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Original Article
Community-Based Home Healthcare Project for Korean Older Adults
TaeBum Lee
Osong Public Health Res Perspect. 2013;4(5):233-239.   Published online October 31, 2013
DOI: https://doi.org/10.1016/j.phrp.2013.09.002
  • 2,079 View
  • 15 Download
  • 5 Citations
AbstractAbstract PDF
Objectives
The aim of this study was to identify the effects of community-based home healthcare projects that influence service performances with regard to Korean national long-term care insurance services in older adults.
Methods
The project's applicants were 18 operational agencies in national long-term care institutions in Korea, and participants were care recipients (n = 2263) registered in long-term care institutions. We applied our healthcare system to the recruited participants for a 3-month period from October 2012 to December 2012. We measured the community-based home healthcare services such as long-term care, health and medical service, and welfare and leisure service prior to and after applying the community-based home healthcare system.
Results
After the implementation of community-based home healthcare project, all community-based home healthcare services showed an increase than prior to the project implementation. The nutrition management service was the most increased and its increase rate was 628.6%. A comparison between the long-term care insurance beneficiaries and nonbeneficiaries showed that health and medical services’ increase rate of nonbeneficiaries was significantly higher than beneficiaries (p < 0.001).
Conclusion
Our community-based home healthcare project might improve the service implementation for older adults and there was a difference in the increase rate of health and medical services between Korean national long-term care insurance beneficiaries and nonbeneficiaries.

Citations

Citations to this article as recorded by  
  • Perceived availability of home‐ and community‐based services and self‐reported depression among Chinese older adults: A cross‐sectional study
    Yushan Yu, Jun Zhang, Chao Song, Mirko Petrovic, Xiaomei Pei, Wei‐Hong Zhang
    Health & Social Care in the Community.2022;[Epub]     CrossRef
  • Community-based health financing: empirical evaluation of the socio-demographic factors determining its uptake in Awka, Anambra state, Nigeria
    Felix O. Iyalomhe, Paul O. Adekola, Giuseppe T. Cirella
    International Journal for Equity in Health.2021;[Epub]     CrossRef
  • Factors Influencing Burnout in Primary Family Caregivers of Hospital-based Home Care Patients
    Ju Ok Yang, Hye Kyung Lee
    Journal of Korean Academy of Community Health Nurs.2018; 29(1): 54.     CrossRef
  • A Systematic Literature Review Comparing Primary and Community Health Care Indicators and Measurement Frameworks
    Nour El Kadri, Liam Peyton
    Procedia Computer Science.2017; 113: 384.     CrossRef
  • Economic Effect of Home Health Care Services for Community-dwelling Vulnerable Populations
    Eunhee Lee, Jinhyun Kim
    Journal of Korean Academy of Nursing.2016; 46(4): 562.     CrossRef
Articles
Improvements in the Metabolic Syndrome and Stages of Change for Lifestyle Behaviors in Korean Older Adults
Seunghyun Yoo, Hyekyeong Kim, Han-Ik Cho
Osong Public Health Res Perspect. 2012;3(2):85-93.   Published online June 30, 2012
DOI: https://doi.org/10.1016/j.phrp.2012.04.007
  • 1,988 View
  • 15 Download
  • 15 Citations
AbstractAbstract PDF
Objectives
This study aims to examine the effectiveness of a 6-month lifestyle modification program on the improvement in metabolic syndrome (MetS) status and in stages of change for lifestyle behaviors associated with MetS among Korean older adults.
Methods
A lifestyle modification program was developed based on the transtheoretical model. The program consisted of health counseling, education classes, a self-management handbook, newsletters and a health diary. Older adults aged ≥60 (n = 480) with MetS were randomly assigned to the intervention group (IG) or the comparison group (CG). The IG received a comprehensive 6-month lifestyle modification intervention, while the CG received minimal information on MetS and lifestyle modification. Health examination and selfadministered survey were conducted before and after the intervention to determine the effectiveness of the program.
Results
After the intervention, the prevalence of MetS decreased to 38.1% in the IG and 52.4% in the CG (p = 0.046). The IG improved abdominal obesity (p = 0.016), blood pressure (p = 0.030), and triglyceride (p = 0.005) more than the CG did. The IG demonstrated significant improvements in the behavioral stages for portion control (p = 0.021), balanced diet (p < 0.001) and adequate intake of fruits and vegetables (p = 0.012). The IG reduced the prevalence of abdominal obesity (OR = 2.34) and improved MetS status (OR = 1.79) better than the CG. The IG were more likely to advance from preaction stages at baseline to action stage at post-intervention for portion control (OR = 3.29) and adequate intake of fruits and vegetables (OR = 2.06).
Conclusion
Lifestyle modification can improve the MetS status and behavioral stages in older adults.

