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http://dx.doi.org/10.4332/KJHPA.2002.12.1.102

A Review for the Factors Affecting the Effects of Health Promotion Programs  

장원기 (서울대학교 보건대학원 보건환경연구소)
정경래 (미네소타 대학교)
김철웅 (서울대학교 보건대학원)
Publication Information
Health Policy and Management / v.12, no.1, 2002 , pp. 102-124 More about this Journal
Abstract
To find out more efficient ways of implementing health promotion programs and to determine the factors affecting the results of various interventions, we reviewed 73 articles un the effectiveness of health promotion programs. These include the papers on the smoking, alcohol, drug abuse, nutrition(obesity) and stress management etc. Specific interventions evaluated in this review are education based on the lecture or video shows, health-related event activities, modifications of policy or the environment, health risk appraisal etc. By using KIHASA Line of Korea Institute of Health and Social Affairs, National Congress Library Database MEDLINE, we identified 201 articles published from 1980 to Jun. 1979 and finally selected 73 papers which contain the implementation process, and result of each program. The factors used in the analysis of the programs are (1) characteristics of participants (2) interventions evaluated (3) research design (4) length of programs and evacuation point (7) outcome indices (6) effect of program evaluated by each author. The study results did not prove positive effect of education based on lectures or video shows etc. Rather, it was suggested that lecture-based education has negative effect on the result. Event activity such as contest or health festivals has positive effect, and policy change or environmental change is closely related to the event activity. Also, the result shows that the overall effect of programs fur the students is less than that of the programs for the others. The programs conducted over, 1-year are mere likely to have positive outcomes than shorter ones. And, the outcomes of the programs with controlled research design such as experimental or quasi-experimental study tend to be evaluated inferiorly to those with non-experimental design.
Keywords
health promotion programs; effectiveness of programs; health-related event activities; health education;
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1 노정리. 남자 고등학생의 '사회적 영향을 강조한 흡연예방 프로그램'의 효과. 연세대학교 교육대학원 석사학위 논문, 1996
2 Schinke SP, Singer B, Cole K, Contento IR. Reducing cancer risk among native American adolescents. Preventive Medicine, 1996; 25: 146-155   DOI   ScienceOn
3 Goetzel R, Sepulveda M, Knight K, Eisen M, Wade S, Wong J, Fielding J. Association of IBM's 'A Plan for Life' health promotion program with changes in employees' health risk status. Journal of Medicine, 1994; 36(9): 1005-1009
4 Dignan ME, Block GD, Steckler A, Cosby M. Evaluation of the north carolina risk reduction program for smoking and alcohol. Journal of School Health, 1985; 55(3): 103-105   DOI   ScienceOn
5 Windsor RA, Warner KE, Cutter GR. A cost-effectiveness analysis of self-help smoking cessation methods for pregnant women. Public Health Reports, 1998; 103(1): 83-88
6 Resnicow K, Royce J, Vaughan R, Orlandi MA, Smith M. Analysis of a multicomponent smoking cessation project: what worked and why. Preventive Medicine, 1997; 26: 373-381
7 Resnicow K, Cohn L, Reinhardt J, Cross D, Futterman R, Wynder EL, Allegrante JP. A three-year evaluation of the know your body program in inner-city schoolchildren. Health Education Quarterly, 1992; 19(4): 463-480   DOI
8 Millar WJ, Naegele BE. Time to quit: community involvement 10 smoking cessation. Canadian Journal of Public Health, 1987; 78: 109-114
9 Jeffery RW, Forster JL, French SA, Kelder SH, Lando HA, McGovern PG, Jacobs DR, Baxter JE. The healthy worker project: a work-site intervention for weight control and smoking cessation(Healthy Worker Project). American Journal of Public Health, 1993; 83: 395-401   DOI   ScienceOn
10 Goetzel RZ, Kahr TY, Aldana SG, Kenny GM. An evaluation of Duke university's Live for Life health promotion program and its impact on employee health. American Journal of Health Promotion, 1996; 10(5): 340-342   DOI
