Purpose: The purpose of this study was to investigate the research methods, types and effects of community health center exercise programs for the elderly. Methods: We established the PICOTS-SD (Participants, Interventions, Comparisons, Outcomes, Timing of outcome measurement, Setting, Study Design), reviewed 583 studies from electronic database of DBpia, KoreaMed, KISS, RISS, NDSL and Pubmed, and finally selected 20 studies based on the inclusion and exclusion criteria. Methodological quality was assessed with the Risk-of-Bias Assessment tool for non-randomized studies. Results: With regard to research methods, the majority of studies on community health center exercise programs for the elderly were performed after 2010 and using non-equivalent control group pretest-posttest research design. As for the types and effects of exercise programs, the exercise period ranged from 6 to 28 weeks, and the most common exercise frequency was three times a week for 60 minutes. In addition, mixed-type and group exercise programs were performed most commonly. Conclusion: The results of this study provide a basis for the development of exercise programs to improve elders' health.
Purpose: The study was conducted to identify the effectiveness of community health programs for local residents. Methods: This study was a one-group pretest-posttest study design. The subjects of the study were 259 residents in 26 villages of 13 primary health care posts located in G city. Data were collected using the questionnaire and analyzed using the paired t-test in SPSS 28.0. Results: As a result of performing the community health programs, prostate symptom scores improved in men, and stress and urgency urinary incontinence scores decreased in women. In addition, it was found that the degree of health-related knowledge increased among female subjects after the community health programs were provided. Conclusion: The community health programs were effective, and the effectiveness of the programs may differ according to gender. Therefore, when developing a program, it is necessary to consider a gender-sensitive approach that considers the difference between men and women.
The purpose of this study were to discuss on the importance of community youth development programs and review the enhancement of competence in youth The research methods used the extensive review of related literatures. Based on the major results, the implications and suggestions were as follows. First, community youth activity will need to provide the opportunities of enhancing the competencies and a full complement of positive connections to youth programs. Second, communities promote to engage youth as partners with adults in the process of positive youth development. Third, youth development organizations operate to support the programs to prevent risky-behaviors or treat specific problems in terms of community youth contexts. Finally, collaboration and network are necessarily required among youth, adults, family, school, organizations within the community. Changes to work and workplace are so significant that policies refer to 'the knowledge society' at the same time 'information society'. Future workers will need to have the skills of information and communications management and control.
Improved nutritional intake contributes to maintaining health and quality of life in elderly population and also reducing individual and social medical costs. Most of nutrition assistance programs for elderly, such as congregate or home-delivered meal programs, are not currently serviced in rural communities mainly due to low cost efficiency of program operation. However, the needs and necessity of such programs are presumed to be higher in rural area where the population density of elderly at nutritional risk is relatively high. Therefore, the purpose of this study was to develop a community-based meal program for the rural elderly. In 2007, four rural communities located in Jeon-Nam province were selected and the pilot meal program was applied for three months. Following are key features of the meal program model developed in this study: 1) meal production and service are operated by elderly participants to overcome the voluntary personnel shortage 2) utilization of locally-produced foods is maximized to reduce the meal cost, 3) traditional cooking methods are applied to adjust the food preference of elderly, and 4) foods are serviced on site to minimize the food safety problem possibly caused by delivery process. The pilot programs resulted in high satisfaction with the programs of participating elderly. The community-based meal program model developed in this study is expected to be used as an effective nutrition and health intervention model for the rural elderly.
The proportion of the elderly in rural area(21.7%) is four times more than that of the urban area (5.4%) in Korea. With this rapid aging of the population in rural Korea there has been growing concern about the quality of life of rural elderly. Compare to urban elderly, rural elderly experience many disadvantages, especially in terms of limited offering of social/educational programs. Their social/educational needs are rarely assessed and there are few programs geared to the needs of rural elderly. In this regard, this study aims (1) to identify education and activity program needs of the rural elderly related to three dimensions: Family life, Farming life, and Community activities and (2) to develop education and activity programs for the rural elderly based on the needs assessment. For this purpose, data are gathered from 413 rural elderly and 110 community welfare specialists, using a structured questionaire. The statistical methods used for data analysis are descriptive statistics, cross tables with SPSS wins 10.0 program. The major findings of this study are as follows: Majority(94.1%) of the rural elderly wants to participate in diverse social/educational programs. They want to have programs dealing with 'relationship enhancement with children', 'nutrition', 'health and care', 'farming skill', 'gardening', 'volunteering', etc. Based on these results, we develop eight types of education program and four types of activity program, according to the priority of their needs in each dimension. There are four sessions of Family life program, and four sessions of Community activities program. The effect of these programs will be evaluated by taking pretest and protest in local basis.
