• Journal of Hospice and Palliative Care
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• v.24 no.3
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• pp.144-153
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• 2021

Purpose: Advance care planning (ACP) is widely understood to improve end-of-life care. This systematic review and meta-analysis aimed to examine the effects of ACP interventions on decision conflict and psychological distress. Methods: A search of PubMed, CINAHL, CENTRAL, EMBASE, KISS, KoreaMed, and RISS was conducted in November 2020. The study included randomized controlled trials. Data were pooled using fixed- and random-effects models. Results: Fourteen studies were identified that cumulatively included 1,548 participants. ACP interventions were effective in alleviating decision conflict (d=-0.53; 95% CI: -0.83 to -0.23), depression (d=-1.22; 95% CI: -1.71 to -0.74) and anxiety (d=-0.76; 95% CI: -1.12 to -0.39). Conclusion: ACP interventions have significant positive effects on reducing decision conflict and psychological distress. A high level of bias was shown related to allocation concealment and blinding. The results of this study are expected to be useful for end-of-life care providers to improve the effectiveness of ACP interventions.

• Korean Journal of Childcare and Education
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• v.10 no.1
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• pp.81-94
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• 2014

This study is intended to identify the motivations for seeking child care credentials through online education and factors influencing the career decision-making. The study was conducted among students taking child care courses online, and data was analyzed through t-test, F-test, Scheffe posteriori test, and hierarchical regression analysis. The findings are as follows. 1) Motivation for seeking the credentials varied depending on background variable. Livelihood was a stronger motivation for low-income group than higher come group. Self-realization desire was a stronger motivation for the group with low education level than the group with higher education level. 2) Age affected the participants' career decision-making. The younger they were, the more dependent they were on other people's advice. 3) Different variables influenced the students' rational, intuitional, and dependent career-decision making. Factors influencing their rational career decision-making were age, motivation to acquire the credentials for making a living, and motivation for building a better future. For intuitional career decision-making, age affected the decision. For dependent career decision-making, motivation to seek credentials for making a living was an influencing variable.

• The Journal of the Korea Contents Association
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• v.18 no.9
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• pp.454-467
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• 2018

The purpose of this study is to analyze the level of consumers' right and responsibilities consciousness, and to analyze the difference of decision - making behaviors according to type of consumers' rights and responsibility consciousness level. The data collection subjects were those who had made the decision to purchase insurance directly within the last three years. A total of 1,225 data were used for the final analysis in this study. As a result, the consumer's sense of responsibility was lower than that of the rights consciousness, and the consumer group with the responsibility consciousness corresponding to the right consciousness was making more rational and subjective decisions. Based on these results, it is confirmed that consumer education that emphasizes responsibility consciousness corresponding to right consciousness is necessary for desirable and subjective decision making of insurance consumers. This study is meaningful in that it provides basic data for contents development to raise the awareness of rights and responsibilities of insurance consumers who can solve consumer problems.

• Journal of Family Resource Management and Policy Review
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• v.15 no.4
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• pp.169-188
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• 2011

The primary focus of this study was on the issues associated with family and economic decision-making, in particular for the elderlyhood which might have to (or could be) share the family resources. This study regarded willingness to consider applying for Reverse Mortgage as an economic decision-making. The data was collected by interviewing 320 persons (over age 55) living in metropolitan areas in 2008. We selected 227 cases to find the influence of family, having both spouse and adult-children. We have used a theory of Planned Behavior by Fishbein to analysis three research questions. The results are as follows : first, the results partially explain willingness to consider applying for reverse mortgage using Fishbein's theory. Second, several results indicated that economic decision-makings within the family are influenced by several factors relating to other family member's view. They means that some of Subjective Norm variables, of Attitude Behavior ones, and of Perceived Behavior Control ones. Third, the result shows men and women respond differently to consider to applying for that policy. Men are conscious of the other people, i.e., friends, relatives except close family members, and, on the other hand, women are mindful of close family members, i.e., adult children. Forth, the group who have lower income showed higher intentions to consider that policy, when they have adult-children. Fifth, according to age group, pre-elderly group are influenced by consent of adult-children, a level of education, and on the other hand, elderly group are influenced by the other people, i.e., friends, relatives, a level of education, and so on. These results meaned that these distinct characteristics should be considered to establish Income Security policy for the pre-elderly and the elderly.

