Research in Community and Public Health Nursing

Original Articles

Development and Evaluation of a Self-management Mobile App for Adults with Osteoarthritis: Ju Young Park, Jung Tae Son; J Korean Acad Community Health Nurs. 2022;33(1):114-127. Published online March 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.1.114

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Purpose
This study aimed to develop a self-management mobile app for adults with osteoarthritis based on a selfdetermination theory to use it as a nursing intervention tool, and to evaluate the effects of the developed mobile app on adults' basic psychological needs, indexes of osteoarthritis, self-management and quality of life.
Methods
The 56 participants were randomly assigned to either the experimental group (n=28) or the control group (n=28). The participants of the experimental group used a self-management mobile app for 12 weeks after the pretest, and two posttests were taken at the end of every 6 weeks. The data were analyzed using IBM SPSS/WIN 25.0 for Chi-square test, Fisher's exact test, independent t-test, and repeated measures ANOVA.
Results
Basic psychological needs, indexes of osteoarthritis, self-management, and quality of life score of the experimental group were significantly higher than those of the control group.
Conclusion
Our findings suggest that mobile app intervention can support improvements in psychological needs, symptoms of osteoarthritis and quality of life in adults with osteoarthritis. It is recommended that the developed mobile app be used as a nursing intervention tool for adults with osteoarthritis in the community.

Citations

Citations to this article as recorded by

Development and effectiveness of a mobile-based autonomy support program for the prevention of metabolic syndrome in middle-aged women
Miseon Seo, Eun-Young Jun, Hyunjin Oh
Frontiers in Public Health.2024;[Epub] CrossRef

Health Management Experience of Residents through Participation in the Community Based Hypertension and Diabetes Registry Program: Mi Kyoung Park, Hyeung Keun Park, Hyun Ju Kim, Ok Jin Kim, Moon Yeon Gong; J Korean Acad Community Health Nurs. 2021;32(4):518-528. Published online December 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.4.518

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Abstract PDF

Purpose
This study was conducted to explore the healthcare experience of residents participating in the CommunityBased Hypertension and Diabetes Registry Program.
Methods
This study used qualitative content analysis. Data were collected from in depth interviews of fifteen participants, who either participated in the program hosted by the Training Center for Hypertension and Diabetes for more than two years or participated in an intensive one-on-one education program.
Results
The results showed that the core theme in healthcare of participants was ‘Proactive healthcare with attention and systematic guidance of experts’. The positive reinforcement of staffs and the improvement of self-efficacy through effective close management were found to be positive influencing factors of participation. The theme consisted of the following categories: ‘Participation in the program with positive expectations on healthcare’, ‘Interest in body and health’, ‘Vitality in life’, ‘Confidence in dealing with disease’, ‘Thankfulness for close care and attention’, and ‘Desire for continuous care’.
Conclusion
When establishing policies on managing chronic diseases, a strategy that reflects the results of the study is required. It is necessary to build up emotional relationship among stakeholders, and expand opportunities for close healthcare such as one-on-one customized training, and mutual cooperation with various organizations in the local community.

Citations

Citations to this article as recorded by

Public–Private Partnership: Participants’ Experiences of the Web-Based Registration-and-Management System for Patients with Hypertension and Diabetes Mellitus
Seonah Lee, Nanyoung Song, Suhyun Kim
Healthcare.2023; 11(9): 1297. CrossRef
Community-Based Intervention for Elderly Patients with Diabetes Mellitus: Assessing the Effectiveness of a YouTube Self-Education Program during the Global COVID-19 Pandemic
Hyo-Rim Son, So Youn Park, Ye-Jin Ko, Da-Woon Jung, Eun-Sook Won, Aie-Hee Cho, Do Hyun Shin, Chun-Bae Kim
The Journal of Korean Diabetes.2023; 24(4): 232. CrossRef
Changes in daily physical activities by income level according to the prevalence of hypertension and diabetes during the COVID-19 pandemic: The 2020 Community Health Survey
Minsun Yoon, Hyunsuk Jeong, Boyoung Bae, Nayoung Hong, Hyeon Woo Yim
Korean Journal of Health Education and Promotion.2022; 39(2): 15. CrossRef

Factors Influencing the Self-management Behaviors of the Elderly with Hypertension in the Local Community: Jeong Ju Hong; J Korean Acad Community Health Nurs. 2021;32(3):303-311. Published online September 30, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.3.303

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Abstract PDF

Purpose
This study investigated the health literacy level of, the hypertension knowledge of, the self-management behaviors of, and the factors influencing self-management behaviors of the hypertensive elderly population residing in the urban and rural areas.
Methods
Data were collected from November to December 2017 by the trained research staff. For two months, a total of 160 subjects in urban and rural areas who had been taking antihypertensive medications consented to participate in the project. 157 participants completed the survey. Results: The health literacy score of the hypertensive elderly subjects was at 48.38±8.13, the hypertension knowledge score at 8.90±2.01 points, and the self-management behaviors score at 52.96±8.08. The factor that influenced the self-management behaviors of the hypertensive elderly subjects the most was the health literacy, followed by the residential area, and the hypertension knowledge.
Conclusion
The research findings suggest that a health promotion program for the hypertensive elderly population should be designed in consideration of the health literacy, the area of residence and the hypertension knowledge of the elderly.

