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The Development Process and the Contents of the Self-management Education Program Integrated with Exercise Training (HAHA program) for Older Adults with Chronic Diseases
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  • Journal title : Journal of muscle and joint health
  • Volume 18, Issue 2,  2011, pp.169-181
  • Publisher : Korean Society of Muscle and Joint Health
  • DOI : 10.5953/JMJH.2011.18.2.169
 Title & Authors
The Development Process and the Contents of the Self-management Education Program Integrated with Exercise Training (HAHA program) for Older Adults with Chronic Diseases
Kim, Seon-Ho; Song, Mi-Soon; Park, Yeon-Hwan; Song, Wook; Cho, Be-Long; Lim, Jae-Young; So, Wi-Young;
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 Abstract
Purpose: This paper presents the development process and the final contents of the sellf- management education program integrated with exercise training (Healthy Aging Happy Aging, HAHA program) for community residing older adults with chronic diseases. Methods: The program evaluation methodology was applied which is an interactive program development process based on needs assessment, formative evaluation, process evaluation and outcome evaluation. The program was developed and revised while the program was implementing to 22 hypertension (HT) and 32 diabetic (DM) participants. Results: The final program has two sub-programs for HT and DM participants utilizing self-efficacy resources. They share four common components; 1) health screening of exercise risks, 2) weekly 1-hour group self-management education classes, 3) biweekly 1-hour group exercise training and 4) a mid-term individual counseling. Both sub-programs were 12-weeks long but have different education and exercise contents. Participants-rated mean satisfaction scores were 3.47/4 and 3.61/4 for HT and DM program respectively. Attendance rate were 83.1% ~ 92.3% for the classes. Conclusion: The HAHA program developed by multidisciplinary team which reflected participants needs was accepted well by participants evidenced by high attendance rate and perceived satisfaction level.
 Keywords
Older adult;Self-care;patient education;Exercise;Chronic disease;
 Language
Korean
 Cited by
1.
건강포인트제도가 건강관련 생활습관에 미치는 영향,오대규;이혜숙;임준;정원;윤미경;

동서간호학연구지, 2012. vol.18. 1, pp.25-30
2.
자조그룹에 대한 개념 분석,이은남;엄애용;은영;조경숙;이경숙;송라윤;김종임;신계영;임난영;이명숙;박원숙;오두남;최미경;최희권;

Journal of muscle and joint health, 2014. vol.21. 1, pp.1-10 crossref(new window)
1.
Concept Analysis of Self-help Groups, Journal of muscle and joint health, 2014, 21, 1, 1  crossref(new windwow)
2.
Development and Validation of the Diabetes Management Self-efficacy Scale for Older Adults (DMSES-O), Journal of muscle and joint health, 2014, 21, 3, 184  crossref(new windwow)
 References
1.
Ainsworth, B. E. & Youmans, C. P. (2002). Tools for physical activitiy counseling in medical practice. Obesity Research, 10 Suppl, 69S-75S. crossref(new window)

2.
Alewijnse, D., Mesters, I., Metsemakers, J., & Borne, B. (2002). Program development for promoting adherence during and after exercise therapy for urinary incontinence. Patient Education and Counseling, 48, 147-160. crossref(new window)

3.
American College of Sports Medicine (2006). ACSM's Guidelines for Exercise Testing and Prescription (7th ed.). Boltimore: Williams & Wilkins.

4.
Ballard J. E., McFarland C., Wallace L. S., Holiday D. B., & Roberson G. (2004). The effect of 15 weeks of exercise on balance, leg strength, and reduction in falls in 40 women aged 65 to 89 years. Journal of the American Medical Women's Association, 59(4), 255-61.

5.
Bernard, M. (2000). Promoting health in old age. Critical issues in self health care. Buckingham, Philadelphia: Open University Press.

6.
Crosby, R. A., DiClement, R. J., & Salazar, L. F. (2006). Research Methods in Health Promotion. San Francisco: Jossey-Bass.

7.
Deakin, T. A., McShane, C. E., Cade, J. E., & Williams, R. (2005). Group based training for self-management strategies in people with type 2 diabetes mellitus. Cochrane Database of Systematic Reviews, 18(2), doi:10.1002/14651858.CD003417.pub2 crossref(new window)

8.
Fitzpatrick, J. L., Sanders, J. R., & Worthen, B. L. (2004). Program evaluation Alternative approaches and practical guidelines (3rd ed.)(pp 129-151). Boston: Pearson Education Inc.