• Journal of Korean Society of Industrial and Systems Engineering
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• v.45 no.4
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• pp.109-117
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• 2022

Most of real-world decision-making processes are used to optimize problems with many objectives of conflicting. Since the betterment of some objectives requires the sacrifice of other objectives, different objectives may not be optimized simultaneously. Consequently, Pareto solution can be considered as candidates of a solution with respect to a multi-objective optimization (MOP). Such problem involves two main procedures: finding Pareto solutions and choosing one solution among them. So-called multi-objective genetic algorithms have been proved to be effective for finding many Pareto solutions. In this study, we suggest a fitness evaluation method based on the achievement level up to the target value to improve the solution search performance by the multi-objective genetic algorithm. Using numerical examples and benchmark problems, we compare the proposed method, which considers the achievement level, with conventional Pareto ranking methods. Based on the comparison, it is verified that the proposed method can generate a highly convergent and diverse solution set. Most of the existing multi-objective genetic algorithms mainly focus on finding solutions, however the ultimate aim of MOP is not to find the entire set of Pareto solutions, but to choose one solution among many obtained solutions. We further propose an interactive decision-making process based on a visualized trade-off analysis that incorporates the satisfaction of the decision maker. The findings of the study will serve as a reference to build a multi-objective decision-making support system.

• The Journal of the Korea Contents Association
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• v.17 no.9
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• pp.575-586
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• 2017

The purpose of this study was to examine the effect of career barriers and social support on the career decision making self-efficacy. It was established the study modeling which shows the moderation effect of social support in the relationship between career barriers and career decision making self-efficacy. The questionnaire has carried out for 307university students. The research findings were follow: There are significant differences in career decision making self-efficacy to sex. but there are non significant differences in career decision making self-efficacy to grade and affiliation. Career barriers has significant influenced on the career decision making self-efficacy. The more they had career barriers, the less they had career decision making self-efficacy. And there exist significant moderating effect of social support. The higher level of social support, the more the effects of career barriers on career decision making self-efficacy.

• Physical Therapy Korea
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• v.27 no.1
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• pp.53-62
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• 2020

Background: Pregnancy-related low back pain (PLBP) has fewer systematic guidelines than pregnancy-related pelvic girdle pain, previous studies have not evaluated physical therapy for this ailment in Korea. Objects: We aimed to provide a detailed account of clinical decision making by Korean physiotherapists while treating PLBP. Methods: In total, 955 questionnaires were distributed mainly in places of continuing education held by the Korean Physical Therapy Association from April to July 2019. The same questionnaire was posted on a website used by physiotherapists. We collected subject information, a specific Vignette typically represent symptoms of PLBP, and responses to multiple questions about decision making, subjective recognition and interest level in the field of women's health physiotherapy (WHPT). Results: The overall response rate was 56% (n = 537); of these, responses to 520 questionnaires were analyzed. Most respondents chose various combinations of physical therapy methods. There were significant differences in subjective recognition levels of WHPT according to gender (p < 0.05), age (p < 0.01), education level (p < 0.01), and clinical experience (p < 0.05). There were significant differences in interest according to gender (p < 0.01) and education level (p < 0.01). With respect to the types of treatment, significant differences were noted in selective rates for "manual therapy", "pain control", and "supportive devices" based on gender. Manual therapy tended to be chosen more with increasing age and clinical experience. With increased education level, there were fewer choices for the use of pain control. Conclusion: This is the first data on how Korean physiotherapists manage PLBP patients using the vignette method. We were able to recognize the Korean physical therapist's decision on PLBP patients, and observed statistically significant correlations. This may aid in developing future research and education plans in the WHPT field.

