• Title/Summary/Keyword: community-based program

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The Process Evaluation of Community Home Nursing Program (미국 CHAP 인정도구에 의한 지역사회 가정간호 시범사업의 평가)

  • Yi, Sung-Eun;Kim, Sung-Sil;Kim, Chun-Gil;Ahn, Yang-Heui;Yang, Soon-Ok;Park, Gyung-Suk
    • Journal of Home Health Care Nursing
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    • v.13 no.1
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    • pp.46-53
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    • 2006
  • Chunchoen Community Home Nursing Program (CCHNP) sponsored by Chuncheon City and Gangwondo Nurses Association was the first trial of community based home health nursing in Korea. The services have started since 1996. The purpose of the study was the evaluation CCHNP to establish standard of community based nursing program in Korea. The methods of evaluation were quantitative and Qualitative approaches. Evaluation for organization and management were conducted by the American Community Health Accreditation Program Standards With the result. several recommendations were suggested : It is necessary to expand the program to all the Gangwondo cities. And the liaison system is necessary between medical care facilities and community nursing home agency to establish the continuity of health care delivery system in home nursing program. Also it is necessary to set up the supporting system between community home nursing care agency and hospital home nursing department. Finally, the National Health Insurance should cover the cost of community home nursing care.

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The Home and Community Based Care(HCBC) Program for the Rural Elderly in the United States (미국의 농촌노인을 위한 지역사회보호 지원프로그램)

  • 한경혜
    • The Korean Journal of Community Living Science
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    • v.13 no.2
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    • pp.77-86
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    • 2002
  • The purpose of this study is to review the Home and Community Based Care Program in the United States and to examine the ways these programs help the rural elderly to maintain independent living in their own home in the community instead of moving into the nursing home. First, the overall welfare policy for the aged and service delivery systems in the United States are reviewed. Second, basic assumptions and programs of HCBC are reviewed. Third, using the informations about the elder support program in Madison, Dane County of Wisconsin as a case, various kinds and contents of specific programs are introduced. Applicability of these programs to rural Korea is discussed.

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A Community-Based Integrated Preventive Program of Depression and Its Effectiveness in Caring for Vulnerable Elderly (취약계층 노인의 우울예방을 위한 지역사회기반의 통합프로그램 개발 및 효과검증)

  • Ahn, Yang-Heui
    • Research in Community and Public Health Nursing
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    • v.14 no.2
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    • pp.287-298
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    • 2003
  • The purpose of the study was to develop an integrated prevention program to strengthen elders self-care capability and to examine its effectiveness on their psychological condition. This study used one group pre- and post-test design. Subjects were 85 elderly residents (over 65 years of age) who lived alone, and received free basic medical care and social welfare services in a rural community in Korea. Subject eligibility criteria for this study were to an elders who 1) is not currently taking any anti-depressant medication 2) is able to communicate, and 3) agrees to participate in this study. The integrated program was composed of horticulture, reminiscence, and friendship activities. Twelve sessions were provided for 12 weeks in community-based partnerships to achieve better outcomes. The intervention was case-managed by a public health nurse and aided by six volunteers. The main outcome variable was depression, which was assessed by using 15 items selected from the Geriatric Depression Scale-short form Korean version. Socio-demographic characteristics, functional status, and satisfaction with social support were used as covariates. Results showed that there was a significant intervention effect at post-intervention time point compared to pre-intervention time point(E.S. 0.94). Multiple linear regression analysis showed significant interaction effects between intervention and satisfaction with social support. These findings must be interpreted within the context that an effects of an integrated program could be more synergistically increased when social support factor is considered in the program. A community-based integrated prevention program of depression is effective for vulnerable rural elderly. It is suggested that randomized controlled trials within community setting for better methodological strength as well as multi-level outcomes on community need to be conducted in future.

