• Title/Summary/Keyword: National health programs

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Adapting the Community Readiness Model and Validating a Community Readiness Tool for Childhood Obesity Prevention Programs in Iran

  • Mahdieh Niknam;Nasrin Omidvar;Parisa Amiri;Hassan Eini-Zinab;Naser Kalantari
    • Journal of Preventive Medicine and Public Health
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    • v.56 no.1
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    • pp.77-87
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    • 2023
  • Objectives: It is critical to assess community readiness (CR) when implementing childhood obesity prevention programs to ensure their eventual success and sustainability. Multiple tools have been developed based on various conceptions of readiness. One of the most widely used and flexible tools is based on the community readiness model (CRM). This study aimed to adapt the CRM and assess the validity of a community readiness tool (CRT) for childhood obesity prevention programs in Iran. Methods: A Delphi study that included 26 individuals with expertise in 8 different subject areas was conducted to adapt the CRM into a theoretical framework for developing a CRT. After linguistic validation was conducted for a 35-question CR interview guide, the modified interview guide was evaluated for its content and face validity. The quantitative and qualitative analyses were performed using Stata version 13 and MAXQDA 2010, respectively. Results: The Delphi panelists confirmed the necessity/appropriateness and adequacy of all 6 CRM dimensions. The Persian version of the interview guide was then modified based on the qualitative results of the Delphi study, and 2 more questions were added to the community climate dimension of the original CRT. All questions in the modified version had acceptable content and face validity. The final CR interview guide included 37 questions across 6 CRM dimensions. Conclusions: By adapting the CRM and confirming linguistic, content, and face validity, the present study devised a CRT for childhood obesity prevention programs that can be used in relevant studies in Iran.

Survey on the Needs of Korean Medicine Doctor for Community Care Education Programs (한의약 건강돌봄 교육 프로그램에 대한 한의사 요구도 조사)

  • Jihye Kang;Eunji Ahn;Jihyeon Lee;Dongmin Sung;Yujin Han;Dongsu Kim
    • Journal of Society of Preventive Korean Medicine
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    • v.28 no.1
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    • pp.1-11
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    • 2024
  • Objectives : This study conducted a survey on the needs of Korean medicine doctors for health care education programs specializing in traditional Korean medicine. Methods : The study selected Korean medicine doctors who had experience participating in outpatient consultations. Data collected through surveys underwent frequency analysis on performance, importance, difficulty, and educational needs using SPSS 24.0. Additionally, an Importance-Performance Analysis (IPA) was conducted using importance and performance data. Results : According to the results of the IPA analysis, in the area of "keep up the good work" there were activities such as fee Claims (A3), comprehensive assessment (B4), care plan development (B5), client and caregiver interviews (C8), chronic disease monitoring (C9), musculoskeletal and other pain management, musculoskeletal rehabilitation (C10), mental health management (C11), and fall prevention (C15). In the "concentrate here" priority action area, skin care including pressure sore management (C13) was identified. Conclusions : The traditional Korean medicine community care service is expected to expand further, so it is anticipated that the developed educational programs will contribute to the activation of traditional Korean medicine health care business.

Analysis of Advanced School Health Promotion Policies and Programs for Developing Effective School Health Strategies (학교건강증진사업의 주요 영역과 전략 개발을 위한 선진사례 분석)

  • Kim, Myung;Kim, Hye-Kyung
    • The Journal of Korean Society for School & Community Health Education
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    • v.8 no.1
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    • pp.13-27
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    • 2007
  • The role of school as a key setting for health promotion practices should be empathized. However, there were limitations for the effectiveness of school health promotion practices in Korea because of the lack of recognition about its importance, social support, guiding principles of the school health promotion services by the school health related law, and cooperation between school and community. The purpose of this study was to analyse the advanced cases from The United States, Japan, Europe and Australia, and to evaluate the applicability to school health promotion services in Korea for establishing the strategy for effective implementation of school health promotion program in Korea. Four cases of school health program were selected for analysis, including Coordinated School Health Program and National School Health Strategies in the USA, Healthy Japan21, National School Health Initiative in Australia and the European Network of Health Promoting Schools. Major conclusions were as follows: 1. Advanced cases of school health programs were comprehensive in nature. 2. Integrated school and community health promotion efforts was emphasized. mostly. 3. Governmental agencies played an active role in conducting surveillance activities to monitor priority health risk behaviors, developing school health program and training manual, providing periodic program evaluation. 4. Life skill focused health education was the key component for the comprehensive school health program. For the improvement of efficiency in school health promotion practices, above advanced strategies for school health promotion program would be necessary.

