도시 노인의 걷기실천과 건강증진에 관한 근거이론 연구
A grounded theory approach toward the walking practice and health promotion of urban older adults
0
조회
0
다운로드
6
인용
0
참고문헌
키워드
초록
Objectives: This study aimed to conceptualize the walking experience of urban older adults from the perspective of health promotion. Methods: The research design applied a grounded theory approach. Theoretical sampling was implemented until theoretical saturation was reached, and 33 older adults living in a pedestrian-friendly community in Seoul were recruited for the study. Data were collected only at the first stage of social distancing between July and December 2020. This study employed qualitative multi-methods that combined in-depth interviews and field observation. The collected data were analyzed through open, axial, and selective coding, while text and spatial information were integrated during axial coding. Results: The open coding resulted in 83 concepts, 35 subcategories, and 14 categories, which were reconstructed according to the coding paradigm structure for axial coding. The walking experience phenomenon among urban older adults was reflected through the following: “subjectivity as a healthy older adult,” “autonomy of movement,” and “diverse range of daily experiences in terms of walking.” This phenomenon was linked to multidimensional health promotion by facilitating interactions between older adults and the environment in the context of urban old adults. Conclusion: A healthy and age-friendly community should move toward promoting the interaction between older adults and the environment by increasing the frequency of walking for various purposes.
Abstract
Objectives: This study aimed to conceptualize the walking experience of urban older adults from the perspective of health promotion. Methods: The research design applied a grounded theory approach. Theoretical sampling was implemented until theoretical saturation was reached, and 33 older adults living in a pedestrian-friendly community in Seoul were recruited for the study. Data were collected only at the first stage of social distancing between July and December 2020. This study employed qualitative multi-methods that combined in-depth interviews and field observation. The collected data were analyzed through open, axial, and selective coding, while text and spatial information were integrated during axial coding. Results: The open coding resulted in 83 concepts, 35 subcategories, and 14 categories, which were reconstructed according to the coding paradigm structure for axial coding. The walking experience phenomenon among urban older adults was reflected through the following: “subjectivity as a healthy older adult,” “autonomy of movement,” and “diverse range of daily experiences in terms of walking.” This phenomenon was linked to multidimensional health promotion by facilitating interactions between older adults and the environment in the context of urban old adults. Conclusion: A healthy and age-friendly community should move toward promoting the interaction between older adults and the environment by increasing the frequency of walking for various purposes.
참고문헌 (49)
- Ajzen, I., "Handbook of theories of social psychology (Vol. 1)", pp.438~459 (2012), Sage
- Orcin Telli Atalay, "The impact of unsupervised regular walking on health: a sample of Turkish middle-aged and older adults", European Review of Aging and Physical Activity, 9(1), pp.71~79 (2011), Springer Science and Business Media LLC[DOI]
