Research in Community and Public Health Nursing

Original 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; DOI: https://doi.org/10.12799/jkachn.2015.26.3.303

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15 Citations

PURPOSE
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.
METHODS
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.
RESULTS
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).
CONCLUSION
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

Citations to this article as recorded by

Patient Activation in Cancer Patients: Concept Analysis
Se Young Jang, Eun Sun Lee
Korean Journal of Adult Nursing.2024; 36(1): 15. CrossRef
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

The Effects of Tele-care Case Management Services for Medical Aid Beneficiaries: Yang Heui Ahn, Eui Sook Kim, Il Sun Ko; J Korean Acad Community Health Nurs. 2010;21(3):351-361. Published online September 30, 2010; DOI: https://doi.org/10.12799/jkachn.2010.21.3.351

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4 Citations

Abstract PDF

PURPOSE
This study was done to analyze the effects of tele-care case management services using secondary data.
METHODS
A descriptive research design was utilized, and the participants were 134 medical aid beneficiaries who were in either the high-risk group or the preventive group. Case management services were delivered by 8 care managers. Data were analyzed using PAWS Statistics 17 through descriptive statistics and paired t-test.
RESULTS
After the case management intervention, the participants' health quality of life, self-care competency, and reasonable medical care utilization increased significantly for the high-risk group. However there were no significant changes in the preventive group.
CONCLUSION
The results showed that the tele-care case management services were effective for high-risk medical aid beneficiaries. Further studies with controls for constitutional variables and a comparison group are required to validate the robustness of the effectiveness of the case management program in the present study.

Citations

Citations to this article as recorded by

The Effect of Case Management Services for High-risk Medicaid Beneficiaries
Young Jin Ahn, Yun-Kyoung Choi
Journal of the Korea Academia-Industrial cooperation Society.2015; 16(8): 5430. CrossRef
Comparing the Needs of Case Management between Medical Aid Beneficiaries with Simple and Multiple Chronic Diseases
Yang Heui Ahn, Yeonok Suh, Ok Kyung Ham, Hee Kyung Kim
The Korean Journal of Rehabilitation Nursing.2015; 18(2): 98. CrossRef
A study on the Effectiveness of Case Management in Elderly Medicaid Beneficiaries by Geographic Location
Jeong-Hyun Cho, Soon-Ock Kim, Myeong-Kyeong Song, Eun-Shil Yim
Journal of Korean Public Health Nursing.2012; 26(2): 289. CrossRef
Validation of a Needs Assessment Tool for Case Management in Korean Medical Aid Beneficiaries
Yang Heui Ahn, Eui Sook Kim, Ok Kyung Ham, Soo Hyun Kim, Soon Ok Kim, Myung Kyung Song
Journal of Korean Academy of Nursing.2012; 42(4): 549. CrossRef

A Mentoring Program for Stress Management among Korean Adolescents: Yun Hee Shin, Yang Heui Ahn; J Korean Acad Community Health Nurs. 2009;20(2):259-268. Published online June 30, 2009

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Abstract PDF: PURPOSE
The purpose of this study was to develop a mentoring program for stress management among Korean adolescents and to assess the effects of the program.
METHODS
The nonequivalent control group (CG) pretest-posttest design was used in this study. The mentoring intervention was delivered to 18 middle school students (males and females) but nothing was done to the control group consisting of 18 students. The mentoring intervention was conducted by seven nursing students who participated in the program as mentors using various methods such as individual meetings and group activities. The dependent variable was stress level.
RESULTS
The program consisted of group and individual mentoring. At follow-up, although the mentees's satisfaction was high and they stated qualitatively positive experience, the difference of stress level between the two groups was not significant.
CONCLUSION
If future mentoring programs reflect the limitation of the current program, they may have potential as developmentally appropriate interventions for stress management of adolescents, and enable nursing students to gain confidence in their professional capability.

Characteristics of Subgroups on Patients with Hypertension for Hypertension Management: Based on Knowledge, Attitudes, and Behavior Related to Medication and Health Lifestyle: Yang Heui Ahn; J Korean Acad Community Health Nurs. 2007;18(1):112-122. Published online March 31, 2007

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Abstract PDF: PURPOSE
The purpose of this study was to identify and profile distinct subgroups of patients with hypertension based on knowledge, attitudes, and behavior regarding their medication and health lifestyle.
METHOD
A descriptive-exploratory research design was employed. Two hundred and twenty-three patients with hypertension using W Public Health Center were randomly recruited on the basis of being over 30 of age. Upon the receipt of their written consents, direct interview with a structured questionnaire were conducted by a public health nurse. Descriptive statistics and chi2-test were utilized.
RESULTS
Three subgroups were identified. Group I members had a low score on all three factors including knowledge, attitudes and behavior related to medication and health lifestyle. Group II members had a low score on one or two of the factors. Group III members had a high score on all three factors. The three subgroups were significantly associated with education level, economic status, non-smoking and non-drinking.
CONCLUSIONS
Further research should be conducted to validate these findings and test tailored nursing intervention for patient compliance.

