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Ok Kyung Ham 5 Articles
Factors associated with Patient Activation for Self-management among Community Residents with Osteoarthritis in Korea
Yang Heui Ahn, Bong Jeong Kim, Ok Kyung Ham, Seong Hoon Kim
J Korean Acad Community Health Nurs. 2015;26(3):303-311.   Published online September 30, 2015
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  • 14 Citations
AbstractAbstract PDF
The purpose of this study was to survey patient activation for self-management and to identify factors associated with patient activation for self-management among community residents with osteoarthritis in Korea.
Cross-sectional study design was used. Survey data were collected from 270 community residents with osteoarthritis through direct interviews. Studied factors included patient activation, joint pain, physical function, depression, and general characteristics. Data were analyzed using chi-squared test, t-test and multivariate logistic regression analysis.
The participants' mean score of patient activation was 56.0+/-16.61. The mean score of each factor was 10.6+/-5.89 for joint pain, 5.5+/-3.56 for physical function, and 19.3+/-10.01 for depression. The patient activation level was significantly associated with depression and general characteristics such as education, religion, comorbid hypertension, and use of medical clinics (p<.05).
The findings suggest that depression, education, religion, comorbid hypertension, and use of medical clinics may be important factors to be considered when developing programs of patient activation for self-management. This is the first study that measured patient activation, and further studies are suggested to find factors associated with patient activation for self-management among community residents with other chronic diseases.


Citations to this article as recorded by  
  • Relationship Between Patient Activation and Type 2 Diabetes Mellitus Self-management and Clinical Outcomes in Saudi Arabian Primary Care Setting
    Nasser Almutairi, Vinod Gopaldasani, Hassan Hosseinzadeh
    American Journal of Health Promotion.2023;[Epub]     CrossRef
  • Exploring the Relationships Among Social Support, Patient Activation, and Pain-Related Outcomes
    Marianne S Matthias, Adam T Hirsh, Susan Ofner, Joanne Daggy
    Pain Medicine.2022; 23(4): 676.     CrossRef
  • Nurses’ beliefs about back pain, their coping strategies and participant activation for self-management
    Loveness A. Nkhata, Yolandi Brink, Dawn Ernstzen, Diribsa Tsegaye, Quinnette Louw
    South African Journal of Physiotherapy.2022;[Epub]     CrossRef
  • Patient activation level and its associated factors in adults with chronic pain
    Fengzhen Yao, Man Zheng, Xiaoqing Wang, Shujuan Ji, Sha Li, Gang Xu, Zhen Zheng
    Medicine.2021; 100(19): e25929.     CrossRef
  • Factors influencing nurses’ provision of self-management support for patients with chronic illnesses: A systematic mixed studies review
    Ambreen Tharani, Ann Van Hecke, Tazeen Saeed Ali, Veerle Duprez
    International Journal of Nursing Studies.2021; 120: 103983.     CrossRef
  • Nurses back pain beliefs, coping strategies and factors associated with participant activation for self‐management of back pain
    Loveness A. Nkhata, Yolandi Brink, Dawn Ernstzen, Quinette A. Louw
    Journal of Advanced Nursing.2021; 77(9): 3772.     CrossRef
  • Chronic Patients’ Activation and Its Association with Stress, Anxiety, Depression, and Quality of Life: A Survey in Southeast Iran
    Mohammad Ali Zakeri, Mahlagha Dehghan, Fatemeh Ghaedi-Heidari, Maryam Zakeri, Gholamreza Bazmandegan, Yeong Shiong Chiew
    BioMed Research International.2021; 2021: 1.     CrossRef
  • Reliability and Validity of the Patient Activation Measure in Kidney Disease: Results of Rasch Analysis
    Courtney J. Lightfoot, Thomas J. Wilkinson, Katherine E. Memory, Jared Palmer, Alice C. Smith
    Clinical Journal of the American Society of Nephrology.2021; 16(6): 880.     CrossRef
  • Patient Activation and its Predictors in Hospitalized Older Adults in Singapore
    Ee-Yuee Chan, George Frederick Glass, Run Qi Cheong, Guey Fong Chin, Devon Yun Jia Chng
    Geriatric Nursing.2021; 42(2): 336.     CrossRef
  • Evaluation of the Interaction Model of Client Health Behavior‐based multifaceted intervention on patient activation and osteoarthritis symptoms
    Yang Heui Ahn, Ok Kyung Ham
    Japan Journal of Nursing Science.2020;[Epub]     CrossRef
  • Religiosity and Patient Activation Among Hospital Survivors of an Acute Coronary Syndrome
    Hawa O. Abu, David D. McManus, Catarina I. Kiefe, Robert J. Goldberg
    Journal of General Internal Medicine.2020; 35(3): 762.     CrossRef
  • Postoperative Pain Self‐Management Behavior in Patients Who Underwent Total Knee or Hip Arthroplasty
    Ning‐Ning Zhu, Pei‐Pei Xu, Ting‐Ting Lei, Ting Sun, Sally Wai‐Chi Chan
    AORN Journal.2017; 105(4): 355.     CrossRef
  • Assessing the Impact of a Novel Smartphone Application Compared With Standard Follow-Up on Mobility of Patients With Knee Osteoarthritis Following Treatment With Hylan G-F 20: A Randomized Controlled Trial
    Nebojsa Skrepnik, Andrew Spitzer, Roy Altman, John Hoekstra, John Stewart, Richard Toselli
    JMIR mHealth and uHealth.2017; 5(5): e64.     CrossRef
  • Using Intervention Mapping to Develop a Community-based Disease Self-management Support Program for Patients with Osteoarthritis
    Yang Heui Ahn
    Journal of muscle and joint health.2015; 22(3): 245.     CrossRef
Stages and Processes of Smoking Cessation among High School Students in Rural Community
Mi Young Kim, Soon Lim Suh, Ok Kyung Ham
J Korean Acad Community Health Nurs. 2007;18(3):431-440.   Published online September 30, 2007
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AbstractAbstract PDF
The purpose of this study was to describe stage distribution of current and former smokers and to analyze significant variables that used by adolescents at each stage using the Transtheoretical Model.
