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Development of Program Evaluation Indicator : Community Health Center's Health Promotion Program (보건소 건강증진사업 평가지표 개발)

  • 송현종;진기남
    • Health Policy and Management
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    • v.13 no.4
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    • pp.1-27
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    • 2003
  • The purpose of this study was to develop the evaluation indicator for the health promotion programs of the Community Health Centers and to test its validity. The modified logic model was used as the evaluation model based on the literature reviews. Using this model, four dimensions, eleven sub­dimensions, and forty­one individual indicators were developed. These evaluation indicators are superior in reflecting the distinctiveness of the community health promotion programs, and also flexible enough to accommodate diverse programs. These indicators also emphasize the role of process evaluation, and the diversity of outcomes. To test content validity, survey method of experts in the community health promotion field was conducted. Eleven in three expert groups(professionals, practitioners in Community Health Centers, and policy makers) generally agreed with the validity of evaluation indicators. To examine criteria and construct validity, these indicators were used to evaluate the health promotion programs conducted by the 18 Key Community Health Centers. The data came from the interview surveys of the main health promotion practitioner and 30 visitors from each center. The ranks of these eighteen Community Health Centers were computed from these data. There was no significant difference in ranking either by these indicators or by the existing indicators, which was developed by Technical Support and Evaluation Team for criteria validity. There was no statistically significant difference in ranking between input, process and outcome dimensions. Based on these study results, evaluation indicators developed in this study are valid to evaluate Community Health Center's health promotion program. It can be used both by the Community Health Center for internal evaluation, and by the stakeholders for external evaluation.

Effects of the Attachment Promotion Therapy Program for the Children with Autistic Spectrum Disorder (자폐장애 아동을 위한 애착증진치료 프로그램의 효과)

  • Im Sook-Bin;Ju Se-Jin;Hong Kang-E M.
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.17 no.2
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    • pp.91-97
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    • 2006
  • The effects of the Attachment Promotion Therapy (APT) program for the autistic children were reviewed by 8 papers. The program was consisted with play activity centered mother-child interaction, educational activity for parents, lecture, video-feedback, and support. APT program was effective to improve the attachment behaviors and attachment security. And the mother's behaviors to her child became more child-centered, positively responsive, expressive supportively. Ninety six point seven percent of the mothers were satisfied with the APT program. They described that it was helpful to understand their children's developmental limitation and strength, to learn how to play with their children, to make supportive social network among the mothers, to minimize familial conflicts, and to make them much more comfortable with their children. They thought the APT Program was to be a steppingstone of the further educational program. APT program is an effective early intervention to promote social development and decrease autistic problems.

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The Effects of a Health Promotion Program for Elderly (노인을 위한 건강증진프로그램 적용효과)

  • Han, Sang-Sook;Kim, Won-Ock;Hyun, Kyung-Sun;Won, Jeong-Sook;Kim, Kwuy-Bun
    • Journal of Korean Academy of Nursing
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    • v.35 no.6
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    • pp.1054-1062
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    • 2005
  • Purpose: The purpose of this study was to develop and to evaluate a health promotion program for elderly. Method: Subjects were 63 elderly women (experimental group:33, control group:30). The study was a nonequivalant control group pretest-posttest design. The data was analyzed with an SPSS Window program, then the data was computed for the purpose of each study. Result: 1. In designing the program, the experimental group was given health education - 2 times per week, for 8 weeks - and they participated in recreation programs and stretching exercises five times a week. 2. Stretching exercises including health education, significantly affected the total Cholesterol, HDL-cholesterol, triglycerides, health behavior and self-efficacy. 3. The body fat weight was not significantly affected by the stretching exercises. Conclusion: This program was tested to promote the health of elderly and verified as an effective nursing intervention program, because the outcome of this program ascertains that this program enhances self efficacy of exercise, reduces Cholesterol and triglyceride levels' Increases HDL-cholesterol, and helps promote the understanding of heath behavior.

