대상집단 중심의 보건교육을 통한 대사증후군 관리
Participants-focused health education for the management of Metabolic Syndrome
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Objectives: This study aims to identify participants-focused health education approaches for the management of metabolic syndrome. Methods: Data for metabolic parameters of 855,282 Koreans in 2012 were extracted and analysed from the data base of Korea Association of Health Promotion. Literature and documents including study protocols, program contents, evaluation reports and published articles were reviewed in relation to increasing effectiveness and efficiency of health education for managing metabolic syndrome. Results: Health education program should be based on participants-focused perspectives, in which clients’ demographic characteristics, composition patterns of metabolic risk factors, and readiness of change are appreciated. Development of theory-based strategies for healthy behavior change and evidence-based program components are also important factors in designing and conducting health education intervention. Multiple health behavior intervention can offer a new paradigm for more comprehensive and efficient health education. Implementation fidelity needs to be systematically evaluated and strengthened to improve the validity of the health education efforts. Conclusion: Enhancing participants-focused health education is the responsibility of health education specialists in promoting the management of metabolic syndrome
Abstract
Objectives: This study aims to identify participants-focused health education approaches for the management of metabolic syndrome. Methods: Data for metabolic parameters of 855,282 Koreans in 2012 were extracted and analysed from the data base of Korea Association of Health Promotion. Literature and documents including study protocols, program contents, evaluation reports and published articles were reviewed in relation to increasing effectiveness and efficiency of health education for managing metabolic syndrome. Results: Health education program should be based on participants-focused perspectives, in which clients’ demographic characteristics, composition patterns of metabolic risk factors, and readiness of change are appreciated. Development of theory-based strategies for healthy behavior change and evidence-based program components are also important factors in designing and conducting health education intervention. Multiple health behavior intervention can offer a new paradigm for more comprehensive and efficient health education. Implementation fidelity needs to be systematically evaluated and strengthened to improve the validity of the health education efforts. Conclusion: Enhancing participants-focused health education is the responsibility of health education specialists in promoting the management of metabolic syndrome
참고문헌 (28)
- Bellg, A. J., "Enhancing treatment fidelity in health behavior change studies : best practices and recommendations from the NIH Behavior Change Consortium", Health Psychology, 23(5), pp.443~451 (2004)
- Brinton, E. A., "Can menopausal hormone therapy prevent heart disease?", Trends in Endocrinology & Metabolism, 19, pp.206~212 (2008)
- Choi, J. Y., "Health Care 3.0: a new era of healthy life expectancy", CEO Information, 831 (2011)
- "Chosun Ilbo" (2013)[URL]
- Desroches, S., "The evolving definitions and increasing prevalence of the metabolic syndrome", Applied Physiology, Nutrition, and Metabolism, 32, pp.23~32 (2007)
- Expert Panel on Detection Evaluation and Treatment of High Blood Cholesterol in Adults, "Executive summary of the third report of The National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III)", JAMA, 285, pp.2486~2497 (2001)
- Grave, R. D., "Lifestyle modification in the management of the metabolic syndrome : achievements and challenges", Diabetes Metabolic Syndrome and Obesity, 3, pp.373~385 (2010)
- Green, J., "The role of theory in evidence-based health promotion practice", Health Education Research, 15, pp.125~129 (2000)
- Hong, Y., "Metabolic syndrome, its preeminent clusters, incident coronary heart disease and all-cause mortality-results of prospective analysis for the Atherosclerosis Risk in Communities study", Journal of Internal Medicine, 262(1), pp.113~122 (2007)
- Janssen, I., "Menopause and the metabolic syndrome : the Study of Women’s Health Across the Nation", Archives of Internal Medicine, 168, pp.1568~1575 (2008)
- 김혜경, "금연", 흡연예방 프로그램의 방법에 따른 효과성 평가: 최근 3년 간 국내학술지 논문에 대한 체계적 문헌고찰, 2013, pp.30(5), 61~77[DOI]
- 김미경, "대사증후군", 대한의사협회지, 55(10), pp.1005~1013 (2012), 대한의사협회[DOI]
- Kim, H., "Prevalence and Patterns of Metabolic Syndrome in Korean Adults", International Congress on Obesity and Metabolic Syndrome (2015)
- Knowler, W. C., "Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin", New England Journal of Medicine, 346(6), pp.393~403 (2002)
- Korean society for the study of obesity, , Journal of Korean Society for the Study of Obesity, 19 (2010)
- Korean Society of Lipidology and Atherosclerosis, "Dyslipidemia Fact Sheet in Korea 2015", ~ (2015)
- Kuk, J. L., "Age and sex differences in the clustering of metabolic syndrome factors : association with mortality risk", Diabetes Care, 33(11), pp.2457~2461 (2010)
- Prochaska, J., "Stages of change", Psychotherapy, 38(4), pp.443~448 (2002)
- Prochaska, J. J., "A review of multiple health behavior change interventions for primary prevention", American Journal of Lifestyle Medicine, 5(3), pp.208~221 (2011)
- Prochaska, J. J., "Multiple health behavior change research : an introduction and overview", Preventive Medicine, 46(3), pp.181~188 (2008)
- Statistics Korea, "2014 Life tables for Korea", ~ (2015)
- Stone, N. J., "Approaches to treatment of patient with metabolic syndrome: lifestyle therapy", American Journal of Cardiology, 96(4A), pp.15E~21E (2005)
- Sullivan, V. K., "Prevention and treatment of the metabolic syndrome with lifestyle intervention: where do we start?", Journal of the American Dietetic Association, 106(5), pp.668~671 (2006)
- Takahara, M., "Metabolic syndrome and lifestyle modification", Reviews in Endocrine and Metabolic Disorders, 15, pp.317~327 (2014)
- Tilford, S., "Evidence-based health promotion", Health Education Research, 15, pp.659~663 (2000)
- "TIMES" (2015)[URL]
- Tuomilehto, J., "Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance", New England Journal of Medicine, 344(18), pp.1343~1350 (2001)
- "Obesity in adults: screening and management" (2016)[URL]
