• The Journal of Korean Academic Society of Nursing Education
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• v.19 no.2
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• pp.215-227
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• 2013

Purpose: The purpose of this study is to develop a 12-week web-based obesity management program for elementary school students and to evaluate the appropriateness of the developed program from experts and users. Methods: The development of a web-based obesity management program proceeded through the stages of analysis, design, development, and evaluation. After the application of the web-based obesity management program, the evaluation of appropriateness were conducted for knowledge of obesity, obesity control behavior and satisfaction of the program. Collected data has been analyzed using SPSS 19.0. Results: The name of the program developed by this study is healthful weight management and its URL is http://ihealth.or.kr. There were 6 major menus and 18 sub menus including diet, exercise and behavior modification in this program. This study showed that this web-based obesity management program had high satisfaction for a system and increase knowledge of obesity and obesity control behavior for obese children. Conclusion: We expect the web-based obesity management program for elementary school students developed by this study will be able to lead the practice and participation of obese children and decrease the degree of obesity.

• Child Health Nursing Research
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• v.13 no.4
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• pp.399-406
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• 2007

Purpose: This study was performed to test an obesity management program for elementary school children. The program was assessed by examining its effects on the obesity, dietary attitudes, dietary habits, and exercise habits. Methods: The participants were 65 elementary school children, of which 32 were assigned for the experimental group and 33 for the control group. The experimental group received an 8 weeks obesity management program. The outcome variables were measured before and after the program. $X^2$-test and t-test were used to analyze the data. Results: After the obesity management program, the BMI and fat mass percentage in the experimental group were significantly reduced. The score for dietary attitudes and dietary habits changed in a positive direction. Conclusions: The findings from this study suggest that the obesity management program was effective in decreasing the rate of obesity and increasing the score for dietary attitudes and dietary habits. The program should be effective in the management of obesity in elementary school children.

• Child Health Nursing Research
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• v.12 no.4
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• pp.451-461
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• 2006

Purpose: The purpose of this study was to identify the effects of a obesity management program on BMI, body composition, knowledge, perception and attitudes, mood and exercise habits in obese elementary school children with the goal of developing nursing interventions to promote a healthy lifestyle. Method: The study used a pre-experimental design with a one-group pre-post test. The content of the 8-week obesity management program included obesity education, diet control education, behavioral modification education, counseling, hand-reflexo massage, and exercise. Participants were 36 obese children who were students in elementary schools in K city. Data collection was done from October $4^{th}$ to November $28^{th}$, 2005. The data was analyzed using descriptive statistics and paired t-test. Results: After the students received the obesity management program, their BMI scores were significantly lowered, and scores for mood and excercise habits were significantly improved. Conclusion: The results show this obesity management program is effective in changing the BMI, mood, and behavioral modifications in obese students. The results suggest that this program be utilized to manage obesity in obese children, and that this study be replicated to compare an experimental group with a control group in order to verify the effects of the obesity management program.

• Journal of Korean Medicine for Obesity Research
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• v.5 no.1
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• pp.109-119
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• 2005

Objective : The purpose of this study was to evaluate the effectiveness of obesity management program on height and body Composition and its correlationship with constitution types, obesity grade, and the frequency of attendance among the elementary school student. Methods : The subjects consisted of 75 elementary school student who participated in the obesity management program and got the constitution type test and height and height-body composition test(2 times). The program contained proper lifestyle education, dietary education, exercise and so on once a week for nine weeks. The data were analyzed with SPSS 12.0 for Windows. Results : Height and body composition were significantly improved at the post-test. Among constitution types, obesity grade, and the frequency of attendance, obesity grade by BMI was correlated with the change of height and body composition. Conclusion : These results provides evidence that obesity management program is effective in improving height and body composition for elementary school student.