9.
Funnell, M. M., Brown, T. L., Childs, B. P., Haas, L. B., Hosey, G. M., Jensen, B., et al. (2007). National standards for diabetes self-management education. The Diabetes Educator, 33, 599-614.

10.
Jongno-Gu Senior Welfare Center. (2007) Needs Assessment for Program Development. Seoul: Jongno-Gu Senior Welfare Center Press.

11.
Kim, S. H. & Song, M, S. (2008). Comparison of non-pharmacological intervention programs for the aged with hypertension in Korea and other countries. Journal of Korean Gerontological Nursing, 10(2), 152-163.

12.
Kim, Y. J., Kim, C. S., & Park, I. H. (2004). Effects of aquatic exercise program on pain, flexibility, grip strength, self-care activities and helplessness in patients having osteoarthritis. The Journal of Rheumatology Health, 11(2), 127-135.

13.
Korea Centers for Disease Control and Prevention. (2010, January). 2008 Korean Health and Nutritional Examination Survey. Seoul: Author.

14.
Krueger, R. A. & Casey, M. A. (2000). Focus groups- A practical guide for applied research (3rd ed.). Thousand Oaks, CA: Sage pub.

15.
Lee, L. L., Arthur, A., & Avis, M. (2007). Evaluating a community-based walking intervention for hypertensive older people in Taiwan: A randomized controlled trial. Preventive Medicine, 44(2), 160-166. crossref(new window)

16.
Lorig, K. & Holman, H. (2003). Self-management education : history, definition, outcomes and mechanisms. Annals of Behavior Medicine, 26(1), 1-7.

17.
Marwick, T. H., Horden, M. D., Miller, T., Chyun, D. A., & Bertoni, A. G. (2009). Exercise training for type 2 diabetes mellitus: impact on cardiovascular risk: a scientific statement for the American Heart Association. Circulation, 119(25), 3244-3262. crossref(new window)

18.
Ministry for Health, Welfare and Family Affairs & Industry-academic Cooperation Foundation, Keimyung University (2009). 2008 Survey of welfare need and living condition of elderly. Daegu: Author.

19.
National Institute of Health. (2006). Self-management. Retrieved April, 4, 2011, from http://report.nih.gov/nihfactsheets/ViewFactSheet.aspx?csid=70&key=S

20.
Newman, S., Steed, L., & Mulligan, K. (2009). Chronic physical illness: self-management and behavioral interventions. New York: McGraw Hill.

21.
Park, Y-H., Song, M., Cho, B. Lim, J., Song, W., Kim, S. et al. (2011). The effects of an integrated health education and exercise program in community-dwelling older adults with hypertension: A randomized controlled trial. Patient Education and Counseling, 82, 133-137. crossref(new window)

22.
Pascoe, G. C. & Attkisson, C. C. (1983). The evaluation Ranking scale: A new methodology for assessing satisfaction. Evaluation and program planning, 6, 335-347. crossref(new window)

23.
Robinson, J. I. & Rogers, M. A. (1994). Adherence to exercise program: recommendation. Sports Medicine, 17(1), 39-52. crossref(new window)

24.
Royse, D., Thyer, B. A., Padgett, D. K., & Logan, T. K. (2006). Program evaluation. an introduction. Monterey California: Thompson Brooks/Cole.

25.
Song, M., Lee, M., & Shim, B. (2009). Barriers to and facilitators of self-management adherence in Korean older adults with type 2 diabetes. International Journal of Older People Nursing, 5, 211-218.

26.
Stretcher, V. J., DeVillis, B. M., Becker, M. H., & Rosenstock, I. M. (1986). The role of self-efficacy in achieving health behavior change. Health Education Quarterly, 13(1), 73-91. crossref(new window)

27.
Stringer, E. & Genat, W. (2004). Action research in health. Upper Saddle River: Pearson Prentice Hall.

28.
Thomas, S., Reading, J., & Shephard, R. J. (1992). Revision of the Physical Activity Readiness Questionnaire (PAR-Q). Canadian Journal of Sport Science, 17(4): 338-345.

29.
US Department of Health and Human Services. (2007). National diabetes education program. Retrieved April, 4, 2011, from http://ndep.nih.gov.

30.
US Department of Health and Human Services. (2007). National High blood pressure education program. Retrieved April, 4, 2011, from http://www.nhlbi.nih.gov/about/nhbpep/nhbp_pd.htm.