Research in Community and Public Health Nursing

Original Articles

Home-based walking intervention for middle-aged migrant women using 360-degree virtual videos and a wearable activity tracker: A mixed-methods pilot study: Duckhee Chae, Keiko Asami, Jaseon Kim, Kukhyeon Kim, Jeeheon Ryu, Ardith Z. Doorenbos; Res Community Public Health Nurs. 2024;35(1):10-21. Published online March 29, 2024; DOI: https://doi.org/10.12799/rcphn.2023.00339

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Abstract PDF Supplementary Material: Purpose
To sustain behavior change, an intervention strategy that considers the contribution of affect to daily physical activity behavior regulation is needed. Although virtual reality-based physical activity interventions have the potential to improve emotional status, interventions using virtual reality videos in a free-living environment are lacking. This pilot study assessed the feasibility and preliminary efficacy of a home-based intervention using 360-degree virtual videos and wearable activity trackers to improve mood and physical activity.
Methods
A one-group pilot study of 12 middle-aged migrant women asked participants to watch virtual reality videos and perform moderate-intensity walking 5 days per week for 4 weeks, then complete surveys and focus group interviews. The intervention’s feasibility and preliminary efficacy were assessed by examining recruitment, retention, adherence, acceptability, mood, physical activity, and exercise self-efficacy.
Results
A word-of-mouth approach was effective for recruiting participants. Although the weekly intervention adherence rate ranged from 53.5% to 83.5%, retention (92.3%) and acceptability (91.7%) were high. Participants were satisfied with the “visual status indicators,” “sense of accomplishment and confidence,” “emotional engagement and sense of presence,” “joy from exercise,” “external motivation through supervision,” “easy to control virtual reality device,” and “extra benefits” of the intervention. Participants had significant decreases in negative affect (p=.016). Positive affect, physical activity, and exercise self-efficacy showed trends toward improvement.
Conclusion
This home-based intervention employing virtual reality videos and Fitbit activity trackers is feasible and shows preliminary efficacy in improving mood. Further research is warranted to evaluate its effectiveness in a more rigorous randomized controlled trial.

The Effectiveness of a mHealth Program Using Wearable Devices and Health Coaching among Bus Drivers for Promoting Physical Activity: Yeong Mi Ha, Sang Ho Lee, Su Yeon Lee, Yeo Joo Chae; J Korean Acad Community Health Nurs. 2022;33(3):332-339. Published online September 30, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.3.332

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Abstract PDF: Purpose
Bus drivers are at high risk of chronic diseases due to risk factors associated with poor diet, physical inactivity, high levels of sedentary behaviors, and unfavorable working environments. This study developed a mHealth program for bus drivers, and examined the effectiveness of a mHealth program for promoting physical activity among bus drivers using wearable devices and health coaching. Methods: Forty-seven workers from two bus companies were allocated to the experimental group and the control group. Participants were asked to wear a wearable device (Fitbit Charge HR) during waking hours for a day. Participants in the experimental group were provided with a Fitbit, weekly face-to-face health coaching, a mHealth workbook, and text and photo messaging for 12 weeks. The control group only received a Fitbit. Results: By week 12, there were significant differences between the experimental and control groups in exercise self-efficacy (p<.015) and daily walking steps (p<.001). Conclusion: The findings have demonstrated that the mHealth program using wearable devices and health coaching is effective for bus drivers for promoting physical activity. Based on our findings, it is recommended to encourage the mHealth program using wearable devices and health coaching for bus drivers' wellness.

Factors Associated with Physical Activity in Older Adults by Region: Based on the 2017 Community Health Survey: Hyun Ju Lee, Yeong Suk Lee, Jung Mi Yun; J Korean Acad Community Health Nurs. 2020;31(Suppl):563-576. Published online December 31, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.S.563

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Abstract PDF

Purpose
The purpose of this study is to identify personal factors, social factors, and environmental factors related to physical activity in older adults in urban and non-urban areas. Methods: We used source data from the 2017 Community Health Survey. The subjects of this study included some older adults aged 65 and over, and analyzed the data of 23,043 older adults living in the urban and 34,063 older adults living in the non-urban area. Results: The common factors influencing physical activity in older adults by region include current smoking and drinking, BMI, sleep duration, and subjective health status, help with neighbors, frequency of meeting with neighbors and friends, participation in social and leisure activities, and falls experience (p<.001). However, the living environment, public transport satisfaction, and medical service use significantly associated with physical activity for only older adults living in the urban area (p<.001). Conclusion: In order to improve physical activity in older adults in the community, it is necessary to consider not only the improvement of individual factors that practice health behaviors but also health promotion strategies that take into account social and environmental factors because there are environmental differences among regions.