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The Effects of an Educational Drama Program for Promoting Young Children's Sense of Community (유아 공동체의식 증진을 위한 교육연극 프로그램의 효과 연구)

  • Chung, Kai-sook;Park, Hee-kyung;Kim, Ji-Yoon
    • Korean Journal of Childcare and Education
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    • v.15 no.3
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    • pp.135-155
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    • 2019
  • Objective: The purpose of this study was to develop and examine the effects an of educational drama program for promoting a sense of community on young children's community life skills. Methods: The program organized activities to achieve a sense of community. Community life skill, a behavioral skill that is the basis for developing a sense of community, was naturally reflected in the activities. The program was designed to run a total of 15 sessions twice a week for 60 minutes each time. The participants were five-year-olds, 27 in the experimental group and 26 in the control group. In order to examine the effects of the program, a sense of community and community life skills were measured and the data were analyzed with T-test. Results: The results are summarized as follows: first, the program had positive effects on emotional consciousness and mutual public consciousness of sense of community; second, community life skills were improved through this program. Conclusion/Implications: Based on these results, the effectiveness of the educational drama program for promoting young children's sense of community and the ways to promote children's sense of community in early childhood education institutes were discussed.

Developing a Community Capacity Builded Exercise Maintenance Program for Frail Elderly Women (지역사회 역량강화 전략을 이용한 재가 허약여성노인의 운동유지 프로그램 개발)

  • Choi, Yeon Hee;Hong, Sun Yi
    • The Korean Journal of Rehabilitation Nursing
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    • v.18 no.2
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    • pp.153-164
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    • 2015
  • Purpose: This study was conducted to develop a community capacity builded exercise maintenance program for frail elderly women. Methods: As a guideline to develop the exercise maintenance program, the intervention mapping framework, including needs assessment, setting program goals, selecting theory-informed intervention methods, producing program components, planning program implementation and evaluation, was used. Focus group interviews with public health nurses and frail elderly women were conducted for needs assessment. Intervention strategies and components were formulated based on community capacity theory. Results: The developed exercise maintenance program consisted of strategies focusing on leadership development, partnership construction, organization development, community systematization of dimension of community capacity. A exercise maintenance program using health leader, health contract, exercise pocketbook, rhythmic activity suiting song and self-help group was included. Conclusion: The intervention mapping method was found to be useful to develop theory-based valid and community capacity builded exercise maintenance strategies for frail elderly women.

A Systems Thinking Study on the Program Management of Community Child Centers in Daegu Metropolitan Area (대구지역의 지역아동센터 프로그램 운영에 관한 시스템사고적 고찰)

  • Cho, Sungsook
    • Korean System Dynamics Review
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    • v.17 no.2
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    • pp.57-79
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    • 2016
  • This study aims to examine the dynamics of the variables related to the program management of Community Child Centers in Daegu metropolitan area and further search for the measures to activate its development based on the Systems Thinking. For these purposes, the study deals with the followings. Firstly, it overviews the legal bases of the Community Child Centers and its present condition and further reviews the relevant studies. Secondly, it summarizes its methodologies. Thirdly, based on the results of the questionnaire and interviews, it draws the major variables to understand its program management and analyzes its causal feedback structure and dynamics. Lastly, it concludes with the measures to activate its program management. This study is expected to make a useful resource to dynamically understand the program management issue of the Community Child Centers in Korea.

The Effects of Community-based Exercise Program to Improve Leg Muscle Strength and Balance for Elderly Women (노인여성의 하지근력 및 평형성 향상을 위한 지역사회 운동프로그램의 효과)

  • Kim, Nan-Soo;Kim, Jong-Soon;Lee, Hyun-Ok
    • Journal of the Korean Society of Physical Medicine
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    • v.5 no.4
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    • pp.569-576
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    • 2010
  • Purpose : This study was aimed at determining the effects of community-based exercise program to improve leg muscle strength and balance for elderly women. Methods : This study was nonequivalent control group pre-post test design. Subjects were assigned to two different groups(exercise group=11, control group=7). Exercise group performed community-based exercise program for 8 weeks. Outcome measures included leg muscle strength, balance, walking velocity, activities of daily living(ADL), exercise self-efficacy and health-related quality of life(QoL). The collected data analyzed by independent t-test and paired t-test. Results : Leg muscle strength, walking velocity and mental component summary(QoL) were significantly improved in the exercise group. But balance and exercise self-efficacy were significantly worsened in the control group. There were no significant difference between groups after 8 weeks of community-based exercise. Conclusion : These results suggested that the community-based exercise program is effective for elderly women in improving leg muscle strength, walking velocity and mental component summary(QoL).

