• Asian Pacific Journal of Cancer Prevention
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• 제13권5호
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• pp.2419-2423
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• 2012

Context: Genuine community participation does not denote taking part in an action planned by health care professionals in a medical or top-down approach. Further, community participation and health education on breast cancer prevention are not similar to other activities incorporated in primary health care services in Iran. Objective: To propose a model that provides a methodological tool to increase women's participation in the decision making process towards breast cancer prevention. To address this, an evaluation framework was developed that includes a typology of community participation approaches (models) in health, as well as five levels of participation in health programs proposed by Rifkin (1985&1991). Method: This model explains the community participation approaches in breast cancer prevention in Iran. In a 'medical approach', participation occurs in the form of women's adherence to mammography recommendations. As a 'health services approach', women get the benefits of a health project or participate in the available program activities related to breast cancer prevention. The model provides the five levels of participation in health programs along with the 'health services approach' and explains how to implement those levels for women's participation in available breast cancer prevention programs at the local level. Conclusion: It is hoped that a focus on the 'medical approach' (top-down) and the 'health services approach' (top-down) will bring sustainable changes in breast cancer prevention and will consequently produce the 'community development approach' (bottom-up). This could be achieved using a comprehensive approach to breast cancer prevention by combining the individual and community strategies in designing an intervention program for breast cancer prevention.

• 보건교육건강증진학회지
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• 제32권4호
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• pp.67-78
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• 2015

Objectives: This study aims to examine the trends of mobile-health research in terms of community participation. Methods: A set of 24 peer-reviewed articles were identified for review. Two authors independently reviewed the articles using a literature review matrix and reexamined as a team. Review categories include: general characteristics, research methods, levels and ranges of community participation, and research topics. Results: Most of the articles were published in 2013-2014, including one domestic paper. Multidisciplinary approaches were used in 65% of the studies. Community participation was at low or mid-levels of Arnstein's participation model. In mobile-health research so far, the level of participation tends to improve as more diverse stakeholders participate in health promotion initiatives with mobile-health. The review yielded five types of mobile-health research for community health promotion: improving the quality of primary healthcare through the community health workers' capacity enhancement; improving the data collection capabilities; facilitating exchanges of community information and resources; reinforcing community identity; and monitoring physical environment of the communities. Conclusions: Although at an early stage of research development, application of mobile-health to community health promotion via participation has a potential. Multi-disciplinary approaches should be fostered for further development.

• Asian Pacific Journal of Cancer Prevention
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• 제16권16호
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• pp.7375-7379
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• 2015

A high prevalence of Opisthorchis viverrini infection is usually found in wetland geographical areas of Thailand where people have traditional behavior of eating uncooked freshwater fish dishes which results in cholangiocarcinoma (CCA) development. There were several approaches for reducing opisthorchiasis-linked CCA, but the prevalence remains high. To develop community participation as a suitable model for CCA prevention is, firstly, to know what factors are related. We therefore aimed to investigate factors associated with the community participation in CCA prevention among rural residents in wetland areas of Ubon Ratchathani, Thailand. This was a cross-sectional analytic study. All participants were 30-69 years of age, and only one member per house was invited to participate. A total of 906 participants were interviewed and asked to complete questionnaires. Independent variables were socio-demographic parameters, knowledge, health belief and behavior to prevent CCA. The dependent variable was community participation for CCA prevention. Descriptive statistics were computed as number, percentage, mean and standard deviation. Associations were assessed using logistic regression analysis with a P-value <0.05 considered statistically significant. Of all the participants, more than 60% had regularly participated in activities to prevent CCA following health officials advice. Age and health behavior to prevent CCA were factors associated with community participation for CCA (p<0.001). Both factors will be taken into consideration for community participation approaches for CCA prevention through participatory action research (PAR) in future studies.

