• Korean Journal of Health Education and Promotion
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• v.30 no.1
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• pp.27-39
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• 2013

Objectives: The purpose of the study was to test a model of physical activity of elderly living in Korea, determine significant factors contributing the physical activity, and examine significant paths in the model. Methods: A cross-sectional study was conducted using a convenience sample of 207 elderly men and women, aged 60 and older, residing in Busan Metropolitan City. Data were collected from July to August 2009 and analyzed using Predictive Analytics Software (PASW) and Analysis of a Moment Structures (AMOS). Results: The fitness of the modified model was confirmed to be appropriate (${\chi}^2$ = 55.61, ${\chi}^2$/df = 1.32, p = .078, RMSEA = .04, GFI = .96, AGFI = .91, NFI = .90, NNFI = .94, CFI = .97, PNFI = .48). The elder's age, previous exercise behavior, and self-efficacy were significant in explaining the variance in their physical activity. We found that (a) perceived health status, perceived benefits, perceived barriers, and social support directly affected self-efficacy; (b) previous exercise behavior and perceived health status directly affected perceived benefits; (c) previous exercise behavior directly affected perceived barriers; and (d) and education level, extent of pocket money, and economic level directly affected social support. Conclusions: The younger the age, the more previous exercise experience, and the higher the self-efficacy, the more S. Korean elders demonstrated improved physical activity.

• Journal of muscle and joint health
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• v.23 no.2
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• pp.71-83
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• 2016

Purpose: The purpose of this study was to assess the effects of an exercise program developed for women of old-old age in senior citizen halls on the basis of Pender's health promotion model. Methods: A non-equivalent control group pretest-posttest design was used in this study. The experimental group participated in the exercise program for 60 minutes per day, three times a week for 12 weeks. Data were analyzed by SPSS/WIN 18.0. Results: After the program, there were significant differences in perceived barriers to exercise, exercise self-efficacy, exercise social support, exercise behavior, physical fitness, perceived health status, and depression between two groups. However, no significant difference was observed in the perceived benefits to exercise between two groups. Conclusion: The exercise program of this study was useful to enhance exercise self-efficacy, exercise social support, exercise behavior, physical fitness, and perceived health status and to reduce the perceived barriers to exercise and depression of women of old-old age. Therefore, we recommend this exercise program for the elderly care.

• Korean Journal of Adult Nursing
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• v.14 no.3
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• pp.348-358
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• 2002

Purpose: The purpose of this study was to identify the factors influencing regular exercise of the elderly in discriminating regular exercise and non - regular exercise groups. Method: The subjects of this study were 167 elderly over the age of 60, living in a rural city in Korea. The data was collected by interview and self report questionnaire in 1999. The Cronbach 's alpha of scales used this study were .66 ~.97. Result: 1. There were significant differences in doing regular exercise between the perceived importance of the health(p=021), the perceived health status(p=.050), the perceived need of the exercise(p=000), the perceived importance of the exercise(p=.000), the intent of participation in the exercise program(p=.000), IADL score(p=.022), the perceived benefits of exercise (p=.000), the emotion of exercise(p=.000), HPLP(p=.000), the self efficacy(p=.001), the perceived benefits of health promoting behaviors(p= .011), the perceived barriers of the health promoting behaviors(p=.002), and the Internal locus of control(p=.021) of the elderly. 2. Variables which showed significance for discriminating regular exercise of the elderly in this study were the perceived need of the exercise(p=.000) and the perceived benefits of the exercise(p=.000). By using the combination of these variables, the possibility of proper prediction for predicting regular exercise group was 84.8 %, non - regular exercise group was 93.9%, and total Hit ratio was 89.4%. Conclusion: To improve exercise behavior in older adults, health care providers should focus of developing interventions to strengthen the perceived benefits, the perceived needs of the exercise.