The Effect in Oral Health Promotion Program Based on Community Networking for Elementary School Students from Community Child Center (지역사회 협의체 중심의 지역아동센터 구강건강증진 프로그램의 효과)

  • Yum, Jong Hwa;Kim, Hye-Jin;Kwon, Myoung-Hwa;Shin, Sun-Jung
    • Journal of dental hygiene science
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    • v.14 no.2
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    • pp.214-222
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    • 2014
  • This study measures the effect of oral health promotion program based on community networking for elementary school students in community child center. The community networking were constructed of community health center, headquarters for community child center and school of dental hygiene in community. First, we were educated the student and teacher of community child center, separately. Community health center planned and evaluated the program, and school of dental hygiene ran the maintenance program once a month for 3 months and evaluated the program. The teacher of community health center were supported and monitored the children. The comparison was done in independent t-test of awareness, knowledge and behavior of children of community child center in both lower grades and upper grades and paired t-test of patient hygiene performance (PHP) index was conducted before and after oral health promotion program. As a result, PHP index and oral health knowledge increased significantly after oral health program in lower grades and upper grades (p<0.001). The positive attitude for oral health about "Whatever I do, my tooth-will be decayed" increased more in upper grades better than lower grades after oral health promotion program (p<0.05). We suggest that oral health program based on community networking should be constructed for oral health promotion of elementary school students in community child center.

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

  • Kim, Jong Im;Kim, Sun Ae;Kim, Jiyoung
    • Journal of the Korea Convergence Society
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    • v.12 no.1
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    • pp.293-303
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    • 2021
  • This study aimed to confirm the nature of the experiences of elderly living alone who participated in the BeHaS program using community-based participatory research. 6 elderly living alone with metabolic syndrome participated as participants, and they played a role as a leader when conducting the 12 weeks BeHaS program as a community-based participatory study. Data was collected using focus group interview. As a result, Six categories were derived; 'the burden of becoming a research participant', 'knowing a new program', 'getting into the BeHaS program', 'having a new leadership', 'knowing about metabolic syndrome health care', 'Feeling worth through a changed self'. Therefore, this study has identified the nature of the experience of participating in the BeHaS program for metabolic syndrome through a community participation-based study targeting the elderly living alone, and it will be able to provide basic data for the operation and program settlement strategies in the Community of the BeHaS program in the future.

Effect of Health Promotion Program for Community Elderly (지역사회 거주 노인을 위한 건강증진 프로그램의 효과)

  • Yang, Mi-jeong;Yun, Kyung-soon;Cho, Sook-hee
    • The Journal of Korean Society for School & Community Health Education
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    • v.22 no.2
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    • pp.25-40
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    • 2021
  • Objectives: The purpose of this study was to examine effects of health promotion program based on self-efficacy theory on physiological indicators, self-efficacy, grits, and health promotion behavior in community elderly. Methods: A non-equivalent control group pre-post test design was used. The intervention group received the health promotion program based on self-efficacy theory for 8 weeks from October 8 to November 26, 2020. Results: t-test showed that systolic blood pressure (t=-2.12, p=.040), self-efficacy (t=3.78, p<.001), grit (t=3.75, p<.001) and health promotion behavior (t=2.89, p=.002) were significant differences between the two groups. In other hands BMI (t=-1.26, p=.213), diastolic pressure (t=-1.07, p=.287), total cholesterol (t=-1.67, p=.102), LDL-cholesterol (t=-0.76, p=.451), HDL-cholesterol (t=-0.57, p=.567) and triglyceride (t=-1.76, p=.094) were no significant difference between two groups. Conclusions: The health promotion program based on self-efficacy theory was found to be an effective nursing intervention program in improving physiological indicators, self-efficacy, grit and health promotion behaviors of community elderly.