11 Vartiainen E, Paavola M, McAlister A, Puska P. Public health briefs: fifteen-year follow-up of smoking prevention effects in the North Karelia Youth Project. American Journal of Public Health, 1998; 88(1): 81-85   DOI   ScienceOn
12 Pratt CC, Schmall VL, Wilson W, Benthin A. Alcohol problems in later life: evaluation of a model community education program. Community Mental Health Journal, 1992; 28(4): 327-335   DOI   ScienceOn
13 Elder JP, McGraw SA, Rodrigues A, Lasater TM, Ferreira A, Kendal L, Perterson G, Carleton RA. Evaluation of two community-wide smoking cessation contests. Preventive Medicine, 1987; 16: 221-234   DOI   ScienceOn
14 Phillips CJ, Prowle MJ. Economics of a reduction in smoking: case study from Heartbeat Wales. Journal of Epidemiology & Community Health, 1993; 47: 215-223   DOI   ScienceOn
15 Botvin GJ, Baker E, Dusenbury L, Botvin EM, Diaz T. Long-term follow-up results of a randomized drug abuse prevention trial in a white middle-class population. Journal of American Medical Association, 1995; 273(4): 1106-1112   DOI   ScienceOn
16 Mudde AN, de Vries H. The reach & effectiveness of a national mass media-led smoking cessation campaign in the Netherlands. American Journal of Public Health, 1999; 89: 346-350   DOI   ScienceOn
17 Vetter NJ, Ford D. Smoking prevention among people aged 60 & over: a randomized controlled trial. Age & Ageing, 1990; 19: 164-168   DOI   ScienceOn
18 박은선. 흡연여고생에 대한 사회기술훈련 프로그램 효과성 연구. 이화여자대학교 대학원 석사학위 논문, 1996
19 Marston AR, Bettencourt BN. An evaluation of the American Lung Association's home video smoking cessation program. American Journal of Public Health, 1998: 78(9): 1226-1227   DOI
20 Platt S, Tannahill A, Watson J, Fraser E. Effectiveness of antismoking telephone helpline' follow-up survey. British Medical Journal, 1997; 314: 1371-1375   DOI   ScienceOn
21 Elder JP, Wildey M, de Moor C, Sallis JF Jr, Eckhardt L, Edwards C, Erickson A, Golbeck A, Hovell M, Johnston D, Levitz MD, Melgaard C, Young R, Vito D, Woodruff SI. The long-term prevention of tobacco use among junior high school students: classroom & telephone interventions. Americal Journal of Public Health, 1993; 83: 1239-1244   DOI   ScienceOn
22 Clayton RR, Cattarello AM, Iohnstone BM. The effectiveness of drug abuse resistance educationfProject DARE): 5-year follow-up results. Preventive Medicine, 1996; 25: 307-318   DOI   ScienceOn
23 Friedman GD, Collen MF, Fireman BH. Multiphasic health checkup evaluation: a 16-year follow-up. Journal of Chronic Disease, 1986; 39(6): 453-463   DOI   ScienceOn
24 김효숙. 보건 교육이 국민학생의 약물 사용에 대한 지식 및 태도 변화에 미치는 영향: 일개 인천직할시 국민학교 중심으로. 연세대 보건대학원 석사학위 논문, 1993
25 Klesges RC, Vasey MM, Glasgow RE. A worksite smoking modification competition: potential for public health impact, American Journal of Public Health, 1986; 76: 198-200   DOI   ScienceOn
26 신용경, 강윤주, 고복자, 문선임, 박수연, 이혜리. 청소년 금연 프로그램의 실시효과에 대한 연구. 가정의학회지, 1998; 19(12): 1387-1399
27 Windsor RA, Cutter G, Morris J, Reese Y, Manzella B, Bartlett EE, Samuelson C, Spanos D. The effectiveness of smoking cessation methods for smokers in public health maternity clinics: a randomized trial. American Journal of Public Health, 1985; 75(12): 1389-1392   DOI   ScienceOn
28 Karvetti RL, Hakala P. A sven-year mow-up of a wight rduction pogramme in Finnish pimary halth care. European Journal of Clinical Nutrition, 1992; 46: 743-752
29 Anderson DR, Staufacker MJ. The impact of worksite-based health risk appraisal on health-related outcomes: a review of the literature. American Journal of Health Promotion, 1996; 10(6): 499-508   DOI
30 Williamson JA, Campbell LP. Evaluating the effectiveness of an anti-smoking program. Journal of School Health, 1981 March: 146-147
31 박정숙, 박청자, 권영숙. 건강 교육이 대학생의 건강증진 행위에 미치는 영향. 대한간호학회지, 1996; 26(2): 359-371   과학기술학회마을
32 장원기, 정경래, 김영미, 장세원, 김철웅. 지역보건사업의 효과적 수행을 위한 기초 연구. 한국보건사회연구원, 1999
33 Sutton S, Hallet R. Smoking intervention in the workplace using videotapes and nicotine chewing gum. Preventive Medicine, 1988; 17(1): 48-59   DOI   ScienceOn
34 Knight KK, Goetzel RZ, Fielding JE, Eisen M, Jackson GW, Kahr TY, Kenny GW, Wade SW, Duann S. An evaluation of Duke university's Live For Life health promotion program on changes in worker absenteeism Journal of Medicine, 1994; 36(5): 533-536
