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] Development and Evaluation of a Self-management Mobile App for Adults with Osteoarthritis: Ju Young Park, Jung Tae Son; J Korean Acad Community Health Nurs. 2022;33(1):114-127. Published online March 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.1.114

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Purpose
This study aimed to develop a self-management mobile app for adults with osteoarthritis based on a selfdetermination theory to use it as a nursing intervention tool, and to evaluate the effects of the developed mobile app on adults' basic psychological needs, indexes of osteoarthritis, self-management and quality of life.
Methods
The 56 participants were randomly assigned to either the experimental group (n=28) or the control group (n=28). The participants of the experimental group used a self-management mobile app for 12 weeks after the pretest, and two posttests were taken at the end of every 6 weeks. The data were analyzed using IBM SPSS/WIN 25.0 for Chi-square test, Fisher's exact test, independent t-test, and repeated measures ANOVA.
Results
Basic psychological needs, indexes of osteoarthritis, self-management, and quality of life score of the experimental group were significantly higher than those of the control group.
Conclusion
Our findings suggest that mobile app intervention can support improvements in psychological needs, symptoms of osteoarthritis and quality of life in adults with osteoarthritis. It is recommended that the developed mobile app be used as a nursing intervention tool for adults with osteoarthritis in the community.

Citations

Citations to this article as recorded by

Development and Effects of a Smartphone Application to Improve Self-Management in Workers Who Underwent Thyroid Cancer Surgery
Myoyoun Kim, Seon Young Hwang
Cancer Nursing.2026; 49(4): E399. CrossRef
Development and effectiveness of a mobile-based autonomy support program for the prevention of metabolic syndrome in middle-aged women
Miseon Seo, Eun-Young Jun, Hyunjin Oh
Frontiers in Public Health.2024;[Epub] CrossRef

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