Research in Community and Public Health Nursing

Original Articles

Effects of the Variables related to the Health Action Process Approach Model on Physical Activity: A Systematic Literature Review and Meta-analysis: Yun Choi, Sook Ja Yang, Hye Young Song; J Korean Acad Community Health Nurs. 2018;29(3):359-370. Published online September 30, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.3.359

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PURPOSE
The purpose of this study is to identify effects of the variables of Health Action Process Approach (HAPA) Model on physical activity.
METHODS
This study has conducted a systematic literature review and meta-analysis. Sixteen articles were searched through electronic databases (PsycINFO, PubMed, CINAHL, Web of science, Science Direct, RISS, KMBASE, KoreaMed, KISS, DBpia) and additional journals from 2000 to July, 2017. To estimate the effect size (ES), the meta-analysis of the studies was performed by using Comprehensive Meta-Analysis programs.
RESULTS
The overall effect size of the variables of HAPA on physical activity was median (ES=.28). Of the core variables of HAPA model, action control (ES=.43) showed the largest effect size, followed by coping self-efficacy (ES=.31) and planning (ES=.31).Additional variables were identified as preparatory behavior (ES=.39) and past physical activity (ES=.24). Through the moderator effect analysis, the effect size was higher in the volitional phase than in the motivational phase, and higher in the healthy group than in the patient group. The higher the proportion of males and the lower the age, the larger the effect size.
CONCLUSION
This finding shows empirical evidence that all core variables of the HAPA model are useful for predicting physical activity. We propose the use of the HAPA model to develop physical activity promotion intervention.

Citations

Citations to this article as recorded by

Determinants of physical activity in newly diagnosed obstructive sleep apnea patients: testing the health action process approach
Christophe Latrille, Maurice Hayot, Grégoire Bosselut, François Bughin, Julie Boiché
Journal of Behavioral Medicine.2024;[Epub] CrossRef
The relationship between exercise intention, behavioural plans, and exercise behaviour among Korean college students using the Health Action Process Approach (HAPA)
Jonghwa Lee, Bokyoung Jang, Youngho Kim
International Journal of Sport and Exercise Psychology.2024; : 1. CrossRef
An individualized mobile health intervention to promote physical activity in adults with obstructive sleep apnea: An intervention mapping approach
Christophe Latrille, Blandine Chapel, Nelly Héraud, François Bughin, Maurice Hayot, Julie Boiché
DIGITAL HEALTH.2023; 9: 205520762211507. CrossRef
Beyond Individual Cognitions: Time for Intervention Science to Focus on Health Context and Audience
Aïna Chalabaev, Boris Cheval, Silvio Maltagliati, Ilyes Saoudi, Falko F. Sniehotta
Journal of Physical Activity and Health.2023; : 1. CrossRef
The AHAWOMEN project: study protocol of a multi-design research for exploring HAPA predictors of exercise in postmenopausal women
Débora Godoy-Izquierdo, Raquel Lara-Moreno, Adelaida Ogallar-Blanco, Juan González, Carlos de Teresa, Nicolás Mendoza
BMC Psychology.2023;[Epub] CrossRef
Effects of a self‐determination theory‐based physical activity programme for postmenopausal women with rheumatoid arthritis: A randomized controlled trial
Hye‐Won Yun, Chun‐Ja Kim, Jeong‐Ah Ahn, Elizabeth A. Schlenk
International Journal of Nursing Practice.2023;[Epub] CrossRef
Action process verification of participants in leisure time physical activity (LTPA) applying the Health Action Process Approach (HAPA) model
Bo-Ram Kim
Korean Journal of Lesure, Recreation & Park.2022; 46(4): 51. CrossRef

A Comparative Study between American Public Health Nurse Core Competency and Community Health Nursing Practicum in a Province: Han Ju Lee, Jung Hyun Choi, Sa Saeng Hyeon, Chun Mi Kim, Young Ran Chin; J Korean Acad Community Health Nurs. 2017;28(3):334-346. Published online September 30, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.3.334

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Abstract PDF

PURPOSE
This study attempts to examine the extent to which competencies were identified in a Korean community nursing practice based on the 11 core competencies required by US health nurses.
METHODS
This was a descriptive research study, and the subjects of this study were 11 students who were in a four-year nursing course. Data were collected by means of a questionnaire from October 19 to November 22, 2016.
RESULTS
Core competencies in total were practiced in 60.0% to 98.5% of schools in Korea. Among these, competencies corresponding to the practice level of â€˜highâ€™ were identified as â€˜communicating effectively with community nursing subjects and colleagues, and accepting various personal characteristics without criticism or prejudiceâ€™. On the other hand, competencies corresponding to the practice level of â€˜lowâ€™ were identified as â€˜to comply with social justice, public good, public health principles, and leadership in a community nursing practiceâ€™.
CONCLUSION
This study can be used as a resource to categorize the competence of nursing students expected in the field of community nursing. Based on a careful review of core competencies with low practice, it is necessary to seek specific practical strategies to strengthen these competencies in the future.