• Journal of muscle and joint health
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• v.7 no.1
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• pp.102-130
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• 2000

The aims of this study were to understand and to predict the determinant factors affecting the exercise behaviors and physical fitness by testing the Ponder's health promotion model, and to help the patients with rheumatoid arthritis and osteoarthritis perform the continuous exercise program, and to help them maximize the physical effect such as muscle strength. endurance, and fuctional status and mental effects including self efficacy and quality of life, and improve the physical and mental wellbeing, and to provide a basis for the nursing intervention strategies. We analyzed the clinical records of 208 patients with rheumatoid arthritis and degenerative arthritis who visited the outpatient clinics at H university hospital in Seoul between October 5, 1999 and October 24, 1999. Data were composed of self reported questionnaire and good of fitness score which were obtained by pedalling the ergometer of bicycle for 9 minutes. SPSS Win 8.0 and Window LISREL 8.12a were used for statistical analysis. 24 Of 54 hypothetical paths were supported in modified model, which was considered as a proper model with improved fit index. The physical fitness was directly influenced by exercise participation behavior and education level, and indirectly by physical fitness, while fatigue, physical disability, pastexercise behavior, life-style, self-efficacy, which explained 20% of physical fitness. The exercise participation were directly influenced by perceived benefits and self-efficacy, and indirectly influenced by life-style, fatigue and physical disability, and directly and indirectly by past exercise behavior, which explained 53% of exercise participation. Exercise score were directly affected by perceived health status, perceived benefits, self efficacy, and past exercise behavior, and were indirectly affected by fatigue, physical disability, and life-style, which explained 50%. Perceived health status were directly influeced by level of education, depression, sleep disorder, and physical disability, which explained 34% of perceived health status. Perceived benefit was directly influenced by fatigue, sleep disorder, physical disability, and life-style, which explained 45%. Perceived barriers was directly influenced by fatigue, sleep disorder, and lifestyle, which explained 9%. Self- efficacy was directly influenced by fatigue, physical disability, past exercise behavior, and level of education, which explained 61%. In conclusion, important variables for physical fitness were exercise participation and level of education, and variables affecting exercise participation were perceived self-efficacy, benefits, and past exercise behavior. Perceived self-efficacy of exercise was a significant predictor of exercise participation. Life-style, fatigue, and physical disability showed direct effects on perceived benefit, perceived barriers, and self-efficacy, and indirect effects on exercise behavior. Therefore, disease related factor should be minimized for physical performance and well being in nursing intervention for patients with rheumatoid arthritis, and plans to promote and continue exercise should be soaked to reduce disability. In addition, Exercise program should be planned and performed by the exact evaluation of exercise according to the ability of the patients and the contents to improve the importance of exercise and self efficacy in self control program, dedicated educational program should be involved.

• The Journal of Korean Society for School & Community Health Education
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• v.4
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• pp.21-41
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• 2003