Citations

Citations to this article as recorded by  
  • Association of Maintaining Healthy Habits with Clinical Outcomes in Patients with Diabetes, Dyslipidemia or Hypertension
    Jeong Hyeon Kim, Young Ho Yun
    Korean Journal of Family Practice.2021; 11(1): 74.     CrossRef
  • Eating control and eating behavior modification to reduce abdominal obesity: a 12-month randomized controlled trial
    Soo Kyoung Kim, Norma Patricia Rodriguez Rocha, Hyekyeong Kim
    Nutrition Research and Practice.2021; 15(1): 38.     CrossRef
  • The Use of Behavior Change Theories in Dietetics Practice in Primary Health Care: A Systematic Review of Randomized Controlled Trials
    Roshan R. Rigby, Lana J. Mitchell, Kyra Hamilton, Lauren T. Williams
    Journal of the Academy of Nutrition and Dietetics.2020; 120(7): 1172.     CrossRef
  • The Prevalence of Metabolic Syndrome and Health-Related Behavior Changes: The Korea National Health Examination Survey
    Eunshil Yim, Kyounga Lee, Ilsu Park, Sangjin Lee
    Healthcare.2020; 8(2): 134.     CrossRef
  • Efectividad de las intervenciones para revertir el diagnóstico del síndrome metabólico: actualización de un metaanálisis de comparación mixta de tratamientos
    Adriana Guzmán, Esteban Navarro, Leidy Obando, Jorge Pacheco, Korina Quirós, Leticia Vásquez, Milena Castro, Fernando Ramírez
    Biomédica.2019; 39(4): 647.     CrossRef
  • Effect of patient education on metabolic syndrome components among females in Zagazig University outpatient clinics, Egypt: An intervention study
    Noha Osman Frere, Saeed Salah Abduljalil Soliman, Mohammed Adel Foda, Tayssir Kamel Eyada, Nagwa Eid Sobhy Saad
    Diabetes & Metabolic Syndrome: Clinical Research &.2019; 13(3): 1897.     CrossRef
  • Handgrip strength is associated with metabolic syndrome among middle-aged and elderly community-dwelling persons
    Ryuichi Kawamoto, Daisuke Ninomiya, Yoshihisa Kasai, Tomo Kusunoki, Nobuyuki Ohtsuka, Teru Kumagi, Masanori Abe
    Clinical and Experimental Hypertension.2016; 38(2): 245.     CrossRef
  • Depression among Korean Adults with Type 2 Diabetes Mellitus: Ansan-Community-Based Epidemiological Study
    Chan Young Park, So Young Kim, Jong Won Gil, Min Hee Park, Jong-Hyock Park, Yeonjung Kim
    Osong Public Health and Research Perspectives.2015; 6(4): 224.     CrossRef
  • Impact of Community-Based Integrated Traditional Chinese and Western Medicine Metabolic Syndrome Intervention Technology in Rural Residents in Southern Jiangsu, China
    Kaijin Zhang
    Medical Science Monitor.2015; 21: 2163.     CrossRef
  • Routine Screening and Consultation Facilitate Improvement of Metabolic Syndrome
    Nan-He Yoon, Seunghyun Yoo, Hyekyeong Kim, Yoonjung Han
    Journal of Korean Medical Science.2015; 30(8): 1092.     CrossRef
  • Composition of Metabolic Syndrome Among Korean Adults in a Lifestyle Modification Intervention
    Nan-He Yoon, Seunghyun Yoo, Hyekyeong Kim
    Osong Public Health and Research Perspectives.2014; 5(6): 370.     CrossRef
  • Transtheoretical model stages of change for dietary and physical exercise modification in weight loss management for overweight and obese adults
    Nikolaos Mastellos, Laura H Gunn, Lambert M Felix, Josip Car, Azeem Majeed
    Cochrane Database of Systematic Reviews.2014;[Epub]     CrossRef
  • Two Sides of Obesity: Metabolic Syndrome and Osteoporosis in Elderly Women, Gangwon-do, Korea
    Sungok Jang, Sungwha Lee, Jongseok Lee
    Korean Journal of Health Education and Promotion.2014; 31(1): 13.     CrossRef
  • Short-term Effects of a Lifestyle Intervention Program on Eating Behaviors, Physical Activity and Cardiovascular Risks in Korean Adults
    Jiyeon Park, Hyekyeong Kim
    Korean Journal of Health Education and Promotion.2014; 31(4): 37.     CrossRef
  • Motivational interviewing with the older adult
    Mirsad Serdarevic, Sonne Lemke
    International Journal of Mental Health Promotion.2013; 15(4): 240.     CrossRef

PHRP : Osong Public Health and Research Perspectives