Citations

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A Cross-Sectional Study of Physical Fitness and Risk of Hypertension in Korean Adults Aged 20–59
Bogja Jeoung, Jiyoun Kim
Healthcare.2023; 11(14): 2057. CrossRef

Development and Evaluation of a Joint Health Self-management Program for the Elderly with Knee Osteoarthritis in Communities: Applying the IMB Model: Young il Kim, Jeong Sook Park; J Korean Acad Community Health Nurs. 2017;28(1):55-68. Published online March 31, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.1.55

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10 Citations

Abstract PDF

PURPOSE
The purpose of this study is to develop and evaluate a joint health self-management program for knee osteoarthritis elders in communities.
METHODS
This program was developed based on the IMB (information-motivationbehavioral skills) model. The program methods include education, setting and achieving goals, sharing experiences, telephone counseling, and self-monitoring. The topics of the program include joint assessment, exercise, massage, joint protection, medication, depression management, diet, and healthcare approach. The research was conducted following the principles of the nonequivalent control group pretest-posttest design. Participants were 26 subjects in the experimental group, and 27 subjects in the control group. The experimental group participated in the self-management program, and the control group received general education.
RESULTS
Both post-test scores of personal motivation, social motivation, behavior skill, self-management behavior, joint pain, joint stiffness, physical function disability, right knee extension, left knee extension, and depression were significantly different between the experimental group and the control group.
CONCLUSION
The results of the study can be used to develop and standardize a systematic joint health self-management program. Further research is highly recommended to develop a strategy to continuously facilitate self-management of osteoarthritis patients' procedures.

Citations

Citations to this article as recorded by

A predictive model for medication adherence in older adults with heart failure
Eun Ha Oh, Chun-Ja Kim, Elizabeth A Schlenk
European Journal of Cardiovascular Nursing.2024;[Epub] CrossRef
User evaluation of a mobile education application for the management of metabolic syndrome among cancer survivors
Ji-Su Kim, Minhae Kim, Yeji Seo
European Journal of Oncology Nursing.2023; 63: 102276. CrossRef
Home-Based Remote Rehabilitation Leads to Superior Outcomes for Older Women With Knee Osteoarthritis: A Randomized Controlled Trial
Eun-Lee Lee, Myung Hun Jang, Byeong-Ju Lee, Sang Hun Han, Hoo Man Lee, Sang Ui Choi, Myung Jun Shin
Journal of the American Medical Directors Association.2023; 24(10): 1555. CrossRef
Development and Evaluation of a Self-management Mobile App for Adults with Osteoarthritis
Ju Young Park, Jung Tae Son
Journal of Korean Academy of Community Health Nursing.2022; 33(1): 114. CrossRef
Factors Affecting Health-promoting Behavior of Nurses in Small and Medium-sized Hospitals based on the IMB Model
Jin Hee Jeong, Hye Kyung Lee
The Korean Journal of Rehabilitation Nursing.2022; 25(2): 102. CrossRef
A Structural Equation Model on Standard Precautions Compliance of Nursing Students
Hey Jin Ha, Eun A Kim
Journal of Korean Academy of Community Health Nursing.2022; 33(3): 321. CrossRef
A preliminary study on the effects of an osteoporosis prevention program based on an Information-Motivation-Behavioral skill model in older adult women: A cluster randomized controlled trial
Yeongsuk Lee, Dong-Hee Kim
Geriatric Nursing.2022; 45: 55. CrossRef
Effect of a Physical Activity Promoting Program Based on the IMB Model on Obese-Metabolic Health Outcomes among Obese Older Adults with Knee Osteoarthritis
Jung-Suk Kim, Chun-Ja Kim
Journal of Korean Academy of Nursing.2020; 50(2): 271. CrossRef
Development and evaluation of a self‐management application for patients with gout
Seung Gum Kang, Eun Nam Lee
Japan Journal of Nursing Science.2020;[Epub] CrossRef
Factors Affecting the Self-Management of Adolescents with Type 1 Diabetes Mellitus based on the Information-Motivation-Behavioral Skills Model
Hooyun Lee, Eun Kyoung Choi, Heejung Kim, Ho-Seon Kim, Hee-Soon Kim
Child Health Nursing Research.2019; 25(2): 234. CrossRef

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

Abstract PDF

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 Effect of a Workshop on a Urinary Incontinence Self-Management Teaching Program for Community Health Nurses: Ae Young So, Jennie C De Gagne, Sun Ah Park, Young Oak Kim; J Korean Acad Community Health Nurs. 2015;26(3):260-267. Published online September 30, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.3.260

