[논문]지역아동센터 이용 어린이의 비만관리의 한계점과 모바일폰의 잠재적인 활용 가능성: 어린이와 보호자 대상의 질적 연구

이보영; 박미영; 김기랑; 심재은; 황지윤

doi:10.5720/kjcn.2020.25.3.189

지역아동센터 이용 어린이의 비만관리의 한계점과 모바일폰의 잠재적인 활용 가능성: 어린이와 보호자 대상의 질적 연구
Current Barriers of Obesity Management of Children Using Community Child Care Centers and Potential Possibility of Utilizing Mobile Phones: A Qualitative Study for Children and Caregivers 원문보기

대한지역사회영양학회지 = Korean journal of community nutrition, v.25 no.3, 2020년, pp.189 - 203

이보영 (상명대학교 대학원 외식영양학과) , 박미영 (성신여자대학교 식품영양학과 비만과학연구소) , 김기랑 (단국대학교 식품영양학과) , 심재은 (대전대학교 식품영양학과) , 황지윤 (상명대학교 식품영양학과)

Abstract ▼ AI-Helper

Objectives: This study was performed to identify the current barriers of obesity management for children using Community Child Care Centers and their caregivers (parents and teachers working in the Centers). Further, this study explored the possibility of utilizing a mobile phone application for tailored obesity prevention and management programs to overcome the current difficulties associated with children's obesity management. Methods: The qualitative data were collected through in-depth interviews with 20 obese and overweight children or children who wanted to participate in this study using Community Child Care Centers, 12 teachers working at the Centers, and a focus group interview with five parents of children using the Centers. Data were analyzed with a thematic approach categorizing themes and sub-themes based on the transcripts. Results: The current barriers of obesity management of obese and overweight children using Community Child Care Centers were lack of self-directed motivation regarding obesity management (chronic obesity-induced lifestyles and reduced self-confidence due to stigma) and lack of support from households and Community Child Care Centers (latchkey child, inconsistency in dietary guidance between the Center and household, repetitive pressure to eat, and absence of regular nutrition education). Mobile phone applications may have potential to overcome the current barriers by providing handy and interesting obesity management based on visual media (real-time tracking of lifestyles using behavior records and social support using gamification), environmental support (supplementation of parental care and network-based education between the Community Child Care Center and household), and individualized intervention (encouragement of tailored and gradual changes in eating habits and tailored goal setting). It is predicted that the real-time mobile phone program will provide information for improving nutritional knowledge and behavioral skills as well as lead to sustainable children's coping strategies regarding obesity management. In addition, it is expected that environmental factors may be improved by network-based education between the Community Child Care Centers and households using the characteristics of mobile phones, which are free from space and time constraints. Conclusions: The tailored education program for children using Community Child Care Centers based on mobile phones may prevent and reduce childhood obesity by overcoming the current barriers of obesity management for children, providing environmental and individualized support to promote healthy lifestyles and quality of life in the future.

주제어

질의응답

핵심어	질문	논문에서 추출한 답변
	지역아동센터의 역할은 무엇인가?	지역아동센터는 아동복지법에 의거 방과후 돌봄이 필요한 지역사회 아동의 보호와 교육, 건전한 놀이와 오락을 제공하며 보호자와 지역사회의 연계 등 종합적인 복지서비스를 제공하는 역할을 한다. 지역아동센터는 돌봄취약아동과 일반 아동 모두 이용 가능하나 지역사회의 보호가 필요한 저소득 층을 비롯한 취약계층 아동을 우선 선발하므로[15], 기초생 활수급과 차상위계층 가정 아동으로 조손가정, 소년소녀가 정, 다문화가정 아동 즉, 취약계층 아동이 주를 이루고 있다[16].
	아동· 청소년기의 비만이 조기 관리가 중요한 이유는 무엇인가?	국내 최근 10년간 소아청소년 비만 유병률은 2010년에 감소하였으나 2013년부터 2015년 까지 증가하였고, 2015년을 기점으로 다시 감소 추세였으나 2018년에 다시 증가하는 경향을 보이는 등 소아청소년 비만의 지속적인 관리가 필요함을 시사한다[2-11]. 아동· 청소년기의 비만은 성인기 심혈관계 질환을 비롯한 대사질 환의 발병으로 이어질 가능성이 높아 조기 관리가 중요하다 [12]. 아동기에서 청소년기로 접어드는 시기에는 외모를 중시하는 사회적 분위기에 편승하여 외모에 관심이 많아질 가능성이 높아 비만 아동은 외모에 대한 스트레스와 열등감으로 인해 학교생활 적응 과정에서 대인관계 장애, 또래집단 내소외감과 같은 문제를 경험할 수 있다[13, 14].
	ICT(information and communications technologies) 기반의 중재를 지역아동센터에 적용했을 때 어떤 효과가 기대되는가?	최근에는 비만관리 비용을 최소화하는 동시에 인적·물적 자원의 활용을 높이고 스마트폰 기반 어플리케이션, 웹 기반 전문 사이트 등 정보와 통신 기술을 바탕으로 상호 유기적 네트워크를 형성하여 대상자의 지속적인 모니터링과 맞춤형 정보 제공이 가능하다는 장점을 갖춘 ICT(information and communications technologies) 기반의 중재가 이용되고 있다[19]. 모바일폰 어플리케이션 기반 비만 중재를 지역아 동센터 어린이에게 적용할 경우 어린이의 자가 모니터링, 실시간 피드백 전달뿐 아니라 모바일 상담까지 가능하여[20] 보호자의 장시간 부재를 모바일폰 기술이 보완함으로써 어린이에 대한 사회적 지지를 제공할 수 있을 것으로 기대된다.