• Asian Pacific Journal of Cancer Prevention
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• 제14권5호
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• pp.2891-2896
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• 2013

Background: To illustrate multiple approaches and to assess participation rates adopted for a community based smoking cessation intervention programme in rural Kerala. Materials and Methods: Resident males in the age group 18-60 years who were 'current daily smokers' from 4 randomly allocated community development blocks of rural Thiruvananthapuram district, Kerala (2 intervention and 2 control groups) were selected. Smoking status was assessed through house-to-house survey using trained volunteers. Multiple approaches included awareness on tobacco hazards during baseline survey and distribution of multicolour anti-tobacco leaflets for intervention and control groups. Further, the intervention group received a tobacco cessation booklet and four sessions of counselling which included a one-time group counselling cum medical camp, followed by proactive counselling through face-to-face (FTF) interview and mobile phone. In the second and fourth session, motivational counselling was conducted. Results: Among 928 smokers identified, smokers in intervention and control groups numbered 474 (mean age: 44.6 years, SD: 9.66 years) and 454 respectively (44.5 years, SD: 10.30 years). Among the 474 subjects, 75 (16%) had attended the group counselling cum medical camp after completion of baseline survey in the intervention group, Among the remaining subjects (n=399), 88% were contacted through FTF and mobile phone (8.5%). In the second session (4-6 weeks time period), the response rate for individual counselling was 94% (78% through FTF and 16% through mobile phone). At 3 months, 70.4% were contacted by their mobile phone and further, 19.6% through FTF (total 90%) while at 6 months (fourth session), the response rate was 74% and 16.4% for FTF and mobile phone respectively, covering 90.4% of the total subjects. Overall, in the intervention group, 97.4% of subjects were being contacted at least once and individual counselling given. Conclusion: Proactive community centred intervention programmes using multiple approaches were found to be successful to increase the participation rate for intervention.

• 한국사회복지학
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• 제59권1호
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• pp.27-53
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• 2007

본 연구는 지금까지의 법적 행정적 제도화 중심에서 벗어나 지역사회문화 중심의 지역사회참여 증진 전략을 도출하고자, 지역사회정신이자 문화인 지역사회응집력의 세 가지 영역 즉 지역사회 네트워크, 지역사회연대감, 장소 애착감과 지역사회참여와의 관계를 경로분석을 통하여 분석하였다. 분석결과 지역사회응집력의 세 가지 영역은 모두 지역사회참여에 긍정적으로 영향을 미치고 있었고, 이 중 주민특성을 고려할 때 지역사회연대감과의 관계를 통한 지역사회 참여 증진 전략이 가장 적합한 것으로 나타났다. 그리고 여성은 참여수준이 낮은 것으로 나타났다. 이러한 결과에 근거하여, 노인의 지역사회지식 활용과 나눔 전략, 주민의 장기거주 및 최종정착 유도 전략, 저소득계층의 소득증진 및 창출 전략, 종교조직과 구성원의 지역사회책임성 증진 전략, 여성참여의 의도적 확대 및 적합성 전략을 지역사회참여 증진 전략으로 제시하였다. 궁극적으로 본 연구의 의의는 지역사회 주민-문화적 자산중심의(residents-cultural asset driven) 통합적 지역사회복지계획 산출의 기반 조성에 기여하는 데 있다.

• 보건교육건강증진학회지
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• 제32권4호
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• pp.1-11
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• 2015

Objectives: This paper reviews the main principles and values underlying health promotion and reflects upon recent health promotion efforts in Korea. Methods: The essay approaches these issues through the framework of the Ottawa Charter for Health Promotion (WHO, 1986) and other related (WHO) documents. The Ottawa Charter has been an important basis for health promotion worldwide over the last three decades since 1986. Emphasizing the instrumental value of health and the prerequisites for health, it provides the definition of health promotion and elaborates the strategies for health promotion as well as the main health promotion actions. Results: Beyond the values of health as both a fundamental human right and a resource for everyday life, the values and principles related to health promotion shown in WHO documents and other literature include holism, social justice and equity, public and community participation, autonomy, empowerment, socioecological approaches to health, sustainability, intersectoral collaboration, partnership-building, responsibility for health, and so on. Conclusions: Reflecting, subjectively, on health promotion efforts in Korea, some values, including holism in terms of target population, equity, public and community participation, empowerment, and socio-ecological approaches have been realized to some extent, while other values like intersectoral collaboration and partnership have not been considered sincerely in public efforts relating to health promotion. Therefore, future health promotion efforts in Korea should concentrate on incorporating these critical values and principles-based approaches into health promotion activities.

