Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
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Applications of the Participatory Learning Process in Health Promotion

건강증진을 위한 참여 학습의 적용 사례

  • Kim, Jang-Rak (Department of Preventive Medicine, School of Medicine and Institute of Health Sciences, Gyeongsang National University) ;
  • Jeong, Baek-Geun (Department of Preventive Medicine, School of Medicine and Institute of Health Sciences, Gyeongsang National University) ;
  • Park, Ki-Soo (Department of Preventive Medicine, School of Medicine and Institute of Health Sciences, Gyeongsang National University) ;
  • Kang, Yune-Sik (Department of Preventive Medicine, School of Medicine and Institute of Health Sciences, Gyeongsang National University)
  • 김장락 (경상대학교 의학전문대학원 예방의학교실 및 건강과학연구원) ;
  • 정백근 (경상대학교 의학전문대학원 예방의학교실 및 건강과학연구원) ;
  • 박기수 (경상대학교 의학전문대학원 예방의학교실 및 건강과학연구원) ;
  • 강윤식 (경상대학교 의학전문대학원 예방의학교실 및 건강과학연구원)
  • Received : 2011.04.29
  • Accepted : 2011.06.25
  • Published : 2011.06.30
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Abstract

Objectives: This study was conducted to develop a participatory learning process and apply it to community empowerment for health promotion. Methods: The participatory learning sessions were composed of three stages according to the modified Freirean model of empowerment education. Stage 1 of generating themes (listening stage) was replaced with a community health forum. Stage 2 of problem-posing was executed via a two-session small group brainstorming discussion for selecting priority community health problems and strategies to solve them. Stage 3 of act-reflect-act, the implementation of the chosen strategies, is ongoing. We tested the feasibility of the participatory learning processes in the pilot programs for health education. Then, 14 Myeon (or Dong) Health Committee members used them in Health Plus Happiness Plus projects for community empowerment to achieve health equity in Gyeongsangnam-Do, Korea. Results: In the pilot program for feasibility, more than 80% of the 95 participants gave positive responses to evaluation questionnaires after three or four participatory learning sessions. Health Committee members successfully selected various strategies relevant to their communities with facilitation, but without any teaching from outside professionals. Conclusions: We successfully applied the participatory learning process to health promotion. However, more studies are warranted to evaluate its long-term applicability.

저자들은 건강증진 사업에서 지역사회 역량강화를 위한 참여 학습을 적용하고 과정을 평가하였다. 먼저 참여 학습의 적용 가능성(feasibility)을 시험하기 위한 파일럿 프로그램을 수행하였다. 지역사회역량강화 시범사업의 건강위원, 지역사회 역량강화 사업을 위한 코디네이터 양성 교육 참가자, 그리고 건강교육진행자에 의한 건강교육 프로그램 참가자를 대상으로 3-4주에 걸친 참여 학습을 진행하고 교육 후 설문조사를 실시하였다. 그 결과 '참여 학습 프로그램이 유익했는지', '재미있었는지', '진행방식이 적절했는지', '진행자의 진행이 적절했는지', '다른 사람에게 참여를 권하겠는지'의 질문에 대하여 80% 이상이 '그렇다' 또는 '매우 그렇다'의 긍정적인 답변을 하였다. 이를 토대로 지역사회 역량강화를 통한 건강증진사업인 경상남도의 건강플러스 행복플러스 사업의 건강위원 역량강화교육에 본격적으로 참여학습 방법을 적용하였다. 첫 단계인 주제의 선정(듣기)은 지역건강토론회로 대신하였다. 두 번째 단계인 문제 제기(대화)에서는 우선순위 선정과 건강문제 해결을 위해 전략과 세부사업을 의논하였다. 그 결과 자신들이 선정한 우선순위 영역에서 지역사회에서 건강생활이 실천되지 않는 이유를 고려하여 향후 건강위원회가 무슨 일을 해야할지 다양한 전략을 잘 도출하였다. 세 번째 단계인 행동-성찰-행동은 현재 진행 중이다. 결론적으로 저자들은 지역사회 역량강화를 통한 건강증진 사업의 여러 대상에 참여 학습을 성공적으로 적용할 수 있었다.

Keywords

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