Research in Community and Public Health Nursing

Original Articles

[English] Effects of Multifactorial and Follow-up Programs Applying a Capacity Building Strategy: Focusing on Older Adults Living in a Urban-rural Complex Area: Song Yi Han, Young Ko, Hee Ryang Kim, Ji Youn Kim; J Korean Acad Community Health Nurs. 2019;30(2):243-255. Published online June 30, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.2.243

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Abstract PDF: PURPOSE
The purpose of this study is to examine effects of a multifactorial program for preventing the frailty of older adults and effects of a follow-up program applying a capacity building strategy.
METHODS
A quasi-experimental pretest-posttest design was used for the nonequivalent control group. The follow-up group (n=75) and non-follow-up group (n=68) received the same multifactorial program comprising muscle strength exercise, cognitive training, and psychosocial programs for 12 weeks. After completion of multifactorial program, the follow-up group took follow-up programs applying the capacity building strategy for following 12 weeks. The data of physical function, cognitive function, and psychological function, and self-rated health were collected from both groups three times: before intervention, after intervention, and 12 weeks after intervention. The data were analyzed using Ï‡2 test and t-test.
RESULTS
In comparison with the non-follow-up group, the scores of Timed Up & Go Test, and physical activities energy expenditure were significantly improved in the follow-up group.
CONCLUSION
These results indicate that a multifactorial program with follow-up adapting the strategies of capacity building for the older adults group is feasible to prevent the physical frailty in community.

[English] Development of a Community-based Participatory Global Health Project Model for Primary Health Care Capacity Development: A Case Study from a Rural Community in Ecuador: Hye Jeong Shin, Eui Sook Kim, Byungwook Yoo, Hyeon Kyeong Lee; J Korean Acad Community Health Nurs. 2010;21(1):31-42. Published online March 31, 2010; DOI: https://doi.org/10.12799/jkachn.2010.21.1.31

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PURPOSE
The aims of this study were to identify successful strategies and propose a community-based participatory global health project model for primary health care capacity development.
METHODS
The study used case study methodology. A unit of analysis was an international cooperation health project entitled "Community-based Primary Health Care Improvement in San Lorenzo, Ecuador" using community-based participatory research conducted in 2007~2008. Data were collected through windshield surveys, focus group discussion, and provider surveys.
RESULTS
Identified successful strategies for the international cooperation health project were reciprocal partnerships between researchers and community, partners' capacity building, south-to-south cooperation, and continuous monitoring and feedback. Community participation was found to be an essential tenet to guarantee the improvement of primary health care in the underserved rural community. Evidence from the activities of community health practitioners in Korea was applicable to the development of training programs for primary health care providers in Ecuador.
CONCLUSION
Strategies for primary health care capacity development may be tailored depending on socio-cultural, political, and economical situations of each country. The model, however, would be applicable to the entire process of community-based global health projects in underserved rural communities of other countries.

Citations

Citations to this article as recorded by

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Frontiers in Public Health.2018;[Epub] CrossRef
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Perspectives in Nursing Science.2014; 11(1): 1. CrossRef

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