재가독거노인의 건강증진프로그램 참여의사 결정요인에 관한 연구: 앤더슨 행동모형(Anderson Model)의 적용 = A Study on the Factors for the Elderly Living Alone at Home to Determine Their Participation in a Health Promotion Activity Program: With the application of Anderson Model

다국어 초록 (Multilingual Abstract)

With a focus on health promotion, one of the important determinants of quality of life among the elderly living at home, this study set out to empirically investigate which factors would influence their participation in a program at a local social welfare center. That is, it aimed to provide basic data for the development of highly feasible programs and explore policy- and practice-based intervention plans to activate health promotion activity programs by categorizing the factors influencing the willingness to participate in a health promotion activity program among the elderly living alone at home into the predisposing, enabling, and need factor based on Anderson Model, classifying and setting important variables, and checking their absolute and relative effects on their willingness to participate in such programs. For those purposes, the investigator took a survey with a structured questionnaire based on phone calls and interviews among 309 senior citizens living alone at home through the concerned agencies in Seoul. Gathered data were put to hierarchical regression analysis, which is known for its excellence in mutual control and relative importance. The analysis results show that the need factor had the highest level of relative importance of the three factors and that the general health awareness level and accessibility to a welfare center had positive(+) effects on their willingness to participate in a program with participation in a welfare center and information awareness having negative(-) effects on it. On the premise of an integrated health and welfare program based on the systematic case management of the potential and actual elderly users of welfare center services, the study proposed practice strategies for the development of educational programs to improve their health awareness, reinforcement of visiting service to increase their access to a welfare center, and augmentation of effects through the diversification of promotional media.

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