본문 바로가기
KERD
논문KCI 등재

노인의 건강과 삶의 질 향상을 위한 라이프스타일 중재 프로그램: 그룹 프로그램을 위한 프로토콜

Lifestyle Intervention Program for Improving the Health and Quality of Life of Older Adults: A Protocol for Group Programs

박지혁|임승주|남상훈|임영명|김아람
한국노인작업치료학회 (Korean Society for Geriatric Occupational Therapy)|2024.12|한국노인작업치료학회지 (Korea Journal of Geriatric Occupational Therapy)|제6권 제2호|pp. 83-96

0

조회

0

다운로드

0

인용

0

참고문헌

키워드

삶의 질Quality of lifeHealthLifestyle건강라이프스타일Group program그룹 중재중재 프로토콜Intervention protocol

초록

목적 : 본 연구의 목적은 노인의 건강과 삶의 질 향상을 위한 그룹 기반 라이프스타일 중재 프로토콜을 개발하는 것이다. 이를 통해 노인의 웰빙을 증진시키는 구조화된 증거 기반 프로그램의 필요성을 다루고자 한다. 궁극적으로, 이 연구는 노인의 더 나은 건강과 삶의 질 향상에 기여하는 기초자료로 활용될 것이다. 연구방법 및 설계 : 65세 이상 지역사회에 거주하는 노인을 대상으로 신체활동, 식습관, 사회관계, 작업참여를 포함한 중재 프로그램의 효과를 평가한다. 연구 대상자들은 2개월 동안 8회기의 라이프스타일 그룹 프로그램에 참여하게 된다. 대상자 선별을 위하여 인지 평가를 실시하며, 프로그램의 전후 비교를 통해 라이프스타일, 삶의 질, 주관적 건강 상태의 변화를 평가하여 프로그램의 효과성을 분석한다. 결론 : 본 연구의 라이프스타일 중재 프로토콜은 노인의 건강과 삶의 질 향상을 목표로 체계적이고 그룹화된 접근 방식을 제안한다. 프로토콜의 핵심은 신체활동, 식습관, 사회관계, 작업참여의 네 가지 라이프스타일 요소를 포함하며, KEEP (Knowledge, Evaluation, Experience, Plan) 전략을 통해 행동 변화를 유도하는 것이다. 이러한 접근은 노인의 건강증진 및 라이프스타일 개선에 실질적인 기여를 할 수 있을 것으로 기대된다. 향후 연구에서는 프로토콜의 실행 가능성과 유용성 검토가 필요하다.

Abstract

Objective : This study develops a group-based lifestyle intervention protocol to improve the health and quality of life of older adults. Essentially, by creating structured evidence-based programs, this study seeks to support better health outcomes and enhance the well-being of older adults. Methods and Design: An 8-session intervention program is evaluated over 2 months for community-dwelling older adults aged 65 years and over. This program focuses on physical activity, dietary habits, social relationships, and occupational participation. Participants are selected through a cognitive assessment. Changes in lifestyle, quality of life, and subjective health status will be measured before and after the program to determine its effectiveness. Conclusion : This protocol aims to improve older adults' health and quality of life through a systematic, group-based approach. The core components of the protocol include physical activity, nutrition, social relationships, and occupational participation, while using the KEEP strategy to promote behavioral change. This approach is expected to significantly enhance older adults' health and lifestyles. Future research should evaluate the protocol’s feasibility and effectiveness.

참고문헌 (48)

