• Child Health Nursing Research
• /
• v.29 no.1
• /
• pp.7-23
• /
• 2023

Purpose: The purpose of this study was to investigate the effect of family-centered interventions on improving health outcomes in children and adolescents with type 1 diabetes mellitus (T1DM). Methods: A literature search was conducted according to the PRISMA guidelines, using six electronic databases: EMBASE, CINAHL, Medline, CENTRAL, Scopus, and Web of Science. The inclusion criteria encompassed studies with populations of children and adolescents (age <18 years) and at least one parent/caregiver, or only parents/caregivers if the children were very young, and studies that investigated the health outcomes of children and parents/caregivers diagnosed with T1DM. Results: From 2,746 published studies, only nine studies met the inclusion criteria. The key interventions were non-technology-based interventions (n=4), technology-based interventions (n=2), and combined technology- and non-technology-based interventions (n=3). The interventions had effects on glycated hemoglobin, adherence to diabetes management, diabetes self-management behaviors, and parent-child teamwork in diabetes management. Other essential effects were children's quality of life, children's problem-solving skills, parents' quality of life, and parents' coping and depression. Conclusion: Family-centered interventions can effectively improve health outcomes in children and adolescents with T1DM. In the future, family-centered interventions integrated with other approaches, theories, and models should be developed to achieve the best possible outcomes.

• Korean Journal of Social Welfare
• /
• v.55
• /
• pp.27-54
• /
• 2003

This study examines the problems of children exposed to family violence. As a result, the children exposed to family violence exhibit various emotional, behavioral and social problems and distorted perceptions and inappropriate reactions toward family violence. Based on these results and existing programs for children exposed family violence, an integrative group program has been devised. The program was applied to two groups of the children and an experimental study was conducted to examine its effectiveness on emotional problems, aggressiveness, social skills and perceptions/reactions toward family violence. As a result, the experimental groups have shown an overall significant improvement in scores on emotional problems, aggressiveness, social skills and perceptions/reactions toward family violence. The study offers the following recommendations for clinical social work practice. First, great efforts to alleviating the problems of children exposed to family violence should be made continually. Second, special attention should be paid to reflect the characteristics of our own culture in clinical social work intervention and to do so, various practical intervention skills suitable to our culture should be developed. Finally, many different intervention models for children exposed family violence should be developed and researches comparing those models should be carried out.

• Journal of Families and Better Life
• /
• v.26 no.6
• /
• pp.209-225
• /
• 2008

This study has been designed to develop integrated supportive service works for the families of disabled children registered in the D-Healthy Family Support Center. The service works are intended to improve family members' health and their growth potentials, and cover service programs of family education, counselling, culture solidarity, and information networks. There are two topics covered in this study; first, this study is to develop integrated supportive service programs for the families of disabled children, and second, the study is also to construct comprehensive strategies and plans for effective services after evaluating practical service programs. In this study, 31 families with one or more disabled children have been selected through stratified random sampling, and all the family members were observed for program effects of integrated service items developed from previously validated indices. For analysis, eight question items were made for interview and each item denotes satisfaction score ranging from 1(very dissatisfied) to 5(very satisfied) on the Likert's five point scale. Mean value of each item was counted after the program, and satisfaction scores were compared over the programs implementation. Overall, the satisfaction scores range 4.1 to 4.6, indicating relatively high satisfaction over most service program. Therefore, it is finally proposed that a longitudinal strategy model offer high quality service programs consistently for the target families, as a goal of achieving comprehensive cooperation and support exchanges between community and healthy family support center be schematized.

• Journal of the Korean Society of Food Culture
• /
• v.34 no.4
• /
• pp.378-388
• /
• 2019

This study aimed to assess the nutritional quality of breakfast among Korean school-aged children and adolescents depending on eating together as a family, based on the 2013-2014 Korea National Health and Nutrition Survey. One day 24-hour recall data of 1,831 children and adolescents aged from 6 to 17 years were collected. The nutritional quality of breakfast was analyzed and compared between Family Breakfast Group (FBG, n=1,410) and Eating-alone Breakfast Group (EBG, n=421). The results showed that age, family structure, number of family members, and frequency of breakfast were associated with eating breakfast as a family. The calorie intake from breakfast explained 19% and 16% of the daily intake for FBG and EBG, respectively. The percentages of children and adolescents consuming Vitamin A, Vitamin $B_1$, Vitamin $B_2$, Vitamin C, Niacin, and Iron less than 1/4 of the Estimated Average Requirements were significantly lower in FBG than in EBG. The average numbers of serving for "Grains" and "Vegetables" food groups and the average Dietary Diversity Score were significantly higher in FBG than in EBG. Overall, the results indicated that eating breakfast as a family is positively associated with nutritional quality of breakfast among Korean school-aged children and adolescents.

• Journal of Family Relations
• /
• v.21 no.4
• /
• pp.27-50
• /
• 2017

Objectives: This study was carried out in order to evaluate the overall process that the caregiving stress of parents of adult children with developmental disabilities affected their life satisfaction through the levels of family resilience, and coping styles on the basis of stress-coping-adaptation model of Lazarus and Folkman(1984). Method: For this purpose, the structured survey was conducted by 394 parents of adult children with developmental disabilities. The data was analysed by AMOS 20.0 version. Results: The findings can be summarized as follows: First, the structural equation model(SEM) analysis was conducted in order to examine the various paths that parents' caregiving stress affected their life satisfaction. The model's goodness-of-fit was fine($x^2=225.20$, df=95, p=000. RMSEA=.06, TLI=.95). There were significant relationships between caregiving stress and family resilience(${\beta}=-.36$, p<.001), emotion-focused coping style(${\beta}=.47$, p<.001), life satisfaction(${\beta}=-.53$, p<.001). Second, family resilience and emotion-focused coping showed mediating effects on the relationship between caregiving stress and life satisfaction. Conclusions: The strategies for enhancing family resilience and social services for applying effective coping methods should be expanded in order to diminish the caregiving stress of parents of adult children with developmental disabilities.

