Healthcare Informatics Research

Korean Society of Medical Infomatics (대한의료정보학회)
권호 표지

Web-Based Program Development for Promotion of Exercise among Chronic Patients

만성질환자용 웹 기반 운동증진프로그램 개발

Sin, Yun-Hui;Yun, Sang-Gyun
신윤희;윤상균

  • Published : 2005.06.30
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Abstract

OBJECTIVE: This study aimed to develop a web-based exercise program based on a preliminary survey and to evaluate its effect for promotion of exercise among chronic patients. METHODS: For the preliminary survey, an investigation of internet use among chronic patients and a review of existing 20 exercise-related web-sites were undertaken. The web-site was developed and evaluated by user satisfaction with the site and expert validity. To evaluate the effect of the site, exercise stage and commitment to a plan for exercise were compared before and after using the site. RESULTS: The content of the web-site included exercise and health, exercise prescription, chronic disease and exercise, and my page. The users rated 3.89 for system, 3.81 for content, and 3.60 for design in the satisfaction with the site. Experts rated 4.62 for feedback and privacy, 4.31 for purpose, 4.23 for authorship, 3.76 for content, 3.71 for design, 3.62 for functionality in the evaluation of the site. The commitment to a plan for exercise after using the site was significantly higher than that before using it. CONCLUSION: This site can be facilitated to enhance physical activity for chronic patients and further effort to continuously use and revise the site is recommended.

Keywords

References

  1. Korea National Statistical Office. Korean statistical information system: health & welfare. Available at: http://kosis.nso.go.kr. Accessed December 10, 2004
  2. McAuley E, Lox C, Duncan TE. Long-term maintenance of exercise, self-efficacy, and physiological change in older adults. J Gerontol 1993: 48: 218-224 https://doi.org/10.1093/geronj/48.4.P218
  3. Clark DO. Age, socioeconomic status, and exercise self-efficacy. Gerontologist 1996: 36: 157-164 https://doi.org/10.1093/geront/36.2.157
  4. Lee SJ, Park HK, Song WY, Park MH, Kim HJ. The change of exercise according to time and its predicting factors in the followed -up hypertensive patients of family physicians. J Korean Acad Fam Med 2001: 22: 1743-1756
  5. Song TM, Park EJ, Im EJ, Lee SY. Development and utilization of health database. Korea Institute for Health and Social Affairs 2001 :79-99
  6. Park HA Kim HJ, Song MS, Song TM, Chung YC. Development of a web-based health information service system for health promotion in the elderly. J Korean Society Med Inform 2002: 8(3):37-45
  7. Ahn JY. An analysis of health counseling by the internet. J Korean Acad Nurs Adm 2000: 6(1):83-96
  8. Bull FC, Krueter MW, Scharff DP. Effects of tailored, personalized and general health messages on physical activity. Special issue: computer-tailored education. Patient Educ Couns 1999: 36: 181-192 https://doi.org/10.1016/S0738-3991(98)00134-7
  9. Eakin BL, Brady JS, Lusk SL. Creating a tailored, multimedia, computer-based intervention. Comput Nurs 2001:19(4):152-160
  10. Sohn A. Criteria for evaluating health information sites on the internet. J Korean Society Health Stat 2000:25:97-107
  11. Ahn SG. A study on the user's satisfaction of the agriculture information system [Doctoral thesis]. Seoul National University: 1999
  12. Patrick K, Long B, Wooten W, Calfas K, Sharpe D, Sallis J. PACE(Physician-based Assessment and Counseling for Exercise) physician manual. Atlanta, Georgia.Centers for Disease Control, Cardiovascular Health Branch: 1992. pp35-40
  13. Pender NJ. Health promotion in nursing practice. 3rd ed. Stamford, CT: Appleton & Lange: 1996. pp.72
  14. Shin YH. Pender NJ, Yun SK, Using methodological triangulation for cultural verification of commitment to a plan for exercise scale among Korean adults with chronic diseases. Res Nurs Health 2003: 26 : 312-321 https://doi.org/10.1002/nur.10093
  15. Song TM, Park EJ, Lim EJ. The survey of the demand for health information on the internet. J Korean Society Med Inform 2002: 8(2):17-24
  16. Yoo JS, Kim CJ, Kim JE, Roh YS, Kwon MS. Survey on the health information need of the community health practitioners. J Korean Society Med Inform 2002:8(2) :25-34
  17. Kim HJ, Park HA Selection criteria and utilization of health information on the internet by consumers. J Korean Society Med Inform 2004:10(1) :55-68
  18. Glasgow RE. Eakin EG, Fisher EB, Bacak SJ. Physician advice and support for physical activity results from a national survey. Am J Prev Med 2001: 21: 189-196 https://doi.org/10.1016/S0749-3797(01)00350-6
  19. Levine GN, Balady GJ. The benefits and risks of exercise training: the exercise prescription. Adv Intern Med 1993:38:57-79
  20. Limacher MC. Aging and cardiac function: influence of exercise. South Med J 1994: 87 (5) : S13-16 https://doi.org/10.1097/00007611-199405001-00002
  21. Kennedy MF, Meeuwisse WH. Exercise counseling by family physicians in Canada. Prev Med 2003;37:226-232 https://doi.org/10.1016/S0091-7435(03)00118-X
  22. Kim JE. Kim ES. Ko IS. Kang SM. An evaluation study of hypertension information providing web sites on the internet. J Korean Society Med Inform 2003: 9(1):45-52
  23. Dijkastra A, DeVries H. The development of computer-generated tailored interventions. Patient Educ Couns 1999; 36: 193-203 https://doi.org/10.1016/S0738-3991(98)00135-9
  24. Bental DS. Cawsey A, Jones R. Patient information systems that tailor to the individual. Patient Educ Couns 1999: 36: 171-180 https://doi.org/10.1016/S0738-3991(98)00133-5
  25. Cheong YS. Development of customized smoking cessation program on the internet. J Korean Acad Fam Med 2003:24:473-478
  26. Pinto BM. Friedman R. Marcus BH. Kelley H. Tennstedt S. Gillman MW. Effects of a computer-based. telephone-counseling system on physical activity. Am J Prev Med 2002; 23: 113-120 https://doi.org/10.1016/S0749-3797(02)00441-5
  27. Hager RL. Hardy A, Aldana SG. George JD. Evaluation of an internet. stage-based physical activity intervention. Am J Health Edu 2002; 33: 329-335 https://doi.org/10.1080/19325037.2002.10604755
  28. McKay HG. Seeley JR. King D. Glasgow RE. Eakin EG. The diabetes network internet-based physical activity intervention. Diabetes Care 2001 ;24: 1328-1334 https://doi.org/10.2337/diacare.24.8.1328
  29. Bull FC. Jamrozik K. Blanksby BA Tailored advice on exercise Does it make a difference? Am J Prev Med 1999:16:230-239 https://doi.org/10.1016/S0749-3797(98)00160-3