건강증진학교 수행 및 효과평가

Implementation and Evaluation of a Health Promoting School Program

  • 이은영 (한양대학교 의과대학 예방의학교실) ;
  • 최보율 (한양대학교 의과대학 예방의학교실) ;
  • 신영전 (한양대학교 의과대학 예방의학교실) ;
  • 김석현 (한양대학교 의과대학 신경정신과교실) ;
  • 손애리 (삼육대학교 보건관리학과) ;
  • 안동현 (한양대학교 의과대학 신경정신과교실)
  • Lee, Eun-Young (Department of Preventive Medicine, College of Medicine, Hanyang University) ;
  • Choi, Bo-Youl (Department of Preventive Medicine, College of Medicine, Hanyang University) ;
  • Shin, Young-Jeon (Department of Preventive Medicine, College of Medicine, Hanyang University) ;
  • Kim, Seok-Hyeon (Department of Neuropsychiatry, College of Medicine, Hanyang University) ;
  • Sohn, Ae-Ree (Division of Health Management, Sahmyook University) ;
  • Ahn, Dong-Hyun (Department of Neuropsychiatry, College of Medicine, Hanyang University)
  • 투고 : 2009.04.13
  • 심사 : 2009.06.13
  • 발행 : 2009.06.30

초록

Objectives: The purpose of this study was to develop strategies for creating health promoting school and to evaluate the implementation and its effect on the school. Methods: Based on WHO's Health Promoting School, we developed 5 strategies and implementing process for creating health promoting school and undertook The implementation process included workshops to raise awareness of the health promoting school, establishment of a school health team, review of the health needs of its community, development of an action plan, and practice of activities and reflect on program. Seventeen teachers (male 35.3%, female 64.7%) and 248 students (male 51.2%, female 47,6%) had completed pretest and posttest. Results: It was increasing in school's social environment, community relationship, personal skill and health service among components of HPS. However, there were no significant differences in self-reported health status and health behaviors among teachers. Although there were no significant changes in self-esteem, self-efficacy and BMI, there were significantly increasing in health knowledge, physical activities and fruit and vegetable intakes among students of a pilot school. Conclusion: Strategies for a creating health promoting school were appropriate to implement in school and they would also make a contribution to improve health knowledge and health behaviors in elementary school students.