• Korean Journal of Child Studies
• /
• v.28 no.2
• /
• pp.251-265
• /
• 2007

Participants in this study were 1.245 4th and 5th graders and their parents from 8 elementary schools in Seoul, Daejeon, and Pusan. Using the Korean Youth Self-Report (K-YSR), children's behavior problems were measured and assigned to either clinical or normal groups. Between group differences were that the educational level of mothers of internalizing girls was lower than that of normal girls. Girls with internalizing problems had more siblings than normal girls. Parents of both boys and girls with either internalizing or externalizing problems were more rejecting and/or permissive than parents of children without behavior problems. Fathers of children with behavior problems perceived more marital conflicts, while mothers whose children have behavior problems had more negative family-of-origin experiences compared to parents of normal children.

• The Korean Journal of Community Living Science
• /
• v.21 no.3
• /
• pp.299-310
• /
• 2010

The purpose of this study was to develop a scale to assess a Korean home environment for middle childhood children. The subjects were 283 mothers of 6- to 8-year-old children in Korea. The method for data analysis included Mean, SD, $x^2$, Cramer's V, factor analysis, Pearson correlations, and Cronbach's $\alpha$. As a result, 45 items of the scale were found to be satisfactory in terms of item distribution and item discrimination(Cramer's discriminant coefficients ranged from .256-.615). Four factors with 21 items were extracted from the factor analysis. Subscales were 'academic stimulation(9)', 'acceptance(4)', 'child-centered environment(4)', 'basic care for daily routine(4)'. Analysis of the relation of this scale to SES, MC-HOME, and children's developmental functioning(cognitive, language, and social) showed acceptable concurrent validity. Internal consistency of this scale was high, including internal reliability of subscales. These results confirm this scale as a valid and reliable measure of the Korean home environment for middle childhood children.

• Child Health Nursing Research
• /
• v.10 no.3
• /
• pp.300-310
• /
• 2004

Purpose: To compare normal weight children with obese children in terms of family factors, eating habits, and sociocognitive factors. Method: This study compared 217 obese children with 231 normal standard weight children of 4th-6th graders from 7 elementary schools in Kangwon province. The study also surveyed 817 their parents using questionnaires in which familial factors, eating habits, and sociocognitive factors such as dietary self-efficacy, locus of control and self-esteem were included. Result: Obese children had more obese family members, more family members with chronic metabolic disease, and lower breast-feeding rate than normal weight group. Dietary self-efficacy was positively correlated with eating habits and locus of control while no correlation was found with obesity index.. Self-esteem was negatively correlate with obesity index. Both the parents and the childrens eating habits showed significant positive correlation to the obesity index. Conclusion: These results implied familial factors, eating habits, and sociocognitive factors influenced childhood obesity. Thus, further research targeting to positive attitude toward familial dietary practices combined with significant sociocognitive factors, may lead to prevention and effective management of childhood obesity.

• Journal of the Korean Home Economics Association
• /
• v.46 no.1
• /
• pp.117-129
• /
• 2008

In present study, using 1572 low-income families and 266 Head Start teachers from Family and Child Experiences Survey (FACES) in the U.S., we examined the effects of mothers' reading and the characteristics of interaction between teacher-child interaction on 4-and 5-year-olds' cognitive development represented by their verbal and numerical abilities. Frequencies of mothers' reading at home consistently predicted higher scores of children's Peabody Picture Vocabulary Test and Woodcock Johnson Applied Problems. Teachers' sensitivity and permissiveness in their interactions with children in classroom were positively related to children's verbal abilities and teachers' sensitivity predicted better numerical abilities of children after controlling for mothers' reading and the characteristics of family and teacher. The findings shed light on the contributions of teacher behaviors and familial factors to children's cognitive development calling for attention to the need for parent education on cognitively stimulating family environments and continuing education for early childhood teachers focusing on quality interactions with young children.

• Journal of Preventive Medicine and Public Health
• /
• v.13 no.1
• /
• pp.67-75
• /
• 1980

Natural increase rate in population is reached to 1.7% in 1975 fron 2.5% in 1966 because of the effect of Govermental Family Planning Program. The average number of present children and ideal children is just the same, 2.4 people, in this investigation. So, I assume that the number of present and ideal children is approaching each other. The rate of unmarried female workers who don't know even one thing about the know ledge of contraception was 23.9%, and especially that of rural women was 31.5% and 41.3% of them has never experienced contraception. 'Boy-preference' presented 60.1% of unmarried female workers and 79.1% of married women. 'Connection of a family line' related to 'Transfer to next generation of a family line' presented 38.0% and 'Trustworthiness' related to 'Leadership of a family' presented 26.0% (total 64.0%). As this point, Ive can find that this rate reveals the traditional sense of patriarchal system in society and family. The rate of women of experienced artificial abortion has been 52.1% and that of women using it as birth control caused by 'Many children' and 'Short brith-interval' 46.6% of women of experienced pregnancy. So, we can see that artificial abortion is a main cause of Maternal Health destruction.