Citations

Citations to this article as recorded by

Bridging the Built and Social Environments: A Systematic Review of Studies Investigating Influences on Physical Activity
Tyler Prochnow, Laurel S. Curran, Christina Amo, Meg S. Patterson
Journal of Physical Activity and Health.2023; : 1. CrossRef
Symptom profiles and their influencing factors among people with subjective cognitive decline: a secondary analysis of cross-sectional data from the 2019 Korea Community Health Survey using latent class analysis
Hohyun Seong, Jongmin Park
BMJ Open.2023; 13(8): e072236. CrossRef
Determinants of Physical Activity in Older Adults in South-Eastern Poland
Agnieszka Wiśniowska-Szurlej, Agnieszka Ćwirlej-Sozańska, Anna Wilmowska-Pietruszyńska, Bernard Sozański
International Journal of Environmental Research and Public Health.2022; 19(24): 16922. CrossRef
Body mass index, subjective body shape, and suicidal ideation among community-dwelling Korean adults
Chae Eun Yong, Young Bum Kim, Jiyoung Lyu
Archives of Public Health.2021;[Epub] CrossRef

The Effect of Nordic Walking Exercise on Physical Indicators and Subjective Happiness of the Middle-aged in Rural Area: Chan Mi Lee, Young Suk Park; J Korean Acad Community Health Nurs. 2020;31(1):65-75. Published online March 31, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.1.65

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Abstract PDF: Purpose
The purpose of this study was to identify the effect of regular Nordic walking exercise on the physical indicators and subjective happiness of middle-aged rural residents.
Methods
A pretest and posttest design with a nonequivalent control group was conducted. The participants of experimental and control group were each 21 subjects from 40 to 64 years old. The Nordic walking exercise program consisted of 24 sessions which were focused on group exercise, and was conducted three times a week for eight weeks.
Results
The experimental group showed significant decreases in body mass index (p=.042), body fat (p<.001), and abdominal fat (p=.026). The experimental group showed significant increases in muscle mass of right lower limb (p=.009) and left lower limb (p=.016) but was not statistically significant in right, left upper limbs and body. On the other hand, the control group showed significant decreases in muscle mass of right upper limb (p=.034), left upper limb p=.038), and body (p=.034). There were no significant differences in systolic blood pressure, diastolic blood pressure, and subjective happiness between the experimental and the control group.
Conclusion
The Nordic walking exercise should be actively encouraged to improve health of the middle-aged in rural area.

Effects of Multifactorial and Follow-up Programs Applying a Capacity Building Strategy: Focusing on Older Adults Living in a Urban-rural Complex Area: Song Yi Han, Young Ko, Hee Ryang Kim, Ji Youn Kim; J Korean Acad Community Health Nurs. 2019;30(2):243-255. Published online June 30, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.2.243

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Abstract PDF: PURPOSE
The purpose of this study is to examine effects of a multifactorial program for preventing the frailty of older adults and effects of a follow-up program applying a capacity building strategy.
METHODS
A quasi-experimental pretest-posttest design was used for the nonequivalent control group. The follow-up group (n=75) and non-follow-up group (n=68) received the same multifactorial program comprising muscle strength exercise, cognitive training, and psychosocial programs for 12 weeks. After completion of multifactorial program, the follow-up group took follow-up programs applying the capacity building strategy for following 12 weeks. The data of physical function, cognitive function, and psychological function, and self-rated health were collected from both groups three times: before intervention, after intervention, and 12 weeks after intervention. The data were analyzed using Ï‡2 test and t-test.
RESULTS
In comparison with the non-follow-up group, the scores of Timed Up & Go Test, and physical activities energy expenditure were significantly improved in the follow-up group.
CONCLUSION
These results indicate that a multifactorial program with follow-up adapting the strategies of capacity building for the older adults group is feasible to prevent the physical frailty in community.

