression, and suicide. Twenty-six counselors participated in the program as a single-arm intervention. To measure the outcomes, the subjects reported self-confidence when they counselled with residents with radiation health anxiety and other mental health issues. Comparing the answers to pre- and 2-month follow-up surveys, the confidence levels were higher after 2 months than at baseline, especially for the question \u201cHow confident are you at supporting a resident with mental health issues?\u201d, which showed the largest increase (p &lt; 0.001). Regarding radiation health anxiety the questions \u201cCan you communicate coping skills to a resident with radiation health anxiety?\u201d (p = 0.007) and \u201cCan you refer a resident with radiation health anxiety to professionals who can cope appropriately?\u201d (p = 0.016) showed significant increases in their confidence levels. This program could be useful for on-going health activities and future nuclear disasters.<\/jats:p>","DOI":"10.3390\/ijerph17124594","type":"journal-article","created":{"date-parts":[[2020,6,29]],"date-time":"2020-06-29T05:28:56Z","timestamp":1593408536000},"page":"4594","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Development and Evaluation of a Gatekeeper Training Program Regarding Anxiety about Radiation Health Effects Following a Nuclear Power Plant Accident: A Single-Arm Intervention Pilot Trial"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4871-8455","authenticated-orcid":false,"given":"Masatsugu","family":"Orui","sequence":"first","affiliation":[{"name":"Department of Public Health, School of Medicine, Fukushima Medical University, Fukushima 960-1295, Japan"},{"name":"Sendai City Mental Health and Welfare Center, Sendai 980-0845, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maiko","family":"Fukasawa","sequence":"additional","affiliation":[{"name":"Department of Mental Health, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4355-943X","authenticated-orcid":false,"given":"Naoko","family":"Horikoshi","sequence":"additional","affiliation":[{"name":"Department of Public Health, School of Medicine, Fukushima Medical University, Fukushima 960-1295, Japan"},{"name":"Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuriko","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Public Health, School of Medicine, Fukushima Medical University, Fukushima 960-1295, Japan"},{"name":"National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo 187-8553, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1080-2720","authenticated-orcid":false,"given":"Norito","family":"Kawakami","sequence":"additional","affiliation":[{"name":"Department of Mental Health, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2020,6,26]]},"reference":[{"key":"ref_1","unstructured":"Fukushima Prefectural Government (2020, April 24). 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