• Journal of Korean Society of Transportation
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• v.26 no.4
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• pp.173-184
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• 2008

Development of an accident estimation model based on accident data can be made after accident occurrences. However, the taking of historical accident data is not easy, and there have been differences between real accident data and police-reported accident data. Also, another difficult shortcoming is that historical traffic accident data better consider driver behavior or intersection characteristics. A new method needs to be developed that can predict accident occurrences for traffic safety improvement in black spots. Traffic conflict decision techniques can acquire and analyze data in time and space, requiring less data collection through investigation. However, there are shortcomings: as existing traffic conflict techniques do not operate automatically, the analyst's opinion could easily affect the study results. Also, existing methods do not consider the severity of traffic conflicts. In this study, the authors presented traffic conflict decision criteria which consider conflict severity, including opposing left turn traffic conflict and cross traffic conflict decision criteria. In order to test these criteria, the authors acquired three signalized intersection images (two intersections in Sungnam city and one intersection in Paju) and analyzed the acquired images using image processing techniques based on individual vehicle tracking technology. Within the analyzed images, level 1 conflicts occurred 343 times over three intersections. Some of these traffic conflicts resulted in level 3 conflict situations. Level 3 traffic conflicts occurred 25 times. From the study results, the authors found that traffic conflict decision techniques can be an alternative to evaluate traffic safety in black spots.

• 한국노년학
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• v.38 no.2
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• pp.351-364
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• 2018

The purpose of this study is to learn about the decision factors affecting utilization of elderly welfare center of the elderly living in Gimpo city. The reason of the study is that the elderly welfare center as a provider of general welfare services could not only thinking about the state policy but also need to consider about the inherent role and function of the elderly. Especially for these elders living in rural areas, although the number of elderly welfare centers of the whole country has greatly increased in last 10 years, the effect and function of the facility are almost the same and they are still lack of leisure activities. This issue become a serious problem nowadays. For the above reasons, this article conducts a social survey of 360 elderly people over the age of 65 who lives in the Gimpo city which is a rural-urban type city. The research method is to examine the relationship between the predisposing factors, enabling factors and need factors of Andersen's behavior model with binary logistic regression analysis and the decision tree analysis. The result of binary logistic regression shows the most of factors of Andersen's model is significant. The factors of age, gender, education level in predisposing factors; monthly income in enabling factors and the reserve for old life, the preparation of economic activity for old life in need factors are significant. Then the result of decision tree analysis shows the interaction between factors; when the education level in predisposing factors is higher, the possibility of using of elderly welfare center becomes bigger. Also as the level of healthy promoting preparation in the need factors gets lower, the possibility of using of elderly welfare center still becomes bigger. Although differences were found in the interpretation of the results of regression analysis and decision tree analysis, the results of this study can still provide support for the necessity of elderly welfare centers providing integrated welfare services.

• Journal of Korean Home Economics Education Association
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• v.12 no.2
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• pp.107-122
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• 2000

The purposes of this study were to investigate the decision making process & preference for imported products and to suggest the systematic education programs for adolescent consumers. The data for this research were attained from 426 middle & high school students in Pohang. The data were analyzed by frequency distribution. mean standard deviation analysis of variance t-test, χ(sup)2-test and Pearson’s correlation with SAS program. The results of this study were as follows: 1. preference for imported products was significantly different according to sex, amount of pocket money, region. T.V advertising, friends and the attitude of their mothers. 2. Decision making process was composed of 4 dimensions in this study; information sources criteria for products problem experience of consumption and type of problem solving. In case of information sources there was a signifiant difference according to sex. grade level of parents’education. Criteria for products were significantly different according to sex grade. level of father’s education type of father’s job amount of pocket money and how they gained their pocket money. Consumption problem experience & type of problem solving were significantly different according to sex and grade. 3. Preference for imported products was significantly different according to criteria for products and consumption problem experience out of adecision making process.