Citations

Citations to this article as recorded by

Needs assessment of community health practitioners for community care competency of older adults
Na Bee Yoon, Hyeon Kyeong Lee, Haesun Lee, Sang Woo Park
Research in Community and Public Health Nursing.2023; 34: 32. CrossRef
A Preliminary Study for the Curriculum Development of Community Care Coordinators: Educational Needs Analysis
Han Nah Park, Ju Young Yoon, Soong-Nang Jang, Hye Jin Nam
Journal of Korean Academy of Community Health Nursing.2022; 33(2): 153. CrossRef
A Study on Global Nursing Practice Education Experience
Eun Sil Cho, Myoung Hee Seo, Soo Ok You, Ok Hee Ahn, Myeoung Hi Song
Journal of Korean Academy of Community Health Nursing.2021; 32(4): 485. CrossRef
Educational needs for the development of a simulation module of home visiting care for the frail elderly
Junhee Ahn, Youngran Yang
The Journal of Korean Academic Society of Nursing Education.2021; 27(1): 68. CrossRef

The State of College Freshmen's Smoking and the Application of Cessation Programs: Gui Yun Choi, Kyung Hee Lee; J Korean Acad Community Health Nurs. 2007;18(2):301-309. Published online June 30, 2007

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Abstract PDF: PURPOSE
Based on the results of a survey on college freshmen's smoking, this study examined the application of smoking cessation programs.
METHODS
The opinions of 89 smokers who were college freshmen were investigated and analyzed using a survey questionnaire.
RESULTS
Among the survey respondents, the largest percentage (47.2%) replied 'little satisfied' to the question on the with campus life. Of the participants, 57.3% considered that their health state was bad because of smoking. As to motives for smoking, 'curiosity' was most frequent. Smokers had more smoking friends than nonsmoking ones. The 82% of the smokers had experience in stopping smoking. Among smoking cessation methods, the self overcoming was most frequent(50.6%). During the survey, 28 smokers applied for the cessation program and they favored e-mails for information. E-mails were sent to them once in a week for 6 weeks and short messages were sent to their cell phone in order to encourage them to read the e-mails.
CONCLUSIONS
To encourage and maintain smoking cessation, it is recommended to have a personalized or small group program. More researches are needed to execute the program and evaluate results. Colleges need to have an innovative approach on smoking prevention and cessation services.

Experience of Falls and Predictors of Falls in the Elderly at Senior Citizens' Centers: In Young Yoo, Jung Hyun Choi; J Korean Acad Community Health Nurs. 2007;18(1):14-22. Published online March 31, 2007

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Abstract PDF: PURPOSE
The purpose of this study was to investigate the experience of falls, the fear of falling and fall efficacy and identify the predictors of falls in the elderly at senior citizens' centers.
METHOD
The subjects of this study were 106 elders who used senior citizens' centers in Chungcheongbuk-do, Korea. Data were collected from May to June, 2006 through a survey using a structured questionnaire.
RESULT
Of the elderly sampled, 35.8% experienced falls during the last 1 year. Of falls experienced by the elderly, 53% occurred indoors, 47% outdoors, 15.8% in the bathroom or toilet. In addition, 57.8% of the elderly had injuries on the hip and waist related with falls. The fear of falling was higher in those with experience in falls than in those without. Factors affecting the elders' falls were age (OR=1.113, 95% CI=1.012-1.224), the number of chronic disease (OR=2.342, 95% CI=1.365-4.019) and the fear of falling (OR=4.279, 95% CI=1.901-9.634). The predictor of the frequency of falls was fall efficacy (R2=24.9).
CONCLUSION
As a result, it is essential to develop fall prevention programs based on the fear of falling, fall efficacy, chronic diseases and medication state. And in senior citizens' centers, fall prevention safety education should be activated as a health promotion program.

A survey on the Needs of Residents' Health Education in a Community: Myeong Ja Moon, Myung Suk Lee, Yung Sook Jang, Hee Chung Choi, Hye Ja Kim, Hye Suk Kim, Mi Sun Park, Ja Yun Choi; J Korean Acad Community Health Nurs. 2004;15(1):44-55. Published online March 31, 2004

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Abstract PDF: PURPOSE
S: Purposes of this study were to assess the needs of health education of residents and to determine the difference according to their general characteristics in a community.
METHOD
Subjects consisted of 599 residents who live in the vicinity of M Catholic University, S-dong, M city, Jeollanam-do. Data were collected by 6 research assistants, using a self-reported questionnaire from July 1, 2003 to July 31, 2003.
RESULTS
Subjects were mostly female (58.8%), 20-30 years old(45.2%), married (70.1%), high school graduates(42.1%), have an occupation(73.1%), have incomes less than 1,000,000 won(54.2%) and have a religion(59.8%), and the family type of the subjects was primarily nuclear(64.1%). The need for education about 'family health care management and medical examination' was the highest in 8 domains. The need for education about 'cancer' was the highest and 'family health care', 'stress and strategies', 'introduction of medical examination' and 'oral care' followed in 41 items. The differences in the needs of health education in all domains was found according to subjects' general characteristics.
CONCLUSION
Further research is needed to develop a health education program based on participants' needs and general characteristics.

Effects of Community-based case Management Program on Functional Status and Caregiver Burden of Stroke Patients: Eun Young Kim, Jung Hyun Choi, Chang Yup Kim, Jee Yeon Shin, Ggod Me Yi, Kyung Ja June; J Korean Acad Community Health Nurs. 2004;15(1):18-28. Published online March 31, 2004

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Abstract PDF: PURPOSE
The purpose of the study was to analyze the changes in functional status and caregiver burden after a community-based case management program for stroke patients.
METHOD
This study was designed as a one group pre and post-test. A total of 61 stroke patients and their caregivers were sampled in three urban areas and two rural areas. Face to face interviews were conducted as a pre-test one week before intervention, and a post-test two weeks after intervention. The case management program consisted of four home visits and two telephone counseling sessions for assessment, education and providing information during the eight weeks. The collected data were analyzed with paired t-test.
RESULTS
First, significant differences in functional status, and specifically mobility and cognition, were found between pre-test and post-test. Second, caregiver burden, in particular, objective burden was significantly decreased after 8 weeks. Third, the positive response for the services increased after 8 weeks.
CONCLUSION
The community-based case management program was effective to improve the functional status of stroke patients and to decrease the caregiver burden.

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