DOI QR코드

DOI QR Code

융합기술 기반 어린이 비만 예방.관리 프로그램 전달체계 설계

Design of service delivery for a child obesity prevention and management program using technology convergence

  • 황지윤 (상명대학교 교육대학원 영양교육전공) ;
  • 박미영 (서울대학교 보건대학원 보건환경연구소) ;
  • 김기랑 (단국대학교 식품영양학과) ;
  • 이상은 (서울대학교 식품영양학과) ;
  • 심재은 (대전대학교 식품영양학과)
  • Hwang, Ji-Yun (Nutrition Education Major, Graduate School of Education, Sangmyung University) ;
  • Park, Mi-Young (Institute of Health and Environment, Graduate School of Public Health, Seoul National University) ;
  • Kim, Kirang (Department of Food Science and Nutrition, Dankook University) ;
  • Lee, Sang Eun (Department of Food Science and Nutrition, Seoul National University) ;
  • Shim, Jae Eun (Department of Food and Nutrition, Daejeon University)
  • 투고 : 2014.10.10
  • 심사 : 2014.10.17
  • 발행 : 2014.10.31

초록

Purpose: Health professionals and policy makers confront the failure of provider-administered, conventional behavioral interventions in the fight against obesity epidemic. The aim of this study was to develop a tailored, cost-effective delivery system for a child obesity prevention and management program through technology convergence using Web-enabled smart cellular phones. Methods: Assessment of service needs and development of a delivery system for the program were based on a comprehensive literature review and expert reviews, and results from in-depth interviews and a need-assessment survey. Results: The user- and site-centered service delivery system using Web-enabled cellular telephones as the hardware platform for obesity prevention and management has been developed. A tailored informational service and intervention will be provided interactively between stakeholders through the platform. The potential legal issues associated with the service design have also been considered. Conclusion: The user-centered convergence design and platform based on principles of Transtheoretical Model and Stages of Change using the Health Promoting School framework could enable effective intervention and promote acceptance in the long-run.

