• 제목/요약/키워드: Behavioral evaluation

검색결과 477건 처리시간 0.022초

Development of tailored nutrition information messages based on the transtheoretical model for smartphone application of an obesity prevention and management program for elementary-school students

  • Lee, Ji Eun;Lee, Da Eun;Kim, Kirang;Shim, Jae Eun;Sung, Eunju;Kang, Jae-Heon;Hwang, Ji-Yun
    • Nutrition Research and Practice
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    • 제11권3호
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    • pp.247-256
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    • 2017
  • BACKGROUND/OBJECTIVES: Easy access to intervention and support for certain behaviors is important for obesity prevention and management. The available technology such as smartphone applications can be used for intervention regarding healthy food choices for obesity prevention and management in elementary-school students. The transtheoretical model (TTM) is comprised of stages and processes of change and can be adopted to tailored education for behavioral change. This study aims to develop TTM-based nutrition contents for mobile applications intended to change eating behaviors related to weight gain in young children. SUBJECTS/METHODS: A synthesized algorithm for tailored nutrition messages was developed according to the intake status of six food groups (vegetables, fruits, sugar-sweetened beverages, fast food and instant food, snacks, and late-night snacks), decision to make dietary behavioral changes, and self-confidence in dietary behavioral changes. The messages in this study were developed from December 2014 to April 2015. After the validity evaluation of the contents through expert consultation, tailored nutrition information messages and educational contents were developed based on the TTM. RESULTS: Based on the TTM, stages of subjects are determined by their current intake status, decision to make dietary behavioral changes, and self-confidence in dietary behavioral changes. Three versions of tailored nutrition messages at each TTM stage were developed so as to not send the same messages for three weeks at most, and visual materials such as figures and tables were developed to provide additional nutritional information. Finally, 3,276 tailored nutrition messages and 60 nutrition contents for applications were developed. CONCLUSIONS: Smartphone applications may be an innovative medium to deliver interventions for eating behavior changes directly to individuals with favorable cost-effectiveness. In addition, using the TTM for tailored nutrition education for healthy eating is an effective approach.

Effectiveness of Cognitive Behavioral Therapy Techniques for Control of Pain in Lung Cancer Patients: An Integrated Review

  • Phianmongkhol, Yupin;Thongubon, Kannika;Woottiluk, Pakapan
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권14호
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    • pp.6033-6038
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    • 2015
  • Background: Experience of lung cancer includes negative impacts on both physical and psychological health. Pain is one of the negative experiences of lung cancer. Cognitive behavioral therapy techniques are often recommended as treatments for lung cancer pain. The objective of this review was to synthesize the evidence on the effectiveness of cognitive behavioral therapy techniques in treating lung cancer pain. This review considered studies that included lung cancer patients who were required to 1) be at least 18 years old; 2) speak and read English or Thai; 3) have a life expectancy of at least two months; 4) experience daily cancer pain requiring an opioid medication; 5) have a positive response to opioid medication; 6) have "average or usual" pain between 4 and 7 on a scale of 0-10 for the day before the clinic visit or for a typical day; and 7) able to participate in a pain evaluation and treatment program. This review considered studies to examine interventions for use in treatment of pain in lung cancer patients, including: biofeedback, cognitive/attentional distraction, imagery, hypnosis, and meditation. Any randomized controlled trials (RCTs) that examined cognitive behavioral therapy techniques for pain specifically in lung cancer patients were included. In the absence of RCTs, quasi-experimental designs were reviewed for possible conclusion in a narrative summary. Outcome measures were pain intensity before and after cognitive behavioural therapy techniques. The search strategy aimed to find both published and unpublished literature. A three-step search was utilised by using identified keywords and text term. An initial limited search of MEDLINE and CINAHL was undertaken followed by analysis of the text words contained in the title and abstract, and of the index terms used to describe the article. A second search using all the identified keywords and index terms was then undertaken across all included databases. Thirdly, the reference list of all identified reports and articles were searched for additional studies. Searches were conducted during January 1991- March 2014 limited to English and Thai languages with no date restriction. Materials and Methods: All studies that met the inclusion criteria were assessed for methodological quality by three reviewers using a standardized critical appraisal tool from the Joanna Briggs Institute (JBI). Three reviewers extracted data independently, using a standardized data extraction tool from the Joanna Briggs Institute (JBI). Ideally for quantitative data meta-analysis was to be conducted where all results were subject to double data entry. Odds ratios (for categorical data) and weighted mean differences (for continuous data) and their 95% confidence intervals were to be calculated for analysis and heterogeneity was to be assessed using the standard Chi-square. Where statistical pooling was not possible the finding were be presented in narrative form. Results: There were no studies located that met the inclusion requirements of this review. There were also no text and opinion pieces that were specific to cognitive behavioral therapy techniques pain and lung cancer patients.Conclusions: There is currently no evidence available to determine the effectiveness of cognitive behavioural therapy techniques for pain in lung cancer patients.

