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The Development Process and the Contents of the Self-management Education Program Integrated with Exercise Training (HAHA program) for Older Adults with Chronic Diseases

만성질환 노인을 위한 운동교실 통합 자기관리교육 프로그램(하하프로그램)의 개발과정과 내용

  • Kim, Seon-Ho (Department of Nursing, Sunmoon University) ;
  • Song, Mi-Soon (College of Nursing, Seoul National University) ;
  • Park, Yeon-Hwan (College of Nursing, Seoul National University) ;
  • Song, Wook (Health and Exercise Science Laboratory, Seoul National University) ;
  • Cho, Be-Long (Department of Family Medicine, Seoul National University) ;
  • Lim, Jae-Young (Department of Rehabilitation Medicine, Seoul National University Bundang Hospital) ;
  • So, Wi-Young (Department Human Performance & Leisure Studies, North Carolina A&T State University)
  • 김선호 (선문대학교 간호학과) ;
  • 송미순 (서울대학교 간호대학) ;
  • 박연환 (서울대학교 간호대학) ;
  • 송욱 (서울대학교 사범대학 체육교육과) ;
  • 조비룡 (서울대학교 의과대학 가정의학과) ;
  • 임재영 (서울대학교 의과대학 분당병원 재활의학과) ;
  • 소위영
  • Received : 2011.09.24
  • Accepted : 2011.11.18
  • Published : 2011.11.30

Abstract

Purpose: This paper presents the development process and the final contents of the sellf- management education program integrated with exercise training (Healthy Aging Happy Aging, HAHA program) for community residing older adults with chronic diseases. Methods: The program evaluation methodology was applied which is an interactive program development process based on needs assessment, formative evaluation, process evaluation and outcome evaluation. The program was developed and revised while the program was implementing to 22 hypertension (HT) and 32 diabetic (DM) participants. Results: The final program has two sub-programs for HT and DM participants utilizing self-efficacy resources. They share four common components; 1) health screening of exercise risks, 2) weekly 1-hour group self-management education classes, 3) biweekly 1-hour group exercise training and 4) a mid-term individual counseling. Both sub-programs were 12-weeks long but have different education and exercise contents. Participants-rated mean satisfaction scores were 3.47/4 and 3.61/4 for HT and DM program respectively. Attendance rate were 83.1% ~ 92.3% for the classes. Conclusion: The HAHA program developed by multidisciplinary team which reflected participants needs was accepted well by participants evidenced by high attendance rate and perceived satisfaction level.

Keywords

References

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