The purposes of this study were to ; first, investigate High School Teachers health promotion behavior types; second, explore the effects High School Teachers perceived benefits and perceived barriers have on their health promotion behavior ; third, suggest a desirable course that will increase teachers health. To this end, this researcher conducted a survey on health promotion behavior, perceived benefits, and perceived barriers to 329 High School teachers working in Goyang-si, Gyonggi-do. The results of the survey are as follows: Health Promotion Behavior A closer look at high school teachers health promotion behavior shows that male teachers, compared with female teachers, more actively promote their health. However, female teachers are more aware of their personal hygiene and disease risks. Older teachers, rather than younger teachers, are more willing to promote their health through better eating habits and more frequent exercise. A comparison between married and single teachers revealed that married teachers promote their health through better eating habits, and single teachers receive less stress and are better at managing their stress. Teachers working in technical high schools are better at managing their stress and personal hygiene than academic high schools teachers. Teachers working after 8 o'clock show better health promotion behavior through proper eating habits, stress management, regular exercise, disease prevention: however, teachers working before 7:30 are poor at managing their stress. Teachers not teaching supplementary lessons and not supervising night self-study are better at managing their stress, exercise schedule, and disease prevention than teachers who are. Perceived Benefits, Perceived Barriers, and Health Promotion Behavior A Comparison between male and female teachers shows that female teachers firmly believe improved eating habits and regular exercises would greatly enhance their health. However, female teachers felt more discomfort in their working environment and in utilizing medical institutes. Teachers in the 20s and 40s perceived health benefits through regular lifestyle and exercise. Teachers with less experience feel more pressure from their work environment. Teachers below their 30s feel more dissatisfaction towards using medical facilities. Teachers working in Technical High Schools are more aware of promoting their health through regular health checkups, exercise, and lifestyle ; however, teachers from Academic High Schools feel more pressure from their work environment. Teachers not performing supplementary lessons and supervising night self-study sessions are more willing to go through regular health checkups than those performing them. Also, teachers with supplementary lessons and night self-study supervisions claimed lack of leisure time, pressure from work environment, and inconvenience in using medical facilities a deterrent to promoting their health behavior. The Relationship between Health Promotion Behavior, Perceived Benefits, and Perceived Barriers The correlation ratio between Health Promotion Behavior and Perceived Benefits shows a positive relationship. The results show that High School teachers believed regular health checkups are necessary in maintaining their health. This research shows that teachers consider the following factors important in the order shown ; regular lifestyle and exercise, prevention of geriatric diseases, improving ones eating habits. In short, teachers who are more aware of the importance of regular health checkups are also more aware of the importance of promoting their health. The correlation ratio between Health Promotion Behavior and Perceived Barriers shows negative relationship. High School Teachers believe that lack of leisure activity, pressure from work environment, familys financial burden, fear of diseases, inconvenience in using medical facilities are a deterrent in promoting their health behavior. In other words, teachers with less leisure time and negative pressures from their work environment were less active in promoting their health behavior. This study shows that High School teachers will be able to promote their health behavior by maintaining regular health checkups, lifestyle, exercise, and preventing geriatric diseases. However, teachers believed that insufficient leisure time and negative pressure from their work environment acted as a deterrent to maintaining their health behavior. Most High School teachers believe they are at present healthy, and they were actively engaged in Preventative Health Promotion. The result of this study demonstrates that External factors have a large impact on teachers, which in turn acts negatively on their Health Promotion Behavior. In order to guarantee teachers health promotion behavior, systematic health checkups and increased leisure time, improvement in their work environment are necessary. Teachers also need to take a more active interest in their health.

• Women's Health Nursing
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• v.11 no.1
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• pp.52-57
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• 2005

Purpose: This study was to examine the relationships between knowledge about osteoporosis and cognitive factors in middle-aged women. Method: The subjects were 293 middle-aged women. Data collection was performed by using a questionnaire that included an Osteoporosis Knowledge Test, Osteoporosis Self-Efficacy Scale and Osteoporosis Health Belief Scale developed by Kim, Horan & Gendler(1991). Data was analyzed using the SPSS Win 10.0 program for descriptive statistics, and the Pearson correlation coefficient. Result: The mean osteoporosis knowledge was 14.0. The subscale means of osteoporosis health belief variables were: susceptibility 15.9, seriousness 17.2, benefits of exercise 22.9, benefits of calcium 21.4, barriers to exercise 20.9, barriers to calcium 22.5, and health motivation 18.6. The mean osteoporosis self-efficacy was 39.3 with a moderate score. There were significantly positive correlations among knowledge about osteoporosis, health belief, and self-efficacy about osteoporosis. Conclusion: Osteoporosis knowledge, health belief, and osteoporosis self-efficacy are related. Therefore, knowledge through education is an important factor in behavioral changes and it contributes to increase the health belief and self-efficacy of osteoporosis.

• Research in Community and Public Health Nursing
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• v.32 no.3
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• pp.344-355
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• 2021

Purpose: With low birth rates and aging population problems in Korea, the number of foreign workers grows rapidly. The purpose of this study was to identify factors influencing physical activity of foreign workers based on a Health Promotion Model by examining relationships between acculturation, perceived benefits, perceived barriers, exercise self-efficacy, activity-related affect, social support, and physical activity. Methods: The participants were foreign workers aged 18 to 60 who were employed at eight shipyards. A questionnaire was distributed to 216 participants. Results: As a result of the multivariate ordinal logistic regression analysis, factors affecting physical activity of foreign workers were perceived benefits (B=.65, 95% CI=0.08~1.22), exercise self-efficacy (B=.16, 95% CI=0.05~0.26), integration (B=.41 95% CI=0.14~0.69), and social support for physical activity (B=.48, 95% CI=0.12~0.83). The total explanatory power was 17.7% (x²=41.95, p<.001). Conclusion: Based on these results, there is a need to develop a customized program to increase physical activities of foreign workers by enhancing integration, perceived benefits, exercise self-efficacy and social support.

