• 한국노년학
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• v.32 no.2
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• pp.377-395
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• 2012

This study was conducted to develop and evaluate the effectiveness of Multifactorial Fall Prevention Program (MFPP) for local low-income elderly people on physical·psychological, and home environmental hazards, and falling frequency. The selected elderly people was provided the MFPP during an eight-week period of time, once a week, 70 to 90 minutes per each section. The design of this study was non-equivalent control-group with repeated measuring by quasi-experimental study. Data were collected before treatment, 8 week after treatment and 4 week after retention from July to October, 2010. Data were analyzed with numbers, percentage, Fisher's exact test, x²-test, repeated measures ANOVA, ANCOVA and Logistic regression. There were significant differences in fall frequency, balance, fear of falling, fall efficacy, home environmental hazards between the experimental group (EG) and control group (CG). This study showed that the multifactorial fall prevention program(MFPP) was useful nursing intervention for strengthening physical·psychological and environmental functions of the low-income elderly people, as well as preventing fall.

• 한국노년학
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• v.31 no.3
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• pp.653-672
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• 2011

The present study empirically confirmed Korean elder's four major pains consisted of poverty, disease, role loss, loneliness and investigated the mediating role of depression between the four major pains and the elder's suicidal thought. To investigate the cause and effect of factors, we conveniently collected 309 samples from 16 Gyungrodangs evenly located in Jeonju and 291 samples, survived the data cleaning such as missing values, outliers, normality and covariance conditions, were analyzed by frequency, factor analysis, reliability, confirmatory factor analysis and structural model analysis. Followed were the selected contributions of the present study. First, the constructs of four major pains such as poverty, disease, role loss, loneliness were predictors of suicidal thought mediated by depression. Second, the elder's poverty, that was the heaviest factor of the four major pain constructs, was a predictor of role loss leading to loneliness. Third, four major pains were predictors of the elder's depression. Note that poverty were not direct but indirect predictor of depression. The present study confirmed the concept of four major pains. Also those who practice in the area of the elderly care should consider the four major pains as well as depression while intervening in the elderly's suicidal thought.

• 한국노년학
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• v.29 no.3
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• pp.899-915
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• 2009

The purpose of this study was examined effect of physical fitness and exercise participation on healthy aging of the elderly. The subjecrts were a total 319 people that they were participate in the regular exercise, and go to welfare center in Seoul. Data were collected during the period from November 1 to November 30, 2006. The collected data were analyzed frequency, descriptive statistics, correlation and hierarchical regression analysis using the SPSS-Win 12.0 program. The results of hierarchical regression analysis were appeared as follows. According to the results of hierarchical regression analysis, significant factors influencing healthy aging were monthly income, monthly pocket money, self-perceived health status, leg muscle strength, exercise behavior and period of exercise. 2. According to the results, significant factors influencing physiological health were age, marital status, self-perceived health status, exercise behavior and period of exercise. 3. According to the results, significant factors influencing cognitive-mental health were monthly income, monthly pocket money, self-perceived health status, leg muscle strength, exercise behavior and period of exercise. 4. According to the results, significant factors influencing social-support health were monthly income, age, education, self-perceived health status, leg muscle strength, exercise behavior and period of exercise. In conclusion, First, this questionnaire demonstrates good reliability and validity and therefore it is an appropriate measurement of healthy aging for the elderly in Korea. Second, it is important that exercise behavior is main factor to healthy aging life on the elderly. Third, There is important mean values of the items for healthy aging.

• 한국노년학
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• v.29 no.1
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• pp.243-258
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• 2009

Background: Falls are among the most common and serious health problems of older people. The psychological symptoms of falling have received relatively little attention compared to physical problems. Objective: The purpose of this study is to test a model to explain the factors that influence fear of falling among older adults living in a continuing care retirement community (CCRC) in Baltimore city, United States. Methods: A secondary analysis was conducted using data obtained from a Health Promotion Survey done on 149 older adults living in a CCRC. Data was originally obtained during face to face interviews with each participant. Descriptive statistics and bivariate correlations were used to describe the sample and evaluate simple correlations. A path analysis was done using the AMOS 4.0 statistical program. Results: Of the 49 hypothesized paths, 13 were statistically significant, and the model accounted for 22% of the variance in fear of falling among the elderly. There was support for the fit of the model to the data with a nonsignificant chi square at 0.478 (df=2, p=0.79), and the ratio of chi-square to degrees of freedom was 0.24, a CFI of 0.99 and RMSEA of 0.00. In particular, gender, a history of falling, and exercise were significant predictors of fear of falling. Conclusions/Implications: As anticipated, exercise is an important factor to prevent fear of falling. As a modifiable variable, self-efficacy and outcome expectation indirectly influence fear of falling through exercise.

• 한국노년학
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• v.30 no.3
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• pp.855-869
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• 2010

The purpose of this study is to identify how to efficiently integrate long-term care facilities into geriatric hospitals. We conducted a survey on the current operations of facilities and medical services of 2009 of 192 long-term facilities and 168 geriatric hospitals in Korea between October and November. Technical statistics and chi-square test were conducted on the collected data using the SPSS 13.0/Win program. There was a difference between the two facility types in terms of the co-payment levels of the food services. Both types selected the budget deficit as their major management problem. Ease of access and the surrounding environment were critical factors used to select the location of both types of facilities. Facility users benefited from the discounted co-payments of both facility types. However, facility users wanted more frequent visits and support from their family members during their stay at the facilities. It was discovered that users in the long-term care facilities stayed longer, that is until they died, compared to their counterparts in geriatric hospitals. The two types of facilities provided their services totally separately to users. Users of the two types of facilities are poorly supported and cared for by their families. This study suggests that setting reasonable service fees, paying caretakers, introducing an integrated facility, strengthening facility assessment standards, introducing the family doctor system, and introducing the handling of long-term care insurance by geriatric hospitals would allow the integration between long- term care facilities and geriatric hospitals to be beneficial.