키워드

참고문헌

  1. Yoon N, Kwon S. Impact of obesity on health care utilization and expenditure. Korean J Health Econ Policy 2013; 19(2): 61-80.
  2. Kim H. Multi-sectoral coordination strategy for policies and programs on nutrition service and obesity prevention. Korean J Health Educ Promot 2013; 30(4): 57-67. https://doi.org/10.14367/kjhep.2013.30.4.057
  3. Tate EB, Spruijt-Metz D, O'Reilly G, Jordan-Marsh M, Gotsis M, Pentz MA, Dunton GF. mHealth approaches to child obesity prevention: Successes, unique challenges, and next directions. Transl Behav Med 2013; 3(4): 406-415. https://doi.org/10.1007/s13142-013-0222-3
  4. Glanz K., Rimer BK, Viswanath K, editors. Health behavior and health education: theory, research, and practice. San Francisco: John Wiley & Sons, 2008.
  5. Langford R, Bonell CP, Jones HE, Pouliou T, Murphy SM, Waters E, Komro KA, Gibbs LF, Magnus D, Campbell R. The WHO Health Promoting School framework for improving the health and well-being of students and their academic achievement (Review). The Cochrane Collaboration and published in The Cochrane Library 2014, Issue 4.
  6. Kim M. Problems and solutions for health promoting schools in Korea. Korean Pub Health Res 2013;39(1): 57-67.
  7. Report of School Health Examination Survey 2013. Press release. Ministry of Education, [cited 2014 Sep 25]. Available from: http:// www.moe.go.kr/web/45859/ko/board/view.do?bbsId=294&board- Seq =52706.
  8. Repetti RL, Taylor SE, Seeman TE. Risky families: family social environments and the mental and physical health of offspring. Psychol Bull 2002; 128(2): 330-366. https://doi.org/10.1037/0033-2909.128.2.330
  9. Lissau I, Sørensen TI. Parental neglect during childhood and increased risk of obesity in young adulthood. Lancet 1994; 343(8893): 324-327. https://doi.org/10.1016/S0140-6736(94)91163-0
  10. Kumar S1, Nilsen WJ, Abernethy A, Atienza A, Patrick K, Pavel M, Riley WT, Shar A, Spring B, Spruijt-Metz D, Hedeker D, Honavar V, Kravitz R, Lefebvre RC, Mohr DC, Murphy SA, Quinn C, Shusterman V, Swendeman D. Mobile health technology evaluation: the mHealth evidence workshop. Am J Prev Med 2013; 45(2): 228-236. https://doi.org/10.1016/j.amepre.2013.03.017
  11. Burke LE, Styn MA, Sereika SM, Conroy MB, Ye L, Glanz K, Ewing LJ. Using mHealth technology to enhance self-monitoring for weight loss: a randomized trial. Am J Prev Med 2012;43(1): 20-26. https://doi.org/10.1016/j.amepre.2012.03.016
  12. de Niet J, Timman R, Bauer S, van den Akker E, de Klerk C, Kordy H, Passchier J, Short message service reduces dropout in childhood obesity treatment: A randomized controlled trial. Health Psychology 2012;31(6): 797-805. https://doi.org/10.1037/a0027498
  13. Mamun AA, O'Callaghan MJ, Williams GM, Najman JM. Adolescents bullying and young adults body mass index and obesity: a longitudinal study. Int J Obes (Lond) 2013; 37(8): 1140-1146. https://doi.org/10.1038/ijo.2012.182
  14. Jansen PW, Verlinden M, Dommisse-van Berkel A, Mieloo CL, Raat H, Hofman A, Jaddoe VW, Verhulst FC, Jansen W, Tiemeier H. Teacher and peer reports of overweight and bullying among young primary school children. Pediatrics 2014; 134(3): 473-480. https://doi.org/10.1542/peds.2013-3274
  15. Yang, Hwajin (School of social science, Singapore Management University, Singapore). Conversation with: Jae Eun Shim (Department of food and Nutrition, Daejeon University, Daejeon, Korea), Ji-Yoon Hwang (The graduate school of education, Sangmyung University, Seoul, Korea), Kirang Kim (Department of food and Nutrition, Dankook University, Cheonan, Korea). 2014 Jun 30.
  16. Haapala I, Barengo NC, Biggs S, Surakka L, Manninen P. Weight loss by mobile phone: a 1-year effectiveness study. Public Health Nutr 2009;12(12): 2382-2391. https://doi.org/10.1017/S1368980009005230
  17. Turner-McGrievy GM, Beets MW, Moore JB, Kaczynski AT, Barr- Anderson DJ, Tate DF. Comparison of traditional versus mobile app self-monitoring of physical activity and dietary intake among overweight adults participating in an mHealth weight loss program. J Am Med Inform Assoc 2013;20:513-518. https://doi.org/10.1136/amiajnl-2012-001510
  18. Woolford SJ, Clark SJ, Strecher VJ, Resnicow K. Tailored mobile phone text messages as an adjunct to obesity treatment for adolescents. J Telemed Telecare 2010;16(8): 458-461. https://doi.org/10.1258/jtt.2010.100207
  19. Bechhofer L, Flis B, Guerrant K, and Kovalchick K. USA: The Michigan Journey Toward Coordinated School Health. In: Whitman CB, Aldinger CE, editors. Case Studies in Global School Health Promotion from research to practice. New York: Springer; 2009. p.171-186.
  20. Vaithinathan R, Yee CL, Loke WM, Leow K. Singapore:Health- Promoting Schools: The CHERISH Award. In: Whitman CB, Aldinger CE, editors. Case Studies in Global School Helath Promotion from research to practice. New York: Springer; 2009. p.349-364.
  21. 2008 Case Study-Obesity Prevention and Control Efforts in Singapore. The National Bureau of Asian Research; [cited 2014 June 22]. Available from: http://www.pacifichealthsummit.org/downloads/ Obesity%20Prevention%20and%20 Control%20Efforts% 20in%20Singapore%20-%202008%20Case%20Study.pdf.
  22. Lee HY, Lee EL, Pathy P, Chan YH. Anorexia nervosa in Singapore: an eight-year retrospective study. Singapore Med J 2005; 46(6): 275-281.

피인용 문헌

  1. Leveraging Multimodal Supports using Mobile Phones for Obesity Management in Elementary-School Children: Program Providers' Perspective from a Qualitative Study vol.22, pp.3, 2017, https://doi.org/10.5720/kjcn.2017.22.3.238
  2. 모바일폰의 초등학생 비만관리를 위한 활용 가능성에 대한 질적연구 : 학부모 측면 vol.24, pp.2, 2019, https://doi.org/10.5720/kjcn.2019.24.2.117
  3. 장애아동 비만 예방·관리를 위한 애플리케이션 모형 개발에 관한 연구 vol.20, pp.2, 2014, https://doi.org/10.33778/kcsa.2020.20.2.085