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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Abstract PDF

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

The Relationship between Health Belief and Exercise Compliance among Elderly Adults at Senior Centers: Kyung Im Lee, Young Eun; J Korean Acad Community Health Nurs. 2015;26(2):79-88. Published online June 30, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.2.79

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Abstract PDF

PURPOSE
The purposes of this study were to examine the relationship between health belief and exercise compliance among elderly adults at senior centers and to identify factors influencing their exercise compliance.
METHODS
The subjects of this study were 100 elderly adults who were using senior centers in J City. Data were collected from the 5th of August to the 14th of September in 2014 using a questionnaire about general characteristics, health belief, and exercise compliance. Data analysis included one-way ANOVA, independent t-test, Pearson's correlation, and stepwise multiple regression using the SPSS/WIN 18.0 program.
RESULTS
The mean score for exercise compliance was 3.85 (range 1~5), and for perceived health state 3.17 (range 1~5). The mean score for each of the sub-factors of health belief was 3.89 for benefit, 1.94 for barrier, 3.34 for severity, 2.43 for sensitivity, and 3.65 for exercise self-efficacy (range 1~5). There was a significant correlation between exercise compliance and exercise benefit, and 28% of variance in exercise compliance was explained by exercise benefit in health belief, family history of illnesses, and perceived sensitivity in health belief.
CONCLUSION
To promote exercise compliance among elderly adults at senior centers, exercise programs emphasizing exercise benefit should be developed.

Citations

Citations to this article as recorded by

An Ethnography on the Healthy Life of the Aged Women Participating the Senior Centers
Eunha Kim, Jinhyang Yang
Journal of Korean Academy of Nursing.2018; 48(3): 349. CrossRef

The Effects of an Integrated Health Care Program on the Physical, Psychosocial, and Spiritual Health of People with Mental Disorder in Community: Gwang Ha Jung, Young Ran Chin; J Korean Acad Community Health Nurs. 2015;26(2):69-78. Published online June 30, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.2.69

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Abstract PDF

PURPOSE
This study was conducted in order to investigate changes in the physical, psychosocial and spiritual health of people with mental disorder in community participating in the Integrated Health Care Program (IHCP).
METHODS
This study applied the non-equivalent control group pretest-posttest quasi-experimental design. The participants were 37 chronic psychiatric patients who had been clinically diagnosed with mental disorder and visiting a mental rehabilitation center located in S City (17 in the experimental group, and 20 in the control group). The experimental group participated in the IHCP consisting of 24 sessions for eight weeks.
RESULTS
After the intervention, only the participants in the experimental group reported significant improvement in physical (body mass, triglyceride), psychosocial (mental symptoms, depression, self-esteem, ability of problem solving), and spiritual wellbeing when compared with those in the control group.
CONCLUSION
These results indicate that IHCP is effective in improving the physical, psychosocial, and spiritual wellbeing of people with mental disorder. Therefore, IHCP developed in this study is considered a useful nursing intervention for raising the comprehensive health level of people with mental disorder in community.

Citations

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The Role of Disability Acceptance and Emotional Support in the Association between Negative Experiences and Depression in Disabled People with Cancer: A Moderated Mediation Model
Young Won Shin, Min Jin Jin, Myoung-Ho Hyun
STRESS.2022; 30(4): 244. CrossRef

The Comparison of Health Behaviors, Use of Health Services, and Health Expenditures among Diabetic Patients according to the Practice of Exercise: Ji Eun Cha, Soon Nyung Yun; J Korean Acad Community Health Nurs. 2015;26(1):31-41. Published online March 31, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.1.31

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Abstract PDF

PURPOSE
The purpose of this study was to compare the use of health services and health expenditures between non-exercise and exercise groups of diabetic patients and among three groups divided according to exercise intensity.
METHODS
Data were obtained from the Korean Health Panel Survey of 2011. The participants of this study were 864 diabetic patients who did exercise (walk, moderate exercise, or vigorous exercise) or not. Data were subsequently analyzed using the SPSS 21 Program.
RESULTS
The exercise group showed higher percentages of medication compliance, non-smokers, and regular diet than the non-exercise group. The hospitalization percentage, the number of outpatient hospital visits, and health expenditures were higher in the non-exercise group than in the exercise group. There was no difference among the three groups divided according to exercise intensity in the use of health services and health expenditures.
CONCLUSION
These results show that exercise is a way to reduce diabetic patients' use of health services and their health expenditures.

