• 제목/요약/키워드: CBPR

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Using Community-Based Participatory Research(CBPR) for Health Promotion (건강증진을 위한 지역사회 기반 참여연구의 적용 방안)

  • Yoo, Seung-Hyun
    • Korean Journal of Health Education and Promotion
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    • v.26 no.1
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    • pp.141-158
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    • 2009
  • Community-Based Participatory Research(CBPR) has gained attention as a public health approach to develop community health interventions to address health disparities in recognition of the community relevance of specific health issues associated with social determinants of health. It emphasizes community involvement in equal partnership with researchers and public health professionals to address community-identified needs. The characteristics and principles of CBPR discussed in this paper highlight participatory nature, capacity development, partnership building, and process-orientation of CBPR. A 6-step process model for community empowerment is then introduced as a CBPR operationalization strategy. Mixed methods research approaches are valuable in CBPR as well as process evaluation. For the application of CBPR in Korean contexts, the Diffusion of Innovation theory is suggested as a theoretical framework for implementation. Building public health partnerships between public and private sectors to create partnership synergy is a necessary condition for successful CBPR for health promotion in Korea. Accompanying critical factors for the CBPR application include: common understanding of CBPR and its values, establishment of the definition of 'community,' 'community-based' and 'participation' in community health, development of accommodating research infrastructure for CBPR, recognition of the importance of program evaluation (particularly process evaluation), and training CBPR specialists.

The Methodology of Community-Based Participatory Research (지역사회 기반 참여연구 방법론)

  • Jung, Min-Soo;Jung, Yoo-Kyung;Jang, Sa-Rang;Cho, Byong-Hee
    • Korean Journal of Health Education and Promotion
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    • v.25 no.1
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    • pp.83-104
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    • 2008
  • Objectives: Community-Based Participatory Research (CBPR) is a kind of health promotion approach to increase social cohesion and sense of community, which has built the collaborated partnership in all phases. This has the co-ownership of research objectives and knowledges produced by residents, and the outcome was taken to enhance community empowerment. This study performed to embody CBPR, which had regulated collective health status approached by social epidemiology. Methods: Reference review had been exercised focused on CBPR books and papers published since 1990. Our interests were aimed at its paradigm and methodological issues. Particularly, we problematized its feasibility in the social and behavioral foundations of pubic health. Results: According to the review, CBPR shared critical understanding and decision-making related to their community development including health status. Therefore, it was strength-based approach in spite of scientific dichotomy. CBPR created social cohesion and community empowerment with all participants, because it sublated contradiction between subjectivism and objectivism. Conclusions: The success of CBPR needs what we so called trust, democracy, collaboration, devotion, and consensus of equity. Despite these factors, CBPR may be a methodological transition to prepare some intervention of health inequality. This is because it does emphasize a mixture of theory and praxis to manage vulnerable people in community.

A Qualitative Evaluation of Short-Term Intensive Home-Based Rehabilitation Program for Disabilities Through In-Depth Interview: Community-Based Participatory Research Approach (지역사회기반 참여연구 방법에 입각한 단기집중 방문재활프로그램 질적 평가: 치료사와 대상자 심층면담을 중심으로)

  • Lee, Min-young;Kim, Eun-seung;Yoon, Bum-chul
    • Physical Therapy Korea
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    • v.23 no.2
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    • pp.44-56
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    • 2016
  • Background: The Community-Based Participatory Research (CBPR) approach is recognized in the field of health promotion as a way to optimize intervention for promoting health by taking into account specific social, economical, and institutional situations of the community. However, the CBPR approach has not been applied in the field of community-based rehabilitation. Objects: This study was conducted to explore the self-perceived satisfaction of therapists and disabilities on the Short-term Intensive Home-based Rehabilitation (SIHR) program developed using the CBPR approach as well as determine the points that need improvement. Methods: This research was conducted through in-depth interviews. The SIHR program was developed, applied, and evaluated by both the researchers and four therapists on the basis of the CBPR approach. The SIHR program was administered to four disability for 1 hour a day, 2 or 3 times a week, for 8 weeks, and their self-rehabilitation was monitored once a week for 4 weeks. After all intervention periods, in-depth interviews were conducted by using a semi-structured questionnaire for the therapists and disability. Results: The therapists were satisfied with the contents of the SIHR program, such as behavioral change technique and goal-directed training. They were also satisfied with the process of developing the program through a community network. Disabilities were satisfied with the therapists' persuasive and emotionally interactive way of delivering the SIHR program as well as the individually customized rehabilitation training and physical improvement. The short period (8 weeks) of the SIHR program was noted by both therapists and disabilities as the part that needs improvement. Conclusion: The SIHR program developed using the CBPR approach was feasible and satisfying to therapists and disabilities. However, a longer SIHR program should be developed. Community networks could help therapists effectively utilize community resources and thereby provide more rehabilitation program for persons with disability.

