PRECEDE-PROCEDE 모형을 활용한 실업계 고등학생의 건강증진 프로그램 개발

The Development of Health Promotion Program through PRECEDE-PROCEDE Model for Vocational High School Students

Purpose: The purpose of this study was to develop the tailored health promotion program for vocational high school students through PRECEDE-PROCEDE process. Method: The data were collected from August 23rd to December 30th, 2004. The subjects of this study were the 10th graders in the D vocational high school in D city. On diagnostic stage, the total number(297) of 10th graders were participated. Result: The tailored health promotion program for vocational high school students was developed based on the diagnostic result using PRECEDE-PROCEED model (social, epidemiological, behavioral, environmental, educational, ecological and administrative, policy assessment). The contents of health education program were included growth and development of adolescence, improvement of self-esteem and communication skill, mental health for adolescent, family health, physical health for adolescent, prevention of school violence and ostracism, pregnancy and contraception, prevention of sex related problem and sexual violence, alcohol and health, understand human mind and control self anger, safety and accident prevention, computer game addiction and VDT syndrome, and stress management. The contents of smoking cessation program were included smoking cessation classes(preparation phase), art therapy(drawing poster, making clay ceramics, and making collagist), watching smoking cessation videos(resolution phase), experimental test by SMOKYⓇ doll and gold fish, discussion class after experimental test, a mock trial on smoking, role-playing, make a written pledge and swear on no smoking(practice phase). The exercise program was included jumping rope exercise and physical fitness exercise by using instruments which located in school physical training center. In addition, the students were required to perform a 30 minutes rope jumping exercise everyday at home. The health-counseling program was conducted based on self reported health behavior practice checklist. Positive reinforcement and encouragement counseling approach was used. When the students fail the practice, discussed the reasons and found the way how to solve the problems. This counseling program included the participation of the parents through the use of notes and letters sent to their homes. Conclusion: In conclusion, the health promotion program which developed by the researcher for vocational high school students was expected as an effective, working, and easily applicable intervention program for improving the vocational high school students' self-efficacy, self-esteem, health knowledge, health promoting behavior, health status, and life satisfaction level, and reducing harmful-unhealthy behavior, physical health problem, and mental health problem.