공간 프로세스 대수를 이용한 정형 명세와 분석에서의 시간속성의 시각화 (Visual Representation of Temporal Properties in Formal Specification and Analysis using a Spatial Process Algebra)

  • 온진호;최정란;이문근
    • 정보처리학회논문지D
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    • 제16D권3호
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    • pp.339-352
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    • 2009
  • 유비쿼터스 컴퓨팅 환경에서 분산된 실시간 시스템의 행위와 공간, 시간 속성을 분석하고, 검증하기 위한 다양한 정형기법들이 존재한다. 그러나 대부분의 경우 공간과 행위를 같이 표현하는 구조적, 근본적 한계가 존재한다. 게다가 시간 속성이 포함되는 경우는 더욱 복잡해지게 된다. 이러한 한계를 해결하기 위하여 본 논문은 Timed Calculus of Abstract Real-Time Distribution, Mobility and Interaction(t-CARDMI)라는 새로운 정형기법을 제안한다. t-CARDMI는 행위의 표현으로부터 공간정보의 표현을 분리시켜 복잡도를 단순화 시키며, 시간 속성에 대해서 오직 행위적 표현에서만 허용하여 복잡한 명세를 덜 복잡하게 표현한다. t-CARDMI는 대기기간, 실행시작 만족시간, 실행시간, 실행완료 만족시간 등의 특유의 시간속성을 이동과 통신의 행위에서 모두 포함하는 특징을 갖는다. 새롭게 제안된 Timed Action Graph(TAG)는 공간과 시간을 포함하는 시스템의 명세를 분석하고 검증하기 위해서 공간과 시간속성을 2차원의 다이어그램으로 표현하며 그 안에서 이동과 통신의 정보를 분산된 그림정보로 표현하는 그래프로 t-CARDMI를 좀더 효율적으로 명세하고 분석할 수 있는 방법을 제공한다. t-CARDMI는 유비쿼터스 컴퓨팅에서의 분산된 실시간 시스템의 공간적, 행위적, 시간적 속성에 대한 명세, 분석 및 검증에 매우 효율적이고 효과적인 혁신적인 정형기법의 하나로 고려될 수 있다. 본 논문은 t-CARDMI의 문법과 의미, TAG 그리고 Specification, Analysis, Verification, and Evaluation (SAVE)로 명명된 툴을 제안하고 유비쿼터스 헬스케어 시스템 예제를 통해 효율성을 분석한다.

가스유해성 평가방법에 따른 유기단열재의 연소특성에 관한 연구 (A Study on the Combustion Characteristics of Organic Insulation Materials According to the Gas Toxicity Evaluation Method)

  • 심지훈;이재걸;한경호;김주완;송석훈;조형원;윤도영
    • Korean Chemical Engineering Research
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    • 제60권4호
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    • pp.519-524
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    • 2022
  • 국내 건축물 마감재는 국토교통부 고시에 따라 KS F 2271 기준에 의해 평가되어지고 있으며, 이 실험은 실험동물을 사용하여 평가하고 있다. 본 연구에서는 가연성이 높은 유기물 단열재 EPS, 우레탄, 페놀폼에 대해 실험을 진행하였다. 이 3종의 단열재가 연소 시 발생되는 유해성 가스에 의한 실험용 쥐의 평균행동정지시간을 측정하여, 실험용 쥐의 행동정지에 대한 원인을 분석하고자 하였다. 실험용 쥐의 행동정지에 대한 원인분석방법으로는 FTIR 분석과 연기밀도실험을 진행하였고, 마우스의 행동정지 원인을 입자상물질에 의한 질식과 가스상물질에 의한 독성흡입으로 구분하여 실험결과를 분석하였다. 실험결과 우레탄이 가장 유해한 단열재로 평가되었으며, 가스유해성 실험결과에 대한 원인분석으로 FTIR분석과 연기밀도 실험을 진행한 결과, 독성흡입에 의한 영향보다 질식에 의한 실험용 쥐의 행동정지가 높은 것으로 나타났다. 본 연구는 유해성가스의 원인분석에 대한 기초연구로서, 독성의 근거를 마련하고 나아가 다양한 재료와 가스에 대한 분석을 통하여 보다 구체적인 독성평가의 기준이 마련될 수 있을 것으로 기대된다.

