• Asian Pacific Journal of Cancer Prevention
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• 제15권17호
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• pp.7343-7350
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• 2014

Cancer is one of the leading causes of death in Thailand as well as other countries. Evidences from studies in Asia show that alcohol consumption has been linked to an increased risk for various types of cancer. In the qualitative participatory action research presented here, the possibilities of a volunteer women's movement to reduce harmful alcohol consumption by facilitating the creation of emancipatory knowledge in the Thai-Isaan community was explored. During in-depth interviews with 10 female volunteer participants, the following themes emerged: merit making, developing a sense of personal empowerment, and the experience of participating in an action plan that utilized various strategies. The project activities empowered participants to create and share knowledge which was then applied toward action for change. Adoption of this type of program by local health care providers to reduce health problems and risks related to alcohol misuse in similar contexts and cultures is recommended.

• Safety and Health at Work
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• 제3권3호
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• pp.155-165
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• 2012

Reflecting the current international trends toward proactive risk assessment and control at work with practical procedures, participatory action-oriented approaches are gaining importance in various sectors. The roles of these approaches in promoting the safety and health at work are discussed based on their recent experiences in preventing work-related risks and improving the quality of work life, particularly in small-scale workplaces. The emphasis placed on the primary prevention at the initiative of workers and managers is commonly notable. Participatory steps, built on local good practices, can lead to many workplace improvements when the focus is on locally feasible low-cost options in multiple aspects. The design and use of locally adjusted action toolkits play a key role in facilitating these improvements in each local situation. The effectiveness of participatory approaches relying on these toolkits is demonstrated by their spread to many sectors and by various intervention studies. In the local context, networks of trainers are essential in sustaining the improvement activities. With the adequate support of networks of trainers trained in the use of these toolkits, participatory approaches will continue to be the key factor for proactive risk management in various work settings.

• 한국융합학회논문지
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• 제9권12호
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• pp.459-466
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• 2018

본 연구는 사업장과 지역사회에서 이루어진 PAR, CBPR을 중심으로 국내 외 문헌을 체계적 고찰을 하였다. 검토된 10개 논문의 연구 참여자는 보건전문가, 지역사회 네트워크, 근로자, 대학 연구자가 포함된 연구가 80%였고, 적용된 실행연구 기반 건강증진 프로그램은 안전 건강관리인식, 금연, 당뇨관리, 신체활동, 자기효능감 증진, 심혈관 질환, 근골격계 질환, 정신 건강 등 다양했다. 건강증진을 위해서는 지역사회 공동 작업을 통해 연구에 주도적으로 참여하는 것이 필수적이며, 이런 과정을 통하여 지역사회 차원의 문제를 해결할 수 있다. 또한 협력하며 건강증진프로그램을 개발하고 적용했을 때 지속가능한 효과를 확인할 수 있었다. PAR, CBPR은 개인과 조직, 지역사회, 제도적 차원의 범위를 조정하여 지속적인 변화를 추구할 것으로 사료되므로 다양한 사업장에서 근로자를 대상으로 활발히 수행되길 기대한다.

• 한국산업보건학회지
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• 제19권1호
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• pp.51-63
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• 2009

In the field of ergonomics, it is evident that participatory action research methodology could contribute to reduce risk factors of work related musculoskeletal disorders(WMSDs). The objective of this study was to evaluate the effectiveness of a participatory ergonomics in reducing the incidence rate and severity of WMSDs in the tire manufacturing company. In this study, an action committee comprising 13 members was organized in the tire manufacturing company. The action group participated at every research process, education and training, assessment and intervention of risk factors, and early detection and management of WMSDs during the 3 years(2004-2006). The prevention programs contributed to an overall reduction in incidence rate by approximately 37.2%, and lost workdays and workers' compensation costs by approximately 55.1%. But, the incidence rate increased 29.0%, and compensation costs increased 59.0% in the first-year setting programs, and both the incidence rate and compensation costs decreased after the second-year managing programs. And, the reduction rates(63.2%) of insurance cases is higher than that(9.7%) of non-insurance cases. The results showed that participatory ergonomics programs may be effective in reducing the incidence and severity rate of WMSDs.

• 한국가족복지학
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• 제62호
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• pp.103-139
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• 2018

본 연구는 지역사회복지관 한부모 자조집단 실천방안 모색을 위한 참여실행연구 자료를 활용하여, 연구를 수행한 사회복지사들이 참여실행연구과정에서 성찰한 내용이 무엇인지를 구체적으로 탐색하는 데 목적을 두고 있다. 참여실행연구에는 지역사회복지관 한부모 자조집단 실천의 어려움을 공유한 사회복지사와 교수자 9명이 참여했고, 10회기의 연구모임을 통해 동료 수퍼비전을 비롯한 다양한 활동을 하면서 사회복지사들이 소속된 기관의 4개 자조집단 실천에대한 계획-실행-성찰-재계획을 반복하는 순환적 연구를 수행하였다. 그 결과 현장에 밀착된 다양한 실천방안이 도출되었는데, 그 중 핵심은 사회복지사의 인식이 변화해야 한다는 것이다. 본 연구에서는 참여실행연구에서의 성찰을 통해 사회복지사의 인식이 변화된 것에 주목하고, 연구모임 녹취록 등 참여실행연구에서 생성된 자료를 활용하여 성찰의 구체적 내용을 질적으로 분석하였다. 그 결과, '자조집단에 적합한 실천이 미흡했음을 깨닫고 고민함', '회원-사회복지사 관계에 대한 변화된 관점을 바탕으로 사회복지사 역할을 다시 알아감', '당사자 주도 실천의 가능성을 확인함', '지역사회복지관 한부모 자조집단을 더 세밀하게 이해함', '지역사회복지관 한부모 자조집단의 발전을 새롭게 인식함' 등 5개 주제가 도출되었다. 이러한 결과를 토대로 지역사회복지관 한부모 자조집단을 중심으로 역량강화 실천과 성찰?반성적 실천에 대해논의하였다.

