J Korean Acad Nurs.  2018 Dec;48(6):692-707. 10.4040/jkan.2018.48.6.692.

Effects of an Integrated Physical Activity Program for Physically Inactive Workers: Based on the PRECEDE-PROCEED Model

• Kim HJ
• Choo J

• KMID: 2430596
• DOI: http://doi.org/10.4040/jkan.2018.48.6.692

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.

Keyword

Occupational Health Nursing; Physical Activity; Health Promotion; Risk Factors; Presenteeism

MeSH Terms

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

Figure

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  Figure 1. Conceptual framework based on the PRECEDE-PROCEED model.

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  Figure 2. Flowchart for recruitment, randomization, and dropout.

Reference

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