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Effects of Web-based Preconception Health Promotion Program for Couples about to be Married

예비부부 대상 웹 기반 수태 전 건강증진 프로그램 개발 및 평가

  • Je, Nam Joo (Department of Nursing, Gyeongju University) ;
  • Choi, So Young (College of Nursing.Institute of Health Science, Gyeongsang National University)
  • 제남주 (경주대학교 간호학과) ;
  • 최소영 (경상대학교 간호대학 건강과학연구원)
  • Received : 2016.04.15
  • Accepted : 2016.07.28
  • Published : 2016.10.31

Abstract

Purpose: This study was done to develop a Web-based preconception health promotion program to improve preconception health promotion awareness, perceived benefits, perceived self-efficacy and health behavior, and to reduce perceived barriers in couples about to be married. Methods: Participants were assigned to the experimental group (n=26 couples) or control group (n=25 couples). This program was comprised of a six hour Web-based lecture series which was given to the experimental group over a four week period. Results: Results for the two groups showed: 1) a significant difference in preconception health promotion awareness in men (self-perception: z=-3.62, p <.001 content: F=18.49, p <.001) and in women (self-perception: z=-2.89, p =.004 content F=36.93, p <.001), 2) a significant difference in perceived benefits in men (z=-3.09, p =.002), and in women (F=6.38, p =.004), 3) a significant difference in perceived barriers in men (F=3.64, p =.030), and in women (F=11.36, p <.001), 4) a significant difference in perceived self-efficacy in men (F=12.16, p <.001), but no significant difference in women (F=1.93, p =.166), 5) a significant difference in health promoting behavior in men (F=16.31, p <.001), and in women (F=10.99, p =.001). Conclusion: The results of this study show that the program is an effective nursing intervention in couples about to be married. Therefore, this program can be useful in encouraging health-promoting behavior for couples about to be married.