The purpose of this study was to develop the evaluation indicator for the health promotion programs of the Community Health Centers and to test its validity. The modified logic model was used as the evaluation model based on the literature reviews. Using this model, four dimensions, eleven subdimensions, and fortyone individual indicators were developed. These evaluation indicators are superior in reflecting the distinctiveness of the community health promotion programs, and also flexible enough to accommodate diverse programs. These indicators also emphasize the role of process evaluation, and the diversity of outcomes. To test content validity, survey method of experts in the community health promotion field was conducted. Eleven in three expert groups(professionals, practitioners in Community Health Centers, and policy makers) generally agreed with the validity of evaluation indicators. To examine criteria and construct validity, these indicators were used to evaluate the health promotion programs conducted by the 18 Key Community Health Centers. The data came from the interview surveys of the main health promotion practitioner and 30 visitors from each center. The ranks of these eighteen Community Health Centers were computed from these data. There was no significant difference in ranking either by these indicators or by the existing indicators, which was developed by Technical Support and Evaluation Team for criteria validity. There was no statistically significant difference in ranking between input, process and outcome dimensions. Based on these study results, evaluation indicators developed in this study are valid to evaluate Community Health Center's health promotion program. It can be used both by the Community Health Center for internal evaluation, and by the stakeholders for external evaluation.
The purpose of this research is to examine how the village community centers are being used and find how to improve leisure activities of elders in rural areas by using them. In order to achieve the purpose of this research, we did convenience sampling from elders using 92 village community centers in one of the counties in Gyeong-gi province, and did field survey to 343 persons. The collected data was analyzed by SPSS 18 program, and the results are as follows: The survey on population sociological peculiarity of elders using village community centers shows that most of elders are over 70 years old. As for health conditions, there are more elders who are physically weaker than healthy elders. And the survey shows that most of the elders are suffering from illness such as hypertension, arthritis, neuralgia, and indigestion so such programs related to health are critically required. First, the survey on using village community centers by elders in rural areas shows that they think the village community centers are important for them and use them often. Most of respondents said that they use the village community center so as to meet friends, to enjoy leisure, and to spend time in rural areas where they have difficulty enjoying cultural facilities. Meanwhile, some people dislike to use the village community centers mainly because there is few programs for leisure or each one has a different personality or they don't have enough money to pay for the membership fee. Second, according to the survey on leisure for the elders in village community centers, there are few leisure programs. For men, they spend time by playing Baduk, Janggi, Hwatu and drinking. Meanwhile, women spend time by meeting with friends, listening to radio and TV watching. There are almost nothing to improve leisure activities such as hobby, recreation and health etc. Male elders using centers are suffering from health problems, economic difficulty, and lack of leisure activities, meanwhile, female elders are suffering from loneliness, health problems, and economic difficulty. Third, according to the survey on improving the leisure program of village community center, elders preferred health related programs to improve leisure activities. The most necessary leisure activities in village community center are hobby classrooms, health programs and group travelling. They preferred health related programs for leisure in village community center. Based upon the reality described above, improving the village community centers as leisure facilities is considered to be important for the welfare well of elders in rural areas.
This paper is to survey the cooperation between the school and the community with respect to the degree of share of their facilities. The hypothesis of this paper is that the share of facilities between the school and the community is helpful for the two. That is, the community, using the school facilities, can educate to upgrade its people to higher social level. The school, using the community facilities, can compensate insufficient school facilities and facilitate student learnings. This paper employed both a literature survey and a case study approach explained by the case of Seong Dong Gu and its schools. This paper argued that the share of the facilities between the school and the community is needed to facilitate student learnings and to upgrade community people to higher level. Thus, government should encourage the cooperation between the two. This paper found that the school can use other schools' facilities, camping facilities, various types of private institute, community libraries, social welfare centers, athlentic facilities, and park facilities in the community. Most of the facilities are rested during school hours and are vacant more or less after school hours, so that there are still room for share the facilities with the students. This paper found that the community can easily use school facilities for life-long education programs, house-wife classes, athlentic programs for daily life, recreation classes for community people because the school is located in the center of the community. These programs using school facilities can encourage to upgrade community persons' social levels. However, this paper found that the degree of community use is insufficient to fulfil the school facilities. Only a few percent of the school class rooms and other facilities are used by the community. Therefore this paper asserted that community education programs using school facilities should be expanded. This paper recommended, based on the findings, that governments should encourage the cooperation between the school and the community to facilitate student's learnings and to upgrade community people to higher level. Also it recommended that the school should share more community facilities and that the community should share more school facilities.
The purpose of this article is to introduce the Sports, Play, and Active Recreation for Kids (SPARK) physical education curriculum. SPARK is a model for health-related, research-based and evidence-based physical education programs in the United States. The outcome of school physical education can relate to public health, but there exists few evidence-based physical education programs reporting health-related variables. School physical education can provide more opportunities for children and adolescents to be physically active and to learn more about healthy lifestyles. However, physical education programs have been cut and eliminated due to lack of funding in the U.S. as in South Korea. Although facing these problems, SPARK programs have been implemented in over 50% of schools, after school programs and coordinated school health programs in the U.S. This article reviewed: (a) background information of the SPARK program, (b) examples of effective interventions, and (c) methods of dissemination to schools nationally in the U.S. The methods showed in SPARK may use as a model for researching, developing and implementing new physical education(PE) program and after school programs in Korea.
The result of this study about application methods of regional heritage are important things. 1. Rural community going ahead Rural Activation Policies applied in regional heritage, have principal experience programs based on visiter's demands. 2. The programs applied regional heritage are most useful application methods of traditional-cultural experience, and following, folk-life and nature environment experience. 3. Insufficient of scheme for applying regional heritage, and specific characters and identity of rural community, is coming out the inadequate plan of community design with comparing other neighborhoods.
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