• 한국노년학
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• 제27권2호
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• pp.427-443
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• 2007

본 연구는 노인의 심리적 복지의 하위개념인 자아존중감에 영향을 미치는 요인을 노년기 일자리 참여요인과 인구사회학적 특성, 경제특성, 건강특성을 포함한 노인의 일반적 특성요인을 중심으로 살펴보았다. 자료 수집은 구조화된 설문지를 이용 일대일 면접을 통해 이루어졌으며, 노인일자리사업 참여노인 145명과 비참여노인 150명을 분석대상으로 선정하였다. 분석방법으로는 t-test, ANOVA, 다중회귀분석을 사용하였다. 연구결과, 노년기 일자리 참여집단(38.93점) 노인들이 비참여집단(33.19점) 노인들에 비해 자아존중감 수준이 통계적으로 유의한 수준에서 높게 나타났다. 일자리 참여특성별로 살펴보면, 자아존중감은 '참여기간'과 '경제적 도움정도'에 의해 유의한 차이가 있었다. 또한, 일반적 특성요인들과 일자리 참여여부 요인을 중심으로 다중회귀분석을 실시한 결과 자아존중감에 대한 설명력은 29.8%이며, '일자리 참여여부'와 '주수입원', '주관적 건강상태'가 영향을 미치는 것으로 나타났다. 특히 일자리 참여여부가 자아존중감에 가장 큰 영향력을 가진 변인으로 나타나 노년기 심리적 복지에 기여하는 중요한 요인임을 시사하고 있다.

• Educational Technology International
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• 제18권2호
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• pp.131-157
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• 2017

The purposes of the study were to investigate the participation of artists in paper circuit computing learning and to conduct an in-depth study on the formation and development of practical knowledge. To do this, we selected as research participants six artists who participated in the learning program of an art museum, and used various methods such as pre-open questionnaires, participation observation, and individual interviews to collect data. The collected data were analyzed based on community of practice theory. Results showed that the artists participated in the learning based on a desire to use new technology or find a new work production method for interacting with their audiences. In addition, the artists actively formed practical knowledge in the curriculum and tried to apply paper circuit computing to their works. To continuously develop the research, participants formed a study group or set up a practical goal through planned exhibitions. The results of this study can provide implications for practical approaches to, and utilization of, paper circuit computing.

• 한국보건교육건강증진학회:학술대회논문집
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• 한국보건교육건강증진학회 2005년도 국민건강증진법 제정 10주년 국제학술대회
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• pp.231-252
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• 2005

Community action is an essential component for health promotion. Through effective community action, a community can gain control over its health & health determinants, and improve the quality of its life. The Ottawa Charter for Health Promotion (WHO, 1984)stated that a health promotion program that stimulates and strengthens community health activity is one of the five main action areas in the field of health promotion. This paper reviews the meaning and key concept of community health promotion action, and discusses ways to strengthen community action as defined by the Ottawa Charter for Health Promotion. It discusses the principle of community participation for health promotion, and, taking a successful example of a community-based health promotion program, it provides an illustrative example of how to build partnerships and coalitions in a community. Community development theories for community-based approaches are also introduced, along with their key concepts. Finally, the paper assesses the barriers to effective community health promotion action in Korea, and proposes several strategies for strengthening community action for health promotion.

• 한국지역지리학회지
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• 제14권4호
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• pp.418-435
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• 2008

본 연구는 최근 증가하고 있는 농촌체험관광마을을 대상으로 장소자산의 관점에서 지역 발전의 주체인 지역주민의 참여와 역할에 대한 이론적 고찰을 통해 농촌체험관광마을을 유형화하고 유형기준에 따라 경기도 4개 지역을 분석하였다. 연구 결과 농촌체험관광마을은 개별적 조직화형, 공동체적 조직화형, 개별적 통합형, 공동체적 통합형으로 유형화하였고 공동체적 조직화형으로 발전하도록 지역사회 공동체성에 대한 인식을 환기하고 접근방법의 근본적 전환이 요구됨을 제안하였다.