Effects of an Integrated Physical Activity Program for Physically Inactive Workers: Based on the PRECEDE-PROCEED Model.
10.4040/jkan.2018.48.6.692
- Author:
Hye Jin KIM
1
;
Jina CHOO
Author Information
1. College of Nursing, Korea University, Seoul, Korea. jinachoo@korea.ac.kr
- Publication Type:Original Article
- Keywords:
Occupational Health Nursing;
Physical Activity;
Health Promotion;
Risk Factors;
Presenteeism
- MeSH:
Blood Pressure;
Compliance;
Education;
Health Expenditures;
Health Promotion;
Korea;
Motor Activity*;
Occupational Health;
Occupational Health Nursing;
Outcome Assessment (Health Care);
Presenteeism;
Process Assessment (Health Care);
Risk Factors;
Self-Control
- From:Journal of Korean Academy of Nursing
2018;48(6):692-707
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We aimed to examine the effects of an integrated physical activity (PA) program developed for physically inactive workers on the theoretical basis of the PRECEDE-PROCEED model. METHODS: Participants were 268 workers in three departments of L manufacturing unit in South Korea. The three departments were randomly allocated into integration (n=86) (INT), education (n=94) (ED), and control (n=88) (CT) groups. The INT group received self-regulation, support, and policy-environmental strategies of a 12-week integrated PA program, the ED group received self-regulation strategies only, and the CT group did not receive any strategies. After 12 weeks, process evaluation was conducted by using the measures of self-regulation (autonomous vs. controlled regulation), autonomy support, and resource availability; impact evaluation by using PA measures of sitting time, PA expenditure, and compliance; and outcome evaluation by using the measures of cardiometabolic/musculoskeletal health and presenteeism. RESULTS: Among process measures, autonomous regulation did not differ by group, but significantly decreased in the CT group (p=.006). Among impact measures, PA compliance significantly increased in the INT group compared to the CT group (p=.003). Among outcome measures, the changes in cardiometabolic/musculoskeletal health and presenteeism did not differ by group; however, systolic blood pressure (p=.012) and a presenteeism variable (p=.041) significantly decreased only in the INT group. CONCLUSION: The integrated PA program may have a significant effect on increases in PA compliance and significant tendencies toward improvements in a part of cardiometabolic health and presenteeism for physically inactive workers. Therefore, occupational health nurses may modify and use it as a workplace PA program.