Research in Community and Public Health Nursing (지역사회간호학회지)

Korean Academy of Community Health Nursing (한국지역사회간호학회)
권호 표지
DOI QR코드

DOI QR Code

Current Status and Needs Assessment for Obesity Prevention and Management Project at Public Health Centers

보건소 비만예방관리 사업 현황 및 요구도 분석

  • Park, Jiyoung (College of Nursing.Institute for Health Science Research, Inje University) ;
  • Im, Mihae (Department of Nursing, Choonhae College of Health Sciences) ;
  • Baek, Seolhyang (College of Nursing, Dongguk University) ;
  • Park, Chongwon (Department of English Language and Literatures, Pukyong National University) ;
  • Hwang, Gahui (College of Nursing, Younsei University) ;
  • Kim, Wansoo (Deparment of Rehabilitation and Health Promotion, College of Rehabilitation Sciences, Daegu University) ;
  • Oh, Yumi (Department of Non-Communicable Diseases Prevention, Korea Health Promotion Institute) ;
  • Cho, A Ra (Healthy Life Practice Team, Korea Health Promotion Institute) ;
  • Jo, Jieun (Healthy Life Practice Team, Korea Health Promotion Institute)
  • 박지영 (인제대학교 간호대학.건강과학연구소) ;
  • 임미해 (춘해보건대학교 간호학과) ;
  • 백설향 (동국대학교 간호대학) ;
  • 박종원 (부경대학교 영어영문학과) ;
  • 황가희 (연세대학교 간호대학) ;
  • 김완수 (대구대학교 재활과학대학 재활건강증진학과) ;
  • 오유미 (한국건강증진개발원 건강증진사업실) ;
  • 조아라 (한국건강증진개발원 건강실천팀) ;
  • 조지은 (한국건강증진개발원 건강실천팀)
  • Received : 2021.06.02
  • Accepted : 2021.08.13
  • Published : 2021.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The obesity prevention and management program led by public health centers are important in the community. This study aims to identify the current status of obesity prevention and management programs at public health centers and perceptions regarding facilitators and barriers when implementing programs. Methods: This study used a concurrent mixed methods design. A survey was conducted to investigate the current status and infrastructure of the obesity prevention and management program at eighty-three public health centers nationwide. Nine program managers and six local residents with experience in the program were interviewed by using a semi-structured questionnaires. Results: Most of the infrastructure facilities for the program were inadequate, and insufficient budgets and lack of professional staff were identified as barriers. Facilitators included diversification of program delivery methods, operator competence, and visible outcomes and rewards. For the effectiveness of the program, it is vital to have adequate assistants, a sufficient budget, various promotional methods, and connections with various institutions in the community. On this basis, it is acknowledged that the public health center serves as a platform for preventing and managing obesity in the community. Conclusion: It is expected that infrastructure improvements in public health centers and the link with community resources are needed. In addition, there is an urgent need to set standards for obesity prevention and management programs implemented in public health centers to 'resolve regional disparities'.

