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Developing and Pilot-Testing Blended Learning Program Prototypes for Health Coaching to Support Positive Growth of Cancer Patients

암환자의 긍정성 증진을 위한 블렌디드 건강코칭 교육프로그램 프로토타입 개발 및 적용

  • Received : 2019.10.14
  • Accepted : 2019.11.20
  • Published : 2019.12.31

Abstract

This study aimed to develop and pilot-test educational program prototypes of training health coaches to help cancer patients overcome crises and create positive growth. For this purpose, the educational contents and methods of the blended learning program prototypes were derived through learner needs and literature analysis. The prototypes, which consist of introducing of health management and health information and understanding and practice of basic coaching and health coaching, were developed to integrate with four sessions of face-to-face, off-line classes, training practices through 12 tele-classes, and use of online learning system. The prototypes were conducted and pilot-tested by a total of 35 students selected through the document screening and the interview. After participating in the blended learning program, learners expressed greater overall satisfaction with each session program (average score = 4.36, with 5 being most satisfied), satisfaction with learning contents (average score=4.42) satisfaction with course preparation (average score = 4.26) and satisfaction with lecture materials (average score = 4.19). The results of this study show that a systematic and integrative approach for designing a blended learning program can be useful for various educational needs in health and medical fields. In the future, empirical studies are expected to see how these curricula are actually implemented and assess whether the intended learning outcomes are achieved.

