농촌 노인 우울증 경감을 위한 사회적 처방 시범사업 효과평가

임주애,이유림,남해권,이호철,남은우 한국보건행정학회 2022 한국보건행정학회 학술대회 논문집 Vol.2022 No.2

농촌 노인 우울감 및 외로움 경감을 위한 사회적 처방 시범사업 효과평가

임주애,윤혜진,남해권,천아영,김혜경,홍석미,남은우 한국보건교육건강증진학회 2023 보건교육건강증진학회지 Vol.40 No.1

Objectives: This study aimed to confirm the effectiveness of the social prescribing pilot project for the elderly aged 65 and above in rural areas. In particular, the study aimed to measure the elderly’s depression, cognitive function, and loneliness before and after the social prescribing pilot project. Method: To this end, a non-equality control group pretest-posttest design was used, with 131 individuals aged 65 and above, living in Wonju, Gangwon-do (75 in the experimental group and 56 in the control group). SGDS-K was used as a measurement tool for depression, MMSE-K was used as a cognitive function measurement tool, and ULS-8 was used as a measurement tool for loneliness. Music Story Telling, a social prescribing intervention program, was conducted once a week for a total of eight weeks. For statistical analysis, T-test and DiD (Difference in Differences) analysis were conducted to confirm the significant difference in scores before and after intervention, and the effectiveness of intervention. Results: It was confirmed that depression significantly decreased after the implementation of the Music Story Telling program compared to the control group, who participated in the social prescribing pilot project (p<.05). Loneliness also significantly reduced (p<.05), while cognitive function was found to be slightly improved, but was not statistically significant. Conclusion: This study confirmed the effectiveness of the social prescribing pilot project in reducing depression and loneliness among the elderly in rural areas. It can hence be used as a new model to reduce elderly depression and improve their mental health. Additionally, it can be used as a basis to develop ways to revitalize Korea's social prescribing for the promotion of elderly mental health.

공유경제 서비스 만족도에 대한 서비스 속성 및 심리 특성의 영향 연구: 차량공유, 숙박공유, 유아용품 공유서비스를 중심으로

임주애 ( Lim Jooae ),주우진 ( Chu Wujin ),임미자 ( Im Meeja ) 한국소비자학회 2020 소비자학연구 Vol.31 No.5

본 연구는 차량, 숙박, 유아용품 공유를 포함한 다양한 공유서비스의 실제 이용자들을 대상으로 하여 이들 공유서비스들 간의 소비자 특성과 서비스속성 지각에서의 차이점 및 공통점이 무엇인가를 분석하였다. 나아가 공유서비스 만족도에 영향을 미치는 요인을 서비스 속성 및 소비자특성으로 나누어 실증분석을 하였다. 또한 각 공유서비스 유형별로 만족도 영향요인이 무엇인가를 새롭게 조명하였다. 본 연구의 공헌은 첫째, 국내 공유서비스 시장에서 실제이용자들을 대상으로 참여의사가 아닌 이용만족도 영향 요인을 분석하였다는 점이다. 둘째, 다양한 공유서비스를 망라한 공유서비스 만족도 영향 요인을 제시하였다는 점이다. 이를 통해 한 종류의 공유경제 서비스 이용자를 대상으로 한 결과를 전체 공유경제 서비스 이용자로 확장하여 해석하는 오류를 방지하였다. 셋째, 공유서비스 유형별로 만족도 영향 요인을 비교 제시하였다는 점이다. 이러한 연구는 아직까지 이루어지지 않았다는 점에서 그 의의가 크다. 넷째, 서비스 속성과 소비자의 심리적 특성 변수를 모두 포함하여 만족도 영향 요인을 새롭게 제시했다는 점이다. 본 연구 결과는 공유서비스 관련 업계의 마케팅 담당자들이나 예비 창업자들이 소비자의 특성과 만족도 영향 요인을 파악하는 데 도움을 줄 것이다. This research examined the role of consumer psychological characteristics and service attributes in affecting usage satisfaction with car sharing, room sharing and children’s goods sharing. This research first compared the consumer psychological characteristics and service attributes across three types of shared services (i.e., car sharing, room sharing, and children’s goods sharing). Then, the study examined the effect of the two groups of factors (i.e., consumer psychological characteristics and service attributes) on usage satisfaction, with data collected from surveys of actual users of the shared services. In addition, the study examined how the three services differ in terms of the factors that affect usage satisfaction. Towards this end, experience attributes of the three types of services were studied, which were economy, convenience and social value. This is in contrast to prior studies which focused on the search attributes of the shared services. Regarding psychological variables, community orientation, patience, innovative tendency, status-seeking tendency, altruistic tendency and environmental concern were included in the study. Data was collected from users of shared services in Korea. The sample target were actual users of shared services, aged between 20 and 50 years of age. Quota sampling by gender and age was employed and a total of 578 respondents were collected. The survey was conducted through an online survey through a marketing research company called Embrain. Potential respondents were first asked whether they had experienced the three shared services (car sharing, room sharing and children’s goods sharing), and only those who answered positive were allowed to participate. Of the 578 people in the sample, 181 people experienced all three services, 216 people experienced two services, and 181 people experienced only one service. Results showed that psychological characteristics of consumers were similar among the three shared-service user groups, except for status-seeking tendency: users of car sharing showed the highest status-seeking tendency, while users of children’s goods sharing showed the lowest status-seeking tendency. Regarding factors affecting usage satisfaction, it was shown (in the pooled data) that economy, convenience and social value all lead to greater satisfaction. However, in separate analysis by type of shared service, there were differences. For car sharing, social value, convenience and age affected usage satisfaction; for room sharing, economy, environmental concern and age affected usage satisfaction; and for children’s goods sharing, economy, patience and age affected usage satisfaction. Summing up, economy was the most important variable affecting usage satisfaction. Age was also an important factor with different effects: younger age led to greater satisfaction for car and room sharing, but older age led to greater satisfaction for children’s goods sharing. The contribution of the study can be summarized as follows. First, actual users were studied, allowing the examination of experience attributes. Second, it was shown that factors affecting satisfaction differed by the type of service, which alludes to the dangers of generalizing a single-industry study to all shared services. Third, the factors influencing satisfaction for each type of shared service were compared and contrasted. Fourth, both service attributes and consumer psychological characteristics were studied as determinants of usage satisfaction. Also, the study presented new psychological variables, such as patience, that were hitherto ignored in the literature. The results of this study should have implications for marketers and prospective entrepreneurs in the sharing economy in gaining a better understanding of factors leading to usage satisfaction.

