Research in Community and Public Health Nursing

Original Articles

[English] Daily Step Counts in Relation to Metabolic Syndrome and Lifestyle Behaviors: Findings from a Two-Year Observational Study in Mhealth-Based Healthy Lifestyle Clubs in Cambodia: Eunjoo Kwon, Hyunseung Kim, Oknam Hwang, Seungwan Ryoo, Yukyung Kim, Youngran Yang; Res Community Public Health Nurs. 2026;37(2):212-225. Published online June 30, 2026; DOI: https://doi.org/10.12799/rcphn.2025.01375

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Abstract PDF: Purpose
This study aimed to investigate the relation between daily step counts, metabolic health, and lifestyle practices among participants in a healthy lifestyle club in Cambodia.
Methods
A single-group repeated-measures observational design was used to examine temporal changes in metabolic health and health behaviors over a 2-year period. 204 participants were residents aged 40 years or older who enrolled in the project “noncommunicable disease prevention and management program using mHealth in Prek Pnov, Cambodia” in 2022-2024. They were retrospectively categorized as either the low-step volume group(LSG) or the high-step volume group(HSG), based on average daily step counts using the 8,000 steps per day criterion. Metabolic syndrome(MetS) was identified using the Joint Interim Statement criteria.
Results
Significant within-group changes in metabolic parameters over 2 years in both groups, including reductions in waist circumference(WC), diastolic blood pressure(DBP), fasting blood glucose(FBG), as well as increases in high-density lipoprotein(HDL) cholesterol. Improvements were also found in the prevalence of MetS, high triglyceride(TG), high BP, and low HDL-cholesterol, and in health behaviors such as regular exercise, daily fruit intake, and reduced sugar-sweetened beverages or artificially sweetened beverages consumption(p<.05). These changes were more pronounced at the 1-year follow-up, with a slight decline at 2-year follow-up.
Conclusion
Participation in the mHealth- and peer-supported healthy lifestyle club was associated with favorable changes in metabolic health and health behaviors among Cambodian residents in the program. Continuous engagement in community-based health promotion activities may be more relevant than achieving a specific absolute daily step count.

[English] Risk Perceptions of Noncommunicable Diseases among Cambodian Adults: A Cross-Sectional Study: Sung Heui Bae, Ok Nam Hwang, Ji Eun Jeong, Young Ran Yang; J Korean Acad Community Health Nurs. 2022;33(2):259-268. Published online June 30, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.2.259

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Purpose
In Cambodia, noncommunicable diseases (NCDs) account for 64% of all deaths. A lack of risk perception of NCDs leads to poor measures of their prevention and management. This study aimed to investigate Cambodians’ risk perceptions of NCDs based on the health belief model. Methods A cross-sectional design was used, and using convenience sampling, participants included 200 Cambodians aged 40 years or older. A face-to-face administered structured questionnaire was used to assess demographic characteristics, health behaviors, and risk perceptions of NCDs. Results Of the constructs of NCD risk perception, perceived severity (88.2%) and benefits (86.3%) were high, but relative to these, perceived cues to action (64.1%), barriers (63.5%), and self-efficacy (58.1%) were low. Conclusion It is important to improve perceived self-efficacy in government health promotion, outreach, and improvement programs and to reduce perceived barriers through medical tests either by facility-based delivery or via outreach health services in Cambodia.

Citations

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Under-utilisation of noncommunicable disease screening and healthy lifestyle promotion centres: A cross-sectional study from Sri Lanka
Thilini Herath, Manuja Perera, Anuradhani Kasturiratne, Pracheth Raghuveer
PLOS ONE.2024; 19(4): e0301510. CrossRef

[English] Elementary, Middle, and High School Health Teachers' Countermeasures Against an Outbreak of Pandemic Diseases, Including MERS: Eun Kyoung Jun, Gyu Young Lee; J Korean Acad Community Health Nurs. 2018;29(1):65-75. Published online March 31, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.1.65

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PURPOSE
This study aims to examine how elementary, middle and high school health teachers in Gyeonggi province react to infectious disease like MERS.
METHODS
This is a descriptive study using a convenience sample of 1,267 school health teachers.
RESULTS
When MERS was an epidemic, school health teachers who took the â€˜leadingâ€™ role were 92.4%. A school heath teacher's countermeasures against infectious diseases showed a high score during MERS outbreak (3.81) compared to regular days (3.59).
CONCLUSION
Based on such results, it has been determined that schools need to keep two types of procedures manual, such as â€˜countermeasures on a regular basisâ€™ and â€˜countermeasures in the event of a pandemic disease outbreakâ€™ manual in the staff offices so that anyone can view them at any time. It is necessary to prepare regulations to strengthen their authority so that school health teachers can take the role of control tower, in a professional capacity, when communicable disease is spreading. In order to prevent any confusion and chaos, there should be a unitary reporting system at each school when dealing with an epidemic. School health teachers need to get continuous training to reinforce their abilities to react to communicable diseases.

Citations

Citations to this article as recorded by

Korean School Nurses’ Perceptions of the Scope of Practice and Workload: A Qualitative Study for Developing Workload Indicators Specific to School Nursing
Jisu Seo, Su Jung Lee, Jaehee Yoon, Jeonghyun Cho, Yumi Choi, Suyeon Noh, Hyun-Ju Seo
The Journal of School Nursing.2026;[Epub] CrossRef
School Nurses’ Experiences and Needs in COVID-19 Pandemic Response: A Qualitative Study
Kyoungsan Seo, Se-an Kim, Young June Choe, Jihyun Moon
The Journal of School Nursing.2025; 41(2): 237. CrossRef
Health teachers’ ethical conflict experiences in the COVID-19 situation: a qualitative content analysis
Kyoung Mi Lim, Sohyune Sok
Frontiers in Public Health.2024;[Epub] CrossRef
Job Stress and Burnout Among School Health Teachers During the COVID-19 Pandemic: The Mediating Effect of Resilience and the Moderating Effect of School Organizational Culture
Hye Ran Jung, Mi Heui Jang, Min Jung Sun
Healthcare.2024; 12(22): 2247. CrossRef
Exploring the Status and Experiences of School Nurses’ Response to the COVID-19 Pandemic: A Mixed Method Study
Hyojin Park, Juyoung Ha
Asian Nursing Research.2024; 18(5): 489. CrossRef
School Nurses’ Perception of Job Performance Difficulties, Job Stress, Job Identity and Job Satisfaction
Eun Kyo Cho, Hyun Jung Moon
Research in Community and Public Health Nursing.2023; 34: 43. CrossRef
A Grounded Theory on School Nursing Experiences With Major Pandemic Diseases
Youn-Joo Um, Yun-Jung Choi
INQUIRY: The Journal of Health Care Organization, Provision, and Financing.2022;[Epub] CrossRef
School Novice Health Teachers’ Perception of Job Performance Difficulties and Job Satisfaction
Seomoon Jang, Gyuyoung Lee
Journal of Korean Academy of Community Health Nursing.2021; 32(4): 566. CrossRef
Prioritizing Training Needs of School Health Staff: The Example of Vietnam
Sookyung Kim, Hyeonkyeong Lee, Hyeyeon Lee, Bui Thi Thanh Loan, Le Thi Thanh Huyen, Nguyen Thi Thanh Huong
International Journal of Environmental Research and Public Health.2020; 17(15): 5563. CrossRef

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