Keywords

References

  1. 강소영, 문현실, 김재경, 최방길, "창업 프로세스를 지원하는 온라인 창업 교육 시스템 수용 의도 연구", 한국IT서비스학회지, 제17권, 제4호, 2018, 119-137. https://doi.org/10.9716/kits.2018.17.4.119
  2. 김정겸, 이은선, "혼합학습 환경에서 비만학생 교육프로그램의 효과", 한국학교보건학회지, 제19권, 제2호, 2006, 13-24.
  3. 김종남, 이란, "암환자를 위한 심리사회적 개입 연구의 개관", 한국심리학회지 : 건강, 제13권, 제2호, 2008, 329-357.
  4. 백상수, "중.고등학교 교사의 긍정적 행동지원 인식에 대한 관심중심수용모형(CBAM) 분석", 정서.행동장애연구, 제30권, 제4호, 2014, 317-337.
  5. 보건복지부, "2016년 암등록통계자료", 2019.
  6. 양혜주, 박정숙, "만성 관절염 환자의 대응양상에 따른 통증, 우울 및 삶의 질", 성인간호학회지, 제14권, 제2호, 2002, 213-221.
  7. 윤민지, 유성경, "긍정정서와 삶에 대한 만족 관계에서 긍정사고, 의미발견 및 의미추구의 매개효과 검증 : 대학생을 중심으로", 청소년상담연구, 제21권, 제1호, 2013, 147-167.
  8. 이상숙, 천경희, 박영순, "의과대학에서 Blended learning의 적용 및 활용", Keimyung Medical Journal, Vol.26, No.2, 2007, 96-102.
  9. 이준희, "인터넷 윤리교육을 위한 SNS 기반의 블렌디드 러닝 시스템 구현과 효과 분석구", 한국IT서비스학회지, 제10권, 제3호, 2011, 61-76. https://doi.org/10.9716/KITS.2011.10.3.061
  10. 임영진, "성격 강점과 긍정 심리치료가 행복에 미치는 영향", 서울대학교 박사학위논문, 2010.
  11. 임철일, 김성욱, 박태정, 윤영호, "자기조절학습자로서의 암환자를 위한 치료 여정에 적응적인 온라인 지원 시스템 설계전략 개발", 교육정보미디어연구, 제23권, 제2호, 2017, 197-225.
  12. 조희숙, 정수미, 이혜진, "대사증후군 대상자들의 건강코칭프로그램 평가", 보건교육.건강증진학회지, 제29권, 제1호, 2012, 97-108.
  13. 탁진국, 임그린, 정재희, "행복증진을 위한 긍정심리 기반 코칭프로그램 개발 및 효과성 검증", 한국심리학회지 : 일반, 제33권, 제1호, 2014, 139-166.
  14. 통계청, "2017년 사망원인통계", 2018.
  15. Aoun, S., R. Osseiran-Moisson, S. Shahid, P. Howat, and M. O'Connor. "Telephone lifestyle coaching : is it feasible as a behavioural change intervention for men?", Journal of Health Psychology, Vol.17, No.2, 2012, 227-236. https://doi.org/10.1177/1359105311413480
  16. Arloski, M., Wellness coaching for lasting lifestyle change, Duluth, MN : Whole Person Associates, 2007.
  17. Bennett, H.D., E.A. Coleman, C. Parry, T. Bodenheimer, and E.H. Chen, "Health coaching for patients with chronic illness", Family Practice Management, Vol.17, No.5, 2010, 24-29.
  18. Boesen, E.H., L. Ross, K. Frederiksen, B.L. Thomsen, K. Dahlstrom, G. Schmidt, J. Næsted, C. Krag, and C.E. Johansen, "Psychoeducational intervention for patients with cutaneous malignant melanoma : A replication study", Journal of Clinical Oncology, Vol.23, No.6, 2005, 1270-1277. https://doi.org/10.1200/JCO.2005.05.193
  19. Fawzy, F.I., N. Cousins, N.W. Fawzy, M.E. Kemeny, R. Elashoff, and D. Morton, "A structured psychiatric intervention for cancer patients : I. Changes over time in methods of coping and affective disturbance", Archives of General Psychiatry, Vol.47, No.8, 1990, 720-725. https://doi.org/10.1001/archpsyc.1990.01810200028004
  20. Fredrickson, B.L., "Cultivated emotions : Parental socialization of positive emotions and self-conscious emotions", Psychological Inquiry, Vol.9, No.4, 1998, 279-281. https://doi.org/10.1207/s15327965pli0904_4
  21. Fredrickson, B.L., Promoting positive affect, In M. Eid and R.J. Larsen (Eds.), The Science of Subjective Well-Being (449-468), New York, NY : Guilford Press, 2008.
  22. Galantino, M.L., P. Schmid, A. Milos, S. Leonard, S. Botis, C. Dagan, W. Albert, J. Teixeira, and J. Mao, "Longitudinal benefits of wellness coaching interventions for cancer survivors", The International Journal of Interdisciplinary Social Sciences : Annual Review, Vol.4, No.10, 2009, 41-58. https://doi.org/10.18848/1833-1882/cgp/v04i10/53020
  23. Hoerger, T.J., K.A. Hicks, S.W. Sorensen, W.H. Herman, R.E. Ratner, R.T. Ackermann, P. Zhang, and M.M. Engelgau, "Cost-effectiveness of screening for pre-diabetes among overweight and obese US adults", Diabetes Care, Vol.30, No.11, 2007, 2874-2879. https://doi.org/10.2337/dc07-0885
  24. Lasson, M., B. Hedelin, and E. Athlin, "Needing a hand to hold : Lived experience during the trajectory of care for patients with head and neck cancer treated with radiotherapy", Cancer Nursing, Vol.30, No.4, 2007, 324-334. https://doi.org/10.1097/01.NCC.0000281722.56996.07
  25. Lawson, K.L., Y. Jonk, H. O'connor, K.S. Riise, D.M. Eisenberg, and M.J. Kreitzer, "The impact of telephonic health coaching on health outcomes in a high-risk population", Global Advances in Health and Medicine, Vol.2, No.3, 2013, 40-46. https://doi.org/10.7453/gahmj.2013.039
  26. Lederbogen, F. and A. Strohle, "Stress, mental disorders and coronary heart disease", Der Nervenarzt, Vol.83, No.11, 2012, 1448-1457. https://doi.org/10.1007/s00115-012-3666-7
  27. Liebowitz, R. and L. Smith, The Duke encyclopedia of new medicine : Conventional and alternative medicine for all ages, London, UK : Rodale Books International, 2006.
  28. Lyubomirsky, S., L. King, and E. Diener, "The benefits of frequent positive affect : Does happiness lead to success?", Psychological Bulletin, Vol.131, No.6, 2005, 803-855. https://doi.org/10.1037/0033-2909.131.6.803
  29. McCaughan, E. and H. McKenna, "Never-ending making sense : Towards a substantive theory of the information-seeking behaviour of newly diagnosed cancer patients", Journal of Clinical Nursing, Vol.16, No.11, 2007, 2096-2104. https://doi.org/10.1111/j.1365-2702.2006.01817.x
  30. Moore, M. and G. Highstein, Principles of behavioral psychology in wellness coaching, In Presented/published by the International Coach Federation's Coaching Research Symposium, Quebec City, Quebec, Canada, 2004.
  31. Oberstein, S., 10 steps to successful coaching. ASTD, 2009.
  32. Oh, P.J., "Correlation between mental adjustment to cancer and anxiety", Journal of Korea Oncology Nursing Society, Vol.9, No.2, 2009, 136-144.
  33. Rehse, B. and R. Pukrop, "Effects of psychosocial interventions on quality of life in adult cancer patients : Meta analysis of 37 published controlled outcome studies", Patient Education and Counseling, Vol.50, No.2, 2003, 179-186. https://doi.org/10.1016/S0738-3991(02)00149-0
  34. Seligman, M.E., Positive psychology, positive prevention, and positive therapy, In C.R. Snyder and S.J. Lopez (Eds.), Handbook of positive psychology (3-12), New York, NY : Oxford University Press, 2002.
  35. Tatrow, K. and G.H. Montgomery, "Cognitive behavioral therapy techniques for distress and pain in breast cancer patients : A meta-analysis", Journal of Behavioral Medicine, Vol.29, No.1, 2006, 17-27. https://doi.org/10.1007/s10865-005-9036-1
  36. Wolever, R.Q., M. Dreusicke, J. Fikkan, T.V. Hawkins, S. Yeung, J. Wakefield, L. Duda, P. Flowers, C. Cook, and E. Skinner, "Integrative health coaching for patients with type 2 diabetes", The Diabetes Educator, Vol.36, No.4, 2010, 629-639. https://doi.org/10.1177/0145721710371523
  37. Yun, Y.H., Y.A. Kim, M.K. Lee, J.A. Sim, B.H. Nam, S. Kim, E.S. Lee, D.Y. Noh, J.Y. Lim, S. Kim, S.Y. Kim, C.H. Cho, K.H. Jung, M. Chun, S.N. Lee, K.H. Park, and S. Park, "A randomized controlled trial of physical activity, dietary habit, and distress management with the Leadership and Coaching for Health (LEACH) program for disease-free cancer survivors", BMC Cancer, Vol.17, No.1, 2017, 298. https://doi.org/10.1186/s12885-017-3290-9