• Nutrition Research and Practice
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• 제13권5호
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• pp.415-424
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• 2019

BACKGROUND/OBJECTIVES: Existing evidence on lifestyle modification programs for weight loss is limited by the high attrition rate of such programs. Identifying predictors of adherence to a lifestyle modification program could result in program improvement. However, little is known about behavior-specific adherence and its psychological predictors. This study aimed to examine the psychological predictors of adherence after one-month participation in a community-based lifestyle modification program among Chinese overweight and obese adults in Hong Kong. SUBJECTS/METHODS: A total of 205 Chinese overweight and obese adults aged $38.9{\pm}10.5years$ completed the study. Data were collected at baseline and after one month using self-reported questionnaires, which assessed knowledge (self-developed scale), motivation (Treatment Self-Regulation Questionnaire), stage of change (Stage of Exercise Scale) and self-efficacy (Self-Rated Abilities for Health Practices Scale). At one month, a 4-day dietary recall and the International Physical Activity Questionnaire-Short Form were used to assess dietary and physical activity (PA) adherence. Food and PA diaries were examined to indicate self-monitoring. Program attendance was tracked between baseline and one-month follow-up. RESULTS: After one month, participants reported high dietary adherence, attendance, and adherence to self-monitoring but low PA adherence. Multiple regression analyses suggested that diet self-efficacy (baseline) and nutrition knowledge (one-month change) were independent predictors of dietary adherence score at one month, whereas autonomous PA motivation (baseline) and PA self-efficacy (both baseline and one-month change) were independent predictors of PA adherence score at one month. No significant psychological predictor was identified for attendance or self-monitoring. CONCLUSIONS: The results suggest that the effect of psychological factors on adherence differs between diet and PA adherence outcomes. To promote adherence, practitioners should assess self-efficacy, knowledge, and motivation at the beginning of a weight-loss program and explore behavior-specific strategies to improve knowledge and self-efficacy. The results of this study have direct implications for program improvements.

• 한국안전학회지
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• 제33권5호
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• pp.109-119
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• 2018

This study has performed to identify the effect of safety behavior, safety climate and its satisfaction through the Behavior Based Safety Program for 5 sites of the same Company. The study result indicated that the level of recognized safety behavior, climate and its satisfaction improved by conducting observation of worker behavior, jobsite feedback, displaying feedback chart, safety training, behavior modification committee. Additionally, the participation level of safety activity and conformity level of safety rule improved. The recognized level of safety climate improved together with recognized safety value by management, safety participation of direct boss, communication with each other to be dealt with safety matter, safety training material to be contained unsafe behavior and practical hazard, understanding and conducting safety standard. In addition, The recognized level of satisfaction improved together with safety behavior and climate. As a result, this program provided an opportunities to correct worker's unsafe behavior to safe behavior in conjunction with increasing number of observation, providing additional time to have a safety check, safety suggestion to improve work situation and a permit to work rule. It will be integrated into health and safety management system to be able to reduce industrial accident.

• 대한간호학회지
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• 제23권4호
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• pp.694-712
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• 1993

A number of nursing researchers have used the concept of health locus of control over the past decade in Korea. This article reviewed 92 nursing research papers on health locus of control conducted since 1982, and examined type of subjects, design, measurement instruments, the scores of each dimension of the HLOC, and significant variables. Most of the research were correlational in design, used an 18-item 6-point score instrument and studied the relationship between HLOC, health re-lated variables, and cognitive-emotional variables, The health related variables included health behavior, health management, preventive health behavior, compliance to treatment regimen and self care behavior The cognitive-emotional variables included depression, anxiety, stress and self- esteem. Some consistent findings are beginning to emerge. The concept of internal HLOC was positively correlated with the health related variables. But few studies found any significant correlation between powerful others HLOC and health related variables. In the case of chance HLOC, few studies reported a significant relationship. Many of the articles reported significant relationships between internal HLOC and cognitive-emotional variables, but few reported a significant relationship between powerful others or chance HLOC and cognitive -emotional variables. all experimental studies but one found that only internal HLOC was significantly changed following experimental manipulation. When the different groups of subjects such as normal persons, chronic patients, acute patients were compared in terms of mean scores, it was found that the HLOC appeared to change depending on the status of the patients. Recommendations for future research include modification of the instrument to increase the reliability and validity, study about the pattern of response suggested by Wallston and Wallston(1982) and further experimental study on changing the belief of subjects to internal HLOC.

• 대한간호학회지
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• 제37권5호
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• pp.790-800
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• 2007

Purpose: This study was to identify knowledge, perception and health behavior about metabolic syndrome for an at risk group in a rural community area. Methods: A descriptive cross-sectional survey design was used. A total of 575 adults with hypertension, diabetes mellitus, dyslipidemia, and/or abdominal obesity were recruited from 11 rural community health care centers. A questionnaire was developed for this study. Anthropometric measures were measured and blood data was reviewed from the health record. Results: Knowledge about the metabolic syndrome was low as evidenced by only a 47% correct answer rate. Only 9% of the subjects ever heard about the disease, and 87% answered they do not know the disease at all. 87% of the subjects were not performing regular exercise, 31% drank alcohol more than once a month, 12.5% were current smokers, and 33.6% are did not have a regular health check-up. Conclusion: Development of systematic public health care programs are needed to prevent future increases in cardiovascular complications and to decrease health care costs. These might include educational programs for the primary health care provider and an at risk group, a therapeutic lifestyle modification program, and a health screening program to identify potential groups.