Factors Predicting Condom Use for the Prevention of Sexually Transmitted Diseases among Sex Workers: Yang Heui Ahn; J Korean Acad Community Health Nurs. 2005;16(2):167-176. Published online June 30, 2005

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Abstract PDF: PURPOSE
The purpose of this study was to identify factors to predict of condom use for the prevention of sexually transmitted diseases (STDs) among sex workers in a Korean community. The theoretical ground of this study was the Interaction Model of Client Health Behavior.
METHOD
A descriptive, cross sectional and retrospective research design was employed in this study. A total of 100 sex workers who take a clinical check-up on STDs regularly at W Public Health Center were recruited by convenient sampling, and with consent to participate in this study. All of the measures were piloted, and the reliability of each scale ranged from 0.7 to 0.9. Data were analyzed using discriminating function analysis with SPSS-PC.
RESULTS
Five independent measures (partner preference for using condoms, subjects desire to prevent STD, age, type of relationship and sexual self-determination) contributed significantly to the best discriminating function. The discriminating function analysis resulted in correct classification of 83.1% of the respondents into their corresponding groups.
CONCLUSION
Condoms are a main means of STDs prevention. Risk-reduction interventions that enhance communication skills and intrinsic motivation will be effective in increasing condom use to prevent STDs among sex workers.

A Community-Based Integrated Preventive Program of Depression and Its Effectiveness in Caring for Vulnerable Elderly: Yang Heui Ahn; J Korean Acad Community Health Nurs. 2003;14(2):287-298. Published online June 30, 2003

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Abstract PDF: The purpose of the study was to develop an integrated prevention program to strengthen elders self-care capability and to examine its effectiveness on their psychological condition. This study used one group pre- and post-test design. Subjects were 85 elderly residents (over 65 years of age) who lived alone, and received free basic medical care and social welfare services in a rural community in Korea. Subject eligibility criteria for this study were to an elders who 1) is not currently taking any anti-depressant medication 2) is able to communicate, and 3) agrees to participate in this study. The integrated program was composed of horticulture, reminiscence, and friendship activities. Twelve sessions were provided for 12 weeks in community-based partnerships to achieve better outcomes. The intervention was case-managed by a public health nurse and aided by six volunteers. The main outcome variable was depression, which was assessed by using 15 items selected from the Geriatric Depression Scale-short form Korean version. Sociodemographic characteristics, functional status, and satisfaction with social support were used as covariates. Results showed that there was a significant intervention effect at post-intervention time point compared to pre-intervention time point(E.S. 0.94). Multiple linear regression analysis showed significant interaction effects between intervention and satisfaction with social support. These findings must be interpreted within the context that an effects of an integrated program could be more synergistically increased when social support factor is considered in the program. A community-based integrated prevention program of depression is effective for vulnerable rural elderly. It is suggested that randomized controlled trials within community setting for better methodological strength as well as multi-level outcomes on community need to be conducted in future.

An Analysis of the Relationship between Female Adolescents' Perceived Family Characteristics and Their Mental Health in Korea: Yang Heui Ahn; J Korean Acad Community Health Nurs. 1996;7(2):265-280. Published online December 31, 1996

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Abstract PDF: A cross-sectional, descriptive-correlational design was employed in this study. The main purpose of this study was to identify the relationship between female adolescents' mental health and their perception of family characteristics, such as family adaptability, family cohesion, family type, and family satisfaction, The theoretical rationale for this study is the 3-Dimensionl Circumplex Model that was formulated by Olson, et al. With respect to method, a structured questionnaire was employed to obtain the data. A total of 199 female students(high school second year) were recruited by convenience sampling. Data for this study were collected in October 1994 after a pilot study and pretest of the tools. The research tool used the following four self-report research types : Youth Self-Report (YSR) developed by Achenbach and Edelbrock, Family Adaptability & Cohesion Evaluation Scales (FACES) III, Family Satisfaction(FS) developed by Olson, et al. and a Demographic Data Sheet. The resulting data were processed using an SPSS PC for a Pearson prod uct-moment correlation coefficient, ANOVA. A linear relationship were found between female students' mental health and their perceived family cohesion(r=-.2237, p<.001), and family satisfaction(r=-.3951, p<.001), but no significant correlations was found between female students' mental health and their perceived adaptability. These findings demonstrated that family cohesion, family type, and family satisfaction were more powerful predictors than family adaptability. This study contributes to nursing practice by demonstrating the usefulness of YSR to differentiate deviant behavior in youth and also by providing nursing interventions designed to promote female mental health.

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