보건교육건강증진학회지 (Korean Journal of Health Education and Promotion)

  • 제29권1호
  • /
  • Pages.97-108
  • /
  • 2012
  • /
  • 1229-4128(pISSN)
  • /
  • 2635-5302(eISSN)
한국보건교육건강증진학회 (Korean Society for Health Education and Promotion)
권호 표지

대사증후군 대상자들의 건강코칭프로그램 평가

The Evaluation of a Health Coaching Program on Metabolic Syndrome Patients

  • 조희숙 (강원대학교 의학전문대학원 의료관리학교실) ;
  • 정수미 (강원대학교 의학전문대학원 의료관리학교실) ;
  • 이혜진 (강원대학교병원 예방의학과)
  • Jo, Heui-Sug (Department of Health Policy & Management, School of Medicine, Kangwon National University) ;
  • Jung, Su-Mi (Department of Health Policy & Management, School of Medicine, Kangwon National University) ;
  • Lee, Hey-Jean (Department of Preventive Medicine, Kangwon National University Hospital)
  • 투고 : 2011.12.02
  • 심사 : 2012.03.12
  • 발행 : 2012.03.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives: We assessed the feasibility of health coaching for health coaching program on metabolic syndrome. Methods: We developed a 6 month health coaching program on metabolic Syndrome. We recruited people with metabolic syndrome according to modified NCEP-ATP III. The participants were 9 men over 30 years of age who had taken a health screening at general hospital. We collected data such as demographics, BMI, body fat, blood pressure, HDL-cholesterol blood sugar and triglyceride. The program was analyzed by using Wilcoxon signed rank test. Results: Participants showed significantly decreased BMI, weight, waist circumference, body fat after 6 month program. They talked the awareness about their own behavior. They changed into better for eating habits, physical activities, and self management. Their discipline increased and eating habits became regular. They were satisfied to this program and showed strong confidence about their own change. Conclusions: Coaching did not direct certain behavioral change but guided self awareness and practice. Health coaching program showed long maintained effect to participants. We suggested health coaching as a helpful individual program to intervene risky health behavior especially for metabolic Syndrome.