임상실천 평가를 위한 단일체계설계의 적용 -우울증 감소를 위한 인지행동치료에 대한 평가를 중심으로- (Use of Single-System Design to Evaluate the Effectiveness of Cognitive Behavioral Therapy of Depression)

  • 김용석;손동균
    • 한국사회복지학
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    • 제60권2호
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    • pp.175-209
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    • 2008
  • 임상실천의 평가를 위한 도구로 단일체계설계를 강조하는 본 연구는 우울증 치료를 위해 정신과 병원에 입원한 3명의 클라이언트들에게 인지행동치료를 제공하고 개입의 효과성을 평가하기 위해 AB 설계를 사용하였다. 본 연구에 참여하기로 동의한 3명의 클라이언트는 모두 약 2주간의 기초선 단계와 약 3주간의 개입단계에 참가하였다. 평가결과의 타당성을 높이기 위해 다각적 측정원칙을 적용하였고, 기초선 단계와 개입단계 동안 수집된 자료는 시각적인 방법과 통계적인 방법으로 분석되었다. 시각적 분석의 정확성을 높이기 위해 추세선, 추세지수 등과 같은 방법을 활용하여 분석한 결과, 클라이언트 3명의 우울증상이 개입단계에서 모두 나아진 것으로 나타났으며 이러한 개선은 통계적으로도 유의미하였다. 본 연구는 모니터링, 클라이언트를 실천과정에 적극적으로 참여시킬 수 있는 기회 제공, 자료분석의 용이성을 임상실천평가를 위해 단일체계설계를 사용함으로써 얻게 되는 장점으로 들고 있다.

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HPLC를 이용한 차와 커피에 함유된 카페인의 함량 조사와 카페인이 흰 쥐의 행동에 미치는 영향 연구 (Evaluation of the Caffeine Contents in Tea and Coffee by HPLC and Effect of Caffeine on Behavior in Rats)

  • 안정화;마핫비밋;이병요;박우규;권광일
    • 한국임상약학회지
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    • 제22권2호
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    • pp.167-175
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    • 2012
  • Different studies have been conducted regarding caffeine as psychostimulant drugs and its effects as well as determination in various materials. Since, coffee and tea are most drinkable beverage in the world and their major constituent is caffeine. So, analysis of the effect of equal amount of caffeine in coffee and tea with respect to SD rats was studied. The present methodology was purposed to determine and validate caffeine amount in different brands of coffee and tea, and canvass locomotor and behavioral patterns of SD rats after administrating coffee and tea orally consisting of same amount of caffeine (10, 30 mg/kg). Determination of caffeine in different brands of coffee and tea and validation of caffeine were evaluated using HPLC. Depending upon different brands of tea and coffee, caffeine amount was altered. Meanwhile, amount of caffeine in tea was directly proportional to the temperature of liquid. Coffee and tea (Instant Maxim original coffee$^{(R)}$ and earl grey black tea$^{(R)}$) consisting 10, 30 mg/kg of caffeine were studied in SD rats for locomotor activity and behavioral patterns using Tru Scan 99. The locomotor activities of SD rats were increased after administration of coffee and tea consisting caffeine compared to water. The coffee consisted of higher amount of caffeine exhibited steep movement of SD rats. Similarly, rearing and scratching of SD rats as frequency and duration were increased in coffee and tea consisting caffeine compared with water. The study revealed that coffee and tea had effects in locomotor activity and behavioral patterns of SD rats.

만성 통증장애의 정신과적 치료 (Psychiatric Treatment of Chronic Pain Disorder)

  • 노승호
    • 정신신체의학
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    • 제7권2호
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    • pp.256-262
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    • 1999
  • 만성 통증은 신체적, 심리적, 사회환경적 요인들이 복합적으로 작용한 결과로서 나타나기 때문에 생물정신사회적 관점에서 접근해야 하며 치료는 다각적이고 포괄적인 체제하에서 상호 긴밀한 협력을 필요로 한다. 치료의 목표는 즉각적인 통증의 해소보다는 재활에 초점을 맞추어 환자의 활동과 기능이 증진됨에 따라 부수적으로 통증이 완화될 수 있도록 해야 할 것이다. 정신과적 영역에서 만성 통증의 치료는 정신의학적 평가로부터 시작하는데 여기에는 스트레스와 연관된 통증의 정신생리적 기전과 이상 질병행동과 관련된 조작적 조건화 기전, 그리고 증상으로서 통증을 동반하거나 만성 통증에 의해서 유발되는 정신과적 질환들에 대한 평가가 포함된다. 정신과적 치료를 약물치료와 심리적 치료로 나눌 때 약물치료에는 마약성 진통제, 비스테로이드성 소염제, 향정신성약물, 항경련제 들이 포함되는데 그 중에서도 항우울제가 가장 중요한 역할을 한다. 심리적 치료로는 역동적 정신치료와 행동치료적 방법들이 있고 행동치료적 접근법에는 자가조절기법과 조작적 조건화기법 등이 포함되는데, 환자가 갖는 대인관계의 어려움, 신체적 손상, 이상 질병행동 등을 고려하여 적절한 방법을 적용하게 된다.