  1. Abe, T., "Identifying the specific associations between participation in social activities and healthy lifestyle behaviours in older adults", Maturitas, 155, pp.24~31 (2022)[DOI]
  2. Bartašiūnienė, V., "Assessment of the elderly patients’ well-being and daily activity in institution X. Slauga", Mokslas ir Praktika, 5(2-3), pp.66~77 (2024)[DOI]
  3. Cahyantari, R. A., "Factors related to the level of academic stress in adolescents in grade 12 of SAM Islam putradarma, Bekasi Regency 2022", Journal Medicare, 3(2), pp.97~112 (2024)[DOI]
  4. Choi, H., "Impact of social isolation on behavioral health in elderly : Systematic review", World Journal of Psychiatry, 5(4), pp.432~438 (2015)[DOI]
  5. Dominguez, L. J., "Nutrition, physical activity, and other lifestyle factors in the prevention of cognitive decline and dementia", Nutrients, 13(11), pp.4080~ (2021)[DOI]
  6. Duppen, D., "Social participation in the daily lives of frail older adults : Types of participation and influencing factors", Journals of Gerontology : Series B, 75(9), pp.2062~2071 (2020)[DOI]
  7. Ferrari, C. K., "Implementation of public health policies for healthy lifestyles promotion : What Brazil should tell us?", Health Promotion Perspectives, 8(3), pp.243~248 (2018)[DOI]
  8. Ford, E. S., "Healthy lifestyle behaviors and all-cause mortality among adults in the United States", Preventive Medicine, 55(1), pp.23~27 (2012)[DOI]
  9. French, C., "Digital intervention (Keep-On-Keep-Up Nutrition) to improve nutrition in older adults: Protocol for a feasibility randomized controlled trial", JMIR Research Protocols, 13(1), pp.e50922~ (2024)[DOI]
  10. Guarnera, J., "The impact of loneliness and social isolation on cognitive aging : A narrative review", Journal of Alzheimer's Disease Reports, 7(1), pp.699~714 (2023)[DOI]
  11. Ivanitskaya, L. V., "A bibl iometric a nal ysis o f eHealth s chol arship(2000-2024): Multidisciplinary contributions and research trends", Journal of Medical Internet Research (2024)[DOI]
  12. Kacar, Z., "The effect of exercise-oriented training on physical activity level and exercise awareness in overweight and obese women: A randomizedcontrolled trial", Heliyon, 10(3), pp.e29569~ (2024)[DOI]
  13. Karatzaferi, C., "Lifestyle medicine for healthy ageing and longevity", INSPIRE, 72~77 (2024)
  14. Kim, A. R., "Development of lifestyle assessment: A Delphi survey of multifaceted health experts", 2023-2024 SSK Networking 1st Joint Symposium (2023)
  15. Kimura, N., "Modifiable lifestyle factors and cognitive function in older people : A cross-sectional observational study", Frontiers in Neurology, 10, pp.401~ (2019)[DOI]
  16. Lavie, C. J., "Sedentary behavior, exercise, and cardiovascular health", Circulation Research, 124(5), pp.799~815 (2019)[DOI]
  17. Leist, A., "Using cohort data to emulate lifestyle interventions: Longterm beneficial effects of initiating physical activity on cognitive decline and dementia", Alzheimer's & Dementia, 16(S10), pp.e044493~ (2020)[DOI]
  18. Leist, A. K., "Social media use of older adults : A mini-review", Gerontology, 59(4), pp.378~384 (2013)[DOI]
  19. Li, Y., "Impact of healthy lifestyle factors on life expectancies in the US population", Circulation, 138(4), pp.345~355 (2018)[DOI]
  20. Li, Y., "Trends in self-reported adherence to healthy lifestyle behaviors among US adults, 1999 to March 2020", JAMA Network Open, 6(7), pp.e2323584~ (2023)[DOI]
  21. Lim, Y. M., "Differences in subjective health and comprehensive behavioral tendencies based on health lifestyle values system types in middle-aged and older adults", Korean Journal of Occupational Therapy, 32(1), pp.133~144 (2024)[DOI]
  22. Lim, Y. M., "Development of lifestyle evaluation tools based on the values of the elderly : A Delphi study", SAGE Open, 13(3), pp.21582440231194802~ (2023)[DOI]
  23. Min, S. K., "Devel opment of the Korean versions of WHO Quality of Life scale and WHOQOL-BREF", Quality of Life Research : An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 11(6), pp.593~600 (2002)[DOI]
  24. "Cognitive Impairment Screening Test (CIST) manual" (2021)[URL]
  25. Nam, S. H., "Item-level psychometrics of the Cognitive Impairment Screening Test(CIST)", Korean Journal of Occupational Therapy, 31(2), pp.97~109 (2023)[DOI]
  26. Naseri, F., "The relationship between fear of falling and social isolation and loneliness in diabetic elderly who referred to health centers in Faridonkanar city in 2023", Journal of Mazandaran University of Medical Sciences, 34(232), pp.123~135 (2024)
  27. Nyberg, S. T., "Association of healthy lifestyle with years lived without major chronic diseases", JAMA Internal Medicine, 180(5), pp.760~768 (2020)[DOI]
  28. )and lifestyle intervention strategies, "Therapeutic Science for Rehabilitation", 2023, 9~22, 10.22683[DOI]
  29. Park, K. H., "Development of an elderly lifestyle profile: A Delphi survey of multidisciplinary health-care experts", PLoS One, 15(6), pp.e0233565~ (2020)[DOI]
  30. Park, K. H., "Applying latent profile analysis to identify lifestyle profiles and their association with loneliness and quality of life among communitydwelling middle-and older-aged adults in South Korea", International Journal of Environmental Research and Public Health, 18(23), pp.12374~ (2021)[DOI]
  31. Resnayati, Y., "T he i nfl uence of lifestyle modifications in elderly people with hypertension on self-efficacy and quality of life", Nursing Genius Journal, 1(2), pp.71~76 (2024)
  32. Sallis, J. F., "Progress in physical activity over the Olympic quadrennium", Lancet, 388(10051), pp.1325~1336 (2016)[DOI]
  33. Santos, L., "The impact of nutrition and lifestyle modification on health", European Journal of Internal Medicine, 97, pp.18~25 (2022)[DOI]
  34. Scarmeas, N., "Nutrition and prevention of cognitive impairment", Lancet Neurology, 17(11), pp.1006~1015 (2018)[DOI]
  35. Schuch, F. B., "Physical activity and incident depression : A meta-analysis of prospective cohort studies", American Journal of Psychiatry, 175(7), pp.631~648 (2018)[DOI]
  36. Schütz, D. M., "The relationship between lifestyle, mental health, and loneliness in the elderly during the COVID-19 pandemic", In Healthcare, 12(9), pp.876~ (2024)[DOI]
  37. Seixas, A., "A pantheoretical framework to optimize adherence to healthy lifestyle behaviors and medication adherence: The use of personalized approaches to overcome barriers and optimize facilitators to achieve adherence", JMIR mHealth and uHealth, 8(6), pp.e16429~ (2020)[DOI]
  38. Šimková, S, "Assessment of healthy lifestyles in relation to BMI", Neuroendocrinology Letters, 43(7-8), pp.393~399 (2022)
  39. Sowa, A., "Predictors of healthy ageing : Public health policy targets", BMC Health Services Research, 16(Suppl 5), pp.289~ (2016)[DOI]
  40. "Subjective health status" (2024)[URL]
  41. Stonerock, G. L., "Role of counsel ing to p romote a dherence in h eal thy lifestyle medicine : Strategies to improve exercise adherence and enhance physical activity", Progress in Cardiovascular Diseases, 59(5), pp.455~462 (2017)[DOI]
  42. Taylor, H. O., "Social isolation, depression, and psychological distress among older adults", Journal of Aging and Health, 30(2), pp.229~246 (2018)[DOI]
  43. Uniyal, S., "Aging gracefully : Cognitive resilience in the elderly", International Journal for Research Publication and Seminar, 15(2), pp.34~44 (2024)[DOI]
  44. Wang, P., "Effects of a multicomponent intervention with cognitive training and lifestyle guidance for older adults at risk of dementia : A randomized controlled trial", Journal of Clinical Psychiatry, 85(2), pp.54825~ (2024)[DOI]
  45. WHOQOL Group., "Development of the World Health Organization WHOQOL-BREF quality of life assessment", Psychological Medicine, 28(3), pp.551~558 (1998)[DOI]
  46. Wijayanti, Y. T., "Education and health examination for the elderly", Jurnal Pengabdian Masyarakat Edukasi Indonesia, 1(2), pp.36~41 (2024)[DOI]
  47. Younes, S., "The correlation of ABC goal attainment with insulin resistance", sensitivity in Syrian type 2diabetes patients, 2024, pp.15, 100221~
  48. Yun, S. H., "A pilot study of applying intervention strategies to form a healthy lifestyle in the elderly", Journal of the Korean Gerontological Society, 43(4), pp.615~627 (2023)[DOI]

