Research in Community and Public Health Nursing

Original Articles

Factors influencing dementia preventive behaviors of older adults at high risk of dementia: Application of extended health belief model: So Hee Jung, Mee Ock Gu; Res Community Public Health Nurs. 2024;35(1):22-36. Published online March 29, 2024; DOI: https://doi.org/10.12799/rcphn.2023.00402

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Abstract PDF: Purpose
The purpose of this study was to identify the factors influencing dementia preventive behaviors of older adults at high risk of dementia based on extended health belief model.
Methods
The subjects were 140 older adults at high risk of dementia living in H-gun, Gyeongsangnam-do, Republic of Korea. The data was collected from April 21 to May 28, 2021 by using structured questionnaires. The data was analyzed using t-test, ANOVA, Scheffé test, Pearson’s correlation coefficient, and hierarchical multiple regression by SPSS/WIN 24.0 program.
Results
The mean score of dementia preventive behaviors of older adults at high risk of dementia was 3.47±0.49 (range 1-5). The factors influencing dementia preventive behaviors were self-efficacy (β=.82, p<.001), cues to action(β=.17, p=.013), ages 75-79 (β=0.35, p=.003; reference: ages 65-69), ages ≥80 (β=0.27, p=.021; reference: ages 65-69), which together explained 82.0% of total variance in dementia preventive behaviors (F=25.21, p<.001).
Conclusion
Based on the results of this study, it is highly recommended to develop and apply the dementia prevention program that can increase self-efficacy and cues to action for improving dementia preventive behavior of older adults at high risk of dementia.

The Effects of the Smoking Cessation Program of Life Skill Training Using Flipped Learning for Middle School Male Students: Eun Hee Seo, Eun Suk Choi; J Korean Acad Community Health Nurs. 2021;32(3):268-280. Published online September 30, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.3.268

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Abstract PDF: Purpose
The study is examined the effects of the smoking cessation program of life skills training using flipped learning for male middle school students.
Methods
The study was a nonequivalent control group non-synchronized design. The Smoking Cessation Program of life skills training using flipped learning is a Smoking Cessation Program that applied 5 stages of flipped learning such as before class, introductory class, during class, after class, and during work. Participants were 32 male students attending a middle school in D city, with 16 in the control group and 16 in the experiment group. Data collection was conducted from February 26, 2019 to May 14, 2019 for the control group, and from May 28, 2019 to August 19, 2019 for the experiment group. The collected smoking knowledge, smoking attitude, self-efficacy, basic psychological needs, and urine cotinine were analyzed by x² test, independent t-test, two-way repeated measured ANOVA, and Fishers exact test using the SPSS 25.0 program.
Results
The experimental group showed higher smoking knowledge, smoking attitude, self-efficacy, basic psychological need, and urine cotinine negative response than the control group, and there were significant differences.
Conclusion
These findings indicate that the Smoking Cessation Program of life skill training using flipped learning is an effective intervention for cessation of middle school male students, and it has a positive effect on the increase in urine cotinine, and a physiological indicator of the cessation effect, and is effective in the success of smoking cessation.

Development and Effectiveness of a Mobile Health Lifestyle Program for University Students: Yeon Hee Kim, Sung Rae Shin; J Korean Acad Community Health Nurs. 2021;32(2):150-161. Published online June 30, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.2.150

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Abstract PDF: Purpose
The purpose of this study was to develop a mobile health lifestyle program for university students and to verify its effectiveness.
Methods
The program was developed based on Jung’s teaching-learning system design model. The research used a non-equivalent control group pretest-posttest non-synchronized design. Data were collected from October 20 to December 5, 2018. To verify the effects of the program, the knowledge, self-efficacy, and intention to plan health lifestyle and health lifestyle behavior were measured. A two hour health lecture and a mobile health lifestyle program were delivered for 3 weeks to 23 students in the experimental group. 19 students in the control group received only a two hour health lecture.
Results
The experimental group showed significantly higher scores on knowledge (F=4.63, p=.038), intention to plan health lifestyle (F=14.44, p<.001), and health lifestyle behavior (F=46.80, p<.001). However, the score on self-efficacy was not significantly different (F=2.65, p=.112).
Conclusion
It was confirmed that the mobile health lifestyle program can be useful in increasing the level of knowledge, intention and behavior of health lifestyle among university students. Therefore, the mobile health lifestyle application can be used as a supporting resource to enhance the health promotion for university students.