Citations

Citations to this article as recorded by

Association Between Cardiorespiratory Fitness and Healthcare Costs in Adults Using the Criterion Referenced Fitness Thresholds: The Korea Institute of Sport Science Fitness Standards Study
Seunghee Lee, Hyojin Lee, In-Hwan Oh, Hyeon-Kyoung Cheong, Mihyun Lee, Saejong Park
Exercise Science.2021; 30(4): 501. CrossRef
Effects of adults’ health behaviors and combinations thereof on health outcomes: an analysis using National Health Insurance Service of Korea cohort data
Hyun-Jung Park, Eun-Jung Kim
Epidemiology and Health.2019; 41: e2019042. CrossRef
Mediating Effects of Social Support on Depression and Suicidal Ideation in Older Korean Adults With Hypertension Who Live Alone
Eun Jeong NAM, Jong-Eun LEE
Journal of Nursing Research.2019; 27(3): e20. CrossRef

A Systematic Review of Literature on Community Health Center Exercise Programs: Suk Jung Han, Young Ran Lee, Chung Min Cho, Mee Young Im; J Korean Acad Community Health Nurs. 2015;26(1):18-30. Published online March 31, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.1.18

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Abstract PDF

PURPOSE
The purpose of this study was to investigate the research methods, types and effects of community health center exercise programs for the elderly.
METHODS
We established the PICOTS-SD (Participants, Interventions, Comparisons, Outcomes, Timing of outcome measurement, Setting, Study Design), reviewed 583 studies from electronic database of DBpia, KoreaMed, KISS, RISS, NDSL and Pubmed, and finally selected 20 studies based on the inclusion and exclusion criteria. Methodological quality was assessed with the Risk-of-Bias Assessment tool for non-randomized studies.
RESULTS
With regard to research methods, the majority of studies on community health center exercise programs for the elderly were performed after 2010 and using non-equivalent control group pretest-posttest research design. As for the types and effects of exercise programs, the exercise period ranged from 6 to 28 weeks, and the most common exercise frequency was three times a week for 60 minutes. In addition, mixed-type and group exercise programs were performed most commonly.
CONCLUSION
The results of this study provide a basis for the development of exercise programs to improve elders' health.

Citations

Citations to this article as recorded by

Effects of Changes in Physical Activity with Cognitive Decline in Korean Home-Dwelling Older Adults
Hyunjong Song, Jin-Hwa Park
Journal of Multidisciplinary Healthcare.2022; Volume 15: 333. CrossRef
A grounded theory approach toward the walking practice and health promotion of urban older adults
Dong Ha Kim, Seunghyun Yoo
Korean Journal of Health Education and Promotion.2022; 39(1): 73. CrossRef
Deriving the Components of Lifestyle-Related Occupational Therapy Intervention Program for the Elderly: Through the Delphi Technique
Yun-Chan Shin, Da-Sol Park, Eun-Hye Cho, Kyung-A Won, Dae-Sung Han, Jung-Ran Kim
Journal of Korean Society of Occupational Therapy.2020; 28(1): 45. CrossRef

The Effects of an Exercise Program using a Resident Volunteer as a Lay Health Leader for Elders' Physical Fitness, Cognitive Function, Depression, and Quality of Life: Yeon Hee Choi, Na Young Kim; J Korean Acad Community Health Nurs. 2013;24(3):346-357. Published online September 30, 2013; DOI: https://doi.org/10.12799/jkachn.2013.24.3.346