참고문헌 (41)

Yu JH, Han CK. The effects of childhood obesity on school adjustment: Mediating effects of withdrawal. J Korean Soc Child Welf 2017; 59: 59-86.
Ministry of Health & Welfare. Korea Health Statistics 2009: Korea National Health and Nutrition Examination Survey (KNHANES IV-3). Sejong: Ministry of Health & Welfare; 2010.
Ministry of Health & Welfare. Korea Health Statistics 2010: Korea National Health and Nutrition Examination Survey (KNHANES V-1). Sejong: Ministry of Health & Welfare; 2011.
Ministry of Health & Welfare. Korea Health Statistics 2011: Korea National Health and Nutrition Examination Survey (KNHANES V-2). Sejong: Ministry of Health & Welfare; 2012.
Ministry of Health & Welfare. Korea Health Statistics 2012: Korea National Health and Nutrition Examination Survey (KNHANES V-3). Sejong: Ministry of Health & Welfare; 2013.
Ministry of Health & Welfare. Korea Health Statistics 2013: Korea National Health and Nutrition Examination Survey (KNHANES VI-1). Sejong: Ministry of Health & Welfare; 2014.
Ministry of Health & Welfare. Korea Health Statistics 2014: Korea National Health and Nutrition Examination Survey (KNHANES VI-2). Sejong: Ministry of Health & Welfare; 2015.
Ministry of Health & Welfare. Korea Health Statistics 2015: Korea National Health and Nutrition Examination Survey (KNHANES VI-3). Sejong: Ministry of Health & Welfare; 2016.
Ministry of Health & Welfare. Korea Health Statistics 2016: Korea National Health and Nutrition Examination Survey (KNHANES VII-1). Sejong: Ministry of Health & Welfare; 2017.
Ministry of Health & Welfare. Korea Health Statistics 2017: Korea National Health and Nutrition Examination Survey (KNHANES VII-2). Sejong: Ministry of Health & Welfare; 2018.
Ministry of Health & Welfare. Korea Health Statistics 2018: Korea National Health and Nutrition Examination Survey (KNHANES VII-3). Sejong: Ministry of Health & Welfare; 2019.
Yoo SL, Lee S. Barriers to physical activity from obesity management perspective of children and adolescents from low income family. Korean J Sport Psychol 2017; 28(1): 45-58.
Chung IJ, Lee JY. The impact of obesity and satisfaction with appearance on self-esteem in adolescence focusing on the moderating effect of gender. Ment Health Soc Work 2011; 38: 60-80.
Seo HY, Lee DY. A correlational study of obesity stress, selfesteem and adaptation to school life regarding to the obesity index of upper elementary school students. J Korean Soc Sch Health 2014; 27(2): 80-89.

원문보기 상세보기
Ministry of Health & Welfare. 2019 Community child care center support project information. Sejong: Ministry of Health & Welfare; 2019.
Korea Institute for Health and Social Affairs. 2018 Comprehensive survey of child. Sejong: Korea Institute for Health and Social Affairs; 2019.
Ministry of Health & Welfare. National community child care center statistics report as of the end of 2018. Sejong: Ministry of Health & Welfare; 2019.
Park JY, Hwang GH, Cho JH. Barriers and improvements to promoting physical activity among children using community child care centers: Perspectives of service providers. J Korean Public Health Nurs 2018; 32(1): 109-121.
Jung AR, Lee WH, Lim SY, Lee JH, Yoon KH, Choi YH. User demand for the ICT based childhood obesity management program; A cross-sectional study. J Korean Soc Wellness 2019; 14(1): 1-14.
Quelly SB, Norris AE, DiPietro JL. Impact of mobile apps to combat obesity in children and adolescents: A systematic literature review. J Spec Pediatr Nurs 2016; 21(1): 5-17.

상세보기
Lee BY, Park MY, Kim KR, Shim JE, Hwang JY. A qualitative study on the potential utilization of a mobile phone for obesity management in elementary-school children: Parents' perspective. Korean J Community Nutr 2019; 24(2): 117-126.