The Effects of Self-efficacy and Self-stigma on Self-care in People with Diabetes: Ka Woun Seo; J Korean Acad Community Health Nurs. 2021;32(1):86-94. Published online March 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.1.86

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Abstract PDF

Purpose
This descriptive study investigated the effects of self-efficacy and self-stigma on self-care in people with diabetes. Methods: The study included a total of 377 patients with diabetes enrolled in university hospitals in D city and public health centers in S city. Data were collected from 1 July to 31 August, 2017, and were analyzed using descriptive statistics, t-test, analysis of variance, Pearson’s correlation coefficient, and hierarchical multiple regression. Results: Diabetes self-care was positively correlated with diabetes self-efficacy, whereas it was negatively correlated with diabetes self-stigma. Participants’ education level, marital status, perceived health status, type of medication, self-efficacy, and self-stigma explained 42.4% of the variance in diabetes self-care. Conclusion: The findings indicate that diabetes self-efficacy and self-stigma are important factors for improving self-care in patients with diabetes. Therefore, systematic programs for enhancing self-efficacy and reducing self-stigma of these individuals should be developed.

Citations

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“Shame on Me”: Exploring the Role of Self-Stigma in Psychological Outcomes Among Type 2 Diabetes Patients in Hong Kong
Nelson C. Y. Yeung, Eric Kam Pui Lee, Alice Pik Shan Kong, Maria Kwan Wa Leung
International Journal of Behavioral Medicine.2024; 31(2): 241. CrossRef
Bringing an end to diabetes stigma and discrimination: an international consensus statement on evidence and recommendations
Jane Speight, Elizabeth Holmes-Truscott, Matthew Garza, Renza Scibilia, Sabina Wagner, Asuka Kato, Victor Pedrero, Sonya Deschênes, Susan J Guzman, Kevin L Joiner, Shengxin Liu, Ingrid Willaing, Katie M Babbott, Bryan Cleal, Jane K Dickinson, Jennifer A H
The Lancet Diabetes & Endocrinology.2024; 12(1): 61. CrossRef
“Diabetes is really simple on paper, but really complicated when you actually have it”: Understanding the daily stressors of adolescents living with Type 1 diabetes
Kaitlyn Rechenberg, Carley Geiss, Rebecca Koerner, Nicole Ríos, Usha Menon
Journal for Specialists in Pediatric Nursing.2024;[Epub] CrossRef
Type 2 diabetes stigma and its association with clinical, psychological, and behavioral outcomes: A systematic review and meta-analysis
Samuel Akyirem, Emmanuel Ekpor, Diana Namumbejja Abwoye, Janene Batten, LaRon E. Nelson
Diabetes Research and Clinical Practice.2023; 202: 110774. CrossRef
Stigma perception and determinants among patients with type 2 diabetes mellitus in Iraq
Taqi M. J. Taher, Hussein A. Ahmed, Ali A. Abutiheen, Shaymaa A. Alfadhul, Hasanain F. Ghazi
Journal of the Egyptian Public Health Association.2023;[Epub] CrossRef
The Mediating Effect of Acceptance Action in the Relationship between Diabetes Distress and Self-stigma among Old Adults with Diabetes in South Korea
Hyesun Kim, Kawoun Seo
Journal of Korean Academy of Community Health Nursing.2022; 33(4): 446. CrossRef

The Influence of Knowledge and Health Beliefs about Gestational Diabetes on Breastfeeding Intention of Women with Gestational Diabetes: Seung Mi Park, Deulle Min, Ji Yeon Park; J Korean Acad Community Health Nurs. 2020;31(4):427-435. Published online December 31, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.4.427