A Systematic Review of The Health Promotion for Workers; Participatory Action Research and Community Based participatory Research (근로자의 건강증진에 대한 체계적 문헌고찰 참여적 실행연구와 지역사회기반 참여연구 중심으로)

  • Hwang, Won Ju;Ha, Ji Sun;Jo, Hyun Hee
    • Journal of the Korea Convergence Society
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    • v.9 no.12
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    • pp.459-466
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    • 2018
  • This study investigated a systematic literature review on local and international literatures focusing on Participatory Action Research(PAR), Community Based Participatory Research(CBPR) in workplace and community. Eighty percent of the 10 studies reviewed included research involving health professionals, community networks, workers, and university researchers. Health promotion programs varied from health and safety awareness, smoking cessation, diabetes management, physical activity, self-efficacy enhancement, cardiovascular disease, musculoskeletal disorders and mental health. PAR, CBPR are required to participate actively in research through community collaboration to promote health. We can solve problems at the community level. And identified sustainable effects when developing and implementing a health promotion program. PAR and CBPR are expected to continuously pursue change by adjusting the scope of individuals, organizations, communities, and institutional dimensions. They are also expected to be implemented for workers in the various workplace.

New Concept of Construction Business Process Modeling Connected with Information Technology (IT와 연계된 건설분야 신개념 BPR 모형 구성)

  • Kwak Joong-Min;Kang Leen-Seok
    • Proceedings of the Korean Institute Of Construction Engineering and Management
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    • autumn
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    • pp.151-158
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    • 2003
  • Recently, the off-line processes in the construction industry are being changed to the electronic processes by several information technology (IT) tools including CALS. To improve the business processes to on-line processes, the business process reengineering (BPR) is a representative methodology for reviewing unnecessary and additional processes from the established business procedure. This study suggests a new process modeling method for construction BPR (CBPR) that consists of object-related process model (ORPM). In suggested modeling method, the connection with IT tools such as Workflow, enterprise resource planning (ERP), construction CALS, and business breakdown structure (BBS) was considered. The ORPM in the study is the main model for representing the detailed construction processes. It consists of nine relationship and six diagrams to represent the relationship between construction activities and the direction within the process model. Those models suggested from this study can be a useful tool for the CBPR because the researches and the practical applications related to the BPR of construction project are insufficient in our construction industry.

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Ecological Factors and Strategies for Childhood Obesity Prevention Targeting Vulnerable Children: Using Community-Based Participatory Research (취약계층 아동집단의 비만예방을 위한 생태학적 요인과 해결전략 탐색: 지역사회 기반 참여연구 기반으로)

  • Park, Sooyeon;Choo, Jina
    • Research in Community and Public Health Nursing
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    • v.31 no.3
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    • pp.256-268
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    • 2020
  • Purpose: This study aimed to explore ecological factors and strategies for childhood obesity prevention targeting vulnerable children using a community-based participatory research (CBPR) methodology. Methods: The CBPR was conducted by following basic process steps. Participants were 12 community stakeholders such as community child center directors (n=4), vulnerable children's mothers (n=3), community health center officials (n=2), and lay health advisors (n=4); they were purposively sampled from K municipal county in Seoul, South Korea. The qualitative content analysis was performed to explore main themes of the ecological factors and strategies by using data obtained from 5 times of focus group interview. Results: Twelve ecological factors associated with childhood obesity prevention were identified: Intrapersonal factors including emotional overeating; interpersonal factors including permissive parenting style of children's eating behaviors; organizational factors including social workers' less educational opportunities; and community/policy factors including less government financial support. Four ecological strategies for childhood obesity prevention were addressed: Developing obesity prevention programs targeting vulnerable children' lifestyles; promoting parents' active participation in education; building healthy meal service environments through empowering social workers; and building supportive community environment and securing community resources for child obesity prevention. Conclusion: Our findings may be informative in terms of providing a comprehensive understanding of multi-level ecological barriers against vulnerable children' obesity prevention and, moreover, guiding multi-level strategies for preventing childhood obesity targeting children enrolled in community child centers.

