The Development of a Health Promotion Program for Unmarried Mothers Living in Residential Facilities Using Urban Forests: An Intervention Mapping Approach Based on the Transtheoretical Model

Kyung-Sook Bang, Sungjae Kim, Gumhee Lee, Sinyoung Choi, Da-Ae Shin and Misook Kim
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Kyung-Sook Bang: Faculty of College of Nursing, The Research Institute of Nursing Science, Seoul National University, Seoul 03080, Korea
Sungjae Kim: Faculty of College of Nursing, The Research Institute of Nursing Science, Seoul National University, Seoul 03080, Korea
Gumhee Lee: College of Nursing, Seoul National University, Seoul 03080, Korea
Sinyoung Choi: College of Nursing, Seoul National University, Seoul 03080, Korea
Da-Ae Shin: College of Nursing, Seoul National University, Seoul 03080, Korea
Misook Kim: College of Nursing, Seoul National University, Seoul 03080, Korea

IJERPH, 2021, vol. 18, issue 16, 1-19

Abstract: Unmarried mothers living in residential facilities (UMLFs) in Korea face complex and challenging physical, psychological, and socioeconomic issues. This study developed a physical and mental health promotion program using urban forests for UMLFs based on the transtheoretical model and evidence. We utilized an intervention mapping approach (IMA) and assessed the needs of UMLFs by analyzing previous quantitative studies. Moreover, we conducted a qualitative hermeneutic phenomenological study involving nine participants. Based on the needs assessment, important and changeable determinants were identified; further, the program performance and change objectives were classified to achieve the program goals and establish the intervention strategy. We found that physical activity using forests, self-reflection using metaphors, five-sense activities, achievement activities using natural objects, building interpersonal relationships in the forest, and designing future plans, are desirable methods for improving the health of UMLFs. The IMA was deemed appropriate for the systematic development of health promotion programs for UMLFs through clear links among change objectives, theoretical methods, and practice strategies. These results should be applied to future intervention studies.

Keywords: unmarried mothers; residential facilities; forest program; transtheoretical model; program development; intervention mapping (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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