키워드

참고문헌

  1. Aoun, S., Osseiran-Moisson, R., Collins, F., Newton, R., & Newton, M. (2009). A self-management concept for men at the community level: The 'waist' disposal challenge. Journal of Health Psychology, 14(5), 663-674. https://doi.org/10.1177/1359105309104910
  2. Aoun, S., Osseiran-Moisson, R., Shahid, S., Howat, P., & O'Connor, M. (2011). Telephone lifestyle coaching: is it feasible as a behavioural change intervention for men? Journal of Health Psychology, 17(2), 227-236.
  3. Arloski, M. (2007). Wellness coaching for lasting lifestyle change. Duluth, MN: Whole Person Associates.
  4. Butterworth, S., Linden, A., McClay, W., & Leo, M. C. (2006). Effect of motivational interviewing-based health coaching on employees' physical and mental health status. Journal of Occupational Health Psychology, 11(4), 358-365. https://doi.org/10.1037/1076-8998.11.4.358
  5. Collins, J. C. (2001). Good to great: why some companies make the leap--and others don't. New York, NY: Harper Business.
  6. Cook, J. D. (1981). The experience of work: a compendium and review of 249 measures and their use. New York, NY: Academic Press.
  7. Galantino, M. L., Schmid, P., Milos, A., Leonard, S., Botis, S., Dagan, C., . . . Mao, J. (2009). Longitudinal benefits of wellness coaching interventions for cancer survivors. International Journal of Interdisciplinary Social Sciences, 4(10), 41-58.
  8. Giugliano, D., Ceriello, A., & Esposito, K. (2006). The effects of diet on inflammation: emphasis on the metabolic syndrome. Journal of America College of Cardiology, 48(4), 677-685. https://doi.org/10.1016/j.jacc.2006.03.052
  9. Grosse, S. D. (2008). Assessing cost-effectiveness in healthcare: history of the $50,000 per QALY threshold. Expert Review of Pharmacoeconomics & Outcomes Research, 8(2), 165-178. https://doi.org/10.1586/14737167.8.2.165
  10. Haffner, S. M., Valdez, R. A., Hazuda, H. P., Mitchell, B. D., Morales, P. A., & Stern, M. P. (1992). Prospective analysis of the insulin-resistance syndrome (syndrome X). Diabetes, 41(6), 715-722. https://doi.org/10.2337/diabetes.41.6.715
  11. Hoerger, T. J., Hicks, K. A., Sorensen, S. W., Herman, W. H., Ratner, R. E., Ackermann, R. T., . . . Engelgau, M. M. (2007). Cost-effectiveness of screening for pre-diabetes among overweight and obese U. S. adults. Diabetes Care, 30(11), 2874-2879. https://doi.org/10.2337/dc07-0885
  12. Hu, F. B., Li, T. Y., Colditz, G. A., Willett, W. C., & Manson, J. E. (2003). Television watching and other sedentary behaviors in relation to risk of obesity and type 2 diabetes mellitus in women. The Journal of the American Medical Association, 289(14), 1785-1791. https://doi.org/10.1001/jama.289.14.1785
  13. Kim, H. S., Yoon, S. J., Lee, K. S., Kim, H. S., Oh, S. W., Ryu, H. S., . . . Park, D. R. (2011). Effects of a self-management program for metabolic syndrome - a metabolic syndrome management program in Seoul. Korean Journal of Health Education and Promotion, 28(2), 51-62.
  14. Kim, T. H., Kim, D. J., Lim, S., Jeong, I. K., Son, H. S., Chung, C. H., . . . Park, T. S. (2009). Prevalence of the metabolic syndrome in type 2 diabetic patients. Korean Diabetes Journal, 33(1), 40-47. https://doi.org/10.4093/kdj.2009.33.1.40
  15. Kim, Y. H., & Yang, Y. O. (2005). Effects of walking exercise on metabolic syndrome risk factors and body composition in obese middle school girls. Journal of Korean Academy of Nursing, 35(5), 858-867. https://doi.org/10.4040/jkan.2005.35.5.858
  16. Lee, E. H., Kim, H. K., Lee, Y. H., Moon, S. Y., Kwon, E. J., & Jee, S. H. (2007). Effectiveness of lifestyle intervention on the management of metabolic syndrome. Korean Journal of Health Education and Promotion, 24(3), 1-19.
  17. Liebowitz, R., & Smith, L. (2006). The Duke encyclopedia of new medicine: conventional and alternative medicine for all ages. New York, NY: Rodale.
  18. Lindner, H., Menzies, D., & Jill, K. (2003). Telephone coach training for health professionals in patient self-management strategies. Australian Journal of Primary Health, 9(2 & 3), 199-207. https://doi.org/10.1071/PY03047
  19. Malik, S., Wong, N. D., Franklin, S. S., Kamath, T. V., L'Italien, G. J., Pio, J. R., & Williams, G. R. (2004). Impact of the metabolic syndrome on mortality from coronary heart disease, cardiovascular disease, and all causes in United States adults. Circulation, 110(10), 1245-1250. https://doi.org/10.1161/01.CIR.0000140677.20606.0E
  20. Miller, W. R., & Rollnick, S. (2002). Motivational interviewing: preparing people for change. New York, NY: Guilford Press.
  21. Moore, M., & Highstein, G. (2004). Principles of behavioral psychology in wellness coaching. International Coach Federation's Coaching Research Symposium. Quebec City, Canada.
  22. Oberstein, S. (2009). 10 steps to successful coaching. Alexandria, VA: ASTD Press.
  23. Park, Y., & Kee, Y. (2009). Classification of coaching: theories of coaching and its practice in Korea situation. Korea Lifelong Education & HRD Institute, 5(2), 61-89.
  24. Peterson, D. B., & Hicks, M. D. J. (1996). Leader as coach strategies for coaching and developing others. Minneapolis, MN: Personnel Decisions International.
  25. Schuerman, J. R. (1983). Research and evaluation in the human services. New York, NY: Free Press.
  26. Seo, H. S., Kim, S. H., Park, S. W., Kim, J. Y., Lee, G. H., & Lee, H. M. (2010). The diagnostic criteria of metabolic syndrome and the risk of coronary heart disease according to definitions in men. Korean Journal of Family Medicine, 31(3), 198-207. https://doi.org/10.4082/kjfm.2010.31.3.198
  27. Stone, N. J., & Saxon, D. (2005). Approach to treatment of the patient with metabolic syndrome: lifestyle therapy. The American Journal of Cardiology, 96(4, Supplement), 15-21. https://doi.org/10.1016/j.amjcard.2005.05.010
  28. Wirfalt, E., Hedblad, B., Gullberg, B., Mattisson, I., Andren, C., Rosander, U., . . . Berglund, G. (2001). Food patterns and components of the metabolic syndrome in men and women: a cross-sectional study within the Malmo diet and cancer cohort. American Journal of Epidemiology, 154(12), 1150-1159. https://doi.org/10.1093/aje/154.12.1150
  29. Wolever, R. Q., Dreusicke, M., Fikkan, J., Hawkins, T. V., Yeung, S., Wakefield, J., ... Skinner, E. (2010). Integrative health coaching for patients with type 2 diabetes: a randomized clinical trial. The Diabetes Educator, 36(4), 629-639. https://doi.org/10.1177/0145721710371523
  30. Woolf, S. H. (2009). A closer look at the economic argument for disease prevention. The Journal of the American Medical Association, 301(5), 536-538. https://doi.org/10.1001/jama.2009.51