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Abstract PDF

Purpose
The purpose of this study was to assess the knowledge and health beliefs about gestational diabetes and to identify the influence on breastfeeding intention of women those who have been diagnosed with gestational diabetes.
Methods
A cross-sectional descriptive study was designed. A questionnaire survey was conducted on 270 women who were pregnant and currently diagnosed with gestational diabetes. Data collection was conducted at Internet cafes and breastfeeding clinics where pregnant women were able to participate actively. The data collection period was from November 5 to November 27, 2019 and analyzed using descriptive statistics, independent t-test, x 2 test and multiple logistic regression.
Results
The average age of the participants was 34.21±3.73 years. There were 221 women who had breastfeeding intention, and 49 women who did not intend to breastfeed. The higher the perceived susceptibility (OR=2.49, p=.032), benefits (OR=2.62 p=.009), and the self-efficacy, the higher the intention to perform breastfeeding (OR=2.97, p=.004). On the other hand, the higher the perceived severity, the lower the intention to perform breastfeeding (OR=0.35, p=.007). Conclusion: Health beliefs such as perceived susceptibility, perceived benefits, self-efficacy and perceived severity have been shown to affect the breastfeeding intention. Based on these results, we suggest developing a breastfeeding promotion intervention program that improves self-efficacy in gestational diabetics.

Citations

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A study on research trends for gestational diabetes mellitus and breastfeeding: Focusing on text network analysis and topic modeling
Junglim Lee, Youngji Kim, Eunju Kwak, Seungmi Park
The Journal of Korean Academic Society of Nursing Education.2021; 27(2): 175. CrossRef
A comparative study of cumulative stress patterns within 14 days postpartum in healthy mothers and those with gestational diabetes
Seungmi Park, Soo-Young Yu, Eunju Kwak, Deulle Min
Medicine.2021; 100(41): e27472. CrossRef
Factors Associated with the Need for Breastfeeding Information Among Women with Gestational Diabetes Mellitus: A Cross-sectional Study
Seungmi Park, In Sun Jang, Deulle Min
Asian Nursing Research.2021; 15(3): 210. CrossRef

Factors Influencing for Intention to Perform Cardiopulmonary Resuscitation in Elementary and Secondary School Teachers: Kyoung Sun Song, Kyung Yeon Park; J Korean Acad Community Health Nurs. 2020;31(3):384-394. Published online September 30, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.3.384

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Abstract PDF

Purpose
The study aimed to investigate elementary and secondary school teacher’s knowledge, attitude, and self-efficacy regarding cardiopulmonary resuscitation (CPR), and explore which factors affect their intention to perform CPR.
Methods
A descriptive correlational study design was utilized. Data were collected using self-reported questionnaire from 147 teachers. Statistical analysis was conducted using descriptive statistics, t-test, x 2 test, F-test, Pearson correlation coefficients, and logistic regression with the SPSS/WIN 21.0 program.
Results
The average of knowledge, attitude and self-efficacy on CPR was 11.11±1.88 out of 15, 42.81±5.22 out of 55, and 86.19±17.74 out of 120 in order. CPR performance intention had significantly positive correlations with knowledge, attitude, and self-efficacy on CPR. In logistic regression, factors significantly affecting intention to perform CPR were the total number of training sessions on CPR (OR=12.15, 95% CI: 2.83~52.20), attitude on CPR (OR=9.26, 95% CI: 1.61~53.34), and self-efficacy on CPR (OR=1.72, 95% CI: 1.04~2.84), which accounted for 42.7% of the variance.
Conclusion
In order to increase the intention to perform CPR among teachers in elementary and secondary schools, it is necessary for an educational program to be developed to improve positive attitudes and self-efficacy on CPR.

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Effects of immersive virtual reality cardiopulmonary resuscitation training on prospective kindergarten teachers' learning achievements, attitudes and self‐efficacy
Ze‐Min Liu, Xianli Fan, Yujiao Liu, Xin‐dong Ye
British Journal of Educational Technology.2022; 53(6): 2050. CrossRef

The Effects of the Oral Care Program for Improving Swallowing Function of the Elderly Using Welfare Centers on Depression, Self Efficacy, Subjective Oral Health Status and Swallowing related Quality of Life: Gi Ran Lee, Doo Ree Kim, Hyo Nam Lim, Kyung Hee Kang; J Korean Acad Community Health Nurs. 2020;31(2):166-178. Published online June 30, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.2.166

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Abstract PDF

Purpose
This study was conducted to examine the effects of the oral care program for improving swallowing function of the elderly using welfare centers on depression, self efficacy, subjective oral health status and swallowing related quality of life.
Methods
The intervention in this study was systematically developed through the six stages of Intervention Mapping Protocol (IMP) and was based on Mead’s symbolic interaction theory and Bandura's self efficacy theory. A non equivalent control group pre and post-test design was conducted on a total of 37 elderly people (experimental group: 19, control group: 18) from D city. The oral care program was administered to the experimental group once a week for five weeks, totaling five times, and the exact program ran for 50 minutes. The collected data were analyzed using the SPSS/WIN 25.0 program.
Results
Following the intervention, subjective oral health score, and swallowing related quality of life were significantly improved in the experimental group.
Conclusion
The oral care program presented in this study was found to be effective in increasing subjective oral health status, and swallowing related quality of life for the elderly using welfare centers.