A Predictive Model of Health Promotion Behavior in Obese School-Age Children (학령기 비만아동의 건강증진행위 예측모형)

  • Jeon, Mi-Suk;Kim, Hyeon-Ok
    • Journal of Korean Academy of Nursing
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    • v.40 no.2
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    • pp.264-276
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    • 2010
  • Purpose: The purpose of this study was to propose and to test a predictive model that could explain and predict the health promotion behavior of obese school-age children in Korea. Methods: Participants for this study were 365 students from 13 elementary schools located in Jeonbuk Province, Korea. The data were analyzed using SPSS 15.0 program and Amos 7.0 program. Results: The results verified the factors that influence health promotion behavior of the participants. Important direct factors were prior health-related behavior, perceived self-efficacy, and commitment to a plan of action and indirect factors were perceived barrier and activity-related effect. These factors explained 75.3% of variance in the participants' health promotion behavior. The proposed model was concise and extensive in predicting health promotion behavior of the participants. Conclusion: Findings may provide useful assistance in developing effective nursing interventions for maintaining and promoting health promotion behavior in obese school-age children.

The Effect of Health Promotion Behavior on Emotional Happiness

  • Lee, Byunghyun;Kim, Jungae
    • International Journal of Advanced Culture Technology
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    • v.7 no.1
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    • pp.20-27
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    • 2019
  • This study was designed to examine the affect health promotion behavior to emotional happiness for 20-30's in Korea through cross-sectional descriptive research. There were a total of 279 people who participated in this study, 198(71.0%) were males and 81(29.0%) were females. The data collection period was from December 1 to 15, 2018. The tools used to measure health promotion behaviors were HPB (Health Promotion Behavior) developed by Walker et al., and emotional happiness was PANAS (Positive and Negative Affect Scale) by Developed by Watson et al., All data was analyzed using SPSS 18.0 program. As a result of analysis, 62 (49.6%) were solving interpersonal problems and stress relief while drinking, and the people who ate twice a day were most frequent. In conclusion, health promotion behaviors have a strong correlation with emotional happiness. Based on the above results, it was suggested that the program of happiness for lining in the 20-30s age groups should strengthen the contents of health responsibility, guidance of substance abuse, formation of social relations and self actualization.

Oral Health Promotion Program Application and Effect for Underprivileged Lower Grade Students (취약계층 아동의 구강건강증진 실천프로그램 적용 및 평가)

  • Jung, Jin-Hee;Jin, Bo-Hyung;Lee, Jung-Nam;Yu, Ju-Yeon
    • The Journal of Korean Society for School & Community Health Education
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    • v.16 no.3
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    • pp.41-50
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    • 2015
  • Objectives: The purpose of this study was to apply an effective oral health promotion program and effect for underprivileged lower grade students. This study attempted to resolve some oral health inequality issues by providing underprivileged children with an oral health action program designed to promote positive oral health maintenance habits. Methods: This study was carried from May to August of 2009 with 77(control group 27 subjects, experimental group 36 subjects) elementary school students selected among first to third graders attending regional welfare center's after school program in Seoul. To the control group, conventional education methods were applied. To the experimental group, newly designed program was conducted by three project experts(1 expert, 1 dentist, 1 dental hygienist). It consisted of 5 sessions and progressed with various activities. It was focused on achieving target knowledge and changing oral health behavior. In order to evaluate the designed educational program, learners' achievement was evaluated with implementing the questionnaire and one-on-one interviews. And also the oral health improvement was evaluated based on change of Patient Hygiene Performance(PHP) index. Results: Based on the results of learners' achievement, the experimental group showed the significant increment of the oral health knowledge by the relapsed time, and it maintained after finished the program(p<0.001). The patient hygiene performance index showed not significant changed(p>0.05), but 1 month later the control group showed an increment of the PHP score, but the experimental group showed a decrement of it. Conclusions: Oral health promotion program by project approach could give a long-lasting educational effect to the children and encouraged proper oral hygiene behavioral changes.

Effects of a Health Promotion Program on Perception of Health Behavior, Physical Fitness and Body Composition in Child Care Helpers (건강증진프로그램이 아이돌보미 여성의 건강행위에 대한 인지, 체력 및 신체조성에 미치는 효과)

  • Lee, Young-Ran;Chu, Min Sun;Park, Sun-Nam;Kim, Hong-In;Choi, Hee-Sook
    • Journal of Korean Public Health Nursing
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    • v.28 no.1
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    • pp.138-148
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    • 2014
  • Purpose: This study was conducted in order to determine the effects of a health promotion program on perception of health behavior, physical fitness, and body composition in child care helpers. Methods: The study had a one group pretest-posttest quasi-experimental design. Data were collected from 38 child care helpers from July 6 to November 9, 2013. The health promotion program consisted of health education, self-exercise, encouragement, and identification. The following data were collected perception(perceived benefit, barrier, and self-efficacy), physical fitness(balance, grasp power, and flexibility), and body composition(body mass index, body fat ratio, waist circumference, and basal metabolic rate) and analysis was performed using on SPSS WIN 18.0. Results: Self-efficacy showed a significant increased. Body mass index, body fat ratio, and waist circumference showed a significant decreased. No significant difference in perceived benefit, barrier, physical fitness, and basal metabolic rate was observed between pre-test and post-test. Conclusion: This health promotion program had an effect on self-efficacy and body composition in child care helpers. Therefore, this health promotion program for child care helpers can be recommended as an effective nursing intervention.

