초록 ▼

Ⅳ. 연구결과
지역사회 진입: 보건소, 관리사무소를 통해 입주민대표회와 접촉하고 이후 단계들을 수행할 수 있었음.
지역사회 파악: 입주민대표회를 대상으로 초점집단면접을 통해 지역사회 특성과 입주민대표회 역량을 파악함. 입주민대표회와 협력하여 주민조사를 실시, 주민특성과 주민역량 등을 파악함.
참여자 조직: 선행연구를 바탕으로 주민조직 기준을 선정하였고, 입주민대표회가 주민조직으로 구성되었음. 주민조직을 제외한 외부 협력체로는 관리사무소, A구 보건소, A구 주택과와 본 연구진으로 구성되었음.
우선순위 결정 및

Ⅳ. 연구결과
지역사회 진입: 보건소, 관리사무소를 통해 입주민대표회와 접촉하고 이후 단계들을 수행할 수 있었음.
지역사회 파악: 입주민대표회를 대상으로 초점집단면접을 통해 지역사회 특성과 입주민대표회 역량을 파악함. 입주민대표회와 협력하여 주민조사를 실시, 주민특성과 주민역량 등을 파악함.
참여자 조직: 선행연구를 바탕으로 주민조직 기준을 선정하였고, 입주민대표회가 주민조직으로 구성되었음. 주민조직을 제외한 외부 협력체로는 관리사무소, A구 보건소, A구 주택과와 본 연구진으로 구성되었음.
우선순위 결정 및 방안모색: 주민조직은 연구진과 함께 주민조사결과를 바탕으로 개인과 조직수준에서 우선순위를 ‘걷기모임 조성’으로 선정하였음. 방안 모색을 위해 주민조직을 중심으로 B 아파트 뒷산의 걷기코스 개발 및 매주 수요일 오전 10시 주민 걷기모임을 시작하기로 결정하였음.
수행: B 아파트 단지 주민들은 매주 수요일 오전 10시 관리사무소 앞에서 준비체조 후 걷기코스를 걸었음. 걷기모임 진행과 함께 걷기 코스에 대한 주민의견을 취합하여 주민조직과 협력체와의 회의를 통해 최종 걷기코스가 완성되었음. 이를 지도로 제작하고, 단지 내에 지도 현판을 설치하였음.
평가 및 전환: 연구진행과정을 통해 주민조직과 협력체들의 역량증진 및 변화가 일어남. 주민조직의 경우 연구 초기 소극적 참여수준에서 우선순위 선정 이후 걷기코스 개발 및 수행 과정에서 적극적 참여로 역량이 증진되었음. 협력체 역시‘걷기모임 조성’이라는 구체적인 주민사업안이 결정됨에 따라 프로그램 지원을 위한 전문성 발휘, 자원동원 등의 적극적 지원을 하였음.
긍정적 변화 뿐 아니라, 걷기모임 사업 수행 과정에서 주민조직 등 협력체 간의 여러 갈등 역시 존재하였음. 그렇지만 협력체간의 대화와 이후 주민참여사업의 지속적 발전을 위해서 갈등은 잘 마무리 되고 협력관계를 강화하고 있음.

Abstract ▼

A traditional approach of community health promotion programs in Korea might have been to change individual health behavior. The community members are usually treated as subjects of the health promotion programs, and they just carry out passive and minor roles during the program planning. It leads t

A traditional approach of community health promotion programs in Korea might have been to change individual health behavior. The community members are usually treated as subjects of the health promotion programs, and they just carry out passive and minor roles during the program planning. It leads the community members not to participate the programs willingly, and could be the barrier for the development of the programs.
Therefore, community participation is very important for the health promotion program planning. The Community-Based Participatory Research (CBPR) is recommended for researchers and the practitioners for the public health, but there is no explicit guidelines on the health promotion strategies for the practitioners. This study aims to develop the application of the CBPR approach for the community health promotion in Korea. We reviewed the previous case studies of the CBPR and the process, and conducted a pilot test applying the 6-Step model at a B apartment in a district A. It describes the process for community engagement that involves community members in identifying, prioritizing, and implementing strategies for community development.
The first step was to gain entree into the community group. We met a community leaders and community organization staffs who have done very active role for the community. As relationships began to develop between the researchers and the community group members, the process became more trusting and more constructive.
The second step was to identify issues that affected the community. We used several methods to assess the community issues and the resources which can be helpful to resolve the problems. A focus group interview was done with the community leaders and a survey was also conducted with the randomized samples of the community members. We could understand the characteristics and capacity of the members during the process. The third step was to organize the participants group. We recruited the community members to participate in the program with the partners. The fourth step was to prioritize the issue and develop strategies. The partners reached an agreement to organize a walking group with the community members to find out the resolution for the community issues.
The fifth step was to implement the planned strategies. We held a walking event every Wednesday in October, and promoted the event for the community members. We made a stele of the course map for the walking group in collaboration with all the partners. The last step was to transit the program. The participants had increased during the three weeks, and most participants were satisfied with the program. The community members and the partners’capacity has improved to keep up their efforts to make a healthy community.
We found that the CBPR approach might be good strategy of the community health promotion which could meet the needs of community members and lead their participation. For the further study, we could follow up the process for the transition of the program.