Citations

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Factors associated with health-related quality of life on mental and oral health in patients with cancer and cancer survivors using the Korea National Health and Nutrition Examination Survey (2005–2018)
Min-young Lee, Insil Jang, Yeunhee Kwak
Asia-Pacific Journal of Oncology Nursing.2024; 11(4): 100398. CrossRef
Depression and Dysphagia-Specific Quality of Life in Patients Who Have Undergone Esophageal Cancer Surgery
Jun-An Jeong, Yeon-Hwan Park
Journal of the Korean Dysphagia Society.2024; 14(1): 41. CrossRef
Smartphone‐based combined oral and whole‐body exercise programme aimed at improving oral functions: A randomized clinical trial
Eun Seo Jung, Yoon Young Choi, Kyeong Hee Lee
International Journal of Dental Hygiene.2024;[Epub] CrossRef
A Systematic Review of the Use of mHealth in Oral Health Education among Older Adults
Reinhard Chun Wang Chau, Khaing Myat Thu, Akhilanand Chaurasia, Richard Tai Chiu Hsung, Walter Yu-Hang Lam
Dentistry Journal.2023; 11(8): 189. CrossRef
The Review of Interventions to Improve the Swallowing Function in the Elderly
Na-Yeon Tak, Hanna Gu, Hyoung-Joo Kim, Jun-Yeong Kwon, Hee-Jung Lim
Journal of Dental Hygiene Science.2023; 23(2): 69. CrossRef
Effect of Oral Health Education Using a Mobile App (OHEMA) on the Oral Health and Swallowing-Related Quality of Life in Community-Based Integrated Care of the Elderly: A Randomized Clinical Trial
Ji-Yun Ki, Se-Rim Jo, Kyung-Sook Cho, Jung-Eun Park, Ja-Won Cho, Jong-Hwa Jang
International Journal of Environmental Research and Public Health.2021; 18(21): 11679. CrossRef
Influences of Autonomic Function, Salivary Cortisol and Physical Activity on Cognitive Functions in Institutionalized Older Adults with Mild Cognitive Impairment: Based on Neurovisceral Integration Model
Minhee Suh
Journal of Korean Academy of Nursing.2021; 51(3): 294. CrossRef

Effects of a Structure-centered Cooperative Learning Safety Education Program based on Blended Learning for Elementary School Students: Jeong Hye Seong; J Korean Acad Community Health Nurs. 2019;30(1):57-68. Published online March 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.1.57

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Abstract PDF: PURPOSE
This study was performed to determine effects of a structure-centered cooperative learning safety education program based on blended learning for elementary school students.
METHODS
The study is developed in non-equivalent control group non-synchronized design. The subjects included 24 sixth grade students in the experimental group and 23 sixth grade students in the control group, respectively. To prevent diffusion of the experiment, it was carried out from May 20th to June 24th in 2015 with the control group and the other from August 26th to September 30th in 2015 with the experimental group. It was performed on experimental group after the structure-centered cooperative learning safety education program based on blended learning once a week for 6weeks. Data were analyzed by using descriptive statistics, paired t-test and independent t-test.
RESULTS
After the intervention, the experimental group showed significant increases in the self-directed learning attitudes and safety behavior compared to the control group except for the academic self-efficacy.
CONCLUSION
The results indicate that the structure-centered cooperative learning safety education program based on blended learning program is effective in safety education for 6th graders.

