• 제목/요약/키워드: Community based participatory

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

  • 유승현
    • 보건교육건강증진학회지
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    • 제26권1호
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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.

학교 성교육을 위한 지역사회 참여형 접근법과 사회생태학 모델 (Community-Based Participatory Approaches and a Social Ecological Model for School-Based Sex Education)

  • 유승현
    • 한국학교ㆍ지역보건교육학회지
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    • 제7권
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    • pp.19-32
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    • 2006
  • 성공적이고 효과적인 학교 성교육을 위하여 참여형 기법의 중요성이 부각되고 있는 가운데, 지역사회 참여형 연구 기법이 주목받고 있다. 지역사회 참여형 기법은 피교육자가 교육프로그램의 기획, 수행, 평가 전 과정에 동등한 협력자로서 적극적으로 참여할 수 있도록 여건을 구비하고 제공하는 것이 그 목적이자 방법이다. 사회생태학 모델은 이러한 참여형 기법을 적용할 때 유용한 도구로서, 사전조사 및 교육 프로그램 기획 뿐 아니라 평가도구로서의 가능성도 가지고 있다. 학교 성교육의 과제 중 하나인 교육요구와 실제 간의 간극 해소를 위한 시도의 일환으로, 본 논문은 지역사회 참여형 연구의 주요 개념과 원칙, 사회생태학 모델의 원리를 설명하고, 실제 학교 성교육 평가 사례에 입각한 사회생태학 모델의 용례를 제시하였다. 아울러, 학교 성교육 현장에서 프로그램 기획 및 평가에 참여형 기법을 통하여 사회생태학 모델을 적용하는 방안을 논의하였다.

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중년 여성 대상의 지역사회 참여형 비만 중재 프로그램의 효과 (Effects of Community Based Participatory Obesity Intervention Program in Middle-Aged Women)

  • 김현
    • 한국보건간호학회지
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    • 제29권1호
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    • pp.79-89
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    • 2015
  • Purpose: The aim of the study was to determine the effects of a community based participatory program in obese middle-aged women. Methods: One-group pretest-posttest design was used. The subjects were 35 middle-aged women. Data were collected at public health centers in Chungcheongnam-Do from March to May, 2013. To evaluate the effect of the program, physiological indexes(body mass index, skeletal muscle mass, body fat mass, visceral fat area) and health behavior indexes(dietary practice guidelines score, moderate physical activity, drinking frequency) were measured. Analysis was performed using a Wilcoxon Signed Rank Test. Results: After the program, physiological indexes (BMI, BFM, SMM, VFA) and health behavior indexes (dietary guidelines scores, frequency of physical activity, drinking frequency) were significantly improved. Conclusion: The community based participatory obesity program by public health centers is considered to be effective. Therefore, greater effort is needed for better participatory program development of several health promoting fields, and more research is needed in order to examine a continuous effect.

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

  • 황원주;하지선;조현희
    • 한국융합학회논문지
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    • 제9권12호
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    • pp.459-466
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    • 2018
  • 본 연구는 사업장과 지역사회에서 이루어진 PAR, CBPR을 중심으로 국내 외 문헌을 체계적 고찰을 하였다. 검토된 10개 논문의 연구 참여자는 보건전문가, 지역사회 네트워크, 근로자, 대학 연구자가 포함된 연구가 80%였고, 적용된 실행연구 기반 건강증진 프로그램은 안전 건강관리인식, 금연, 당뇨관리, 신체활동, 자기효능감 증진, 심혈관 질환, 근골격계 질환, 정신 건강 등 다양했다. 건강증진을 위해서는 지역사회 공동 작업을 통해 연구에 주도적으로 참여하는 것이 필수적이며, 이런 과정을 통하여 지역사회 차원의 문제를 해결할 수 있다. 또한 협력하며 건강증진프로그램을 개발하고 적용했을 때 지속가능한 효과를 확인할 수 있었다. PAR, CBPR은 개인과 조직, 지역사회, 제도적 차원의 범위를 조정하여 지속적인 변화를 추구할 것으로 사료되므로 다양한 사업장에서 근로자를 대상으로 활발히 수행되길 기대한다.

일차보건의료 역량 개발을 위한 지역사회 기반 참여형 국제보건사업 모델 개발: 에콰도르 일개 지역을 중심으로 한 사례연구 (Development of a Community-based Participatory Global Health Project Model for Primary Health Care Capacity Development: A Case Study from a Rural Community in Ecuador)

  • 신혜정;김의숙;유병욱;이현경
    • 지역사회간호학회지
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    • 제21권1호
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    • pp.31-42
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    • 2010
  • Purpose: The aims of this study were to identify successful strategies and propose a community-based participatory global health project model for primary health care capacity development. Methods: The study used case study methodology. A The unit of analysis was an international cooperation health project entitled "Community-based Primary Health Care Improvement in San Lorenzo, Ecuador" using community-based participatory research conducted in 2007~2008. Data were collected through windshield surveys, focus group discussion, key informant interviews, and provider surveys. Results: Identified successful strategies for the international cooperation health project were reciprocal partnership between researchers and community, partners' capacity building, south-to-south cooperation, and continuous monitoring and feedback. Community participation was found to be an essential tenet to guarantee the improvement of primary health care in the underserved rural community. Evidence from the activities of community health practitioners in Korea was applicable to the development of training programs for primary health care providers in Ecuador. Conclusion: Strategies for strengthening primary health capacity may be tailored depending on socio-cultural, political, and economical situations of each country. The model, however, would be applicable to the entire process of community-based global health projects in underserved rural communities of other countries.

