Patients were excluded if they had severe complications
or physical symptoms that would hinder their
ability to carry out the program content. These were
patients with modified Rankin Scale scores of 4 or more
at discharge or with dementia (scores of #20 of 30 on
the revised Hasegawa’s Dementia Scale14). However, if
a caregiving family member living with the patient could
support management, the patient was included even if
he/she had dementia. Patients were excluded if they
received medical care in a medical/nursing care facility.
Additionally, pregnant women and individuals under terminal
care were excluded.