DOI QR코드

DOI QR Code

The Development of a Nutrition Education Program for Low-income Family Children by applying the Social Cognitive Theory and Health Belief Model

사회인지론과 건강신념모델을 적용한 저소득층 아동 대상 영양교육 프로그램 개발

  • Lee, Saes-byoul (Department of Food and Nutrition, Kyung Hee University) ;
  • Jeong, Yu-Ri (Department of Food and Nutrition, Kyung Hee University) ;
  • Ahn, Hyo-Jin (Department of Food and Nutrition, Kyung Hee University) ;
  • Ahn, Min-Ji (Department of Food and Nutrition, Kyung Hee University) ;
  • Ryu, Su-A (Department of Food and Nutrition, Kyung Hee University) ;
  • Kang, Nam-E (Department of Food and Nutrition, Eulji University) ;
  • Oh, Se-Young (Department of Food and Nutrition, Kyung Hee University)
  • 이샛별 (경희대학교 생활과학대학 식품영양학과) ;
  • 정유리 (경희대학교 생활과학대학 식품영양학과) ;
  • 안효진 (경희대학교 생활과학대학 식품영양학과) ;
  • 안민지 (경희대학교 생활과학대학 식품영양학과) ;
  • 유수아 (경희대학교 생활과학대학 식품영양학과) ;
  • 강남이 (을지대학교 보건산업대학 식품영양학과) ;
  • 오세영 (경희대학교 생활과학대학 식품영양학과)
  • Received : 2015.06.01
  • Accepted : 2015.06.27
  • Published : 2015.06.30

Abstract

Objectives: Based on individual and environmental characteristics of low-income children, we developed a nutrition education program for school-aged children from low-income families according to effective use in social welfare centers. Methods: We conducted in-depth group interviews to assess program needs in 28 participants, 10 low-income school-aged children and 9 of their care givers, 9 social workers and 9 care-givers. Theoretical backgrounds of our program were heath belief model and social cognitive theory considering motivation, action and environment characteristics. Results: Based on the findings of this qualitative study, we developed major program themes and contents. Five selected key themes were 'balanced diet', 'processed food', 'food hygiene and safety', 'Korean healthy traditional diet', and 'family cooking' to induce changes in dietary behaviors. Main findings of in-depth group interviews included 'child's active participation', 'simple and easy to understand messages', and 'environmental constraints' such as a lack of child care at home, limited budget of social welfare centers, and less qualified educators for nutrition and health. Each lesson was constructed as a 1-hour program particularly emphasizing activity-based programs, including cooking and teamwork exercises. Program contents in each session consisted of activities that could induce outcome and value expectations, self-efficacy, perceived benefits, and barriers and cues to actions regarding diet behavior. Conclusions: We developed a nutrition education programthat is rarely available for low-income children in Korea, considering theoretical bases. Further studies are needed to validate our program.