Differentiated impacts of SNSs on Participatory Social Capital in Korea

  • Hwang, Dukyun;Paek, Mi Yon
    • International Journal of Internet, Broadcasting and Communication
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    • 제8권3호
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    • pp.1-11
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    • 2016
  • This study investigates whether different SNS with different characteristics have different impacts on participatory social capital in Korea. At least in Korea, SNS are categorized into five types (community, blog, micro-blog, profile-based service and instant message service), and participatory social capital is specified by three types (off-line political participation, on-line political participation, on-line civic engagement). Using Nielsen KoreanClick's web-based survey data, our regression analysis shows that SNS which are more open and focused on information sharing contribute more to participatory social capital.

울산 지역 일부 초등학교 3학년생 영양 교육 프로그램 개발 및 효과 - 지역 사회 기반 참여 연구를 중심으로 - (Effect of Community Based Participatory Research Nutrition Education Program for 3rd Grade Elementary School Students in the Ulsan Area)

  • 김윤희;김민정
    • 동아시아식생활학회지
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    • 제20권2호
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    • pp.231-238
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    • 2010
  • This study was evaluate the effects of community based nutrition education program offered to 3rd grade elementary school students. Students enrolled in intervention programs 4 times per class by nutrition teacher & public health center. The subjects were asked to 606 students fill out a questionnaire before and then after completion of community based nutrition education program. After completion of the community based nutrition education program, nutrition knowledge score increased from $5.07{\pm}1.65$ to $6.24{\pm}1.53$ (p<0.001), dietary attitude score increased from $16.79{\pm}2.70$ to $19.52{\pm}2.71$ (p<0.001), dietary behavior score increased from $4.79{\pm}1.23$ to $5.31{\pm}1.14$ (p<0.001). The changes in nutrition knowledge scores were positively correlated with dietary attitude and dietary behavior. Above results showed that community based nutrition education program was effective for the improvement of dietary habits of 3rd grade elementary school students. Therefore this study is suggested effective Community-Based Participatory Research public health program and this program can be used at school and at public health centers.

Spatial Multicriteria Decision Analysis: A Powerful Tool for Participatory Decision-Making in Community-based Tourism Research

  • Kim, Jinwon
    • Journal of Smart Tourism
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    • 제1권4호
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    • pp.3-7
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    • 2021
  • Although Geographic Information Systems (GISs) have commonly been employed as powerful tools for manipulating and displaying spatial data in community-based tourism, a variety of GIS functions still lack the capabilities required to assist multiple decision makers to come to consensual decisions. In this study, I propose an alternative approach: spatial multicriteria decision analysis (SMCDA) that could reflect diverse decision makers' preferences by integrating GISs and multicriteria decision analysis (MCDA). I review the small number of case studies that have employed SMCDA, with a focus on the roles of GISs and MCDA. The methodological integration of GISs and MCDA into multi-spatial decision support systems offers the potential to implement participatory decision-making to solve complex spatial problems in community-based tourism planning, development, and management.

독거노인을 위한 베하스 프로그램을 활용한 지역사회기반 참여연구 리더 경험에 관한 융합적 연구 (Convergence Study on the Experience of a Community Based Participatory Research leader using the BeHaS Program for Elderly Living Alone)

  • 김종임;김선애;김지영
    • 한국융합학회논문지
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    • 제12권1호
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    • pp.293-303
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    • 2021
  • 본 연구는 지역사회기반 참여연구를 활용한 베하스 프로그램에 연구참여자로 참여했던 독거노인들의 경험의 본질을 확인하고자 시행되었다. 본 연구 참여자는 대사증후군을 가진 독거노인 총 6명으로, 12주간 심혈관 건강을 위한 베하스 프로그램을 지역사회기반 참여연구로 진행할 때 리더로서 역할을 수행하였다. 자료수집은 포커스 그룹 인터뷰 방법으로 하였다. 연구결과 '연구참여자가 되는 부담감', '새로운 프로그램을 알게됨', '베하스 프로그램에 젖어듬', '새로운 리더십을 가지게 됨', '대사증후군 건강관리에 대해 알게됨', '달라진 자신을 통해 보람을 느낌' 등 6개의 범주를 도출하였다. 이러한 결과를 통해 본 연구는 독거노인을 대상으로 한 지역사회참여기반 연구를 통하여 대사증후군 베하스 프로그램 참여경험의 본질을 파악하였으며, 추후 베하스 프로그램 운영 및 지역사회 정착 전략의 기초자료를 제공할 수 있을 것이다.

사용자참여 디자인을 통한 열린 놀이터 만들기 - 서울 삼양초등학교 옥외공간을 중심으로 - (A Study on the Planning of Outdoor Playground Space Open to the Community through the Participatory Design Method)

  • 이영범
    • 교육시설
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    • 제12권3호
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    • pp.22-32
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    • 2005
  • This paper is to propose a design possibility that incorporates participatory process and also to emphasize the participatory process applied to the planning of outdoor playground space open to the neighboring community. Community design based on the participation method can be understood as an attitude about a force for change in the creation and management of environments for people who are the major users of them. Planning for outdoor space is an integral part of school education and a vital component of child development. For the design of outdoor space of Samyang Elementary School it first needs to examine the current and emerging needs of students, teachers and parents as community residents through the participatory design method. A series of workshops and interviews are taken to identify dreams and ideal spaces of each group. An assessment of existing school spaces and design possibility of reprogrammed outdoor spaces are proposed to match the major demands of participants. Selected outdoor places are chosen and designed to accommodate options for various play settings and to make the school pleasant places where members of the neighborhood can gather for relaxation in restful surroundings.