지역사회중심 자기주도형 통합비만관리 프로그램의 개발 및 효과

• Published in: Journal of the Korean Society of Integrative Medicine Vol. 13; no. 3; pp. 167 - 177
• Main Authors: 임백빈, 박남희, 임미해, Baekvin Lim, Namhee Park, Mihae Im
• Format: Journal Article
• Language: Korean
• Published: 대한통합의학회 01.08.2025
• Subjects: 예방의학; obesity management; self-directed health management; community-based program; health self-efficacy; physical activity
• ISSN: 2288-1174; 2383-9651

Purpose : This study aimed to develop a community-based, self-directed, and integrated obesity management program and evaluate its effectiveness in weight control, body mass index (BMI) reduction, physical activity enhancement, and health self-efficacy. The program was designed to be easily accessible to participants and to encourage autonomous engagement in lifestyle change efforts. Methods : A quasi-experimental design was employed with experimental group (n= 17) and a control group (n= 20). The 8-week intervention combined physical activity, dietary management, and behavioral modification, delivered remotely through a mobile application to enhance accessibility and engagement. Data were collected pre- and post-intervention on weight, BMI, body fat percentage, daily step count, and health self-efficacy. Paired T-tests assessed within-group changes, while independent t-tests evaluated between-group differences. Participants were encouraged to adhere to daily routines and received weekly feedback. Results : The experimental group demonstrated a statistically significant decrease in both weight (p= .016) and BMI (p= .013) following the intervention. However, these changes were not significantly different from those in the control group. No statistically significant change in body fat percentage was observed (p= .764). By contrast, the daily step count increased significantly in the experimental group (p= .005), with a notable difference compared to the control group (p= .005). Health self-efficacy scores did not show a significant improvement in either within (p= .338) or between-group (p= .223). Conclusion : These findings suggest that short-term interventions may yield modest physical benefits but are inadequate for achieving sustained behavioral change. Enhancing program effectiveness requires long-term interventions incorporating higher-intensity physical activity and personalized motivational strategies. Such approaches may foster greater adherence, engagement, and long-term success in obesity management. Future research should prioritize individualized support and extended program duration to facilitate sustainable obesity management.