Keywords

References

  1. Statistics Korea. Final results of birth statistics in 2014 [Internet]. Daejeon: Author; 2014 [cited 2015 February 26]. Available from: http://kostat.go.kr /portal/eng/pressReleases/8/10/index.board?bmode=read&aSeq=348278.
  2. Ko HS, Park IY, Shin JC. Pre-pregnancy lifestyle of couple for a healthy pregnancy. Journal of the Korean Medical Association. 2011; 54(8):825-831. http://dx.doi.org/10.5124/jkma.2011.54.8.825
  3. Park MI. Importance of preconception care in low-fertility society of Korea. Journal of the Korean Medical Association. 2011;54 (8):796-798. http://dx.doi.org/10.5124/j kma.2011.54.8.796
  4. Delgado CE. Undergraduate student awareness of issues related to preconception health and pregnancy. Maternal and Child Health Journal. 2008;12(6):774-782. http://dx.doi.org/10.1007/s10995-007-0300-6
  5. Lee SR, Park JY, Ahn LS, Kim KY. The status of preconceptional care and policy recommendations. Sejong: Korea Institute for Health and Social Affairs, 2013. Report No.: 2013-2-2.
  6. Lee SR, Lim JY, Lee EJ, Cho YT, Ra CK. Preconception care and policy recommendations for unmarried women of childbearing age: Focusing on medical service use and online reproductive health information. Sejong: Korea Institute for Health and Social Affairs, 2014. Report No.: 2014-1-2.
  7. Ahn S, Park I, Han JS, Kim TI, Kwak MS, Chung HS. Health behaviors, reproductive health history, and sexual behaviors of college students. Korean Journal of Women Health Nursing. 2008; 14(3):205-212.
  8. Pender NJ, Pender AR. Health promotion in nursing practice. Stamford, CT: Appleton & Lange; 1996. p. 1-320.
  9. Je NJ, Choi SY. Study on awareness of preconception care and reproductive health behaviors in pre-honeymooners. Korean Journal of Women Health Nursing. 2015;21(2):71-82. http://dx.doi.org/10.4069/kjwhn.2015.21.2.71
  10. Murray E. Web-based interventions for behavior change and selfmanagement: Potential, pitfalls, and progress. Medicine 2.0. 2012;1(2):e3. http://dx.doi.org/10.2196/med20.1741
  11. Chung YC, Lee GH, Kim SJ, Yoo J. 2010 Development and operation of gateway system for internet health information. Seoul: Korea Institute for Health and Social Affairs, 2010. Report No.: 2010-39.
  12. Wang HJ, Kim IO. Effects of a mobile web-based pregnancy health care educational program for mothers at an advanced maternal age. Journal of Korean Academy of Nursing. 2015;45(3):337-346. http://dx.doi.org/10.4040/jkan.2015.45.3.337
  13. Park MJ. Development of a web-based, tailored postpartum information program [master's thesis]. Seoul: Yonsei University; 2007. p. 1-95.
  14. Chung HK, Song SH, Kang HK, Lee WH, Song SH, Kang NM. Application of the pregnancy, childbirth, breast-feeding UCC and web_based tailored pre-parental educational system among university students. Journal of Korea Design Forum. 2012;34:347-356.
  15. Park MN, Choi SY. Development of reproductive health program and identification of effect for married women immigrants. Journal of Korean Academy of Nursing. 2014;44(3):248-258. http://dx.doi.org/10.4040/jkan.2014.44.3.248
  16. DeJoy SB. Pilot test of a preconception and midwifery care promotion program for college women. Journal of Midwifery & Women's Health. 2014;59(5):523-527. http://dx.doi.org/10.1111/jmwh.12106
  17. Choi YS. The development of web-based ventilator management education program. Journal of the Korea Academia-Industrial Cooperation Society. 2012;13(11): 5284- 5291. http://dx.doi.org/10.5762/KAIS.2012.13.11.5284
  18. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods. 2009;41(4):1149-1160. http://dx.doi.org/10.3758/brm.41.4.1149
  19. Moon JS. A study of instrument development for health belief of Korean adults [dissertation]. Seoul: Yonsei University; 1990. p. 1-113.
  20. Paek YM. Prediction model on health promotion behaviors in male office workers [dissertation]. Seoul: Ewha Womans University; 2005. p. 1-129.
  21. Sherer M, Maddux JE, Mercandante B, Prentice-Dunn S, Jacobs B, Rogers RW. The self-efficacy scale: Construction & validation. Psychological Reports. 1982;51(2): 663-671. http://dx.doi.org/10.2466/pr0.1982.51.2.663
  22. Jo HY, Hae KY, Son HM. Development of a scale to measure reproductive health promoting behavior of undergraduates. Korean Journal of Health Education and Promotion. 2014;31(5):29-43. http://dx.doi.org/10.14367/kjhep.2014.31.5.29
  23. Agricola E, Pandolfi E, Gonfiantini MV, Gesualdo F, Romano M, Carloni E, et al. A cohort study of a tailored web intervention for preconception care. BMC Medical Informatics and Decision Making. 2014;14:33-42. http://dx.doi.org/10.1186/14 72-6947-14-33
  24. Delgado C. Pregnancy 101: A call for reproductive and prenatal health education in college. Maternal and Child Health Journal. 2013;17(2):240-247. http://dx.doi.org/10.1007/s10995-012-0967-1
  25. Nam TW, Chung JY. A new paradigm for subject-oriented service system of university library. Journal of Korean Library and Information Science Society. 2003;34(2):163-185.
  26. Kim GH, Yoon HS. The effect of a health promotion program through multi-level health promotion. Journal of Korean Academy of Community Health Nursing. 2010;21(1):92-100. http://dx.doi.org/10.12799/jkachn.2010.21.1.92
  27. Park KY, Kim SH. The effects of breast self-examination program enriched environmentally among healthy women. Korean Journal of Women Health Nursing. 2010;16(2):105-115. http://dx.doi.org/10.4069/kjwhn.2010.16.2.105
  28. Seo IJ, Park JS. Development and application of a health promotion program for marriage immigrant women. Korean Journal of Adult Nursing. 2015;27(2):198-210. http://dx.doi.org/10.7475/kjan.2015.27.2.198
  29. Lee KJ, Chang CJ, Yoo JH. Effects of a health promoting education program on selfe-fficacy, knowledge of health management and health promoting behavior for middle-aged women. Journal of Korean Community Nursing. 2004;15(4):577-586.
  30. Milan JE, White AA. Impact of a stage-tailored, web-based intervention on folic acid-containing multivitamin use by college women. American Journal of Health Promotion. 2010;24(6):388-395. http://dx.doi.org/10.4278/ajhp.071231143

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