35 Timmerman IGB, Emmelkamp PMG, Sanderman, R. The effect of a stress-management training program in individuals at risk in the community at large. Behavior Research and Therapy, 1998; 36: 863-875   DOI   ScienceOn
36 Jeffery RW, Kelder SH, Forster JL, French SA, Lando HA, Baxter JE. Restrictive smoking policies in the workplace: effects on smoking prevalence and cigarette consumption. Preventive Medicine, 1994; 23(1): 78-82   DOI   ScienceOn
37 Cook RF, Back AS, Trudeau J. Preventing alcohol use problems among blue-collar workers: a field test of the working people program. Substance Use & Misuse, 1996; 31(3): 255-275   DOI   ScienceOn
38 Murray M, Swan AV, Clarke G. Long term effect of school based antismoking programme. journal of epidemiology & community health, 1984; 38: 247-252   DOI   ScienceOn
39 Abernathy TJ, Bertrand LD. Preventing cigarette smoking among children: result of a four-year evaluation of the pal program. Canadian Journal of Public Health, 1992; 83(3): 226-229
40 Woodside M, Bishop RM, Miller LT, Swisher JD. Experimental evaluation of the linages within: an alcohol education and prevention program. Journal of Drug Education, 1997; '2:7(1): 53-65   DOI   ScienceOn
41 Lasco RA, Curry RH, Dickson VJ, Powers J, Menes S, Merritt RK. Participation rates, weight loss, and blood pressure changes among obese women in a nutrition-exercise program. Public Health Report, 1989; 104(6): 640-646
42 Moberg DP, Piper DL. An outcome evaluation of project model health: a middle school health promotion program. Health Education Quarterly, 1990; 17(1): 37-51   DOI
43 Leinweber CE, Macdonald M, Campbell HS. Community smoking cessation contests: an effective public health strategy. Canadian Journal of Public Health, 1994; 85(2): 95-98
44 Kim, S. A short- and long-term evaluation of Here's Looking at You alcohol education program. Journal of Drug Education, 1988; 18(3): 235-243   DOI
45 Perry CL, Williams CL, Veblen-Mortenson S, Toomey TL, Komro KA, Anstine PS, McGovern PG, Finnegan JR, Forster JL, Wagenaar AC, Wolfson M. Project Northland: Outcomes of a community-wide alcohol use prevention program during early adolescence. American Journal of Public Health, 1996; 86: 956-965   DOI   ScienceOn
46 Van Assema P, Steenbakkers M, Kok G, Eriksen M. Results of the Dutch community project: Healthy Bergeyk. Preventive Medicine, 1994; 23: 394-401   DOI   ScienceOn
47 Korhonen HJ, Niemensivu H, Piha T, Koskela K, Wiio J, Johnson A, Puska P. National tv smoking cessation program and contest in Finland. Preventive medicine, 1992; 21: 74-87   DOI   ScienceOn
48 Ross C, Richard L, Potvin L. One year outcome evaluation of an alcohol and drug abuse prevention program in a Quebec high school. Canadian Journal of Public Health, 1998; 89(3): 166-170
49 Lindqvist K, Timpka T, Schelp L, Ahlgren M. The WHO safe community program for injury prevention: evaluation of the impact on injury severity. Public Health, 1998; 112: 385-391   DOI   ScienceOn
50 Hartman TJ, McCarthy PR, Park RJ, Schuster E, Kushi LH. Results of a community-based low-literacy nutrition education program. Journal of Community Health, 1997; 22(5): 325-341
51 Reynolds KD, Coombs DW, Lowe JB, Peterson PL, Gayoso E. Evaluation of a self-help program to reduce alcohol consumption among pregnant women. International Journal of Addictions, 1995; 30(4): 427-443
52 Langford ER, Tompson EG, Tripp SC. Smoking and health education during pregnancy: evaluation of a program for women in prenatal classes. Canadian Journal of Public Health, 1983; 74: 285-289
53 Freimuth VS, Plotnick CA, Ryan CE, Schiller S. Right Turns Only: An evaluation of a video-based, multicultural drug education senes for seventh graders. Health Education & Behavior, 1997; 24(5): 555-567   DOI   ScienceOn
54 Pierce JP, Gilpin EA, Emery SL, White MM, Rosbrook B, Berry CC. Has the California tobacco control program reduced smoking? Journal of American Medical Association, 1998; 280(10): 893-899   DOI   ScienceOn
55 Petridou E, Tolma E, Dessypris N, Trichopoulos D. A cntrolled ealuation of a community injury prevention project in two Greek islands. International Journal of Epidemiology, 1997; 26(1): 173-179   DOI   ScienceOn