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Abstract PDF

PURPOSE
This study was conducted to examine an exercise program using a lay health leader for elderly participants. The test covered physical fitness (grip strength, static balance and complex movement abilities), depression, cognitive function and quality of life.
METHODS
A quasi-experimental study using a non-equivalent control group pre-post design was employed. The participants were 62 elders from an institution for the aged, of whom 30 were included in the experimental group and 32 in the control group. The exercise program using a resident volunteer as a lay health leader was run three times a week for 12 weeks. The collected data were analyzed by chi2 test, t-test, paired t-test, and ANCOVA with SPSS/WIN 19.0.
RESULTS
After the program, left grip strength (F=1.77, p<.001), right grip strength (F=9.97, p<.001), static balance (F=2.79, p<.001), ability to move complex (F=1.76, p<.001), depression (F=7.66, p<.001), the cognitive function (F=8.39, p<.001) and quality of life (F=1.08, p<.001) in the experimental group were significantly better than those in the control group.
CONCLUSION
Study findings indicated that using a resident volunteer as a lay health leader was effective. It can be recommended as a public health resource and for consistent and comfortable education for the elderly in communities.

Citations

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Development and effectiveness of a cognitive enhancement program based on a mobile application for preventing dementia: a study focusing on older adults who use senior citizen centers
Mi-Ra Jung, Eun Jeong, Chang-Gyeong Lee
Journal of Korean Biological Nursing Science.2023; 25(2): 113. CrossRef
Effects of Cognicise-Neurofeedback on Health Locus of Control, Depression, and Quantitative Electroencephalography Alpha Asymmetry in Elderly Women
Heewook Weon, Jieun Yoo, Jumhwa Yu, Miso Park, Haekyoung Son
Brain Sciences.2021; 11(7): 899. CrossRef
The effects of a client-centered leisure activity program on satisfaction, self-esteem, and depression in elderly residents of a long-term care facility
Ji-Yoon Jung, So-Yeon Park, Jin-Kyung Kim
Journal of Physical Therapy Science.2018; 30(1): 73. CrossRef
Effects of a Health Promotion Empowerment Program Using a Resident Volunteer as a Lay Health Leader on Frail Elders' Health and Empowerment
Jeong Sook Park, Yun Jung Oh
Journal of Korean Academy of Community Health Nursing.2018; 29(3): 335. CrossRef
The Effects of Floor-seated Exercise Program on Physical Fitness, Depression, and Sleep in Older Adults: A Cluster Randomized Controlled Trial
Min-Jung Choi, Kyeong-Yae Sohng
International Journal of Gerontology.2018; 12(2): 116. CrossRef
Relationship among Physical Activity, Social Capital and Quality of Life in Elderly Participating in Physical Activity
Sung-Jee Yang
The Korean Journal of Physical Education.2018; 57(1): 23. CrossRef
Effect of Net-Step Exercise on Gait Ability, Depression, Cognitive Function and Activities of Daily Living in Older Adults
Eun Ja Lee, Jae Boone Yoo
The Korean Journal of Rehabilitation Nursing.2016; 19(2): 108. CrossRef
Experiences of Participation in Dementia Prevention Program for Older Adults in Nursing Homes
Sun Ok Lim, Hyun Mi Jo
The Korean Journal of Rehabilitation Nursing.2016; 19(2): 128. CrossRef
A Content Analysis of the Experience of Participation in Community Leisure Programs among Older Adults
Insuk Rho, Sunhee Cho
Journal of East-West Nursing Research.2016; 22(2): 138. CrossRef
The Effects of Home Visit Healthcare Using a Complex Program on Community-dwelling Frail Elders' Strength, Frailty, and Depression
Hee Gerl Kim
Journal of Korean Academy of Community Health Nursing.2015; 26(4): 405. CrossRef
The Relationship Between Hand Grip Strength and Cognitive Function in Older Adults: The Moderating Effect of Regular Exercise
Sungeun Lee
The Korean Journal of Community Living Science.2014; 25(1): 29. CrossRef
Factors Affecting Highly Educated Elders' Diabetic Health Leader Attitude
Kiwol Sung, Jiran Nam, Mijin Yu
Journal of Korean Academy of Community Health Nursing.2014; 25(2): 119. CrossRef
Effect of Staged Education Program for Hypertension, Diabetes Patients in a Community (Assessment of Quality of Life Using EQ-5D)
Jung Jeung Lee, Hye Jin Lee, Eun Jin Park
Journal of agricultural medicine and community health.2014; 39(1): 37. CrossRef