Effects of Frailty on Health-related Quality of Life of Rural Community-dwelling Elderly: Mediating and Moderating Effects of Fall-Related Efficacy and Social Support: Kyung Won Choi, Gyeong Suk Jeon; J Korean Acad Community Health Nurs. 2016;27(4):380-387. Published online December 31, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.4.380

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Abstract PDF

PURPOSE
The purpose of this study was to examine the mediating and moderating effects of fall-related efficacy and social support on the relationship between frailty and health-related quality of life among rural community-dwelling elderly.
METHODS
A cross-sectional survey was conducted with a convenient sampling method, and data of 438 elderly residents living in a rural community was used. The structured questionnaire included items from the Euro Quality of life-5 Dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/ depression), fall-related efficacy and social support.
RESULTS
Analysis of the mediating effect of fall-related efficacy and social support showed that there was significant mediating influence of fall-related efficacy on the relationship between frailty and health-related quality of life. There were no moderating effects of fall-related efficacy and social support.
CONCLUSION
The findings suggest that fall-related efficacy may play a role in reducing the effect of frailty on health-related quality of life and underscore the need to consider ways of enhancing fall-related efficacy in interventions for rural community-dwelling frail elderly.

Citations

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Multilevel Analysis of Factors Affecting Health-Related Quality of Life of the Elderly
Hyunjung Moon, Sunkyung Cha
Journal of Korean Academy of psychiatric and Mental Health Nursing.2022; 31(3): 391. CrossRef
Frailty and Quality of Life among Older Adults in Communities: The Mediation Effects of Daily Physical Activity and Healthy Life Self-Efficacy
Chia-Hui Lin, Chieh-Yu Liu, Chun-Ching Huang, Jiin-Ru Rong
Geriatrics.2022; 7(6): 125. CrossRef
The Effects of COVID-19 Risk Perception in Women in Their 20s and 30s on Preventive Efficiency and Beauty Health Care Behaviors
Chae-Won Lim, Ju-Youn Kim
Journal of the Korean Society of Cosmetology.2021; 27(6): 1461. CrossRef
Effects of a Person-Centered Nursing Intervention for Frailty among Prefrail Community-Dwelling Older Adults
Jiyeon Ha, Yeon-Hwan Park
International Journal of Environmental Research and Public Health.2020; 17(18): 6660. CrossRef
Understanding and Prevention of Fall-related Injuries in Older Adults in South Korea: A Systematic Review
Ki-taek Lim, Ji-eun Lee, Ha-eun Park, Su-young Park, Woochol Joseph Choi
Physical Therapy Korea.2019; 26(2): 34. CrossRef
Effects of the Elderly's Health Statuses, Health Behavior, and Social Relations on Their Health-related Quality of Life: Focusing on Family Types
Young Bum Kim, Seung-Hee Lee
Journal of Korean Academy of Community Health Nursing.2018; 29(3): 310. CrossRef

The Relationship among Family Support, Self-efficacy, Health Literacy, Perceived Health Status and Health-promoting Behavior in Married Immigrant Women: Cho hee Kang, Young Ran Han; J Korean Acad Community Health Nurs. 2016;27(3):202-212. Published online September 30, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.3.202

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Abstract PDF

PURPOSE
The purpose of this study is to examine the association of family support, self-efficacy, health literacy and perceived health status with health-promoting behavior (HPB) in married immigrant women.
METHODS
A cross-sectional based survey was conducted to collect data from married immigrant women living in Gyeongsang province. Questionnaires included Health promoting lifestyle profile II, General self-efficacy scale, Korean Health literacy assessment and perceived health status.
RESULTS
157 subjects participated in the study (mean age, 30.47Â±6.83). Their duration of living in Korea was 63.05Â±50.11 months. Of the participants, 59.2% were Vietnamese. The level of HPB, perceived health status, health literacy, support of family and self-efficacy were 2.58Â±0.42, 3.39Â±0.86, 25.12Â± 20.99, 3.83Â±0.70 and 3.61Â±0.53 respectively. Factors affecting the HPB of the participants were support from family (Î² =.45, p<.001) and self-efficacy (Î²=.16, p<.05). The explanatory power of these two variables was 34.2%.
CONCLUSION
This study suggests that the factors influencing the HPB of married immigrant women include support from family and self-efficacy. A variety of programs should be provided for families so that they can support those women to help them increase their HPB. It is recommended that more various programs be provided to increase their self-efficacy.