• Journal of the Korean Society of School Health
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• v.20 no.2
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• pp.1-12
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• 2007

Purpose: This study was to examine the effects of a obesity management program for obese children at a urban elementary school. Methods: The study subjects were fifty five 4^th-6^th graders (experimental = 29, control = 26) whose obesity indices were 120% or over fiunr two schools in a urban area. Obesity management program was conducted weekly 12 sessions with 60-day morning group exercises. Study instruments were Imbody 310 (BIOSPACE, 2005) and summated scales. Data were collected from April 6 to June 22, 2006 and analysed by descriptive statistics, X²-test and ANCOVA using SPSS/PC+ 14.0 program. Results: 1. Obesity management program was effective to reduce body weight (t = -2.54, p = .014), fat mass percent (t = -2.37, p = .021) and to increase muscle mass (t = 2.36, p = .022). And all these were also significant statistically in ANCOVA 2. Obesity management program were also effective to decrease level of obesity (t = -3.28, p = .002), and that of stress (t = -2.19, p = .033) and to improve food habit (t = 2.52, p = .016). And all these were also significant statistically in ANCOVA. Conclusion: School-based obesity management program for obese children was effective to reduce weight, fat mass percent, obesity, and stress; increase muscle mass; and improve food habit. School-based obesity management program, therefore, can be recommended as a health promotion measure in elementary school as curricular basis.

• Child Health Nursing Research
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• v.13 no.3
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• pp.257-264
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• 2007

Purpose: The purpose of this study was to develop an effective obesity management program for elementary school children, based on the motivation theory. Method: This study was a methodological study. A child obesity management program, based on the motivation theory was developed, a web site was made and children with obesity participated in the internet program. After the children finished the program, they evaluated the clinical validity of the program. The clinical validity was tested from Jun 12 to 16, 2006. The participants were 6 students. The evaluation tool was Keller's IMMS(Instructional Material Motivation Survey). Data were evaluated using $means{\pm}SD$ for four major components A,R,C,S (Attention, Relevance, Confidence, Satisfaction), based on ARCS in the motivation theory. Results: The program developed in this study was named 'ARCS children obesity escape', and the URL is 'http://www.119kid.co.kr'. Regarding the four components of ARCS, the overall reaction of participants showed that they were very highly motivated by this program. Conclusion: Utilizing the ARCS motivation strategies for solving obesity problems for children is an effective method to motivate the management of obesity, and can increase achievement motivation, attention, relevance, confidence, and satisfaction with the management of obesity. Thus, the program developed in this study is expected to reduce obesity in children, and become an important guide for obesity management and health improvement for children.

• Journal of Korean Public Health Nursing
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• v.27 no.3
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• pp.619-632
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• 2013

Purpose: The purpose of this study was to develop an obesity management program for obese children and examine its effects on body composition, self-efficacy, and health promotion. The obesity management program was based on a KAP & HBM mixed model and consisted of health education and group playing exercises. Method: This study was implemented at one elementary school in K city for a total of 12 weeks. The study subjects were a single group, and their body composition, self-efficacy, and health promotion were assessed at both pre-treatment and post-treatment. Data were analyzed by Wilcoxon Signed Rank Test using SPSS WIN 20.0. Result: After the program, the average height of subjects increased by 0.9cm (p=.001), whereas BMI decreased by $0.64kg/m^2$ (p=.003), obesity index decreased by 3.79% (p=.003), and body fat decreased by 1.34% (p=.002). There were significant effects on diet self-efficacy (p=.027), exercise self-efficacy (p<.001), and health promotion (p=.001). Conclusion: This obesity management program reduced the degree of obesity and improved self-efficacy and health promotion. Therefore, the obesity management program is an effective intervention method for elementary-aged obese children.