Keywords

References

  1. World Health Organization. Obesity and overweight [Internet]. Geneva: World Health Organization; 2020 [cited 2021 March 14]. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
  2. World Health Federation. Calculating the costs of the consequences of obesity [Internet]. London: World Health Federation; 2017 [cited 2021 March 14]. Available from: https://www.worldobesity.org/resources/resource-library/calculating-the-costs-of-the-consequences-of-obesity
  3. Kim HS. Korean-specific status of obesity and future issues. Weekly Issue. 2017 March 16:1-8.
  4. Seo MH, Kim YH, Han K, Jung JH, Park YG, Lee SS, et al. Prevalence of obesity and incidence of obesity-related comorbidities in Koreans based on National Health Insurance Service Health checkup data 2006-2015. Journal of Obesity & Metabolic Syndrome. 2018;27(1):46-52. https://doi.org/10.7570/jomes.2018.27.1.46
  5. Oh YM, Cho AR, Lee DH. Obesity fact sheet 2013-2017. Research Report. Seoul: Korea Health Promotion Institute; 2018 December. Report No. 2018-01B-005.
  6. Sarwer DB, Polonsky HM. The psychosocial burden of obesity. Endocrinology and Metabolism Clinics of North America. 2016; 45(3):677-688. https://doi.org/10.1016/j.ecl.2016.04.016
  7. Llewellyn A, Simmonds M, Owen CG, Woolacott N. Childhood obesity as a predictor of morbidity in adulthood: A systematic review and meta-analysis. Obesity Reviews. 2016;17 (1):56-67. https://doi.org/10.1111/obr.12316
  8. Hur, J. The social cost of obesity is 11.4679 trillion won per year... 52% in their 30s and 50s. Chosun Biz. 2018 December 10; Available from: https://biz.chosun.com/site/data/html_dir/2018/12/10/2018121001952.html
  9. Ministry of Health and Welfare. Comprehensive Measures for Obesity Management in Korea [Internet]. Sejong: Ministry of Health and Welfare; 2018 [cited 2021 March 14]. Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=1&CONT_SEQ=345515
  10. Kwon H., Kim KA, Kang JH. The development of web-based weight reduction program for public health care. The Korean Journal of Obesity. 2005;14(4):242-267.
  11. Fransen GAJ, Koster M, Molleman GRM. Towards and integrated community approach of overweight prevention: The experiences of practitioners and policymakers. Family Practice. 2012;29(Suppl 1):i104-i109. https://doi.org/10.1093/fampra/cmr123
  12. Moores CJ, Bell LK, Miller J, Damarell RA, Matwiejczyk L, Miller MD. A systematic review of community-based interventions for the treatment of adolescents with overweight and obesity. Obesity Reviews. 2018;19(5):698-715. https://doi.org/10.1111/obr.12660
  13. Creswell JW, Plano Clark VL. Designing and conducting mixed methods research. 2nd ed. Thousand Oaks, CA: SAGE Publications; 2011. 457 p.
  14. Sandelowski M. The problem of rigor in qualitative research. Advances in Nursing Science. 1986;8(3):27-37. https://doi.org/10.1097/00012272-198604000-00005
  15. Oh YH. Problem with and policy agenda for public health services in Korea. Health.Welfare Issues & Focus. 2013 August 16:1-8.
  16. Chang CM, Lee SE. A study on the task importance and appropriateness of space of community health centers: With a focus on community health centers in a city. Journal of the Korean Society Design Culture. 2017;23(2):611-621. https://doi.org/10.18208/ksdc.2017.23.2.611
  17. Quirk H, Crank H, Carter A, Leahy H, Copeland RJ. Barriers and facilitators to implementing workplace health and wellbeing services in the NHS from the perspective of senior leaders and wellbeing practitioners: A qualitative study. BioMed Central Public Health. 2018;18:1362. https://doi.org/10.1186/s12889-018-6283-y
  18. Lee JW, Im JA, Lee DC. Effect of short-term obesity management program for local community residents, Journal of Korean Academy Family Medicine. 2008;29:121-133.
  19. Oh B, Yi GH, Han MK, Kim JS, Lee CH, Cho B, et al. Importance of active participation in obesity management through mobile health care programs: Substudy of a randomized controlled trial. JMIR Mhealth Uhealth. 2018;6(1):e2. https://doi.org/10.2196/mhealth.8719
  20. Paradise J, Shin P, Sharac J, Rosenbaum S. Quality of care in community health centers and factors associated with performance [Internet]. Washington: The Kaiser Commission on Medicaid and Uninsured. 2013 [cited 2021 March 14]. Available from: https://www.kff.org/medicaid/issue-brief/quality-of-carein-community-health-centers-and-factors-associated-with-performance/
  21. Park Y, Park H, Ryu S. Factors associated with active participation in health promotion programs at a public health center. Journal of Agriculture Medicine and Community Health. 2010;35(3):287-300. https://doi.org/10.5393/JAMCH.2010.35.3.287
  22. Park WS, Park O, Hwang H, Lim H, Lim H, Kim SA. Success and barrier factors of integrated health promotion program to improve health indicators: Hypertension registration program in Goseong, Gangwon. Journal of Agriculture Medicine Community Health. 2018;43(2):97-107. https://doi.org/10.5393/JAMCH.2018.43.2.097
  23. Hebden L, Balestracci K, McGeechan K, Denney-Wilson E, Harris M, Bauman A, et al. 'TXT2BFiT' a mobile phone-based healthy lifestyle program for preventing unhealthy weight gain in young adults: Study protocol for a randomized controlled trial. Trials. 2013;18(14):75. https://doi.org/10.1186/1745-6215-14-75
  24. Alturki R, Gay V. Augmented and virtual reality in mobile fitness applications: A survey. In: Khan F, Jan M, Alam M, editors. In Applications of Intelligent Technologies in Healthcare. Switzerland: Springer; 2019. p. 67-75.
  25. Kim J. Case study on management system of health promotion project: Focusing on six regional cases. The Korea Local Administration Review. 2020;34(2):161-190. https://doi.org/10.22783/KRILA.2020.34.2.161
  26. World Health Organization. Population-based Approaches to Childhood Obesity Prevention [internet]. Switzerland: World Health Organization; 2012 [cited 2021 March 14]. Available from: https://www.who.int/dietphysicalactivity/childhood/WHO_new_childhoodobesity_PREVENTION_27nov_HR_PRINT_OK.pdf
  27. Haldane V, Chuah FLH, Srivastava A, Singh SR, Koh GCH, Seng CK, et al. Community participation in health services development, implementation, and evaluation: A systematic review of empowerment, health, community, and process outcomes. PLoS One. 2019;14(5):e0216112. https://doi.org/10.1371/journal.pone.0216112
  28. Lee SE. Community Resource Utilization for Health Promotion in the Health Centers [dissertation]. [Seoul]: Younsei University; 2001. p. 97.
  29. Seo Y, Jeong A, Park T, Kim J, Park N, Lee H. The process quality assessment of health promotion programs at public health centers. Korean Journal of Health Education and Promotion. 2003;20(1):1-17.
  30. Kim J, Kim B. Performance analysis and improvement plan for the efficiency of community-based health promotion projects [internet]. Gangwon: Korea Research Institute for Local Administration; 2019 [cited 2021 March 14]. Available from: https://www.krila.re.kr/publication/report/etc/1546