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The effect of health literacy and self-efficacy levels of Syrian refugee university students on quality of life
Hıdır Apak, Gülhan Yiğitalp, Oktay Tatlıcıoğlu
Journal of Public Health.2024;[Epub] CrossRef
Relationships Among Health Literacy, Self-Efficacy, Self-Management, and HbA1c Levels in Older Adults with Diabetes in South Korea: A Cross-Sectional Study
Geun Young Jang, Soo Jung Chang, Jun Hee Noh
Journal of Multidisciplinary Healthcare.2024; Volume 17: 409. CrossRef
Multiple mediation effect of coping styles and self-esteem in the relationship between spousal support and pregnancy stress of married immigrant pregnant women
So-hyun Moon, Miok Kim
PeerJ.2023; 11: e16295. CrossRef
Influence of Perceived Health Status, Perceived Barrier, Cultural Acculturation on Empowerment in Married Migrant Women
Yong-Sook EO, Yeon Hee LEE
JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2020; 32(5): 1308. CrossRef
Trends and Level in Health Literacy Research on Immigrants in Korea: A Literature Review
Soo Jin Kang, Na Kyum Hyung
Journal of Korean Academy of Community Health Nursing.2020; 31(3): 322. CrossRef
The Impact of Social Cognitive Constructs on Dietary Behaviors in Breast Cancer Survivors
Hyenam Hwang
Asian Oncology Nursing.2016; 16(3): 139. CrossRef

The Effect of Depression and Smartphone Dependency on Female College Students' Career Decision-making Self Efficacy: Hee Jung Choi, Jang Hak Yoo; J Korean Acad Community Health Nurs. 2016;27(1):43-50. Published online March 31, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.1.43

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Abstract PDF: PURPOSE
The purpose of this study was to investigate the relationship of depression and smartphone dependency with female college students' career decision-making self efficacy.
METHODS
This was a descriptive study. The survey participants were 497 female college students in M City and S City. Data were collected from November 16 to December 4, 2015 using self-report questionnaires including BDI (Beck Depression Inventory), Smartphone Dependency Scale, and CDMSES-SF (Career Decision-Making Self Efficacy Scale-Short Form). Data were analyzed through descriptive statistics, independent-samples t-test, ANOVA, and stepwise multiple regression.
RESULTS
Career decision-making self efficacy showed significant differences according to religion. Smartphone dependency was found to have a statistically significant negative correlation with career decision-making self efficacy and a positive correlation with depression. Depression was found to have a statistically significant negative correlation with career decision-making self efficacy. Stepwise multiple regression analysis revealed that the predictors of career decision-making self efficacy were depression (7.1%), religion (1.8%), and smartphone dependency (1.3%), accounting for a total of 10.6% of the variance.
CONCLUSION
This study suggests that interventions to promote female college students' career decision-making self efficacy should consider their depression, religion, and smartphone dependency.

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.

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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

Factors affecting Smoking Middle School Students' Intention to Quit Smoking: On the Basis of the ASE Model: Young Sook Seo, Young Im Kim; J Korean Acad Community Health Nurs. 2013;24(4):471-479. Published online December 31, 2013; DOI: https://doi.org/10.12799/jkachn.2013.24.4.471

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Abstract PDF

PURPOSE
This study was conducted to identify factors for smoking middle school students' intention to quit smoking on the basis of the social influence and self-efficacy [ASE] model.
METHODS
Data were collected from 2,015 students from five middle schools in Daegu with a structured questionnaire in March, 2013 and analyzed by using chi2-test, ANOVA, pearson's correlation and multiple regression analysis.
RESULTS
The smoking rate was 6.1% among the total subjects and 85.4% of the smokers had intention to quit smoking. The mean value of attitude toward quitting smoking was 2.15+/-0.34, that of social influence 3.38+/-0.65, and that of self-efficacy 2.84+/-0.95. The multiple regression analysis showed an explanatory power of 24.7%, and experience of trying to quit smoking was the strongest factor affecting the intention to quit smoking (beta=.34, p<.01), followed by school years and social influence.
CONCLUSION
In order to increase smoking middle school students' intention to quit smoking, intervention strategies are needed to increase positive social influence or to offer public information to younger smoking students in low school years.