원문보기 상세보기
Shin GR. Basics of qualitative research: Techniques and procedures for developing grounded theory (translated version). 1st ed. United States of America original written by Strauss A, Corbin JM. Seoul: Hyunmoonsa; 2001. p. 91-110.
Lee JY, Park JY, Kim HS, Kim WS, Hwang GH. Barriers to promoting physical activity among overweight and obese children from low-income families using community child care centers. J Korean Public Health Nurs 2017; 31(2): 327-340.
Lee BR, Kim HJ, Kim TY, Kim BY, Park HJ. The service providers' assessment of children's development, professional responsibilities, and future directions: A qualitative study of Korean child community centers. J Korean Soc Child Welf 2018; 62: 165-205.

상세보기
Lee WK, Jung CK, Lee BK, Yoon PK. The effect of mobilebased self-health management program on adherence, health fitness factor in elementary school students. Korean J Elem Phys Educ 2015; 20(4): 161-171.
Korean Information Society Development Institute. Analysis of children and adolescents' possession and use of mobile phones. Chungcheongbuk-do: Korean Information Society Development Institute; 2019.
Kang HJ, Kim CY. SNS utilization of youth and use as a learning tool. J Korea Multimed Soc 2020; 23(1): 93-101.
Jun MK, Ha JY. Effect of smartphone apps applying body think program on obesity in adolescent girls. J Korean Acad Nurs 2016; 46(3): 390-399.

원문보기 상세보기
Park CH, Jegal YS. The effect of family-based health promotion program on the level of obesity, physical fitness and metabolic related risk factors among children and adolescents. J Korean Soc Wellness 2017; 12(3): 565-578.
Kim JH. The mediating effect of bullying on the associations between children's overweight and obesity problem and mental health problems. J Korean Society Child Welf 2012; 40: 201-228.
Kim YJ. Game user panel fourth year research. Korea Creative Content Agency; 2018 Nov. Report No. KOCCA17-80.
Park YH, Yun JY. Convergent strategies and effects of healthcare Gamification. Korean Soc Sci Art 2016; 25: 175-188.
Jung JH, Jeon SH, Bae HJ, Cho YG, Hur YI, Sung EJ et al. Development of a smartphone application for 4th-6th grade elementary students aimed to prevent childhood obesity. J Obes Metab Syndr 2016; 25(2): 99-104.
Park MS, Ahn BI. Effects of meal regularity on adult obesity. J Rural Dev 2016; 39(3): 79-122.
Gabrielli S, Dianti M, Maimone R, Betta M, Filippi L, Ghezzi M et al. Design of a mobile app for nutrition education (TreCLifeStyle) and formative evaluation with families of overweight children. JMIR Mhealth Uhealth 2017; 5(4): 146-158.

상세보기
Lim JH, Ryu HK. Nutritional status and the effects of nutrition education among elementary students attending community child center in Dong-gu, Ulsan. Korean J Community Living Sci 2012; 23(3): 277-289.

원문보기 상세보기
Jung IK, Kim JH, Woo SH. Verifying effectiveness on physical activity and nutrition program for obesity management of children from low income family. Korea J Sports Sci 2019; 28(3): 547-557.

상세보기
Kim JE, Do YK. A study on foodservice experience and health improvement of children and adolescents in community child centers in Korea. Stud Korean Youth 2016; 27(1): 125-148.

상세보기
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.

원문보기 상세보기
Jeon EJ. Development smartphone application for clinical guideline based obesity management [master's thesis]. Seoul National University; 2013.
Lim KH, Lee BM, Lee YH. Development of child-teen obesity treatment service platform. Healthc Inf Res 2016; 22(3): 243-249.

상세보기

저자의 다른 논문 :

표제어: PCR

동의어: Packet Collision Rate

용어 설명 출처 목록 (6)

용어 설명: PCR은 세균 특이성이 있는 primer를 이용하여 적은 수의 세균이 있을지라도 쉽게 검출할 수 있는 유용한 방법이며, 이를 이용하여 구강 내 치면세균막이나 타액에서 직접 세균을 검출할 수 있게 되었다[8].

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증

Abstract ▼ AI-Helper

주제어

질의응답

참고문헌 (41)

이 논문을 인용한 문헌

저자의 다른 논문 :

관련 콘텐츠

원문 보기

원문 URL 링크

오픈액세스(OA) 유형

이 논문과 함께 이용한 콘텐츠

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

선택된 텍스트

연합인증

Abstract ▼ AI-Helper

주제어

질의응답

참고문헌 (41)

이 논문을 인용한 문헌

저자의 다른 논문 :

김기랑 (30) 황지윤 (45)

관련 콘텐츠

원문 보기

원문 URL 링크

오픈액세스(OA) 유형

이 논문과 함께 이용한 콘텐츠

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

선택된 텍스트