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http://dx.doi.org/10.4040/jkan.2016.46.5.720

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

Je, Nam Joo (Department of Nursing, Gyeongju University)
Choi, So Young (College of Nursing.Institute of Health Science, Gyeongsang National University)
Publication Information
Journal of Korean Academy of Nursing / v.46, no.5, 2016 , pp. 720-732 More about this Journal
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
Health Promotion; Health Behavior; Preconception Care;
Citations & Related Records
Times Cited By KSCI : 12  (Citation Analysis)
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1 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.
2 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.
3 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.
4 Pender NJ, Pender AR. Health promotion in nursing practice. Stamford, CT: Appleton & Lange; 1996. p. 1-320.
5 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   DOI
6 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   DOI
7 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.
8 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   DOI
9 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.
10 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   DOI
11 Park MJ. Development of a web-based, tailored postpartum information program [master's thesis]. Seoul: Yonsei University; 2007. p. 1-95.
12 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.
13 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   DOI
14 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   DOI
15 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   DOI
16 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   DOI
17 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   DOI
18 Moon JS. A study of instrument development for health belief of Korean adults [dissertation]. Seoul: Yonsei University; 1990. p. 1-113.
19 Paek YM. Prediction model on health promotion behaviors in male office workers [dissertation]. Seoul: Ewha Womans University; 2005. p. 1-129.
20 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   DOI
21 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   DOI
22 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   DOI
23 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   DOI
24 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.
25 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   DOI
26 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   DOI
27 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   DOI
28 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.
29 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   DOI
30 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   DOI