Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
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An Emotional Self-Regulation Program for Obese Children: Pilot Study Using Mixed Methods

비만아동을 위한 정서적 자기조절 프로그램의 개발 및 효과: 혼합방법론의 적용

  • Kim, Hee-Soon (College of Nursing.Nursing Policy Research Institute, Yonsei University) ;
  • Ma, Yu-Mi (College of Nursing, Yonsei University) ;
  • Park, Ji-Young (College of Nursing, Yonsei University) ;
  • Kim, Seung-Hyun (Department of Music Therapy, Myongji University)
  • 김희순 (연세대학교 간호정책연구소) ;
  • 마유미 (연세대학교 간호대학) ;
  • 박지영 (연세대학교 간호대학) ;
  • 김승현 (명지대학교 사회교육대학원 음악치료학)
  • Received : 2013.02.19
  • Accepted : 2013.06.11
  • Published : 2013.07.31
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Abstract

Purpose: The purpose of the study was to develop an emotional self-regulation program for obese children and to examine the program's effectiveness on depression, eating habits, and body mass index. Methods: The emotional self-regulation program was developed from theory-based strategies and a pre-post pilot study was conducted with 46 children (19: intervention, 27: control). The program included 6 weekly group sessions over 2 months. The embedded experimental model of concurrent mixed methods was used to better understand research outcomes by converging both quantitative and qualitative data. Anthropometric measurements and surveys were performed before and after the intervention. Three focus group interviews were conducted with all participants after intervention to explore their experiences. Results: The intervention group displayed decreased depression levels in the quantitative outcomes. The participants also expressed positive outcomes such as improvements in confidence, impulse management, intimacy, happiness, and losing weight. Conclusion: These findings suggest that emotional self-regulation skills are crucial factors for obese children not only to manage their emotional problems but also to control their weight. Further research is needed with a larger sample size and randomized controlled trials.

목적 비만아동을 위한 이론기반의 정서적 자기조절 프로그램을 개발하고 운영하여 프로그램의 효과를 확인하고자 함. 방법 본 연구는 혼합방법 중 실험연구를 위한 끼워넣기 모형을 활용함. 즉 비동등성 대조군 전후 설계를 이용하여 본 프로그램이 비만아동의 우울, 식습관, 체질량지수에 미치는 효과를 평가하고 추가적으로 질적 자료를 통해 프로그램의 효과에 대한 이해를 돕고자 함. 결과 본 연구결과 정서적 자기조절 프로그램은 비만아동의 우울에 긍정적인 효과를 보였으며, 대상자는 '자신감 고취', '충동 조절', '또래와의 친밀감', '행복감', '체중감소를 위한 노력 및 경험' 등을 표현함. 결론 본 연구결과 정서적 자기조절 능력의 강화는 비만관리에 있어 효과적인 전략임을 확인하였으며 추후 대상자와 지역을 확대한 반복연구와 무작위 대조군 실험연구를 제언하는 바임. 본 연구는 프로그램의 효과에 대한 보다 풍부한 이해를 위해 혼합방법을 적용하고 프로그램의 개발 운영 평가에 있어 실무와의 연계성을 강조하였다는 점에서 의의를 가짐.

Keywords

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