Browse > Article
http://dx.doi.org/10.17135/jdhs.2016.16.4.293

Evaluation of Oral Health Promotion Program Connected with Hypertension and Diabetes Management Programs: Use of a Logical Model  

Yoo, Sang-Hee (Department of Dental Hygiene, College of Dentistry and Research Institute of Oral Science, Gangneung-Wonju National University)
Shin, Bo-Mi (Department of Dental Hygiene, College of Dentistry and Research Institute of Oral Science, Gangneung-Wonju National University)
Bae, Soo-Myoung (Department of Dental Hygiene, College of Dentistry and Research Institute of Oral Science, Gangneung-Wonju National University)
Shin, Sun-Jung (Department of Dental Hygiene, College of Dentistry and Research Institute of Oral Science, Gangneung-Wonju National University)
Publication Information
Journal of dental hygiene science / v.16, no.4, 2016 , pp. 293-301 More about this Journal
Abstract
This study aimed to design and operate a complementary integrated health management program based on the connection between the hypertension and diabetes management programs and the oral health programs at a public health center. It also proposed to suggest the phased evaluation indicators. In this study, 48 adults registered in the hypertension and diabetes management program were selected from the Gangneung public health center. The clinic-specific programs were led by dental hygienists and operated for visitors twice every two weeks. The programs were designed based on the logical model, and indicators for evaluating the structure, process, and outcome were presented and applied to the input, process, output, and outcome. The evaluation indices consisted of quantitative and qualitative indicators, and the planning and operation, goal achievement, and effect of each program were assessed. The process evaluations were assessed by the appropriateness of the managers and the operating fidelity of the programs. Indicators for evaluating the outcomes were gingival bleeding, oral health knowledge, oral health awareness, and the satisfaction of the participant and the manager. The clinic-specific programs resulted in positive changes in the evaluated outcomes. The integrated health management of visitors to the hypertension and diabetes management program is important as the general and oral health has common risk factors. Furthermore, long-term operation and continuous monitoring of oral health programs are necessary to evaluate the common factors in chronic disease management.
Keywords
Hypertension and diabetes management program; Integrated health promotion program; Logical model; Noncommunicable diseases; Oral health promotion program;
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
연도 인용수 순위
1 Jung SH, Kim YN, Ryu JI, Park WS, Bae KH, Bae SM: Strengthening strategies of oral health program throughout lifecycle. Gangneung-Wonju National University Industry Academy Cooperation Group, Gangneung, pp.46-138, 2007.
2 Lee JY: Future directions of the integrated health promotion programs in health center. Korean J Health Educ Promot 30: 1-7, 2013.
3 Ministry of Health and Welfare: Community integrated health promotion program guidance 2015. Ministry of Health and Welfare, Sejong, pp.3-22, 2014.
4 World Health Organization: Diabetes Fact Sheets. Noncommunicable diseases. Retrieved October 22, 2015, from http://www.who.int/mediacentre/factsheets/fs355/en/(2015, January).
5 FDI World Dental Federation: Oral health and the United Nations Political Declaration on NCDs. FDI World Dental Federation, Geneva, pp.3-7, 2012.
6 Loe H: Periodontal disease: the sixth complication of diabetes mellitus. Diabetes Care 16: 329-334, 1993.   DOI
7 Gulati M, Anand V, Jain N, et al.: Essentials of periodontal medicine in preventive medicine. Int J Prev Med 4: 988-994, 2013.
8 Grossi SG, Genco RJ: Periodontal disease and diabetes mellitus: a two-way relationship. Ann Periodontol 3: 51-61, 1998.   DOI
9 Chapple IL, Genco R, Working Group 2 of the Joint EFP/AAP Workshop: Diabetes and periodontal diseases: consensus report of the Joint EFP/AAP Workshop on periodontitis and systemic diseases. J Periodontol 84: S106-S112, 2013.   DOI
10 Simpson TC, Needleman I, Wild SH, Moles DR, Mills EJ: Treatment of periodontal disease for glycaemic control in people with diabetes. Aust Dent J 55: 472-474, 2010.   DOI
11 Lockhart PB, Bolger AF, Papapanou PN, et al.: Periodontal disease and atherosclerotic vascular disease: does the evidence support an independent association? J Am Heart Assoc 125: 2520-2544, 2012.