- Michele Casper, "Population Health, Place, and Space: Spatial Perspectives in Chronic Disease Research and Practice", Preventing Chronic Disease, 16, pp.190237~ (2019), Centers for Disease Control and Prevention (CDC)[DOI]
- 최보아, "은퇴자의 생활설계를 위한 교육 프로그램의 개발", 가정과삶의질연구, 22(6), pp.47~61 (2004), 가정과삶의질학회
- 정순둘, "WHO 고령친화도시 실현가능성 분석 :서울특별시 조례 분석을 중심으로", 노인복지연구, (65), pp.109~130 (2014), 한국노인복지학회[DOI]
- Corbin, J., "Basics of qualitative research: Techniques and procedures for developing grounded theory" (2014), Sage publications
- D. Cucinotta, "Prevention of pathological aging by comprehensive clinical, functional and biological assessment", Archives of Gerontology and Geriatrics, 44, pp.125~132 (2007), Elsevier BV[DOI]
- Claire B. Draucker, "Theoretical Sampling and Category Development in Grounded Theory", Qualitative Health Research, 17(8), pp.1137~1148 (2007), SAGE Publications[DOI]
- Fitzgerald, K. G., "An overview of age-friendly cities and communities around the world", Journal of Aging & Social Policy, 26(1-2), pp.1~18 (2014)[DOI]
- L. P. Fried, "Frailty in Older Adults: Evidence for a Phenotype", The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 56(3), pp.M146~M157 (2001), Oxford University Press (OUP)[DOI]
- Glaser, B., "Applying grounded theory", The Grounded Theory Review, 13(1), pp.46~50 (2014)
- Greg Guest, "How Many Interviews Are Enough?", Field Methods, 18(1), pp.59~82 (2006), SAGE Publications[DOI]
- 한숙정, "보건소 중심의 노인운동 프로그램에 대한 체계적 문헌고찰", 지역사회간호학회지, 26(1), pp.18~30 (2015), 한국지역사회간호학회
- "Chapter 4: Critical appraisal of qualitative research, In Supplementary guidance for inclusion of qualitative research in cochrane systematic reviews of interventions" (2011)[URL]
- Dong Yeong Jeong, "A pedestrian experience framework to help identify impediments to walking by mobility-challenged pedestrians", Journal of Transport & Health, 10, pp.334~349 (2018), Elsevier BV[DOI]
- Dominic Julien, "The Role of Social Participation and Walking in Depression among Older Adults: Results from the VoisiNuAge Study", Canadian Journal on Aging, 2013, pp.32(1), 1~12[DOI]
- Shanti Kadariya, "Physical Activity, Mental Health, and Wellbeing among Older Adults in South and Southeast Asia: A Scoping Review", BioMed Research International, 2019, pp.1~11 (2019), Hindawi Limited[DOI]
- 강창덕, "서울시 보행 편의성 지수 측정과 정책과제", 서울도시연구, 14(4), pp.1~25 (2013), 서울연구원[DOI]
- 강현철, "지역자산을 활용한 커뮤니티케어 운영에 관한 탐색적 연구", 한국지적정보학회지, 21(1), pp.39~54 (2019), 한국지적정보학회[DOI]
- 강명구, "콤팩트시티(압축도시)형 도시재생을 둘러싼 사회적 후생과 개별적 이해 간의 근원적 갈등에 대한 이론적 탐색", 한국지역개발학회지, 24(4), pp.27~40 (2012), 한국지역개발학회
- 김찬호, "지속가능한 신도시 개발을 위한 한국형 압축도시모형 정립에 관한 연구", 국토계획, 42(2), pp.49~68 (2007), 대한국토·도시계획학회
- Dong Ha Kim, "Environment-Stratified Age-Period-Cohort Effects on the Prevalence of Walking Among Older Adults", Journal of Aging and Physical Activity, 30(1), pp.18~24 (2022), Human Kinetics[DOI]
- 김동하, "활동적 생활을 위한 걷기증진 공공사업에 관한 고찰", 농촌의학.지역보건, 46(2), pp.98~108 (2021), 한국농촌의학.지역보건학회
- 김근홍, "중ㆍ고령자의 지역사회 참여에 미치는영향에 관한 연구 - 공동체의식과 생활환경 인식을 중심으로 -", 한국지역사회복지학, (50), pp.53~81 (2014), 한국지역사회복지학회
- 김윤영, "커뮤니티케어 해외사례와 함의 그리고 구상", 비판사회정책, (60), pp.135~168 (2018), 비판과 대안을 위한 사회복지학회[DOI]
- 권향원, "근거이론의 수행방법에 대한 이해: 실천적 가이드라인과 이론적 쟁점을 중심으로", 한국정책과학학회보, 20(2), pp.181~216 (2016), 한국정책과학학회