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Abstract PDF

PURPOSE
This study aimed to examine the effectiveness of the workshop on the nurses' knowledge about urinary incontinence (UI) self-management, attitudes toward UI, and self-efficacy to plan and implement a UI self-help group program for their clients.
METHODS
A one-group pretest and posttest design was used to examine changes in knowledge, attitudes, and self-efficacy following a one-day training workshop. Twenty-seven community health nurses completed a questionnaire before and after the workshop. Before participating in the workshop, the participants were required to take a UI online continuing education program developed by the researchers. During the workshop, the participants took four sessions which consisted of an introduction of a self-help group program, demonstration of a 5-week UI self-management program contents, pelvic floor muscle training and biofeedback practice, and group discussions to plan the implementation in their workplaces.
RESULTS
A significant improvement in knowledge of and attitudes toward UI were found (t=3.53, p=.002; t=2.83, p=.009, respectively) after the workshop. Participants also demonstrated improvement in their self-efficacy to plan and operate a UI self-help group program (Z=-2.64, p=.008).
CONCLUSION
The one-day workshop for community health nurses is a feasible strategy to increase their abilities and confidence in operating a UI self-help group program.

Citations

Citations to this article as recorded by

Community nurses’ attitudes, knowledge and educational needs in relation to urinary continence, continence assessment and management: A systematic review
Margaret McCann, Anne‐Marie Kelly, Jessica Eustace‐Cook, Claire Howlin, Louise Daly
Journal of Clinical Nursing.2022; 31(7-8): 1041. CrossRef

Lower Urinary Tract Symptoms, Self-management and Quality of Life in Middle Aged Men: Yeong Mi Seo; J Korean Acad Community Health Nurs. 2010;21(3):303-310. Published online September 30, 2010; DOI: https://doi.org/10.12799/jkachn.2010.21.3.303

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4 Citations

Abstract PDF

PURPOSE
The purpose of this study was to find out lower urinary tract symptoms (LUTSs), self-management and quality of life (QOL) in middle aged men and to investigate how these factors are correlated with one another.
METHODS
The participants in this study were 217 men in G City. Data were collected using a questionnaire from October 23 to November 11, 2009. LUTSs were measured by IPSS, self-management by a self-management Likert scale, and QOL by the Korean-version WHOQOL-BREF. The collected data were analyzed through chi-square test, one-way ANOVA, and Pearson's correlation coefficient.
RESULTS
LUTS categories divided according to severity were none (10%), mild (57%), moderate (28%), and severe (5%). The mean score of self-management was 3.14 and that of QOL was 3.27. Self-management and QOL were significantly different according to LUTS. LUTS was negatively correlated with self-management and QOL. Self-management was positively correlated with QOL.
CONCLUSION
In order to develop nursing interventions for middle aged men, comprehensive understanding of LUTS is needed.

Citations

Citations to this article as recorded by

Quality of Life in Middle-aged Men with Prostatic hyperplasia: A Structural Equation Model
Hee Nam Moon, Seung Hee Yang
Korean Journal of Adult Nursing.2023; 35(4): 327. CrossRef
Factors Influencing the Quality of Life of Prostate Cancer Patients
Jeonghye Chae, Youngsuk Kim
Asian Oncology Nursing.2017; 17(4): 237. CrossRef
A Study on Physiological Index, Anxiety and Depression by the Severity of Lower Urinary Tract Symptoms in Patients with Benign Prostatic Hyperplasia
Jung Kyoun Kim, Jin Bum Kim, Min Sun Song
Journal of Korean Biological Nursing Science.2016; 18(3): 127. CrossRef
Factors Influencing Sleep Quality among Middle-aged Male Workers
Eliza Lee, Keum Jae Lee
Korean Journal of Occupational Health Nursing.2014; 23(4): 235. CrossRef

The Effects of a Self-Management Program on Successful Aging: Jee Won Park, Hye Ra Yoo, Bo Eun Kwon; J Korean Acad Community Health Nurs. 2007;18(4):513-522. Published online December 31, 2007

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Abstract PDF: PURPOSE
The purpose of this study was to gain knowledge of successful aging for the Korean elderly and to identify the effects of an intervention program on the change of the knowledge.
METHOD
Data were collected from 134 elders from 3 schools for the elderly in H City. The Successful Aging Scale was used to collect data and modified CDSMP was applied as the intervention. Descriptive statistics, t-test, ANOVA and ANCOVA were used.
RESULTS
The total score of the knowledge of successful aging among the elderly cohort was 2.44 out of 3, and the scores of the factors making up old age were 2.66 for the success of children, 2.63 for self-control, 2.56 for self-efficacy, and 2.05 for happy marriage. Life satisfaction from the success of children and self-control were strongly correlated(r=0.7036, p=0.000).
CONCLUSION
The self-management program brought positive changes to the knowledge of successful aging through the self-control parameter, and although it could not change the degree of knowledge of the overall successful aging among the elderly cohort, the program represents the first Korean nursing intervention focused on self-management techniques needed for successful aging.

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