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

Ki-Youn Kim, Juhye Jin () and Yeon-Ha Kim ()
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Ki-Youn Kim: Department of Safety Engineering, Seoul National University of Science and Technology, Seoul 01811, Republic of Korea
Juhye Jin: Department of Nursing, Korea National University of Transportation, Jeungpyeong 27909, Republic of Korea
Yeon-Ha Kim: Department of Nursing, Korea National University of Transportation, Jeungpyeong 27909, Republic of Korea

IJERPH, 2023, vol. 20, issue 4, 1-12

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 (Χ 2 = 7.92, p = 0.005) and self-efficacy in managing CCV health (Χ 2 = 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.

Keywords: community-based participatory research; aged; farmers; coronary artery disease; cerebrovascular disorder (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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