보건의료 학생들을 위한 자기조절 자세교정 운동프로그램 개발: Intervention mapping protocol 활용

Development the posture correction exercise program based self-regulation for healthcare professional students: Using the intervention mapping protocol

본 연구의 목적은 보건의료 학생들을 대상으로 Intervention mapping protocol (IMP)을 적용한 자기조절 전략 기반의 자세교정 운동 프로그램을 개발하는 것이다. 연구 대상자는 한국 일개 대학교의 보건의료 대학생이다. 자세교정 운동 프로그램 개발을 위해 문헌분석및 10명 학생의 포커스그룹 인터뷰를 2016년에 시행하였다. 자세교정 운동 프로그램은 IMP의 6단계를 적용하여 개발되었다. IMP의 6단계는 1) 요구도 사정, 2) 목표 설정, 3) 이론 기반 중재방법 및 수행전략 결정 4) 프로그램 개발 5) 적용 및 수행계획 개발 6) 평가 디자인 개발로 시행되었다. 운동 자기조절 전략의 하위 개념인 ‘자기관찰’, ‘목표설정’, ‘사회 적지지’, ‘환경적 도움’, ‘강화’, ‘재발방지’ 전략에 따라 건강교육, 자세교정운동, 장단기목표 설정, 자조모임 등을 중재방법으로 선택하고, 집단교육, 1:1상담, 모바일 앱을 수행전략으로 하여 중재 프로그램을 구현하였다. 자기조절 전략 기반의 자세교정 운동 프로그램이 근골 격계 건강 증진을 위한 중재 도구로서 다양한 영역에서 활용될 수 있기를 기대한다.

The purpose of this study is to develop a posture correction exercise program based self-regulation using the intervention mapping protocol (IMP) in healthcare professional students. Participants of this study were healthcare professional students at a university in Korea. To develop a posture correction exercise program based self-regulation, literature review and focus group interview for 10 university students majoring in healthcare were conducted in 2016. Then, the program was developed based on IMP. The 6 stages of the IMP, consisting of 1) needs assessment, 2) creation of objectives, 3) selection of theory-based methods and practical strategies, 4) development of the program, 5) development of an adoption and implementation plan, and 6) development of an evaluation design, were utilized in this methodological study to develop the exercise program. For application of the theory-based strategies such as self-regulation, including self-observation, goal-setting, social support, environmental aids, reinforcement, and prevention of recurrence, the intervention program included health education, posture correction exercises, setting long- and short-term goals, and self-help groups. Additionally, group education and one-on-one counselling, and a mobile application were used as methods to implement this exercise program. It is expected that these posture correction exercise program based on self-regulation would be widely available as an intervention tool to improve the musculoskeletal health.