12 Persson GR, Persson RE: Cardiovascular disease and periodontitis: an update on the associations and risk. J Clin Periodontol 35: 362-379, 2008.   DOI
13 D'Aiuto F, Ready D, Tonetti MS: Periodontal disease and C-reactive protein-associated cardiovascular risk. J Periodont Res 39: 236-241, 2004.   DOI
14 Bae SM, Shin SJ, Jang JH, Chung WG: Implementation of assessment in a competency-based dental hygiene science education. Korean Association of Dental Hygiene Professors, pp.34-48, 2014.
15 Jung SH, Shin SJ, Ryu JI: Development of oral health promotion program connected with prevention and management programs of NCDs in Gangdong-gu. Gangneung-Wonju National University Industry Academy Cooperation Group, Gangneung, pp.137-148, 2014.
16 Kim NH, Kim CB, Ahn YH, Byun DH: Developing a comprehensive health promotion program for hypertension, diabetes, and periodontal disease care. Yonsei University Industry Foundation, Wonju, pp.40-67, 2015.
17 Bae SS: Health program planning. 3rd ed. Gyechukmunwhasa, Seoul, pp.309-366, 2015.
18 Shin SJ: Korean version of oral health promotion program evaluation toolkit for the elderly. Unpublished doctoral dissertation, Gangneung-Wonju National University, Gangneung, 2010.
19 Kim SA: The effects of an oral self-care program on knowledge, motivation, self-efficacy, behavior and oral health status in a senior center patients with diabetes. Unpublished doctoral dissertation, Seoul National University, Seoul, 2014.
20 Podshadley AG, Haley JV: A method for evaluating oral hygiene performance. Public Health Rep 83: 259-264, 1968.   DOI
21 National Health Insurance Service: Criteria of health examination 2011. National Health Insurance Service, Wonju, p.29, 2010.
22 Bae KH, Bae SM, Kim NH: Guideline for planning of oral health program. Korea Human Resource Development Institute for Health and Welfare, Osong, pp.93-124, 2015.
23 Jeon MJ, Kim DK, Lee BJ: The study on evaluation of the denture delivery program at the public health centers in Korea. J Korean Acad Oral Health 33: 377-387, 2009.
24 Baek HY, Ku IH, Kim KH, Ahn SY, Cho SE: The critical review of the performance management system in self-sufficiency program: focusing on the analysis of performance evaluation system with logic model. Health Soc Welf Rev 31: 3-35, 2011.
25 Kim BK, Yun JH: Design and evaluation of program logic model: the program for vitalizing agricultural area. Korean Soc Public Adm 19: 97-122, 2008.
26 Lando J, Williams SM, Williams B, Sturgis S: A logic model for the integration of mental health into chronic disease prevention and health promotion. Prev Chronic Dis 3: A61, 2006.
27 Lee JY: Future directions for health promotion programs in the public sector. Korean J Health Educ Promot 29: 29-38, 2012.
28 Chang KW: Dental plaque control by professional toothbrushing. J Korean Dent Assoc 39: 443-449, 2001.
29 Cho MM, Lee YH, Kim JB, Lee JH: Promotion of periodontal health through professional toothbrushing and education on the use of the interdental brush in the elderly. J Korean Acad Oral Health 37: 132-140, 2013.   DOI
30 Watanabe T: Nukuna kezuruna kiruna tsumayojiho de ha mo karada mo kenko. 1st ed. Daehannarae Publishing, Seoul, pp.62-66, 2011.
31 Nutbeam D: Evaluating health promotion-progress, problems and solutions. Health Promot Int 13: 27-44, 1998.   DOI
32 Lee SM. A study on the application and use of program logic models: a research and development of evaluation indicators for secondhand smoking free Seoul program. Korean Gov Rev 18: 211-242, 2011.   DOI
33 Jin BH, Lee HY, Choi YY, Kim EJ, Lee JY, Park JS: The development of comprehensive health promotion model for adult diabetes mellitus patients using non-surgical periodontal treatment program. Korea Health Promotion Foundation, Seoul, pp.83-101, 2013.