키워드

참고문헌

  1. 강희태, 주영수, 박경희, 권영준, 임형준, 백도명, 이현주. 도시지역 초등학생 비만 수준 및 관련 요인에 대한 연구: 사회경 제적 요인을 중심으로. 예방의학회지 2006;39(5):371-378
  2. 김영임. 학교건강증진 지표개발 및 측정에 관한 연구. 한국학교보건학회지 1998;11(2):189-201
  3. 김영혜, 박남희, 이선미. 비만관리프로그램이 초등학교 비만아동의 비만도, 신체조성, 체력, 지식 및 식행동에 미치는 효과. 아동간호학회지 2004;10(1):14-21
  4. 김혜련. 아동, 청소년 건강증진사업의 과제와 발전방향: 영양, 신체활동 증진 및 비만예방을 중심으로. 보건복지포럼 2008;141:20-21
  5. 성태제. 타당도와 신뢰도. 학지사, 2007
  6. 손애리, 김보람, 김석현, 신영전, 안동현, 최보율. WHO 건강증진학교 평가개념을 적용한 사정 및 평가. 한국학교보건교육학회지2008;9(1):1-15
  7. 이명하, 김현옥, 형희경, 김희선. 초등학생의 비만과 관련된 지식, 태도, 행태에 관한 연구. 지역사회간호학회지 2007;18(3):469-479
  8. 이정렬, 이규영, 홍윤미. 우리나라 초등학생들의 지역별 건강생활실천 비교. 보건교육 건강증진학회지 2007;24(4):87-98
  9. 이정렬, 정영숙, 한주희, 이춘옥, 권인숙. 초등학교의 학교보건정책 기침개발 및 수행정도 분석. 지역사회간호학회지 2003;14(3):457-467
  10. 정영숙, 이정렬, 이춘옥. WHO의 건강증진학교를 근거로 한 우리나라 초등학교 건강증진 전략구축. 보건복지부, 2000
  11. 최보율, 남정현, 김미경, 김석현, 손애리, 이은영, 고민정, 손현진, 김보람, 장은진. 양평군 학교중심의 건강증진사업평가 및 건강한 학교 만들기(일명"꾸러기튼튼학교") 지정운영을 위한 심화프로그램 연구개발. 양평군, 2007
  12. 하은희, 조희숙, 윤영옥, 강명근. 건강증진학교 모형개발: 대학보건소 활동을 중심으로, 한국학교보건학회지 2001;14(1):83-93
  13. Barbor TF, Higgins-Biddle JC, Saunders J. Monteiro MG. AUDIT:The alcohol-use disorders identification test: Guidelines for use in primary health care. Geneva, WHO, 2001
  14. Barnekow V, Buijs G, Clift S, Jensen B, Paulus P, Rivett D, Young I. Health-promoting schools: A resource for developing indicators. International Planning Committee of the European Network of Health Promoting Schools, 2007
  15. Gray G., Young I, Barnekow V. Developing a health-promoting school. European Network of Health Promoting Schools, 2006
  16. Inchley J, Muldoon J, Currie C. Becoming a health promoting school: Evaluating the process of effective implementation in Scotland. Health Promotion International 2007;22(1):65-71 https://doi.org/10.1093/heapro/dal059
  17. Jamison J, Ashby P, Hamilton K, Lewis G, MacDonald A, Saunders, L. The health promoting school: Final report of the ENHPS evaluation project in England. London: Health Education Authority, 1998
  18. Lee A, Cheng F, Fung Y, Leger L. Can health promoting schools contribute to the better health and wellbeing of young people? The Hong Kong experience. J Epidemiol Community Health 2006;60:530-536 https://doi.org/10.1136/jech.2005.040121
  19. Lee A, Cheng F, Leger L. Evaluating health-promoting schools in Hong Kong: Development of a framework. Health Promotion International 2005;20(2):177-186 https://doi.org/10.1093/heapro/dah607
  20. Lee YM, Schwarzer R, Jerusalem M. Korean adaptation of the general self-efficacy scale. http://userpage.fu-berlin.de/~health/korean.htm. 1994
  21. Leger L. Protocols and guidelines for health promoting schools. Promotion & Education 2005;12(3/4):145 https://doi.org/10.1177/10253823050120030112
  22. Leger L. What's the place of schools in promoting health? Are we too optimistic? Health Promotion International 2004;19(4):405-408 https://doi.org/10.1093/heapro/dah401
  23. Mitchell J, Palmer S, Booth M, Davies GP. A randomized trial of an intervention to develop health promoting schools in Australia: the south western Sydney study. Aust N Z J Public Health 2000;24(3):242-246 https://doi.org/10.1111/j.1467-842X.2000.tb01563.x
  24. Moon A, Mullee M, Rogers L, Thompson R, Speller V, Roderick P. Helping schools to become health-promoting environments-an evaluation of Wessex Healthy Schools award. Health Promotion International 1999;14:111-121 https://doi.org/10.1093/heapro/14.2.111
  25. Mukoma W, Flisher AJ. Evaluations of health promoting schools: A review of nine studies. Health Promotion International 2004;19(3):357-368 https://doi.org/10.1093/heapro/dah309
  26. Rogers E, Moon AM, Mullee MA, Speller VM, Roderick PJ. Developing the 'health-promoting school'- A national survey of healthy schools awards. Public Health 1998;112(1):37-40 https://doi.org/10.1016/S0033-3506(98)00204-2
  27. Sahota P, Rudolf M, Dixey R, Hill A, Barth J, Cade J. Evaluation of implementation and effect of primary school based intervention to reduce risk factors for obesity. BMJ 2001;323(7320):1027-9 https://doi.org/10.1136/bmj.323.7320.1027
  28. Sahota P, Rudolf M, Dixey R, Hill A, Barth J, Cade J. Randomized controlled trial of primary school based intervention to reduce risk factors for obesity. BMJ 2001;323(7320):1029-32 https://doi.org/10.1136/bmj.323.7320.1029
  29. Sobczyk W, Hazel N, Reed CD, Ciarroccki B, Cohen S, Varga D. Health Promotion Schools of Excellence: a model program for Kentucky and the nation. J Ky Med Assoc 1995;93(4):142-147
  30. WHO. Health-Promoting Schools: A healthy setting for living, learning and working, WHO, 1998
  31. WHO. Local Action: Creating Health Promoting School. WHO, 2000
  32. Xin-Wei Z, Li-Qun L, Xue-Hai Z, Jun-Xiang G, Xue-Dong P, Aldinger C, Sen-Hai Y, Jones J. Health-promoting school development in Zhejiang Province, China. Health Promot Int 2008;23(3):220-30 https://doi.org/10.1093/heapro/dan021
  33. Young I. Healthy eating policies in schools: an evaluation of effects on pupils knowledge, attitudes and behavior. Health Education Journal 1993;52:6-9