PRECEDE-PROCEED 모형 기반 비활동성작업 근로자를 위한 통합적 신체활동증진 프로그램의 개발과 효과

• Published in: Journal of Korean Academy of Nursing Vol. 48; no. 6; pp. 692 - 707
• Main Authors: 김혜진(Kim, Hye-Jin), 추진아(Choo, Jina)
• Format: Journal Article
• Language: Korean
• Published: 한국간호과학회 2018
• Subjects: 신체활동; Health Promotion; 직업건강간호; Occupational Health Nursing; Risk Factors; 건강증진; 위험요인; 생산성-역효과; Physical Activity; Presenteeism; -
• ISSN: 2005-3673; 2093-758X

Purpose: We aimed to examine the effects of an integrated physical activity (PA) program developed for physically inactive workers on the theoretical basis of the PRECEDE-PROCEED model. Methods: Participants were 268 workers in three departments of L manufacturing unit in South Korea. The three departments were randomly allocated into integration (n=86) (INT), education (n=94) (ED), and control (n=88) (CT) groups. The INT group received self-regulation, support, and policy-environmental strategies of a 12-week integrated PA program, the ED group received self-regulation strategies only, and the CT group did not receive any strategies. After 12 weeks, process evaluation was conducted by using the measures of self-regulation (autonomous vs. controlled regulation), autonomy support, and resource availability; impact evaluation by using PA measures of sitting time, PA expenditure, and compliance; and outcome evaluation by using the measures of cardiometabolic/musculoskeletal health and presenteeism. Results: Among process measures, autonomous regulation did not differ by group, but significantly decreased in the CT group (p=.006). Among impact measures, PA compliance significantly increased in the INT group compared to the CT group (p=.003). Among outcome measures, the changes in cardiometabolic/musculoskeletal health and presenteeism did not differ by group; however, systolic blood pressure (p=.012) and a presenteeism variable (p=.041) significantly decreased only in the INT group. Conclusion: The integrated PA program may have a significant effect on increases in PA compliance and significant tendencies toward improvements in a part of cardiometabolic health and presenteeism for physically inactive workers. Therefore, occupational health nurses may modify and use it as a workplace PA program.