• Title/Summary/Keyword: Children Model

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Structural Equation Model of Health-Related Quality of Life in School Age Children with Asthma (학령기 천식 아동의 건강관련 삶의 질 구조모형)

  • Kim, Yunsoo;Park, Ho Ran
    • Journal of Korean Academy of Nursing
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    • v.48 no.1
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    • pp.96-108
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    • 2018
  • Purpose: This study aimed to construct and test a hypothetical model of the quality of life of school-age children with asthma based on the health-related quality of life model by Wilson and Cleary. Methods: Data were collected from 205 pairs of pediatric outpatients diagnosed with asthma and their parents in Seoul and Gyeonggi-do from July 2016 to April 2017. The exogenous variables were asthma knowledge, number of accompanying allergic diseases, and social support. The endogenous variables were asthma self-efficacy, asthma symptom control, perceived health status, parental quality of life, and children's quality of life. For data analysis, descriptive statistics, factor analysis, and structural equation modeling were performed. Results: Eighteen of the twenty-four hypotheses selected for the hypothetical model were attentive and supported statistically. Quality of life was explained by asthma self-efficacy, asthma symptom control, perceived health, parental quality of life, and asthma knowledge with 83.5%. Conclusion: Strategies for promoting self-efficacy and enforcing asthma knowledge will be helpful for the improvement of health-related quality of life with school-aged asthmatic children.

A Structural Equation Model for Happiness in Mothers with Young Children (영유아기 자녀를 둔 어머니의 행복감 구조모형)

  • Yeom, Mijung;Yang, Soo
    • Journal of Korean Academy of Nursing
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    • v.49 no.3
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    • pp.241-253
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    • 2019
  • Purpose: This study aimed to develop and test a model of the happiness of mothers with young children based on the stress-coping-adaptation model of Lazarus and Folkman. Methods: The data collection period was from May to July 2016. A self-report questionnaire was used to collect data from 210 mothers with children under 5 years of age living in Seoul, Gyeonggi, and Gangwon provinces. The exogenous variable was parenting stress, and the endogenous variables were parenting alliance, depression, optimism, ways of coping, and happiness. Data from 201 questionnaires were analyzed using the SPSS 22.0 and AMOS 20.0 programs. Data analyses included descriptive statistics, factor analysis, and structural equation modeling. Results: The final modified model showed a reasonable fit to the data, and out of 25 paths, 13 were statistically significant. This model explained 78.4% of the variance in the happiness of mothers with young children and confirmed that depression, optimism, parenting alliance, and social support-focused coping have a direct effect on the subject's happiness. Parenting stress also influenced happiness through parenting alliance, depression, and optimism. Conclusion: In order to bolster the happiness of mothers with young children, positive psychological interventions that can minimize psychological vulnerabilities, such as depression, and that can enhance their strengths, such as optimism, may serve as effective ways of coping with and adapting to stress.

Application of Program Theory and Logic Model to Evaluate Immunization Disparity Program for Children under 3 Years

  • Chung, Jee In
    • Health Policy and Management
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    • v.32 no.3
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    • pp.272-281
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    • 2022
  • With the outbreak of coronavirus disease 2019 (COVID-19) pandemic, health policymakers are adopting new policies regarding the issue of immunization disparities, especially for children in low-income communities of color who lack awareness and thereby access to vaccines. The purpose of this paper is to propose an evaluation framework using program theory-based evaluation approach and logic model to analyze and evaluate the immunization disparities in children aged 19-35 months. Data is collected from New York City department of Health and the U.S. Census Bureau for Northern Manhattan Start Right Coalition program which consists of 19,800 children, and the community-provider partnership includes 26 practices and 20 groups. Program theory is used to evaluate this community-based initiative with the logic model which is a visual depiction that illustrations the program theory to all stakeholders. The logic model highlights the resources, activities, outputs, outcomes, and impacts of the program to guide to planners and evaluators and to call attention to the inadequacies or flaws in the operational, implementation and service delivery process of the program in offering a new perspective on the program. This framework adds to the literature on evaluations of immunization disparities in determining whether evaluators can definitively attribute positive immunization outcomes in the community to the program and conclude whether it has potential in expanding or duplicating it to other similar settings, especially in other rural areas of the United States, and abroad, where routine immunization equity gaps are wide due to income, racial and ethnic diversity, and language barrier.