A cross-sectional study was performed with 145 students attended to five high schools in one rural area. The survey instruments included stages and processes of change, decisional balance, self-efficacy, and knowledge related to smoking.
Among the participants, 47.6% were in the precontemplation and contemplation stages, 20.7% were in the preparation stage, and the other 31.7% were in the action and maintenance stages. Analysis of variance tests revealed that behavioral processes, pros and cons of smoking, and self-efficacy were significantly associated with the stages of smoking cessation, while among 10 processes of change, self-reevaluation, self-liberation, and reinforcement management were significantly different by the stages.
The study results suggest that smoking cessation programs should emphasize behavioral strategies, self-efficacy, and decisional balance to help students adopt and maintain smoking cessation
A study of Adolescent Smoking Related Factors in the Seoul Area
Chung Yul Lee, Mi Hye Suh, Won Jung Cho, Sun Hyoung Bae, Kyung Hee Lee, Ok Kyung Ham, Ku Min Seo
J Korean Acad Community Health Nurs. 2004;15(1):95-101.   Published online March 31, 2004
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AbstractAbstract PDF
The purpose of this study was to identify factors influencing adolescent smoking behavior in the Seoul area.
A total of 6,352 middle and high school students living in the Gangnam district of Seoul participated in the study. A self-report survey method was used to identify factors related to smoking.
A stepwise logistic regression analysis identified four factors associated with adolescent smoking: living with a parent who smokes (OR=1.4), having friend(s) who smoke (OR=14.8), negative attitudes toward passive smoking(OR=4.8), and ignorance of the impact of smoking on health(OR=4.6).
Based on the study results, components of effective programs to reduce adolescent smoking rates should include programs to deal with peer pressure to smoke and to reduce the impact of parents who smoke, to increase knowledge of the impact of smoking, and to promote positive attitudes toward anti-smoking.
Evaluation research on the application of Problem-Based Learning program in community health nursing
Chung Yul Lee, Won Jung Cho, Margaret J Storey, Eui Sook Kim, Kyung Hee Lee, Sun Hyoung Bae, Gwang Suk Kim, Ku Min Seo, Ok Kyung Ham
J Korean Acad Community Health Nurs. 2003;14(4):579-586.   Published online December 31, 2003
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AbstractAbstract PDF
The goal of community health nursing courses is to prepare student nurses so that they become able to perform a variety of nursing roles in community. To achieve this goal, programs for community health nursing must develop students' abilities to function independently as community health nurses. This study evaluated the effectiveness of Problem-based Learning(PBL) as a teaching method in programs for community health nursing at four-year colleges of nursing. The subjects of this study were senior students at Y University. The study was designed as a descriptive & comparative survey. To determine the effectiveness of PBL, the author analyzed the process and results of teaching. The PBL teaching method was found to be significantly effective in building critical thinking abilities and increasing knowledge. The results also showed that the 43 students who were taught by both PBL and lecture teaching methods got a significantly higher knowledge score than the other 28 students who were taught only by lectures. As for the future direction of community health nursing courses, a teaching strategy involving both PBL and lectures is recommended.
Development of A Community-Based Nursing Center Model: Focused on Health Promotion of Infant & Toddler
Won Jung Cho, Ka Sil Oh, Eui Sook Kim, In Sook Kim, J Margaret Storey, Ok Kyung Ham, Gwang Suk Kim
J Korean Acad Community Health Nurs. 2002;13(4):795-807.   Published online December 31, 2002
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AbstractAbstract PDF
The purpose of this study was to develop a community based nursing center model that can provide health promotion for infants and toddlers as well as a research and practice site for nursing faculty and students.
Review of current health care system and health promotion programs and workshops with brain-storming were carried out to identify needy areas of services to be provided by the nursing center Finally the community nursing center model was developed through expert consultation and filed visits.
The services and programs were developed for infants and toddlers residing in Seoul area. These services and programs include growth and developmental screening environment and health problem assessment infant stimulation and parent education and self-help group Full-time and part time staff nurses and nurse practitioners will provide those services and offer home visiting if needed. Database system health information system and trainers training programs were developed as well.
The nursing center model developed in this study will ensure clients direct access to nursing care and increase of autonomy and accountability of nursing practices. The nursing center model focused on disease prevention and health promotion will enhance the quality of life of the infants toddlers and their families as well as to decrease national health care expenditure.

RCPHN : Research in Community and Public Health Nursing