디지털 리터러시 향상을 위한 노인대상 스마트폰 교육의 효과평가

윤혜진,임주애,노은비,최은영,진종선,이금주,차재희,전지현,남은우 사단법인 대한보건협회 2023 대한보건연구 Vol.49 No.1

목적: 디지털 리터러시는 정보화된 현대사회를 살아가는데 필수적인 요소이다. 하지만 노인은 다른 연령에 비해 낮은 수준의 디지털 리터러시를 보이며 이를 향상시키기 위한 적절한 교육과 개입이 필요하다. 스마트폰 교육은 노인의 디지털 리터러시를 향상시킬 수 있는 가장 보편화되고 적합한 방법으로 볼 수 있다. 이에 본 연구에서는 스마트폰을 활용한 디지털 리터러시 교육이 노인의 건강과 삶의 경험에 미치는 효과에 대해 살펴보고자 한다. 방법: 양적연구와 질적연구를 혼합한 혼합연구방법을 실시하였다. 양적연구를 위해 사전-사후 2차례의 1:1 설문조사를 실시하였으며 대상자의 사회인구학적특성, 우울감, 자기효능감, 인지기능에 대하여 조사하였다. 질적연구를 위해 포커스그룹인터뷰를 실시하였으며 중재교육이후 대상자의 삶의 경험을 조사하였다. 중재프로그램인 스마트폰 교육은 6주동안 매주 1회 실시되었으며 강원도 원주시 소재의 복지관과 작은도서관에서 진행되었다. 결과: 스마트폰 교육에 참여한 이후, 대상자는 우울감 감소와 인지기능 향상에 유의한 변화를 보였다. 그리고 스마트폰 교육을 통해 대상자는 ‘실생활에서의 편의 제공’, ‘자신감 향상’, ‘배움에 대한 욕구 향상’, ‘사회적 관계망 강화․형성’이라는 삶의 변화를 경험하였다. 결론: 스마트폰 교육은 노인의 정신적, 인지적, 사회적 건강을 증진시키고, 정보화 사회로부터 노인의 적응력과 대응능력을 향상시킬 수 있는 중요한 방안이 될 수 있다. 때문에 노인의 건강하고 성공적인 노년기를 위하여 스마트폰을 활용한 디지털 리터러시 교육이 더욱 활성화되고 개발될 필요가 있다.

3차원 동적집속모드 체외충격파 기기를 이용한 족저근막염 치료의 유용성

박재한,임주애,이찬희 대한족부족관절학회 2022 대한족부족관절학회지 Vol.26 No.2

Purpose: This was a pilot study to examine the clinical usefulness of the newly developed three-dimensional sweep mode extracorporeal shockwave treatment (ESWT) in patients with plantar fasciitis. Materials and Methods: Three-dimensional sweep mode ESWT was performed once a week for 5 weeks in patients with plantar fasciitis who showed no improvement with the conventional conservative treatment. A 100-mm visual analogue scale (VAS) reading for pain from walking and at rest after walking were collected before the treatment and 8 and 16 weeks after the initial treatment. In addition, the Foot and Ankle Outcome Score (FAOS) and EuroQol-5-dimension (EQ-5D) scores before and 16 weeks after the treatment were evaluated. Results: VAS for pain for walking improved from 50.60±8.38 to 19.80±15.61 at 8 weeks after the initial treatment (p=0.008) and 9.80±9.62 at 16 weeks after the treatment (p<0.001). VAS for pain at rest after walking improved from 36.60±19.55 to 11.80±12.95 at 8 weeks after the initial treatment (p=0.052) and 8.80±8.87 at 16 weeks after the treatment (p=0.024). Preoperative FAOS increased from an average of 74.80±9.73 before the treatment to an average of 81.00±8.86 at week 16 after the procedure (p=0.49) and compared to pre-treatment levels, there was a decrease of one level in the anxiety/depression domain of the EQ-5D, post-treatment. Conclusion: The results of this preliminary study confirmed that the newly developed EWST with the smart forging sweep mode was effective in improving pain and function in plantar fasciitis.

