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Kim and Hwang: Development and Evaluation of a Small Group-based Cardiocerebrovascular Disease Prevention Education Program for Male Bus Drivers
Original Article
Journal of Korean Academy of Nursing

Journal of Korean Academy of Nursing 2012; 42(3): 322-332.

Published online: 29 June 2012

DOI: https://doi.org/10.4040/jkan.2012.42.3.322

Development and Evaluation of a Small Group-based Cardiocerebrovascular Disease Prevention Education Program for Male Bus Drivers

Eun Young Kim1, Seon Young Hwang2

1Full-time Lecturer, Department of Nursing, Seonam University, Namwon, Korea.

2Assistant Professor, Department of Nursing, Chosun University, Gwangju, Korea.

Address reprint requests to: Hwang, Seon Young. Department of Nursing, Chosun University, 375 Seosuk-dong, Dongu, Gwangju 501-759, Korea. Tel: +82-62-230-7637, Fax: +82-62-230-6329, seon9772@chosun.ac.kr

Received 29 August 2011       Accepted 22 May 2012

© 2012 Korean Society of Nursing Science

Abstract

Purpose

This study was conducted to examine effects of a small group-based cardiocerebrovascular disease (CVD) prevention education program on knowledge, stage of change and health behavior among male bus drivers with CVD risk factors.

Methods

A non-equivalent control group pretest-posttest design was used. Participants were 68 male bus drivers recruited from two urban bus companies. Participants from the two groups were selected by matching age, education and risk factors. Experimental group (n=34) received a small group-based CVD prevention education program 8 times over 6 weeks and 3 times through telephone interviews at 2-week intervals. Data were collected between December, 2010 and March, 2011, and were analyzed using chi-square test, t-test, and repeated measure analysis of variance with SPSS/Win18.0.

Results

Experimental group showed significantly higher scores in CVD prevention knowledge (p<.001) and health behavior (p<.001) at 6 and 12 weeks after intervention. Participants in pre-contemplation and contemplation stages made progress to contemplation and action. This was significantly better at 6 and 12 weeks after intervention (p<.001).

Conclusion

Results suggest that small group-based education programs for CVD prevention are effective in increasing knowledge, stage of change, and health behavior to prevent CVD among male bus drivers with CVD risk.

Keywords: Cardiovascular diseases, Education, Knowledge, Health behavior, Drivers

Figures and Tables

Figure 1
Changes in the number of participants for each stage of change across three different time periods.
jkan-42-322-g001
Table 1
Participants' Appraisal of the Risk for Cardiocerebrovascular Disease (CVD)
jkan-42-322-i001

This criteria is based on the appraisal of the risk for CVD suggested by Korea Occupational Safety and Health Agency (2009).

SBP=Systolic blood pressure; DBP=Diastolic blood pressure; BMI=Body mass index.

*This study adopted an overweight criteria=BMI 25 kg/m2 not=BMI 30 kg/m2 according to WHO definition for active prevention; †For stroke only.

Table 2
Learning Goals and Strategies of the CVD Prevention Educational Program
jkan-42-322-i002

CVD=Cardiocerebrovascular diseases.

Table 3
Homogeneity Test of Characteristics and Dependent Variables (N=68)
jkan-42-322-i003

Exp.=Experimental group; Cont.=Control group.

*Includes at least one case of hypertension, diabetes, angina, myocardial infarction, or stroke; †Answers were duplicated.

CVD=Cardiocerebrovascular disease; BMI=Body mass index.

Table 4
Comparison of Dependent Variables between Two Groups across Three Different Time Periods (N=68)
jkan-42-322-i004

*Includes check-ups for blood pressure, blood sugar and body weight.

Exp.=Experimental group; Cont.=Control group; G×T=group×time.

Notes

This article was based on a part of the first author's doctoral thesis.

This study was sponsored by Chosun University Research Fund 2010.

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