J Korean Acad Oral Health.  2017 Mar;41(1):56-64. 10.11149/jkaoh.2017.41.1.56.

Evaluation of a Community-based participatory professional periodontal care program for hypertension and diabetes patients

Affiliations
  • 1Graduate School, Department of Dental Hygiene, Yonsei University, Seoul, Korea.
  • 2Department of Health Administration, Yonsei University, Wonju, Korea.
  • 3Department of Preventive Medicine, Yonsei University, Seoul, Korea.
  • 4Hongcheon-gun Health Center, Hongcheon, Korea.
  • 5Hongcheon-gun Registration & Education Center for Hypertension and Diabetes, Hongcheon, Korea.
  • 6Department of Preventive Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
  • 7Department of Nursing, Yonsei University Wonju College of Medicine, Wonju, Korea.
  • 8Department of Dental Hygiene, Yonsei University Wonju College of Medicine, Wonju, Korea. nami71@yonsei.ac.kr

Abstract


OBJECTIVES
To evaluate the Community-Based Participatory Research (CBPR) professional periodontal care program model for patients with hypertension and diabetes.
METHODS
This descriptive case study included 151 participants of the professional periodontal care program. The CBPR-based professional periodontal care program consists of 5-steps: "˜Issue identification and prioritization' (Step 1), "˜Strategy development' (Step 2), "˜Entry into community' (Step 3), "˜Implementation' (Step 4), and "˜Transition' (Step 5). Quantitative data were analyzed using frequency analysis, and descriptive data with PASW 23.0 (SPSS Inc., Chicago, IL, USA). The results of the Focus group interview (FGI) were classified as "˜general opinions regarding the program planning and operation receptiveness', "˜sustainability', "˜potential spread of the program', and "˜improvement of program'. The interviews were qualitative research involving seven people.
RESULTS
1. Participants increased their interest in health and oral health by managing their hypertension, diabetes, and periodontal disease using community resources. Through this, healthy practices and improved awareness helped to prevent complications and manage periodontal diseases. 2. Community organizations actively cooperated, resulting in positive changes in oral health practices (increased registration of patients in education centers for hypertension and diabetes, and increased number of patients visiting the local dental clinic). In the future, it was positive to participate in the program continuously.
CONCLUSIONS
The most important step is "˜Entry into community', which has led to active participation and cooperation of community organizations and participants. Therefore, community organizations and strategy development should be discussed, and the role of community leaders should be emphasized to build cooperative relationships. In addition, participation in and collaboration with health-based projects should be achieved through a search of various community organizations.

Keyword

Chronic disease; Community-based participatory research (CBPR); Community participation; Oral health; Periodontal disease

MeSH Terms

Chronic Disease
Community-Based Participatory Research
Consumer Participation
Cooperative Behavior
Education
Focus Groups
Humans
Hypertension*
Oral Health
Periodontal Diseases
Qualitative Research

Figure

  • Fig. 1 CBPR model approaches to professional periodontal care program for patients with hypertension, diabetes

  • Fig. 2 Flow of the professional periodontal care program.


Reference

1. Jung SH. New Dental Public Health. Seoul: Komoonsa;2012. p. 4–37.
2. Final Comprehensive Global Monitoring Framework for NCDs [Internet]. WHO;cited 2017 Feb 10. Available from: https://www.idf.org/sites/default/files/GMF_Final%20Table%20of%20Targets.pdf.
3. Cho BH. The Past and the Current Status of Community-based Health Promotion. Korean J Health Educ Promot. 2010; 27:1–6.
4. Yoo SH. Community Participation for Health Promotion : Definitions and Applications. Korean J Health Educ Promot. 2012; 29:57–66.
5. Yoo SH, Yoo MS, Kim JH, Han YJ, Jo WS, Kim DH, et al. Exploring patterns of public and private partnerships to facilitate community participation for health promotion. Seoul: Korea Health Promotion Institute;2013. p. 1–123.
6. Yoo SH. Using Community-Based Participatory Research(CBPR) for Health Promotion. Korean J Health Educ Promot. 2009; 26:141–158.
7. Cho BH, Yoo SH, Kawk MS, Yoon NH, Jang SR. A study on Community-Based Participatory Research application for Apartment housing dwellers. Seoul: Korea Health Promotion Institute;2012. p. 1–169.
8. Kawk MS, Yoon NH, Jang SR, Cho BH, Yoo SH. Dimensions of Community Capacity : A Case of a Resident Committee in a Public Residence Lease Apartment Complex in Seoul. Korean J Health Educ Promot. 2012; 29:77–88.
9. Kwon EJ, Nah EH, Jeong HW, Jeoung HG. Development of a Community-based Participatory School Health Program : A Case of Elementary School Children in Banda Aceh, Indonesia. Korean Public Health Res. 2016; 42:15–27.
10. Shin H, Yoo BW, Lee HK. Development of a Community-based Participatory Global Health Project Model for Primary Health Care Capacity Development: A Case Study from a Rural Community in Ecuador. J Korean Acad Community Health Nurs. 2010; 21:31–42.
Article
11. Bang KS, Lee IS, Park YS, Chae SM, Kang HJ, Yu JY, et al. Global health project for Maternal child health in a developing country: case study in Tigray, Ethiopia. Perspect Nurs Sci. 2014; 11:1–9.
Article
12. Magnussen P, Ndawi B, Sheshe AK, Byskov J, Mbwana K, Christensen NO. The impact of a school health programme on the prevalence and morbidity of urinary schistosomiasis in Mwera division, Tanzania. Trans R Soc Trop Med Hyg. 200; 95:58–64.
Article
13. Rreudenthal S, Ahlberg BM, Mtweve S, Nyindo P, Poggensee G, Krantz I. School based prevention of schistosomiasis : initiating a participatory action research project in northern Tanzania. Acta Tropica. 2006; 100:79–87.
Article
14. Damon W, Callon C, Wiebe L, Small W, Kerr T, McNeil R. Community-based participatory research in a heavily researched inner city neighbourhood: Perspectives of people who use drugs on their experiences as peer researchers. Soc Sci Med. 2017; 176:85–92.
Article
15. Coughlin SS. Community-Based Participatory Research Studies on HIV/AIDS Prevention, 2005-2014. Jacobs J Community Med. 2016; 2:pii: 019.
16. Coughlin SS, Smith SA. A review of community-based participatory research studies to promote physical activity among African Americans. J Ga Public Health Assoc. 2016; 5:220–227.
Article
17. Korea Centers for Disease Control and Prevention. 2014 Community Health Survey. Seoul: Ministry of Health & Welfare;2015. p. 1–253.
18. Musskopf ML, Daudt LD, Weidlich P, et al. Metabolic syndrome as a risk indicator for periodontal disease and tooth loss. Clin Oral Investig. 2017; 21:675–683. DOI: 10.1007/s00784-016-1935-8.
Article
19. Kim NH, Kim CB, Ahn YH, Byun DH, Kim KH, Park JH, et al. Developing a Comprehensive Health Promotion Program for Hypertension, Diabetes, and Periodontal Disease Care. . Seoul: Korea Health Promotion Institute;2015. p. 1–155.
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