• Journal of Korean Biological Nursing Science
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• v.22 no.4
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• pp.232-248
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• 2020

Purpose: The purpose of this study was to develop and apply a motivation-strengthening obesity management program for obese subjects with visual impairment and evaluate its effects. Methods: The program development and evaluation periods were from March to August 2018. The study design was an experimental study of non-equality, control repeat design. 25 subjects in the experimental group participated in the 12-week obesity management program and the 26 people in the control group did not. Results: The motivation-strengthening obesity management program included stretching exercises for 30 minutes in the morning five times a week. In addition, counseling, education, and group discussions were continued once a week for motivational strengthening. Special custom exercises for blind patients were also completed once a week simultaneously. Both of these activities were continued for 50 minutes a week for a total of 12 weeks. Measurements were recorded periodically to identify the sustained effects of the program. The obese subjects with visual impairment improved their knowledge of obesity, perceived disability, self-efficacy of exercise, and quality of life related to obesity through the motivational obesity management program. Waist circumference, systolic blood pressure, diastolic blood pressure, and fasting blood sugar were also improved in obese subjects. Conclusion: The study findings indicate that this program could be an active intervention for the control of weight gain in participants with visual impairment. Therefore, the motivation-strengthening program based on the ADDIE (Analysis, Design, Development, Implementation& Evaluation) model could be an effective strategy for better health outcomes of obese subjects with visual impairment.

• Korean Journal of Health Education and Promotion
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• v.19 no.3
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• pp.97-105
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• 2002

This study attempts to develop a program for obesity prevention and management for students in primary, middle, and high school and was carried based on the program development process as suggested by Ewles and Simnett. Data were collected from September 1st to September 30th, 2000. The study method is as follows: 1) Reviewing the present obesity control programs practiced in primary, middle, and high school (196 schools total) in metropolitan, medium-sized, and small cities, 2) Surveying obesity students'(682 students total) perception of the obesity management in their school. 3) Reviewing the annual plan for obesity in primary, middle, and high schools 4) Analyzing the educational data (CD, VIDEO) for obesity The results are as below: I. The media researched related to obesity were mainly CD and video, aimed primarily primary school students and are biased in nature. 2. The results of how to manage obesity in students: the difficulty of obesity education in the primary school, is the arousal of a sense of shame among obese students and the lack of various educational data are the most. In the middle and high schools, a lack of various educational data, and no time or lack of time were prevailing concerns. Paramount in managing obesity is weight control, as answered by majority of primary, middle, and high school students. The major problem of obesity management is the non-cooperation of children. 3. Asked whether the weight controlling aspect of health care class was helpful or not, 51.4% of primary school students, and 71.6% of middle and high school students answered not. The most popular educational method used in health care class is the computer, with a 56.4% approval rating. Most 43.5% of respondents answered that they wanted the content of obesity management program to focus on how to lose weight. Therefore, based on the results, the obesity management program is constructed to the steps of assessment, planning, implementation, and evaluation. Assessment includes administering surveys on health needs among students and their parents and physique tests. Planning includes the set-up of long term and short term educational goal and the establishment of an operation system. Implementation includes education, exercise, behavior modification, and health service programs. Evaluation includes step-by-step evaluations for obesity reduction. After this study is conducted, the following should be further researched: More practical and systematic obesity management programs should be developed for the evaluation results. In addition, it is important to develop an appropriate media for obesity management the primary, middle and high school students.

• Korean Parent-Child Health Journal
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• v.10 no.1
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• pp.65-76
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• 2007

Purpose: This study was to determine the effects of a combined obesity management program in obese women. The study also attempted to measure the effects of the program on blood lipid, body mass index, dietary calory and dietary habit. Method: This research employed a one group pretest-posttest design. A total of 251 obese women(BMI: over 25) were selected for this research. The subjects in a combined obesity management program (combined exercise therapy and dietary therapy) for 8weeks. Results: After performing the program for 8 weeks, the result were follows. 1) There were significant reduction in total cholesterol(t=4.10, p= .00), triglyceride(t=5.09, p= .00) but no significant reduction BMI. 2) There were reduction in dietary calory, but no significantly. 3) There were significant increase in dietary habit. Conclusion: From these findings, it was confirmed that a combined obesity management program for obese women can decrease TC, TG, BMI and increase dietary habit. Therefore, this program can be utilized for various population groups including women, and further researches are required on program for men, elderly.