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A Study on Model Development for Urban Community Nursing Center (일개 도시 지역사회 간호센터 모형개발을 위한 요구조사)

  • Yun, Soon-Nyoung
    • Research in Community and Public Health Nursing
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    • v.13 no.2
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    • pp.260-271
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    • 2002
  • Objectives: The purpose of this study was to identify basic health needs of adult clients to develop a community nursing center model in Seoul. Methods: Data were collected using a questionnaire survey from 894 adults registered at a public health center who were health management members, and visiting 4 community nursing centers, University of Wisconsin, Milwaukee during the period from July 1999 to January 2000. The data were analyzed using frequency, percentile, t-test, and ANOVA. Results: 1) The University of Wisconsin- Milwaukee School of Nursing has a long tradition of developing 4 community nursing centers with innovative health care programs. CNCs integrate the ability to implement and test effective intervention strategies with education, research, and practices of nursing students and faculty. They were designed to enhance the health status and quality of life for urban communities through the development of productive, outcome focused, collaborative partnerships among UWM-Nursing faculties and staff, other health and human service providers, consumers, and policy makers. It links the financial resources between UWM and 9 voluntary agencies and 12 public funding organizations including federal. state, and local governments. 2) Of the total health management members, 37.4% were reported to have at least one type of chronic disease such as hypertension, diabetes, and arthritis. Ten percent of them reported having obesity, and 44.2% reported lack of exercise. The health status of the subjects was within normal range in laboratory tests. However, female subjects showed more significant differences in obesity and cholesterol levels than male subjects. The subjects, who were in their 50s, showed more significant differences in obesity, SGOT, SGPT, and cholesterol levels than the subjects in other age groups. Conclusion: A community nursing center needs to be developed, that has a link between the nursing college and the public health center, with partnerships and a multidisciplinary approach. Based on the study results, exercise programs for middle aged adults are considered necessary. In particular, specific exercise programs for pre-menopausal women needs to be implemented in the future to prevent them from developing osteoporosis.

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Factors Associated with Organized and Opportunistic Cancer Screening: Results of the Korea National Health and Nutrition Examination Survey (KNHANES) 2007-2011

  • Kang, Minsun;Yoo, Ki-Bong;Park, Eun-Cheol;Kwon, Kisung;Kim, Gaeun;Kim, Doo Ree;Kwon, Jeoung A
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.7
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    • pp.3279-3286
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    • 2014
  • Background: Cancer is one of the leading causes of death in Korea. To reduce cancer incidence, the Korean National Cancer Center (KNCC) has been expanding its organized cancer screening program. In addition, there are opportunistic screening programs that can be chosen by individuals or their healthcare providers. The purpose of this study was to investigate factors associated with participation in organized and opportunistic cancer screening programs, with a particular focus on socioeconomic factors. Materials and Methods: We used data from the Korea National Health and Nutrition Examination Survey (KNHANES), a cross-sectional nationwide study conducted by the Korean Ministry of Health and Welfare from 2007 to 2011. The study included information from 9,708 men and 12,739 women aged 19 years or over. Multinomial logistic regression analysis was conducted, adjusting for age, year of data collection, residential region, current smoking status, current alcohol consumption status, exercise, marriage status, job status, perceived health status, stress level, BMI, limitation of activities, cancer history, health insurance type, and private insurance status, to investigate the association between education level, economic status, and cancer screening participation. Results: In terms of education level, disparities in attendance were observed only for the opportunistic screening program. In contrast, there was no association between education level and participation in organized screening. In terms of economic status, disparities in opportunistic screening participation were observed at all income levels, but disparities in organized screening participation were observed only at the highest income level. Conclusions: Our findings reveal that socioeconomic factors, including educational level and economic status, were not significantly associated with participation in organized cancer screening, except at the highest level of income.

Status and Issues on Disaster Preparation Programs in Public Health Center (보건소의 재난관련 대비-대응 사업의 실태와 과제)

  • Cho, Yoo Hyang;Chung, YoungHae;Chie, Nagahiro
    • Journal of agricultural medicine and community health
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    • v.43 no.2
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    • pp.63-73
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    • 2018
  • Objectives: The purpose of this study was to review the disaster preparation and response programs and the status of disaster preparation in public health center. Methods: In depth interview was performed in September 2017 using 5 open questions to the persons who are in charge of disaster response services in 5 public health centers of different levels in Korea. The questions included general characteristics of public health center, disaster programs and future issues. The research hired a quality method. Results: In general, the persons in charge recognized the cooperative agency of local government in disaster management. There were no disaster preparation programs developed by the public health centers. Most of the preparation were passive activities such as emergency support, crisis management on communicable disease and quarantine, participation in biological disaster response training, and education etc. The persons in charge emphasized necessity of disaster preparation programs. Conclusions: Disaster preparation and responsiveness is an evolving issue in public health centers in Korea. Medical support system and communicable disease management system are being set up in the national level. A comprehensive system covering health management, nutritional support, mental health, environment management of shelter, and volunteers supports on public health center level needs to be developed along with a easy-to-follow manual.