Factors Associated with Stages of Exercise Behavior Change of Residents in a Community: Kyung Shin Paek; J Korean Acad Community Health Nurs. 2012;23(3):316-326. Published online September 30, 2012; DOI: https://doi.org/10.0000/jkachn.2012.23.3.316

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Abstract PDF: PURPOSE
This study was to identify the factors associated with stages of exercise behavior change of residents in a community on the basis of the Transtheoretical Model.
METHODS
Data were collected from 520 residents of a community using a self-report questionnaire. The survey variables comprised the stages of exercise behavior change, the process of change, decisional balance and self efficacy.
RESULTS
There were significant differences in the process of change, decisional balance and self efficacy by the stages of exercise behavior change. The factors associated with transition from pre-contemplation to contemplation were consciousness raising and self efficacy; regarding those from contemplation to preparation, cons of the decisional balance and social liberation; regarding those from preparation to action, dramatic relief and counter conditioning; regarding that from action to maintenance, cons of the decisional balance.
CONCLUSION
TTM would be applicable to explain the exercise behavior of some residents in a community, which suggested that the programs for improving exercise behavior of residents in a community need to be developed.

Randomized Controlled Trial

The Effects of Exercise in the Frail Elderly: Young Im Park, Kang Yi Lee, Tae Im Kim, Moung Hee Jeon, Dong Oak Kim, Ji Hyun Kim; J Korean Acad Community Health Nurs. 2012;23(1):91-101. Published online March 31, 2012; DOI: https://doi.org/10.12799/jkachn.2012.23.1.91

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Abstract PDF

PURPOSE
This study was conducted to examine the effects of exercise on physiological, physical and psychological functions of the frail elderly.
METHODS
The research design was a nonequivalent control group pretest-posttest design. Data were collected from September 9 to October 10, 2009. The subjects were 56 frail elders who agreed to participate in this study and each subject was randomly assigned to either the experimental group (n=28) or the control group (n=28). The exercise program was provided to each subject in the experimental group twice in a week for 6 weeks. Data were analyzed with frequency, chi2-test, Kolmogorov-Smirnor test and independent t-test using SPSS/WIN 12.0.
RESULTS
There was a significant improvement in psychological functions in the experimental group compared to the control group (t=1.726, p=.045).
CONCLUSION
The exercise program showed the effects to improve the psychological functions of the frail elderly with chronic disease. In recommendation, this exercise program could be utilized as a health promoting program for the frail elderly.

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Mobility training for increasing mobility and functioning in older people with frailty
Daniel Treacy, Leanne Hassett, Karl Schurr, Nicola J Fairhall, Ian D Cameron, Catherine Sherrington
Cochrane Database of Systematic Reviews.2022;[Epub] CrossRef
Sauna use as a lifestyle practice to extend healthspan
Rhonda P. Patrick, Teresa L. Johnson
Experimental Gerontology.2021; 154: 111509. CrossRef
Development and Effects of a Physical Activity Promotion Programs for Elderly Patients Hospitalized in Long-term Care Hospital
Se In Ryu, Aekyung Kim
Journal of Korean Academy of Fundamentals of Nursing.2020; 27(4): 400. CrossRef
Development and evaluation of physical activity promotion program in the resident elderly
Sang-Min Kwon, Mal-Suk Kwon
Journal of the Korea Academia-Industrial cooperation Society.2016; 17(8): 485. CrossRef
The Effects of Home Visit Healthcare Using a Complex Program on Community-dwelling Frail Elders' Strength, Frailty, and Depression
Hee Gerl Kim
Journal of Korean Academy of Community Health Nursing.2015; 26(4): 405. CrossRef
Effects of Nordic walking on physical functions and depression in frail people aged 70 years and above
Han Suk Lee, Jeung Hun Park
Journal of Physical Therapy Science.2015; 27(8): 2453. CrossRef
Relationships of exercise with frailty, depression, and cognitive function in older women
Bog Ja Jeoung
Journal of Exercise Rehabilitation.2014; 10(5): 291. CrossRef
The Effects of the Activity Program for Preventing Dementia Against Depression, Cognitive Function, and Quality of Life for the Elderly
Kum-Sook Park, Heon-Young Jeong, Sun-Yoe So, Young-Hee Park, Hee-Jung Yang, Kyoung-Ran Jung, Soon-Joo Moon, Hae-Kyoung Kim, Jung-Hee Cho, Kyung-Hee Yang
Journal of Oriental Neuropsychiatry.2013; 24(4): 353. CrossRef
Effects of a Cognition Activation Program for the Institutionalized Old-Old in Korea
Hung Sa Lee, Dohyun Lee
Journal of Korean Academy of Community Health Nursing.2013; 24(4): 427. CrossRef
Effects of Low-density Exercise in the Frail Elderly
Sang-Min Kwon
The Journal of Digital Policy and Management.2013; 11(11): 643. CrossRef