• 보건교육건강증진학회지
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• 제32권1호
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• pp.77-87
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• 2015

Objectives: This study aims to explain the process of photovoice, to review relevant research cases, and to discuss the issues in photovoice applications for community health promotion. Methods: Literature review is performed on photovoice manuals, systematic review literature on international photovoice research, and Korean photovoice studies. The review was based on 8 research papers and 6 practice manuals. Results: Photovoice so far has specified its orientation to participatory research. Its implementation includes photovoice training, photo taking and sharing, interviews and discussions, photo exhibit, and social action planning for policy change. SHOWeD questions and the like guide photovoice discussions while they face some challenges in application. Social action planning for policy change part of the photovoice needs attention in implementation and evaluation. Conclusions: Adherence to the participatory principles and action research orientation in photovoice requires persistent efforts. Process and impact evaluation with development of photovoice research infrastructure will enhance photovoice application.

• 보건교육건강증진학회지
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• 제29권5호
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• pp.125-133
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• 2012

Objectives: We used participatory mapping as a tool for empowerment training for promoting health and safety of farmers. We would like to introduce the application of participatory mapping method and report our experiences in a rural community in Korea. Methods: A one-day workshop was offered in six rural villages which were designated as 'safe farm zones'. Each workshop started with an orientation session, followed by a village rounding, presentations of best cases, a group exercise to draw and present a healthy village map. Participants were requested to express their ideas and experiences about healthy and safe residential and working environments on their map. Results: A total of 206 farmers(100 male, 106 female) participated in the workshops. In each workshop, an average of 34.3 farmers participated, and their mean age was 59 years. In the six workshops, the participants proposed a total of 137 action plans. The action plans included improvement of co-working condition, building facilities for recreation, improving traffic safety measures, and improving residential environment. Conclusions: Participatory mapping was successfully developed and applied as a tool for empowering Korean farmers. The participants were able to express their ideas and thoughts about healthy and safe village and action plans on the map. Moreover, some of the actions in the action plans were carried out immediately after workshop.

• 보건교육건강증진학회지
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• 제26권1호
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• pp.141-158
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• 2009

Community-Based Participatory Research(CBPR) has gained attention as a public health approach to develop community health interventions to address health disparities in recognition of the community relevance of specific health issues associated with social determinants of health. It emphasizes community involvement in equal partnership with researchers and public health professionals to address community-identified needs. The characteristics and principles of CBPR discussed in this paper highlight participatory nature, capacity development, partnership building, and process-orientation of CBPR. A 6-step process model for community empowerment is then introduced as a CBPR operationalization strategy. Mixed methods research approaches are valuable in CBPR as well as process evaluation. For the application of CBPR in Korean contexts, the Diffusion of Innovation theory is suggested as a theoretical framework for implementation. Building public health partnerships between public and private sectors to create partnership synergy is a necessary condition for successful CBPR for health promotion in Korea. Accompanying critical factors for the CBPR application include: common understanding of CBPR and its values, establishment of the definition of 'community,' 'community-based' and 'participation' in community health, development of accommodating research infrastructure for CBPR, recognition of the importance of program evaluation (particularly process evaluation), and training CBPR specialists.

• 디지털정책학회지
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• 제1권2호
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• pp.79-87
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• 2022

본 연구는 종합병원 내 조리실 종사자들의 근골격계 질환 예방을 위한 프로그램을 개발하고자 수행한 참여적 실행연구이다. 이 연구는 G시 소재 C종합병원에 근무하는 조리실 근로자 15명, 영양사 3명, 간호사 2명, 물리치료사 1명이 참여하였으며 2018년 3월부터 12월까지 이루어졌다. 참여적 실행연구에 대한 개념적 모형을 바탕으로 양적 자료와 질적 자료를 통합적으로 수집하고 분석하였다. 근골격계 질환 예방을 위한 프로그램을 개발하여 총 13회를 적용한 결과, 프로그램의 구성과 운영시간, 전문성 부분에 있어서 만족도가 높게 나타났으며 향후 지속적인 프로그램의 운영을 원하는 것으로 나타났다. 따라서 본 연구결과를 바탕으로 향후 다른 근로자들을 대상으로 하여 근무부서와 작업의 특성을 고려한 근골격계 질환 예방 프로그램을 참여적 실행연구를 통해 개발하고 적용할 필요가 있다.

• Safety and Health at Work
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• 제6권2호
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• pp.143-145
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• 2015

Three occupational safety and health (OSH) activities, one international and two national workshops, were documented as part of OSH activities conducted under the International Labor Organization/Korea Partnership Program in the year 2011-2012. This study aimed to provide information on what the three OSH activities were implemented and how they contributed to the improvement of OSH in Asian countries. The international workshop was useful for the participants to understand a variety of information on OSH as well as participatory action-oriented training (PAOT) approaches at the regional and global levels. The two national workshops were practical for participants to strengthen their knowledge and skills on the PAOT at the enterprise and national levels. The study shows that the three OSH activities contributed to the understanding of the participants on OSH and PAOT, and that the activities promoted the improvement of OSH across countries in Asia.