코로나19 대유행 상황에서 디지털 플랫폼을 활용한 노인 대상 사회적 처방 시범사업의 효과평가

윤혜진,김혜경,임주애,김지언,홍은비,손창우,진기남,정형선,최진희,남은우 사단법인 대한보건협회 2022 대한보건연구 Vol.48 No.2

목적: 코로나19가 장기화되면서 사회적 거리두기로 인한 이동제한은 노인의 심리적, 사회적 건강에 악영향을 끼치고 있다. 이에 본 연구의 목적은 코로나19 상황에서 노인을 대상으로 한 디지털 플랫폼을 활용한 사회적 처방 시범사업의 효과성을 파악하는데 있다. 방법: 양적연구와 질적연구를 혼합한 혼합연구방법(mixed method)을 실시하였으며, 양적연구를 위하여 실험군과 통제군의 동질성 검정, 측정항목에 대한 사전-사후 점수비교 및 점수변화의 차이를 확인하였다. 질적연구의 경우, 내러티브 탐구방법을 활용하여 대상자가 느낀 경험을 확인하였다. 연구대상자는 총 34명이며 기간은 2021년 4월 23일부터 6월 25일으로 첫 주와 마지막 주에는 각각 사전, 사후검사가 이루어졌다. 8주 동안 매주 1회씩 중재프로그램이 실시되었으며, 자료는 일대일 설문조사와 포커스그룹인터뷰를 통해 수집하였다. 중재프로그램은 뮤직스토리텔링 프로그램이며 디지털 플랫폼인 Zoom을 활용하여 진행되었다. 결과: 사회적 처방 시범사업에 참여한 실험군이 참여하지 않은 통제군에 비해 우울감(Z=-2.43, p=.015) 인지된 사회적 지지(Z=2.82, p=.005), 생활만족도(Z=2.60, p=.009) 점수에 긍정적인 변화가 나타났으며, 인지기능(Z=1.31, p=.189)은 유의한 변화를 보이지 않았다. 그리고 참여자 6인을 대상으로 포커스그룹인터뷰를 실시한 결과, 대상자들은 ‘코로나19로 인한 답답함 해소’, ‘디지털 플랫폼을 활용한 프로그램의 즐거움’, ‘사회적 관계망 확장’을 경험하였다고 응답하였다. 결론: 디지털 플랫폼을 활용한 사회적 처방 시범사업이 노인의 심리적, 사회적 건강증진에 효과적이었음을 확인하였으며, 코로나19로 침체된 지역사회 활성화에 긍정적인 영향을 줄 것이라 사료된다. 나아가, 본 연구는 한국의 커뮤니티케어 정책의 일환으로 사회적 처방이라는 새로운 방안을 모색하는 근거자료로 제공될 수 있을 것이다.

Comparison of Gait Parameters during Forward Walking under Different Visual Conditions Using Inertial Motion Sensors

손은진,한승환,김지형,노혜은,김인온,임주애 연세대학교의과대학 2022 Yonsei medical journal Vol.63 No.1

Purpose: Gait evaluation in patients with dizziness is essential during both initial evaluation and vestibular rehabilitation. Inertial measurement unit (IMU)-based gait analysis systems are clinically applicable in patients with dizziness. Since dizzy patients can utilize visual inputs to compensate for vestibular deficits, it is more difficult for them to walk with their eyes closed (EC). In this study, we compared gait characteristics during forward walking with both eyes open (EO) and EC between healthy subjects and dizzy patients. Materials and Methods: Forty-nine healthy controls (mean age 37.18±10.71 years) and 23 patients with dizziness (mean age 49.25±15.16 years) were subjected to vestibular and gait analyses. Medical histories, physical examinations, and vestibular function tests ruled out possible vestibular deficits in the controls. Subjects were instructed to walk at a comfortable pace for 10 m under two conditions (EO or EC). Spatiotemporal parameters, kinematics, and simulated kinetics of each gait recording were recorded using a shoe-type IMU system and analyzed. Results: Although gait speeds were slower, stride lengths were smaller, and double support times were increased under the EC, compared to the EO condition, in both healthy subjects and dizzy patients, the difference was more prominent in dizzy patients. Phase coordination index values did not differ significantly in either group. Gait asymmetry (GA) increased significantly under the EC condition, compared to the EO condition, in dizzy patients. Conclusion: GA during forward walking was greater in dizzy patients under an EC condition than under an EO condition.