Keywords

References

  1. Kim HR, Lee SH, Choi JM, Oh YI. Children's obesity and underweight among low income families in Korea: status, implications and policy options [Internet]. Korea Institute for Health and Social Affairs; 2011 [cited 2015 May 3]. Available from: https://www.kihasa.re.kr/.
  2. Headquarters for Community Child Center. National community children welfare center status survey [Internet]. 2014 [cited 2015 May 3]. Available from: http://www.icareinfo.info/.
  3. Korea Association of Social Welfare Centers. Projected population [Internet]. 2014 [cited 2014 May 10]. Available from: http://www.kaswc.or.kr/.
  4. Jung KA. The review of the researches on the nutritional education state in the elementary school. J Korean Practical Arts Educ 2013; 19(1): 117-145. https://doi.org/10.17055/jpaer.2013.19.1.117
  5. Kim HK, Yun CH, Lee EH, Lee KI, Moon CS, Lee YH et al. Development of health promotion program for low income children in underserved area. Korean Association of Health Promotion; 2007 Mar.
  6. Kim HS. A user satisfaction and needs survey a child education program of social service center [master's thesis]. Sookmyung Women's University; 2012.
  7. Hyon SM, Kim JW. Improvement of dietary attitudes of elementary students by nutrition labeling education. Korea J Community Nutr 2007; 12(2): 168-177.
  8. Han HM, Lee SS. A nutrition education program development and the application for the elementary students - focused on sugar intake education -. J Korean Practical Arts Educ 2008; 21(2): 111-131.
  9. Suh YS, Chung YJ. The effect of nutrition education on the improvement of psychosocial factors related to vegetable and fruit intake of elementary school children in pre-action stages. Korean J Nutr 2010; 43(6): 597-606. https://doi.org/10.4163/kjn.2010.43.6.597
  10. Kim YS, Lee MJ. Effects of nutrition education through social cognitive theory in elementary school students - focusing on the nutrition education of sugar intake -. Korean J Food Nutr 2011; 24(2): 246-257. https://doi.org/10.9799/ksfan.2011.24.2.246
  11. Kim HH, Park YH, Shin EK, Shin KH, Bae IS, Lee YK. Students' and parents' perceptions of nutrition education in elementary schools. J Korean Soc Food Sci Nutr 2006; 35(8): 1016-1024 . https://doi.org/10.3746/jkfn.2006.35.8.1016
  12. Kim MS, Bae HO. Child poverty in Korea: Its magnitude and causes. Korea Inst Health Soc Aff 2007; 27(1): 3-26.
  13. Lim ES, Cho YS, Kim SN, Kim SB. Development and effects' analysis of nutrition education pamphlet for the higher grades elementary students - Focused on individual daily needed food exchange units -. J Community Nutr 2012; 17(6): 689-706. https://doi.org/10.5720/kjcn.2012.17.6.689
  14. Ahn SH, Kim HK, Kim KM, Yoon JS, Kwon JS. Development of nutrition education program for consumers to reduce sodium intake applying the social cognitive theory - Based on focus group interviews -. Korean J Community Nutr 2014; 19(4): 342-360. https://doi.org/10.5720/kjcn.2014.19.4.342
  15. Lee IS, Shin EK. A study on the conceptualization of disability identity. Korean J Health Psychol 2005; 10(4): 509-530.
  16. Choi EH, Son YB, Kim HJ. A study on the experiences of children using community children center. J Korea Counc Child Rights 2008; 12(2): 135-159.
  17. Kim JH, Kim YS, Kim Y, Kang MS. Fruit and vegetable consumption and factors affecting fruit and vegetable consumption of school children and adolescents : Findings from focus - group interviews with school nutrition teachers and nutritionists -. Korean J Community Living Sci 2013; 24(4): 567-581. https://doi.org/10.7856/kjcls.2013.24.4.567
  18. Nam KH, Kim YM, Lee GE, Lee YN, Joung HJ. Physical development and dietary behaviors of children in low-income families of seoul area. Korean J Community Nutr 2006; 11(2): 172-179.
  19. Jang HB, Park JY, Lee HJ, Kang JH, Park KH, Song JH. Association between parental socioeconomic level, overweight, and eating habits with diet quality in Korean sixth grade school children. Korean J Nutr 2011; 44(5): 416-427. https://doi.org/10.4163/kjn.2011.44.5.416
  20. Park S, Song SM, Lee YH. The influence of self-esteem and self-efficacy on the academic achievement of elementary school children in poverty and comparative groups. Korean J Community Living Sci 2011; 22(3): 407-416. https://doi.org/10.7856/kjcls.2011.22.3.407
  21. Jung KA. The review of the researches on the nutritional education state in the elementary school. J Korean Practical Arts Educ 2013; 19(1): 117-145. https://doi.org/10.17055/jpaer.2013.19.1.117
  22. Park EY, Han SN, Kim HK. Assessment of meal quality and dietary behaviors of children in low-income families by diet records and interviews. Korean J Food Nutr 2011; 24(2): 145-152. https://doi.org/10.9799/ksfan.2011.24.2.145
  23. Lim SA. Investigating low-and high-income group differences in the academic achievement: longitudinal effects of cognitive readiness and parent's expectation and involvement. J Child Educ 2012; 21(4): 319-335.
  24. Lee YJ, Bae JH. A study on the necessity for hygiene education for children at the Gyeongbuk community children center. Korean J Food Nutr 2011; 24(4): 577-588. https://doi.org/10.9799/ksfan.2011.24.4.577
  25. Her ES. Development of dietary life education textbook and teaching for creative activities in elementary school. Korean J Community Nutr 2013; 18(3): 203-212. https://doi.org/10.5720/kjcn.2013.18.3.203

Cited by

  1. 경기 일부지역 유아의 식생활관련 지식, 자아효능감, 식품선호도 및 식행동 실태 vol.21, pp.3, 2016, https://doi.org/10.5720/kjcn.2016.21.3.274
  2. 유아의 당 저감화를 위한 프로그램의 효과평가 vol.22, pp.3, 2015, https://doi.org/10.14373/jkda.2016.22.3.179
  3. 포커스 그룹 인터뷰를 이용한 젊은 성인 여성의 식생활 실태 및 관련 요인 - 사회인지론에 근거하여 - vol.21, pp.4, 2015, https://doi.org/10.5720/kjcn.2016.21.4.332
  4. 유아용 당류 섭취 줄이기 교육프로그램 개발 및 효과평가 vol.31, pp.3, 2015, https://doi.org/10.9799/ksfan.2018.31.3.335
  5. 어린이급식관리지원센터의 예산규모에 따른 유아 당류 영양교육 실태 및 요구도 vol.31, pp.4, 2018, https://doi.org/10.9799/ksfan.2018.31.4.532
  6. 일상화 과정 이론에 근거한 결혼이주여성 대상 식생활 교육 프로그램 일상화 과정에 대한 질적 연구 vol.34, pp.3, 2015, https://doi.org/10.7318/kjfc/2019.34.3.325
  7. 건강신념모델을 적용한 의생활 안전교육 교수·학습 과정안 개발 및 효과평가 vol.32, pp.1, 2015, https://doi.org/10.19031/jkheea.2020.03.32.1.127