The Past and the Current Status of Community-based Health Promotion (지역사회 중심 건강증진의 과거와 현재)

  • Cho, Byong-Hee
    • Korean Journal of Health Education and Promotion
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    • v.27 no.4
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    • pp.1-6
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    • 2010
  • Objectives: This paper aims at addressing the importance of community-based health promotion. It would identify the origin of community health programs in Korea, which emphasized community involvement. And it would reveal the discontinuity of community-oriented health programs in the current health promotion activities. Finally, the methods of attaining community-based health promotion would be suggested. Results and Conclusion: Community-based health promotion had been implemented in rural areas by medical schools in the 1970s and 1980s, which emphasized the role of village health workers. But their roles has disappeared since the government-initiated health promotion policies and programs have been implemented in the mid-1990s. This paper addressed the factors contributing to this discontinuity, such as the expansion of heath insurance system, the change of health care discourses, the monopoly of resources for health promotion by government, and the bureaucratic approach to health promotion, etc. This paper suggested the utilization of voluntary and civic organizations in community for realizing the goal of community-based health promotion.

Photovoice as a research method and a strategy for community health promotion (지역사회 건강증진 연구방법 및 전략으로서의 포토보이스)

  • Yoo, Seunghyun
    • Korean Journal of Health Education and Promotion
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    • v.32 no.1
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    • pp.77-87
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    • 2015
  • Objectives: This study aims to explain the process of photovoice, to review relevant research cases, and to discuss the issues in photovoice applications for community health promotion. Methods: Literature review is performed on photovoice manuals, systematic review literature on international photovoice research, and Korean photovoice studies. The review was based on 8 research papers and 6 practice manuals. Results: Photovoice so far has specified its orientation to participatory research. Its implementation includes photovoice training, photo taking and sharing, interviews and discussions, photo exhibit, and social action planning for policy change. SHOWeD questions and the like guide photovoice discussions while they face some challenges in application. Social action planning for policy change part of the photovoice needs attention in implementation and evaluation. Conclusions: Adherence to the participatory principles and action research orientation in photovoice requires persistent efforts. Process and impact evaluation with development of photovoice research infrastructure will enhance photovoice application.

Effects of BeHaS Program on Health Behavior, Physiologic Index and Self-Esteem of the Elderly Living Alone with Metabolic Syndrome Based on Community Based Participatory Research (지역사회기반 참여연구를 활용한 베하스(BeHaS) 프로그램이 대사증후군 독거노인의 건강행위, 생리적 지수 및 자아존중감에 미치는 효과)

  • Kim, Jong Im;Kim, Sun Ae;Park, Keumok;Kim, Jiyoung;Lee, Lina;Choi, Si Wan;Ku, Bon Jeong
    • Journal of Korean Academy of Nursing
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    • v.50 no.4
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    • pp.571-582
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    • 2020
  • Purpose: This study aimed to determine the effects of a 12-week metabolic syndrome BeHaS (Be Happy and Strong) program in elderly people with metabolic syndrome living alone, based on a community-based participatory research (CBPR). Methods: A nonequivalent control group pre-posttest design was used, and the participants were 43 elderly people living alone (experimental group 24, control group 19). The experimental group received a one-hour program per week and two individual health consultations during 12 weeks. The control group received two sessions about the metabolic syndrome and two individual health consultations. The effects of health behavior, blood pressure, blood sugar levels, abdominal circumference, triglycerides, and self-esteem were evaluated. The data were analyzed using the independent t-test and Mann-Whitney U test. Results: The health behavior with respect to the metabolic syndrome in the experimental group increased significantly (t = - 3.19, p = .002). Both diastolic blood pressure and abdominal circumference decreased in the experimental group (t = 2.00, p = .028 and t = 3.91, p < .001). No significant differences were observed between the groups in systolic blood pressure, fasting blood sugar levels, triglycerides, and self-esteem. Conclusion: The 12-week metabolic syndrome BeHaS program using community resources improves the health of elderly people with metabolic syndrome living alone. Based on these findings, further studies on the effectiveness of the metabolic syndrome BeHaS program and the experiences of those who participated in the CBPR are warranted.

Strategies for Increasing Library Inclusion by Analyzing Local-based Demands of Vulnerable Population (지역기반 지식정보 취약계층의 수요 분석을 통한 도서관 포용성 강화 전략)

  • Kang, Ji Hei;Bae, Kyung-Jae
    • Journal of Korean Library and Information Science Society
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    • v.51 no.2
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    • pp.295-318
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    • 2020
  • This study was conducted to grasp the changing user needs, especially the changing information needs of the vulnerable groups of knowledge and information. The study analyzed the information needs of the migrants in Area A by introducing a community-based participatory research methodology. The authors cooperated with the local community throughout the entire course of the study and proposed an inclusive library strategy for the underprivileged in the A region. Migrants were in demand for easy writing materials, reading activities programs, leisure culture programs, and literacy programs. In particular, it was analyzed that services should be provided through cooperation with related organizations. As a result of the study, it was suggested to provide experiences of deeply participating in the current library and to provide various information sources (resource guides) and to promote through children.