Relevant Variables of Children's Self-Esteem: Analysis of the Causal Model (아동의 자아존중감 관련변인의 인과모형 분석)

  • Kim, Moon Hae;Kang, Moon Hee
    • Korean Journal of Child Studies
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    • v.20 no.4
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    • pp.195-211
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    • 1999
  • This study investigated developmental trends and sex differences in the relation between children's self-esteem and relevant variables by proposing and testing the causal model. The 763 children who participated in the study were 3rd, 5th, and 7th grade students. Major findings were that physical appearance was the most powerful determinant of self-esteem. Students with high self-esteem were more learning oriented, used more motivational behaviors and had higher academic achievement. The findings from this analysis of the causal model revealed remarkable developmental differentiation and stability.

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Children of Divorced Families (이혼 가족 아동)

  • Park, Kyung-Ja;Choi, Hye-Yeong;Han, Jun-Ah
    • Korean Journal of Child Studies
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    • v.30 no.6
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    • pp.323-336
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    • 2009
  • There has been a significant increase in the number of divorced families during the past 10 years in Korea. Divorce imposes a great impact on their children as well as divorcees. As many as 1.41 million children under 20 years-old have experienced their parents' divorce in past 10 years. Children are faced with much difficulty in adjustment after the parental divorce. Issues of the research and policy on the divorced family are discussed in this study. For future studies, a longitudinal research model, father-custody and grandparent-custody families, custody parents's gender, a theoretical model for Korean divorced families should be considered. New legislations have been recently enacted to enhance children's well-being, but further efforts such as the involvement of child development specialists in the divorce process should be followed in the pursuit of the best interest of the children.

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Sex differences of children's facial expression discrimination based on two-dimensional model of emotion (정서의 이차원모델에서 아동의 얼굴표정 변별에서 성 차이)

  • Shin, Young-Suk
    • Korean Journal of Cognitive Science
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    • v.21 no.1
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    • pp.127-143
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    • 2010
  • This study explores children's sex differences of emotion discrimination from facial expressions based on two dimensional model of emotion. The study group consisted of 92 children, of 40, 52, and 64 months of age, and the rate of male and female children was male children (50%) and female children (50%). Children of 92 were required to choose facial expressions related the twelve emotion terms. Facial expressions applied for experiment are used the photographs rated the degree of expression in each of the two dimensions (pleasure-displeasure dimension and arousal-sleep dimension) on a nine-point scale from 54 university students. The experimental findings appeared that the sex differences were distinctly the arousal-sleep dimension than the pleasure-displeasure dimension. In the arousal-sleep dimensionoussleepness, anger, comfort, and loneliness' emotions showed large sex differences over 1 value. Especially, while male children showed high arousal more than female children in the emotions like 'sleepiness, anger and loneliness', female children showed high arousal more than male children in 'comfort' emotion.

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The Longitudinal Mediating Role of Peer Attachment in the Relationship between Affective School Environment and Children's Sense of Community (심리적 학교환경특성과 아동의 공동체의식 간의 관계: 아동의 또래애착의 종단매개효과)

  • Hwajin Lee;Jiyoung Lim
    • Human Ecology Research
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    • v.62 no.2
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    • pp.249-259
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    • 2024
  • The purpose of this study was to identify the longitudinal mediating effects of peer attachment on the relationship between psychological school environment and children's sense of community. Data on 1,088 children were obtained from the 10th, 11th, and 13th Panel Study on Korean Children in the 3rd 4th, and 6th grades. The data were analyzed using descriptive statistics, Cronbach's α, Pearson's correlation, a latent growth model, and a multivariate latent growth model. All analyses were conducted in SPSS 25.0 and AMOS 23.0. The principal results were as follows. First, children's peer attachment gradually decreased over time. Moreover, individual differences existed in the initial values and rates of change. Second, the psychological school environment in the 3rd grade positively influenced children's initial peer attachment, which then exerted a positive impact on children's sense of community in the 6th grade. Second, the psychological school environment in the 3rd grade negatively influenced children's rates of change, which also exerted a positive impact on children's sense of community in the 6th grade. Finally, the initial value and rates of change of peer attachment were significant mediating effects of the relationship between the psychological school environment in the 3rd grade and children's sense of community in the 6th grade. The findings highlight the necessity of creating a psychological school environment that develops peer attachment and a sense of community among children.