56 Cummings KM, Sciandra R, Markello S. Impact of a newspaper mediated quit smoking program. American Journal of Public Health, 1987; 77(11): 1452-1453   DOI   ScienceOn
57 강현주. 흡연 남고생의 금연교육과 영양교육의 실시 및 효과 판정. 서울여자대학교 대학원 석사학위 논문, 1998
58 Bruvold WH. A meta-analysis of adolescent smoking prevention programs. American Journal of Public Health, 1993; 83: 872-880   DOI   ScienceOn
59 Kim, S, Mcleod JH, Shantzis C. An outcome evaluation of refusal skills program as a drug abuse prevention strategy. Journal of Drug Education, 1989; 19(4): 363-371   DOI
60 Ennett ST, Tobler NS, Ringwalt CL, Flewelling RL. How effective is drug abuse resistance education? a meta-analysis of Project DARE outcome evaluations. American Journal of Public Health, 1994; 83(9): 1394-1401
61 Sussman S, Dent CW, Stacy AW, Craig S. One-year outcomes of project towards no drug abuse. Preventive Medicine, 1998; '2:7: 632-642   DOI   ScienceOn
62 김택민, 지선하, 오희철. 고교생들의 금연교육 효과 분석. 한국역학회지, 1992; 14(2): 175-183
63 Fisher EB, Auslander WF, Munrc JF, Arfken CL, Brownson RC, Owens NW. Neighbors for smoke free north side: evaluation of a community organization approach to promoting smoking cessation among african americans. American Journal of Public Health, 1998; 88(11): 1658-1663   DOI   ScienceOn
64 Bertera RL, et al The effects of workplace health promotion on absenteeism and employment costs in a large industrial population. American Journal of Public Health, 1990; 80: 1101-1105   DOI   ScienceOn
65 Flynn BS, Worden JK, Seeker-Walker RH, Pirie PL, Badger GJ, Carpenter JR. Long-term response of higher and lower risk youths to smoking prevention interventions. Preventive Medicine, 1997; 26: 389-394   DOI   ScienceOn
66 Christenson PD. An evaluation of quantitative and qualitative assessment techniques on the impact of the SERR curriculum. Journal of School Health, 1985; 55(5): 200-204   DOI   ScienceOn
67 Hennrikus DJ, Jeffery RW. Worksite intervention for weight control: a review of the literature. American Journal of Health Promotion, 1996; 10(6): 471-498   DOI
68 Pelletier KR. A review and analysis of the health and cost-effective outcome studies of comprehensive health promotion and disease prevention programs at the worksite: 1993-195 update. American Journal of Health Promotion, 1995; 10(5): 380-388   DOI
69 Tilashalski K, Rodu B. Cole P. A pilot study of smokeless tobacco in smoking cessation. American Journal of Medicine, 1998; 104(5): 456-453
70 Green JJ, Kelley JM. Evaluation of the effectiveness of a school drug and alcohol prevention curriculum: a new look at 'Here's looking at you, two'. Journal of Drug Education, 1989; 19(2): 117-132   DOI
71 Shennan JB, Clark L, McEwen MM. Evaluation of a worksite wellness program: impact on exercise, Weight, Smoking, and Stress. Public Health Nursing, 1989; 6(3): 114-119   DOI   ScienceOn
72 Breslow L, Fielding J, Herrman AA, Wilbur CS. Worksite health promotion: its evolution and J&J experience. Preventive Medicine, 1990; 19: 13-21   DOI   ScienceOn
73 Jalkanen L. The effect of a weight reduction program on crdiovascular rsk fetor among oerweight hpertensive in pmary halth care. Scandinavian Journal of Social Medicine, 1991; 19: 66-71   DOI
74 Heaney CA, Goetzel RZ. A review of health-related outcomes of multi-component worksite health promotion programs. American Journal of Health Promotion, 1997; 11(4): 290-308   DOI
75 Popham WJ, Potter LD, Bal DG, Johnson MD, Duerr JM, Quinn V. Did anti-smoking media campaigns help smokers quit? Public Heatlh Report, 1993; 108(4): 510-513
76 Ryan B, Coffin K, Smillie C, Porter K Smoking cessation in Nova Scotia: result of Time To Quit program. Canadian Journal of Public Health, 1990; 81: 166-167
77 Blair SN, Piserchia PV, Wilbur CS, Crowder JH. A public health intervention model for work-site health promotion. Journal of American Medical Association, 1986; 255(7): 921-6   DOI   ScienceOn
78 Xlarcus BH, Owen N, Forsyth LH, Cavill NA, Fridinger F. Physical activity interventions using mass media, print media, and information technology. American Journal of Preventive Medicine, 1998; 15(4): 362-378   DOI   ScienceOn