Citations

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Analysis of Factors Affecting the Intention to Quit Smoking in Stroke Patients
Junghee Youn, Mee Kyung Shin
The Korean Journal of Rehabilitation Nursing.2021; 24(1): 78. CrossRef
Analysis of multidimensional factors in attempts to quit using tobacco by Korean adolescents
Mi-Jung Kang, Hyunjin Lee, Mirae Jo
Environmental Health and Preventive Medicine.2020;[Epub] CrossRef
Effects of an Experiential Learning Activities-Focused Smoking Prevention Program in Elementary School Students: On the Basis of the Attitude-Social Influence-Efficacy Model
Jin Hee Na, Jina Choo
Korean Journal of Health Promotion.2019; 19(2): 96. CrossRef
Effects of a Strength Based I-Change Smoking Cessation Program for Smoking Middle School Boys
Jung Hee Kim, Yeon Hee Choi
Journal of Korean Academy of Nursing.2017; 47(2): 164. CrossRef
Attitude, Knowlege, and Social Influence as Factors of Smoking Intention among Nonsmoking Middle School Students
Young Sook Seo, Young Im Kim, Chang Hyun Lee
Journal of the Korean Society of School Health.2016; 29(2): 81. CrossRef
Influencing Factors on Nicotine Dependency of Smoking in Middle School Students
Jung-Hwa Chae, Yeon-Hee Choi
Journal of the Korea Academia-Industrial cooperation Society.2015; 16(3): 2109. CrossRef
Effects of Attitude, Social Influence, and Self-Efficacy Model Factors on Regular Mammography Performance in Life-Transition Aged Women in Korea
Chang Hyun Lee, Young Im Kim
Asian Pacific Journal of Cancer Prevention.2015; 16(8): 3429. CrossRef

Effects of a Self-help Management Program at Public Health Centers on Self-efficacy, Self-esteem, Knowledge of Stroke, and Family Supports in Stroke Patients: Koung Oh Chang; J Korean Acad Community Health Nurs. 2013;24(4):388-397. Published online December 31, 2013; DOI: https://doi.org/10.12799/jkachn.2013.24.4.388

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Abstract PDF: PURPOSE
The purpose of this study is to examine effects of a self-help management program at public health centers on self-efficacy, self-esteem, knowledge of stroke and family supports in stroke patients.
METHODS
Based on a quasi-experimental design, 44 persons with stroke were assigned to the experimental group (n=21) or the control group (n=23). Data were analyzed through the descriptive statistics, t-test, chi2-test and Mann-Whitney test with the SPSS/WIN 18.0 program.
RESULTS
The experimental group showed significant improvement in its members' self-efficacy, self-esteem, knowledge of stroke and family supports.
CONCLUSION
The self-help management program can be an effective nursing intervention to help stroke patients improve their self-efficacy, self-esteem, knowledge of stroke and family supports. That program is also meaningful in that it can contribute to more effective implementation of established programs for stroke patients in public health centers.

A Study on Daily Living Abilities, Self-efficacy and Yangsaeng Behavior in Elderly Men (Yangsaeng; traditional oriental health promotion): Oh Gye Kwag, Yun Hee Kwon; J Korean Acad Community Health Nurs. 2013;24(1):11-19. Published online March 31, 2013; DOI: https://doi.org/10.12799/jkachn.2013.24.1.11

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Abstract PDF

PURPOSE
This study was carried out to investigate relations among daily livingabilities, self-efficacy, and Yangsaegn behavior, and influencing factors on Yangsaeng behavior among elderly men.
METHODS
Data were collected from 497 male elders in the D metropolitan city. Research tools included ADL, IADL, and the scale for self-efficacy and Yangsaeng behavior. The data were analyzed using frequency analysis, average and standard deviation, t-test, One-way ANOVA, Pearson's correlation coefficients, and multiple regression analysis with the SPSS/WIN 19.0 program.
RESULTS
The subjects' ADL score was 2.86, their IADL score of subjects 2.66 out of 3, and their self-efficacy score was 2.68 out of 4, and their Yangsaeng behavior score 3.46 out of 5. There were significant differences in Yangsaeng behavior among the subjects due to age, education level, monthly income, marital status, family structure, religion, health status, andperiodic health examination. There were significant positive correlations among ADL, IADL, self-efficacy, and Yangsaeng behavior. According to the research, influencing factors on Yangseng behavior in elderly men included self-efficacy, health status, ADL, education level, IADL, and family structure.
CONCLUSION
Findings from this study can be used as basic data to develop Yangsaeng behavior programs for elderly men.

Citations

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