Factors Determining Children's Private Health Insurance Enrolment and Healthcare Utilization Patterns: Evidence From the 2008 to 2011 Health Panel Data

  • Shin, Jawoon;Lee, Tae-Jin;Cho, Sung-il;Choe, Seung Ah
    • Journal of Preventive Medicine and Public Health
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    • v.48 no.6
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    • pp.319-329
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    • 2015
  • Objectives: Parental socioeconomic status (SES) exerts a substantial influence on children's health. The purpose of this study was to examine factors determining children's private health insurance (PHI) enrolment and children's healthcare utilization according to PHI coverage. Methods: Korea Health Panel data from 2011 (n=3085) was used to explore the factors determining PHI enrolment in children younger than 15 years of age. A logit model contained health status and SES variables for both children and parents. A fixed effects model identified factors influencing healthcare utilization in children aged 10 years or younger, using 2008 to 2011 panel data (n=9084). Results: The factors determining children's PHI enrolment included children's age and sex and parents' educational status, employment status, and household income quintile. PHI exerted a significant effect on outpatient cost, inpatient cost, and number of admissions. Number of outpatient visits and total length of stay were not affected by PHI status. The interaction between PHI and age group increased outpatient cost significantly. Conclusions: Children's PHI enrolment was influenced by parents' SES, while healthcare utilization was affected by health and disability status. Therefore, the results of this study suggest disparities in healthcare utilization according to PHI enrollment.

A Comprehensive Model for Identification of Underachieved Gifted Children in Elementary Schools (복합판별 과정에 의한 초등학교에서의 미성취 영재 판별)

  • Pahk, So-Young;Lee, Jin-Hee
    • Journal of Gifted/Talented Education
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    • v.17 no.2
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    • pp.251-279
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    • 2007
  • The purpose of this study was to develop a comprehensive model to identify underachieved gifted children in elementary schools by utilizing multiple methods. From March 1st, 2006 through September 30th, 2006, we developed and applied a 6-step comprehensive identification model for underachieved gifted children by examining 1980 children attending S elementary school located in Daegu Metropolitan City, starting from the first step of teacher nomination to the last step of committee's final decision. As a result, 4 students were identified as underachieved gifted children. For comprehensive and appropriate identification, we adopted, adjusted, or developed several standardized tests, teacher nomination form, parental questionnaire, self-report checklist, and school achievement tests, which were fine-tuned in the application process of this identification model. Based on this study, we suggest that a comprehensive identification model for underachieved gifted children in public elementary schools consist of 6 steps: a) teacher nomination, b) simplified standardized testing, c) student's self-report, d) multiple standardized tests, e) qualitative analysis, and f) a committee decision for the final identification.

A Study on the Evacuation Model Considering Occupancy Load in Child Care Center with Disabilities (장애아전문 어린이집 재실자 피난 부하를 고려한 피난 모델 연구)

  • Lee, Jeong-Soo;Oh, Young-Sook;Kwon, Yong-Won
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.1
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    • pp.553-561
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    • 2021
  • The purposes of this study are to propose evacuation recommendations through evacuation model considering occupancy load model in child care center with disabilities. To achieve these purposes, the survey on the occupancy load and egress model and evacuation experiments have carried out, and evacuation occupancy load model for child care center with disabilities are suggested. The results of this study are as follows : (1) The evacuation plan for children with disabilities are necessary special considerations according the type and levels of disability, and various egress means and method for children in child care center with disabilities conditions. (2) The evacuation occupancy loads are different with non-impaired children and evacuation occupancy loads and evacuation corridors width are necessary considering impaired children's evacuation behaviors. (3) The temporal evacuation area(refuge area) is essential for children with disability who are impossible vertical evacuation such as impaired children using wheelchair and cerebral palsy.