Original Articles

The Effect of Thera Band Exercise on Muscle Flexibility, Balance Ability, Muscle Strength in Elderly Women: Hee Gerl Kim, Hye Kyung Nam; J Korean Acad Community Health Nurs. 2011;22(4):451-457. Published online December 31, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.4.451

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Abstract PDF

PURPOSE
The purpose of this study was to examine the effects of thera band exercise on muscle flexibility, balance ability, muscle strength and self-rated health in elderly women.
METHODS
The quasi-experimental research design (one-group pretest-post test) was employed. Participants were recruited in S-city and a total of 14 elderly women completed 15-week thera band exercise. Descriptive statistics, paired t-test and McNemar-test were used in data analysis by SPSS/WIN 12.0.
RESULTS
Compared with those before participation, the participants showed higher muscle flexibility, balance ability, and muscle strength after participation in thera band exercise.
CONCLUSION
Findings of this study indicated that the 15-week thera band exercise program had a favorable effect on muscle flexibility, balance ability and muscle strength of elderly women. Future research needs to develop combined exercise programs with other types of exercise for the health of elderly women.

Citations

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Effects of Progressive Core and Ankle Muscle Strengthening Exercises Using Thera-Band on Body Balance
Kwang-Sub Lee, Ji-Won Wang, Dong Yeop Lee, Jae Ho Yu, Jin Seop Kim, Seung Gil Kim, Ji heon Hong
The Journal of Korean Physical Therapy.2022; 34(3): 121. CrossRef
Effect of Intake of Leucine-Rich Protein Supplement in Parallel with Resistance Exercise on the Body Composition and Function of Healthy Adults
Gyu Seok Oh, Ju-hak Lee, Kyunghee Byun, Dong-Il Kim, Ki Deok Park
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Exercise Performance and Exercise-related Factors of Korean and Korean-Chinese Nursing Students: A comparative Study: Young Ran Lee, Sun Nam Park, Sook Ja Yu, Jung Soon Moon; J Korean Acad Community Health Nurs. 2011;22(3):234-240. Published online September 30, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.3.234

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PURPOSE
The purpose of this study was to compare exercise performance with related factors between Korean and Korean-Chinese nursing students.
METHODS
This study used a cross-sectional comparative survey method. One hundred sixty five Korean nursing students in Seoul, South Korea and 161 Korean-Chinese nursing students in Yanbian, China were recruited through convenience sampling. They were at the age of 19-26. Exercise performance and exercise-related factors were measured using the exercise performance degree scale and the scales of self-efficacy, perceived barriers, perceived benefits, and affection related to exercise.
RESULTS
No significant difference in exercise performance was seen between the two groups. Self-efficacy and perceived benefits related to exercise performance were significantly higher in the Korean nursing students than in the Korean-Chinese nursing students. However, there were no significant differences in affection and perceived barriers related to exercise.
CONCLUSION
We suggest that the reasons for the differences in self-efficacy and in perceived benefits between these two groups need to be explored though future studies. We suggest more studies comparing different groups having the same ethnicity as Korean but who were born into different societies to give answers regarding the influence of immigrated transition on health.

Citations

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Health Habit, Perceived Health Status and Physical Health Status of Young Korean and Korean-Chinese Women: A Comparative Study
Young-Ran Lee, Eun-Ok Im, Sook-Ja Yu
Journal of Korean Academy of Community Health Nursing.2015; 26(3): 312. CrossRef

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