• 한국노년학
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• v.30 no.4
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• pp.1345-1357
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• 2010

This research, with the participants of the female elderly using a home-visit bath among long-term care services, made an in-depth analysis of what they experience while getting a home-visit bath. We conducted in-depth interviews with 8 elderly people. According to the result, the female elderly experienced the absence of a caregiver, difficulty in carrying out daily life due to physical diseases, getting what they need by themselves, getting comfortable in body and mind, accepting their given situation though feeling shame at getting a bath, and expressing their desires. In addition, they had a close relationship with a care helper. On the basis of the results, a systematic training system which could intensify the professionalism of care helpers was suggested. For the enhancement of the elderly's emotional stability in a long-term care, an integrated case management system was also suggested, which supports the family by organizing an integrated network by region between a long-term care service, home-visit care service, welfare center, and the National Health Insurance Corporation.

• 한국노년학
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• v.39 no.4
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• pp.825-846
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• 2019

This study aims to identify subgroups of ageism among young adults of age 20-39, and to examine its relationship to perceptions of generational conflict and elderly welfare policy. Latent Profile Analysis(LPA) was applied on the data 'Survey on Age Integration and Generational Integration', which was executed by institute for Age Integration Researchof Ewha Womans university, and descriptive statistics and cross-tabulation analysis were performed to examine the socio-demographic characteristics of each subgroup. Then, regression analysis was performed to observe the effect of the subgroups on the perceptions of generational conflict and elderly welfare policy. The results are as follows. The resulting subgroups of ageism among young adults were 'compound perception on aging and active age discrimination', 'medium-level aging anxiety and passive age discrimination', and 'low-level aging anxiety and beyond age discrimination'. Subgroups of ageism affected both perceptions of generational conflict and elderly welfare policy, whereas social support only affected perception of elderly welfare policy. Based on the results, political implications, such as activation of education on perception on aging, expansion of generational exchange for age integration, and renewal of social atmosphere for intergenerational coexistence, which will promote social integration

• 한국노년학
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• v.39 no.3
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• pp.485-515
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• 2019

The purpose of this study was to explore bullying among senior women at a senior center. Using ethnographic research technique, we examined the process in which members of the senior center engaged in and responded to bullying. Purposive sampling method was used to choose a senior center as the subject of this study. Within the center, 16 senior women participated in the study. In-depth interviews and participatory research methods were used to collect data. We analyzed the transcripts of the interviews based on the ethnographic analysis method presented by Spradley (1979). Themes that emerged from these participatory research and interviews include: members of the senior center creating loners, people being bullied causing damages to the group, taking actions to respond to bullying, and failing to solve the bullying problems. First, the victims of bullying became loners with no one to rely on through other members' verbal attacks, discrimination, isolation, and stopping the victim to use the senior center. Second, the victims were under attack but also caused troubles at the senior center and harmed others at the same time. Third, while engaging in bullying, senior women attempted to deal with bullying problems in many ways. These attempts include: avoiding the conflict, withstanding, attempting to mediating, and so on. Finally, bullying remained to be a recurring phenomenon at the senior center. New victims of bullying continuously appeared and the influence of bullying was felt not only within the senior center but outside as well. Based on the findings of this study, we suggest that practitioners and researchers take into account factors that affect bullying among senior women.

• Korean Journal of School Psychology
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• v.16 no.3
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• pp.283-313
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• 2019

The purpose of this study was to develop and examine the effectiveness of 'Coping Resources Improvement Program' designed for emerging adults experiencing psychosocial difficulties during college to work transition. Based on transition model of Scholossberg(1995), the program was developed to intervene in 4S (Situation, Self, Support, Strategy) required in the transition. Participants included 31 job applicants who are senior or above and were assigned to the experimental group (N=10), comparison group (N=10), and control group (N=11). Data to verify effectiveness were collected pre-, mid-, and post treatment. Results indicated that the level of coping resources and psychosocial difficulties in the transition changed significantly after the program and those changes were still maintained after a month in the experimental group. However, there were no statistically significant changes on job-search burnout and career-adaptability in all groups. The implication and limitation of the study and the suggestions for the future studies were discussed.

• Korean Journal of Culture and Social Issue
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• v.11 no.spc
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• pp.133-161
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• 2005

The present paper examines trust, interpersonal relationship, and civil society in Scandinavia and East Asia. In the first section, the concepts of trust and democracy are defined. In the second section, the cultural transformations that paved the way for the development of democracy in the West and Scandinavia are reviewed. In the third section, the basis of trust and democracy in East Asia, focusing on Confucianism, is reviewed. In the fourth section, a review of an empirical study conducted with a national sample in Denmark, Sweden, Japan, and Korea is presented. The results indicate that both the Scandinavian and East Asian respondents support the basic ideas of liberal democracy and trust close ingroup members. East Asian respondents are less likely than Scandinavian respondents to trust their colleagues and outgroup members and much less likely to trust political and government institutions. Scandinavian respondents prefer tolerant leaders who lead by ideas, while Koreans prefer strong paternalistic and moral leaders. Japanese respondents are less supportive of paternalistic leaders. Overall, results indicate that in Scandinavia and East Asia, although the basic ideas about democracy and human rights are similar, the methods of implementing these ideas are different. When compared with Scandinavia, there is much lower transparency and accountability in East Asia. In the final section, the challenges that the modern democracies face are discussed.