Effects of Nature-Based Programs for Workers in Korea: A Systematic Review

  • Shin, Jong-Yeon;Shin, Won-Sop
    • Journal of People, Plants, and Environment
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    • v.23 no.2
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    • pp.125-138
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    • 2020
  • The aim of this study was to review previous literature to determine the effects of nature-based program for workers. This systematic review was conducted in accordance with National Evidence-based Healthcare Collaborating Agency's guidance for undertaking systematic reviews for intervention. Literature search was performed using National Assembly Digital Library, Korean Studies Information Service System, and Korea Education & Research Information Service for literature published until March 2019. The participants were full-time workers, and intervention of nature-based programs was conducted in the outdoor, indoor, and indirect nature contact exposures, with comparators in the control group who did not receive the treatment. The results showed that the programs were effective in physical, psychological, and social health. The methodological quality of randomized controlled trials (RCT) was assessed using the Cochrane Risk of Bias(RoB) tool, while non-randomized controlled trials (N-RCT) were assessed using the Cochrane Risk of bias assessment tool for non-randomized studuies (RoBANS). A total of 16 studies were selected for assessment: two RCTs, 10 N-RCTs, and four one-group pretest-posttest designs. Most interventions were provided at the workplace and in the community. There were many kinds of nature-based interventions, and forest therapy and horticultural therapy programs were most common. Various interventions for workers effectively improved job stress, depression, serum cortisol and stress-response. However, the included studies lacked methodological rigor. Future research is needed to evaluate the long-term effectiveness of nature-based programs for workers using rigorous research designs.

Evaluating Health-Promoting Schools Based on WHO Standards in Yangpyung-Gun, Korea (WHO 건강증진학교 평가개념을 적용한 사정 및 평가 - 앙평군 초.중.고등학교별 차이 분석 -)

  • Sohn, Ae-Ree;Kim, Bo-Ram;Kim, Seok-Hyeon;Shin, Young-Jeon;Ahn, Dong-Hyun;Choi, Bo-Youl
    • The Journal of Korean Society for School & Community Health Education
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    • v.9 no.1
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    • pp.1-15
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    • 2008
  • Objectives: The concept of the WHO's 'Health Promoting School (HPS)' has been advocated as an approach enhancing national health promotion through school. Health-promoting schools have existed internationally about 20 years. Yet there are few comprehensive evaluation results. Methods: This study is a cross-sectional survey, aiming to explore the HPS status. A total of 31 elementary, middle and high schools were included, and 260 teachers participated in the study. The schools were assessed based on tools of HPS. Results: 'School health promotion and protection services' and 'school's physical environment' had the highest scores, 80.7 score and 77.4 score, respectively. Community links and action competencies for healthy living were two areas with the lowest scores. Conclusions: These results are a good source of reference for assessment and evaluation of Health Promoting Schools programs. For the improvement of efficiency of Health Promoting Schools programs, cooperation with family and community link and support system would be necessary.

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A Survey on Nurses' Experience of Verbal and Physical Violence in Small and Medium-sized Hospitals (일개 중소병원 간호사가 경험한 언어적, 신체적 폭력 사건 실태)

  • Kang, Ae Jeong;Lee, Mi Suk;Jeon, Mi Yang
    • Journal of muscle and joint health
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    • v.25 no.2
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    • pp.84-91
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    • 2018
  • Purpose: The purpose of this study was to identify the types of violence experienced by small and medium sized hospital nurses. Methods: Data were collected from March 1 to 30, 2017, using self-report questionnaires. Responses from 87 nurses were analyzed using descriptive statistics, $x^2$ test, Fisher's exact test, t-test. Results: The majority of the respondents experienced violence from patients (60.2%), visitors (25.5%), doctors (12.2%), and other staffs (2.0%). Verbal violence (80.5%) and physical threats (74.7%) were more frequent than physical violence (25.3%). Violence occurred throughout the hospital. However, verbal violence ($x^2=20.85$, p=.005) and physical threat ($x^2=20.80$, p=.006) were statistically significant according to the department. Violence occurred most frequently in surgical ward, followed by artificial kidney room, emergency room, and outpatient department. Conclusion: Most nurses are exposed to frequent violence. These results suggest that hospital should improve the respective organizational cultures and develop promotional programs and administrative policies to prevent violence. Also, hospitals should develop of violence intervention policies and education programs and counseling programs for nurses.

Analysis of Information about Food and Nutrition Presented through Various Television Programs - Three Airwaves Broadcasters and Four Comprehensive Programming Channels - (TV 프로그램을 통해 전달되는 식품영양 정보 분석 - 지상파 3개 채널과 종합편성 4개 채널 중심으로 -)

  • Yun, Mieun;Ryu, Hyesook;Choi, Haeyeon
    • Journal of the Korean Society of Food Culture
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    • v.37 no.4
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    • pp.279-284
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    • 2022
  • The purpose of this study is to analyze information about dietary information presented in the television broadcast media in order to determine the optimal communication method that will provide desirable information to the general public. To that end, stakeholders were recruited and trained before and during the study. Three airwaves broadcasters and four comprehensive programming channels were monitored for Three months. The results are as follows. In total 172 food and nutrition programs are reported on. As information from the monitored programs was investigated, results showed a frequency of 136 separate informative programs (79.1%) and 36 entertainment programs (20.9%). Second, the broadcasters included are KBS, MBC, SBS, while the channels are TV Chosun, JTBC, Channel A, and MBN. Third, 109 reports (63.3%) were about ingredients & cuisine, followed by 63 reports (36.7%) on health and diet. This research provides transitional knowledge regarding the correlation between dietary information and the media. Moreover, this research contributes to advocating public health by enhancing the quality from broadcast media about dietary information.