• Journal of Korean Biological Nursing Science
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• v.14 no.2
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• pp.112-121
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• 2012

Purpose: The purpose of this study was to investigate the level of self management behavior of patients with type 2 diabetes and to compare the factors influencing self management behavior between the elderly and adults. Methods: The participants consisted of 105 adults and 100 elderly who visited the outpatient department of a hospital from August to December 2011. Data was collected by questionnaires and analyzed using the SPSS/WIN 18.0. Results: The elderly showed higher mean scores of subcategory of self management behavior than adults. In stepwise multiple regression analysis, a total of 42% (adults), 52% (elderly) respectively of variance in self management behavior were accounted for by self-efficacy, perceived barriers, perceived benefits, yes or no smoking and regular exercise in adults and readiness, self efficacy, perceived benefits in the elderly. Conclusion: Therefore, a diabetics intervention program should be designed and provided as a tailored one for adults and elderly separately in Korea. In the strategy for adults with type 2 diabetes in the promotion of self efficacy, perceived benefits and reduction of perceived barriers, and correction of life habits such as smoking and exercise are needed, whereas in the elderly promotion of readiness, self efficacy, perceived benefits are required.

• Nutrition Research and Practice
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• v.5 no.4
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• pp.337-348
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• 2011

Weight reduction behavior is common among adolescent girls. The present study examined the status of weight reduction behavior and factors affecting the behavioral intention of weight reduction using the Health Belief Model (HBM) for female middle school students by weight category. Survey data was collected from three girl's middle schools in Gyeongju, Korea. A total of 299 female middle school students participated in this study. The questionnaire had questions about general characteristics, weight reduction behavior, and variables of HBM (perceived threat, perceived benefits, perceived barriers, cues to action, self-efficacy in dietary life and exercise, and behavioral intention of weight reduction). Descriptive statistics, Chi-square tests, ANOVA, and multiple regression analysis were applied to analyze the variables. A higher percentage of students in the overweight group attempted weight reduction than those in the underweight and the normal weight groups (P < 0.001). Among students who had attempted weight reduction, 73% tried diet therapy, while 78% tried exercise. Students in the normal and overweight groups showed significantly higher threat (P < 0.01) and cues to action (P < 0.001) than those in the underweight group. As for perceived benefits, barriers, and self-efficacy in dietary life and exercise, there were no significant differences among weight groups. Students in the overweight group showed the strongest intention of weight reduction and there were significant differences among the three weight groups (P < 0.001). Perceive threat (P < 0.01), cues to action (P < 0.001), and perceived self-efficacy (P < 0.01) were significantly associated to behavioral intention of weight reduction for all respondents. For the underweight group, perceived threat (P < 0.05) and perceived self-efficacy (P < 0.01) were the significant variables. For the overweight group, cue to action was the significant variable (P < 0.05).

• Korean Journal of Occupational Health Nursing
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• v.6 no.2
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• pp.96-109
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• 1997

The purpose of this study was to identify the major factors affecting performance in health promoting behavior. The subjects for this study were 414 workers employed in one transportation manufacturing plant in Pusan and were obtained by a convenience sample. Data were collected from November 11th to December 21th, 1996 by structured questionnaires. Collected data were analyzed by SPSS PC. The results of this study are as follows. 1. The average score of performance in the health promoting behavior was 2.42 ; the range of the score was from 1.44 to 3.71. The variable with the highest degree of performance was self-actualization, whereas the one with the lowest degree was exercise. 2. In the relationships between demographic variables and performance in the health promoting behavior, only the shift system showed statistically significant differences in the total of health promoting behavior ; especially the group of no shift operation was higher in the performance of subscale such as exercise, nutrition, interpersonal support than that of the shift operation. Some demographic variables showed significant differences in the subscale of the health promoting behavior ; age, worker's career and marital status. 3. Performance in the health promoting behavior was significantly correlated with perceived health status, health conception, self-efficacy, perceived benefits and perceived barriers. 4. The most important factor that affects performance in the health promoting behavior was self-efficacy. The combination of self-efficacy, perceived benefits, perceived health status, perceived barriers, shift system and department of work accounted for 31.05% of the variance in health promoting behavior.