Effect of Lifestyle Modification Program on Blood Pressure Improvement in Patients with Hypertension (고혈압 환자에서 생활습관 개선 프로그램의 혈압개선효과)

  • Lee, Sang-Uk;Oh, Chang-Mo;Oh, In-Hwan;Yoon, Tai-Young;Choi, Joong-Myung
    • Korean Journal of Health Education and Promotion
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    • v.27 no.4
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    • pp.105-112
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    • 2010
  • Objectives: The purpose of this study was to know different effect with uncontrolled hypertension patients after providing health promotion program which consisted with medicine, exercise, nutrition. Methods: The subjects of this study was comprised by uncontrolled hypertension patients in spite of medication and didn't care the pressure by medication. The health promotion program was progressed by group exercise three times a week, nutrition education once a week and medical consultation once a month for 12 weeks. Subjects were measured for body composition(weight, fat mass, % body fat and body mass index), hemo-dynamics(systolic blood pressure(SBP), diastolic blood pressure(DBP), and resting heart rate), and physical fitness (cardiopulmonary endurance, muscular strength, muscular endurance, balance, and flexibility). Results: Groups showed significant improvement in every measure except resting heart rate. SBP is decreased both taking drug group about 18.4mmHg and without taking drug group about 19.4mmHg.(p<0.001) DBP is decreased both taking drug group about 8.7mmHg and without taking drug group about 9.0 mmHg.(p<0.001) Conclusion: There are no statistical significant differences of SBP and DBP decreasing effects by medication, Since effects of decreasing pressure are not different by medication, I think the health promotion program is effective to uncontrolled hypertension patients to decrease pressure.

The Effect of Self-efficacy Promotion Exercise Program for the Elderly Hypertensives (자기효능증진 운동프로그램이 고혈압 노인에게 미치는 영향)

  • Kim, Yu Jeong;Kim, Su Mi
    • Journal of Digital Convergence
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    • v.12 no.11
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    • pp.487-497
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    • 2014
  • This study was to examine the effect of the Self-efficacy Promotion Exercise Program to the elderly hypertensive with Stage 1. This research was the quasi-experimental study. The Self-efficacy Promotion Exercise Program combined to Aerobic exercise which is incrementally at a level of 40~60% HRmax and the source of the Self-efficacy Promotion Exercise. This research was carried out to experimental(33 patients) and control(32 patients), 60 minutes per day, 3 times a week for 12 weeks. The Self-efficacy Promotion Program was effect on enhancing the general(p<.001) and exercise self-efficacy(p<.001), the self-care behaviors(p<.001) and decreasing the systolic blood pressure(p<.001) to the elderly hypertensives. The 12 weeks Self-efficacy Promotion Exercise Program will be considering to useful for various care settings to the elderly hypertensives.

A Study on Urinary Incontinence Clinic Operated by Local Public Health Center (일개 보건소의 요실금 치료 교실 운영 결과에 대한 고찰)

  • Yu, Sung-Jin;Jung, Jae-Hoon;Kim, Na-Young;Shin, Mi-Ran;Ko, Ho-Yeon;Lee, Dong-Nyung
    • The Journal of Korean Obstetrics and Gynecology
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    • v.23 no.3
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    • pp.112-122
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    • 2010
  • Purpose: Today, the proportion of the elderly is increasing especially in a province. For elder people, local government has conducted the health promotion act by oriental medicine. For oriental medicine hub health promotion act, Eumseong -gun carried out a program that is urinary incontinence clinic for the elderly. The purpose of this study is to show how effective the public health promotion program using oriental medicine is. Methods: The 42 patients had been treated for urinary incontinence during the 10 or 11 weeks. They were put on oriental medical treatment in the Eumseong-gun public health center. Results: 1. There was significant decreases in the degree of urinary incontinence after the treatment. 2. The treatment made the patients regain their mental security. 3. People who were treated by public health promotion program were the most satisfied. Conclusion: The results suggested that public health promotion program using oriental medicine is effective for urinary incontinence.