- M. Powell Lawton, "Dimensions of affective experience in three age groups.", Psychology and Aging, 7(2), pp.171~184 (1992), American Psychological Association (APA)[DOI]
- 이환호, "노인의 걷기 운동 경험에 관한 현상학적 연구 -일산 호수공원을 걷는 노인들 -", 한국사회체육학회지, (78), pp.407~424 (2019), 한국사회체육학회[DOI]
- 이형숙, "노인들의 도보권 근린시설 이용현황 및 인지된 근접성 연구 - 성남지역을 중심으로", 도시설계, 12(4), pp.63~74 (2011), 한국도시설계학회
- 이신숙, "은퇴한 노인의 생활시간 사용에 관한 연구", 한국생활과학회지, 20(2), pp.311~325 (2011), 한국생활과학회
- Effects of “Walking City, Seoul”policy and directions for future researches, "Lee, S.", Seoul Institute Policy, 1~83 (2019)
- Hyuma Makizako, "Cognitive Functioning and Walking Speed in Older Adults as Predictors of Limitations in Self-Reported Instrumental Activity of Daily Living: Prospective Findings from the Obu Study of Health Promotion for the Elderly", International Journal of Environmental Research and Public Health, 12(3), pp.3002~3013 (2015), MDPI AG[DOI]
- E. McAuley, "Physical Activity, Self-Efficacy, and Self-Esteem: Longitudinal Relationships in Older Adults", The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 60(5), pp.P268~P275 (2005), Oxford University Press (OUP)[DOI]
- Keith Diaz Moore, "An Ecological Framework of Place: Situating Environmental Gerontology within a Life Course Perspective", The International Journal of Aging and Human Development, 79(3), pp.183~209 (2014), SAGE Publications[DOI]
- 오민준, "국내외 지속가능한 컴팩트시티형 도시개발방향에 대한 연구", 대한건축학회논문집, 27(12), pp.297~306 (2011), 대한건축학회
- Marcia G. Ory, "Social and environmental predictors of walking among older adults", BMC Geriatrics, 16(1), pp.1~13 (2016), Springer Science and Business Media LLC[DOI]
- 박철영, "가로환경 특성이 보행자 교통사고에 미치는 영향 분석- 가로 세그먼트 분석단위와 공간통계모형의 적용", 도시설계, 17(3), pp.105~121 (2016), 한국도시설계학회
- Park, S., "Aging in place of vulnerable older adults : Person–environment fit perspective", Journal of Applied Gerontology, 36(11), pp.1327~1350 (2017)[DOI]
- Perrino, T., "The relationship between depressive symptoms and walking among Hispanic older adults : A longitudinal, cross-lagged panel analysis", Aging & Mental Health, 14(2), pp.211~219 (2010)[DOI]
- Terri Pikora, "Developing a framework for assessment of the environmental determinants of walking and cycling", Social Science & Medicine, 56(8), pp.1693~1703 (2003), Elsevier BV[DOI]
- "Statistics of the population density of Seoul" (2020)[URL]
- "2040 Seoul Plan" (2022)[URL]
- Strauss, A. L., "Qualitative analysis for social scientists" (1987), Cambridge university press
- Strauss, A. L., "Basics of qualitative research techniques" (1998), Sage Publications inc
- C. H. Wong, "Habitual Walking and Its Correlation to Better Physical Function: Implications for Prevention of Physical Disability in Older Persons", The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 58(6), pp.M555~M560 (2003), Oxford University Press (OUP)[DOI]
- World Health Organization., "Global age-friendly cities : A guide" (2007), World Health Organization
- World Health Organization, "The global network for age-friendly cities and communities : Looking back over the last decade, looking forward to the next" (2018), World Health Organization
- Qingwen Xu, "Sense of Community, Neighboring, and Social Capital as Predictors of Local Political Participation in China", American Journal of Community Psychology, 45(3-4), pp.259~271 (2010), Wiley[DOI]
- 윤순덕, "농촌마을의 비공식적 노인돌봄에 대한 사례연구", 한국지역사회생활과학회지, 19(2), pp.297~308 (2008), 한국지역사회생활과학회