관련 논문AI추천

지역사회 노인을 대상으로 적용한 라이프스타일 중재의 형태와 효과에 관한 체계적 고찰박상미, 박지혁, 신윤찬, 원경아, 한아름대한신경계작업치료학회 · 재활치료과학2019 · 제8권 제2호지역사회 노인의 건강한 라이프스타일을 위한 건강증진프로그램 중재효과에 대한 체계적 고찰이수경, 이지수한국디지털정책학회 · 디지털융복합연구2020 · 제18권 제4호지역사회 거주 노인의 건강관리를 위한 작업기반 라이프스타일 중재 프로그램의 효과박지혁, 신윤찬대한신경계작업치료학회 · 재활치료과학2022 · 제11권 제2호Predicting Healthy Lifestyle Patterns in Older Community Dwelling Adults: A Latent Profile Analysis박강현, 박지혁, 양민아, 원경아대한신경계작업치료학회 · 재활치료과학2021 · 제10권 제2호지역사회 거주 허약 노인의 라이프스타일 중재의 효과: 체계적 고찰박지혁, 이지연한국노인작업치료학회 · 한국노인작업치료학회지2021 · 제3권 제1호노인들의 라이프스타일에 따른 건강운동 효과 분석김주원, 석성자, 신두만, 정종현, 지병태한국보건교육건강증진학회 · 보건교육건강증진학회지2010 · 제27권 제2호

이 간행물의 다른 논문 (5건)

뇌졸중 환자의 재발방지를 위한 자기관리 중재: 체계적 고찰박지혁, 남상훈, 박준태pp. 7-20삼킴곤란 환자에게 복합 중재로 적용된 신경근 전기자극치료의 효과에 대한 체계적 고찰이유나, 정윤영, 윤준영, 원찬희pp. 21-34치매 환자에게 적용한 보드게임 효과에 대한 체계적 고찰김찬영, 이유나, 최윤호, 김기승, 김상근, 김우열, 공학중pp. 35-47한국판 웰빙 수준에 대한 사회적 생산 기능 도구(Social Production Function Instrument for the Level of well being; SPF-IL)의 신뢰도 및 타당도 연구안현서, 김인혜, 박혜연pp. 49-63로봇미러링훈련과 로봇거울치료의 아급성기 뇌졸중 환자에 대한 편측무시 개선 효과성 비교: 무작위대조군예비연구우정재, 권재성pp. 65-81
원문 보기