Effectiveness of a Participatory Program for Improving the Cardiovascular and Cerebrovascular Health of Older Farmers in Rural Korea

Ki Youn Kim, Juhye Jin, Yeon Ha Kim

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Background: The aim of this study was to evaluate the effectiveness of a participatory approach to the cardiovascular and cerebrovascular (CCV) health of older farmers in rural Korea. Methods: A nonequivalent control group pretest–posttest design was used. Participants included 58 farmers aged ≥ 60 years who were assigned to either an experimental group (n = 28) or a comparative group (n = 30). The experimental group took part in the participatory program for CCV health, while the comparative group received a conventional lecture program for CCV health. The two groups, from pretest to posttest, were compared using the generalized estimating equation (GEE) method. Results: The participatory program showed a greater effect over time than the conventional lecture program for health empowerment (Χ2 = 7.92, p = 0.005) and self-efficacy in managing CCV health (Χ2 = 5.94, p = 0.015). The average rate of implemented improvements after 3 months was 88.9%, showing that the participatory program was successful. Conclusions: The participatory program for CCV health was an effective intervention for the empowerment and self-efficacy of older farmers in managing their own CCV health. Therefore, we recommend replacing lectures with participatory methods in CCV health programs for older farmers.

Original languageEnglish
Article number3210
JournalInternational Journal of Environmental Research and Public Health
Volume20
Issue number4
DOIs
StatePublished - Feb 2023

Keywords

  • aged
  • cerebrovascular disorder
  • community-based participatory research
  • coronary artery disease
  • farmers

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