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Evaluation of the Neurological Safety of Epidural Milnacipran in Rats

  • Lim, Seung-Mo;Shin, Mee-Ran;Kang, Kyung-Ho;Kang, Hyun;Nahm, Francis Sahn-Gun;Kim, Baek-Hui;Shin, Hwa-Yong;Lim, Young-Jin;Lee, Sang-Chul
    • The Korean Journal of Pain
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    • 제25권4호
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    • pp.228-237
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    • 2012
  • Background: Milnacipran is a balanced serotonin norepinephrine reuptake inhibitor with minimal side effects and broad safety margin. It acts primarily on the descending inhibitory pain pathway in brain and spinal cord. In many animal studies, intrathecal administration of milnacipran is effective in neuropathic pain management. However, there is no study for the neurological safety of milnacipran when it is administered neuraxially. This study examined the neurotoxicity of epidural milnacipran by observing behavioral and sensory-motor changes with histopathological examinations of spinal cords in rats. Methods: Sixty rats were divided into 3 groups, with each group receiving epidural administration of either 0.3 ml (3 mg) of milnacipran (group M, n = 20), 0.3 ml of 40% alcohol (group A, n = 20), or 0.3 ml of normal saline (group S, n = 20). Results: There were no abnormal changes in the behavioral, sensory-motor, or histopathological findings in all rats of groups M and S over a 3-week observation period, whereas all rats in group A had abnormal changes. Conclusions: Based on these findings, the direct epidural administration of milnacipran in rats did not present any evidence of neurotoxicity in behavioral, sensory-motor and histopathological evaluations.

건강증진사업을 위한 보건교육프로그램 개발 : 금연, 절주교육을 중심으로 (Developing Health Education Programs for Health Promotion: Development of a Training Guide on Prevention of Smoking and Excessive Drinking)

  • Bae, Kyunghee;Nam, Jungja
    • 한국보건교육건강증진학회:학술대회논문집
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    • 한국보건교육건강증진학회 2001년도 제4회 국제학술 심포지움
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    • pp.91-111
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    • 2001
  • Background: Alcohol and tobacco use are two major behavioral risk factors implicated in increased morbidity and mortality. Since both substances are widely used in Korea, a concerted effort is currently underway to reduce the use of tobacco and alcohol in Korea. Objectives: Efforts directed toward educating health promotion planners and health educators from local health departments to organize and implement health education programs to reduce the proportion of people smoking and excessive drinking in the community. Methods: A training guide on prevention of smoking and excessive drinking has been developed. Comprehensive multi-media health promotion materials were developed based on health behavior theories and strategies for effective health behavioral interventions. To better control of behavioral risk and promote health enhancement, the materials were developed to introduce a user-oriented developmental approach by making messages more persuasive and organizing content in a user-friendly manner. Sections of the report explain theoretical background of the intervention, choosing goals and a target population, specific program activities to include in an intervention, development, organization, methods of making program content vivid and persuasive, and evaluation,. Implications for Practitioners: The process followed in developing the health intervention materials is described in detail to assist practitioners who need to develop effective programs to reduce the use of tobacco and excessive alcohol. Health educators from all local health departments in the country were trained in the use of the materials, to enable them to develop community interventions to reduce smoking and excessive drinking.

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농촌교육농장 방문자의 행동의도 및 방문태도에 미치는 영향요인 연구 (A Study on the Factors Affecting Visitor's Attitude and Behavioral Intention to Visit Educational Farms)

  • 곽병진;노경수;신호균
    • 농촌계획
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    • 제22권1호
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    • pp.37-48
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    • 2016
  • The purpose of this study is to provide an objective insight for factors that affect people's visiting behavior to educational farms. Second, this study aims to identify the underlying dimensions representing motivations and constraints for visiting educational farms. Third, this study explores differences among the classified groups with respect to structural relationships of each construct. Finally, identifying strategies of educational farm-related organizations could develop to reinforce visit motivations, offset visit constraints and ultimately increase behavioral intention for potential possible visitors to revisit and recommend educational farms. Empirical results of the study suggest implications for promoting the current farm villages and markets with many stakeholders in agricultural industries. Nevertheless, there are some limitations as followed: first, despite the possibility of their effects, the study did not consider other factors, which could affect revisiting behavior such as destination image, experiencing attributes etc. Second, the study needs improvements through longitudinal research because the cross-sectional research could not rule out the alternative explanations. The directions for the future study are as follows: first, future study requires time series approach instead of cross sectional approach. Secondly, future study might utilize comparative study regarding regional characteristics of educational farms or a nation-wide approach. Thirdly, future study can suggest a combined educational farms considering practical educational farm cases. Lastly, it is considered that developing evaluation measures such as quality authentication system will contribute to educational farms' stabilization.