Research in Community and Public Health Nursing

Original Articles

The Effectiveness of a mHealth Program Using Wearable Devices and Health Coaching among Bus Drivers for Promoting Physical Activity: Yeong Mi Ha, Sang Ho Lee, Su Yeon Lee, Yeo Joo Chae; J Korean Acad Community Health Nurs. 2022;33(3):332-339. Published online September 30, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.3.332

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Abstract PDF: Purpose
Bus drivers are at high risk of chronic diseases due to risk factors associated with poor diet, physical inactivity, high levels of sedentary behaviors, and unfavorable working environments. This study developed a mHealth program for bus drivers, and examined the effectiveness of a mHealth program for promoting physical activity among bus drivers using wearable devices and health coaching. Methods: Forty-seven workers from two bus companies were allocated to the experimental group and the control group. Participants were asked to wear a wearable device (Fitbit Charge HR) during waking hours for a day. Participants in the experimental group were provided with a Fitbit, weekly face-to-face health coaching, a mHealth workbook, and text and photo messaging for 12 weeks. The control group only received a Fitbit. Results: By week 12, there were significant differences between the experimental and control groups in exercise self-efficacy (p<.015) and daily walking steps (p<.001). Conclusion: The findings have demonstrated that the mHealth program using wearable devices and health coaching is effective for bus drivers for promoting physical activity. Based on our findings, it is recommended to encourage the mHealth program using wearable devices and health coaching for bus drivers' wellness.

Qualitative Analysis of Tele-healthcare Systems based on the Diffusion of Innovation Model: Myung Soon Kwon, Ji Hye Jang; J Korean Acad Community Health Nurs. 2017;28(2):129-143. Published online June 30, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.2.129

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PURPOSE
The purpose of this study is to explore factors which influence adoption, implementation and continued use of tele-healthcare systems.
METHODS
Qualitative research was conducted by in-depth interviews with 17 professionals from various fields of organizations involved in developing and implementing tele-healthcare systems. Data were analysed thematically, using a conceptual model of diffusion of innovations.
RESULTS
The system users were reacted positively to the 3 attributes out of 9 which decided the adoption of innovation. In addition, it is required to redesign the tele-health care system simpler and easier so that the system users can access to the system much more easily regardless of space and time limitations. From the design stage on an individual level, it is necessary to conduct detailed needs analysis and listen to users who are at the center of innovation diffusion. On an organizational level, it is necessary to actively prepare for possible problems during system implementation, educate the users and build communication channels continuously.
CONCLUSION
This study has identified the factors affecting the innovation of tele-health care systems and contributed to the understanding of the operation of tele-health care systems by the diffusion of innovation theory in community health posts.

Citations

Citations to this article as recorded by

Tele-Treatment Application Design for Disable Patients with Wireless Sensors
Alberto Arteta Albert, Luis Fernando de Mingo López, Nuria Gómez Blas
Applied Sciences.2020; 10(3): 1142. CrossRef
A study on the experience of mHealth based on health belief model: Focus group interview
Na Young Park, Jeong Hae Hwang, Yun-Kyoung Choi, Seong-Hi Park, Yeon Kyung Lee
Korean Journal of Health Education and Promotion.2019; 36(3): 97. CrossRef

Low-income Elders' Experiences in Using u-Health (Ubiquitous Healthcare) Services: Han Na Choi, Jeong Eun Kim; J Korean Acad Community Health Nurs. 2014;25(4):270-281. Published online December 31, 2014; DOI: https://doi.org/10.12799/jkachn.2014.25.4.270

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PURPOSE
The purpose of the study was to understand low-income elders' experiences of community-based u-Health services.
METHODS
Qualitative data were collected from 11 participants. All interviews were recorded and transcribed verbatim. The transcribed data were analyzed using qualitative content analysis.
RESULTS
Three themes and eight sub-themes emerged as a result of analysis. The three main themes were 'recovered confidence and health condition,' 'trial and error in change,' and 'hope.'The eight sub-themes were 'the burden and efforts to overcome it in using bio-signal device,' 'ambivalence due to changing lifestyle,' 'increase of care time, decrease of pressure', 'conflict under environmental constraints,' 'difficulty in prioritizing health management,' 'discouragement in handling new devices,' 'desire not to be a burden to their children-gradual fulfillment of learning needs,' and 'long for broadening coverage range of services.' CONCLUSION: The findings of this study demonstrate that low-income elders among the participants have different needs in using u-Health services. Therefore, health professionals need to give personalized education to deal with their conflicts and requirements, especially emotional and environmental support in order for them to successfully accept the u-Health services for self-care.

Citations

Citations to this article as recorded by

Quality of life of older adults with cancer in Korea
Hyunsook Yoon, Yojin Kim, Yeon Ok Lim, Kyoungwon Choi
Social Work in Health Care.2018; 57(7): 526. CrossRef
Acceptability of Service Targets for ICT-Based Healthcare
Eun Min Jeon, Hwa Jeong Seo
Healthcare Informatics Research.2016; 22(4): 333. CrossRef
Health related Lifestyles, Self-efficacy and Health related Quality of Life by the Types of Hypertension Management in Community Health Posts
Myung Soon Kwon, Soon-Ok Yang, Ji-Hye Jang
Journal of Korean Public Health Nursing.2015; 29(3): 565. CrossRef
Findings from the Survey Responses by Cambodian Doctors and Patients for Telemedicine
Sun-gil Yoo, Dongik Oh, Sedong Min, Wonhan Shin
Journal of Internet Computing and Services.2015; 16(4): 13. CrossRef

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