• 한국산학기술학회논문지
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• 제18권11호
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• pp.459-468
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• 2017

본 연구는간호대학생의 비만스트레스와 건강신념이 체중조절행위에 미치는 영향을 파악하기 위해 시도되었다. 자료 수집은 2016년 9월 1일부터 10월 10일까지 U시에 소재한 대학교에 재학 중인 간호대학생을 대상으로 설문조사를 실시하였으며, 수집된 자료는 SPSS 23.0프로그램을 이용하여 t-test, ANOVA, Scheffe test, Person's correlation coefficients와 위계적 다중회귀분석(Hierarchical multiple regression analysis)으로 분석하였다. 대상자의 일반적 특성 중 성별(t=2.30, p=.044), 건강상태(F=8.03, p<.001)가 체중조절행위에 유의하게 영향을 주었다. 체중조절행위의 식이요법(r=-.26, p<.001), 운동요법(r=-.25, p<.001)과 행동수정요법(r=-.29, p<.001)이 지각된 장애성과 유의한 음의 상관관계가 있으며, 체중조절행위의 전문지식획득은 비만스트레스(r=.42, p<.001), 지각된 민감성(r=.25, p<.001)과 지각된 유익성(r=.19, p<.001)이 유의한 양의 상관관계가 있는 것으로 나타났다. 또한, 간호대학생의 체중조절행위에 유의한 영향을 준 것은 건강신념 중 지각된 장애(${\beta}=-.30$, p<.001)와 비만스트레스(${\beta}=.20$, p<.05) 순으로 나타났고, 이들 변인들의 총 설명력은 17.2%이었다. 이상의 결과를 토대로 간호대학생의 체중조절행위에 영향을 주는 성별, 건강상태 및 비만스트레스와 건강신념의 변인들을 이용하여 체중조절행위를 실천할 수 있는 효율적인 교육 및 프로그램의 개발과 적용이 요구된다.

• 한국산학기술학회논문지
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• 제19권5호
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• pp.444-450
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• 2018

본 연구는 유방암 환자의 식행동 수정을 위한 영양중재 효과판정을 위해 전문가 설문을 통한 통계분석으로 진행하였다. 연구의 대상은 2015년 12월부터 2016년 5월까지 강남세브란스병원에서 유방절제수술을 받은 30명의 여성 환자였다. 연구방법은 숙련된 임상영양사가 영양중재 전후 식행동 수정 및 체중 변화를 측정하였고, 운동, 음주 및 건강보조식품 복용여부에 대해서도 조사하였다. 연구결과 본 연구대상자의 평균 연령은 $54.3{\pm}9.3$세이었고, 월평균 체중감소율은 $1.4{\pm}3.5%$이었다. 영양중재 전후 식행동 수정변화 점수는 3점 척도로 측정 시 $2.00{\pm}0.45$ 점에서 $2.76{\pm}0.18$ 점으로 유의하게 상승하는 결과를 보였다(p<0.001). 음주를 하는 환자의 비율은 20%에서 영양중재 후 전원 금주하는 효과를 보였고, 운동수행 비율도 53%에서 영양중재 후 97%로 증가하였다. 건강보조식품의 복용 비율은 40%에서 영양중재 후 20%로 감소하는 결과를 보였다. 이상의 결과를 고려해 볼 때, 유방암환자의 영양중재 후 식행동 수정은 추후 유방암의 재발을 방지하는데 매우 중요하다고 사료된다.

• 한국학교보건학회지
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• 제7권1호
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• pp.37-44
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• 1994

This study is designed to shed light on the current status of school health education in Korea and identify its problems. The findings of this study among other things pointed out that health education should be awarded the status on an independent subject in a bid to activate school health education and cope with its problems. Thus for efforts focused on the needs for establishing health education as an independent course as well as for enhancing the awareness of its importance. At this stage further efforts are needed to develop in-depth discussions and add greater variety to the curriculum. Firstly efforts should be made to recognize the health status of students at all levels, i.d., from kindergarten through university. Particulary at this stage when the entire society is going through changes in the types of health problems and disease pattern, the outcome of analyses on the types of health problems and health-related behavior can be used as basic data for framing the contents of school health education. Secondly more active efforts are required to single out the contents of health education and develop health education curricula assessment based on the findings of surveys on that of health education needs. Thirdly the development of school health education curriculum should be accompanied by that of more effective educational methods and materials. In particular, further efforts should be made to develop educational methods designed to make wider use of audio-visual equipments or apply behavior modification techniques so that school health education will be adapted to changed educational environment and the characteristics of health education. Fourthly and most importantly the training and production competent health education teachers is needed. This should be preceded by the amendment of relevant laws and administrative systems.

• 대한간호학회지
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• 제30권2호
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• pp.463-475
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• 2000

The purpose of the study was to identify the effects of inpatient cardiac rehabilitation programs on motivation, the performance of health behavior, and quality of life in patients with coronary artery disease. The subjects consisted of 31 patients who participated in the rehabilitation program during their hospital stay, and were compared with 34 patients who did not participate. The study results are as follows: 1. The mean of cardiac risk factor scores for the subjects was 22.5 (SD = 5.5) at the level of low to moderate risk with some possibility to improve. The physiological and behavioral risk factors for the subjects were also in the normal range or slightly above the normal range. 2. The motivation level to preform health behaviors for both groups was improved after discharge. Also, perceived self-efficacy was significantly higher for the program participants than for the comparison group at the post-test. 3. The performance of cardiac related health behaviors improved for both groups after discharge, but there were no significant differences between the two groups. The program participants reported better performance in most health behaviors at the post-test, but the results failed to reach a statistical significant level. 4. As for motivation and health behavior, the subjects in the both groups showed an improved quality of life after the discharge. In addition, the program participants produced significantly higher scores in health and functioning dimension than the comparison group during the post-test. In conclusion, the study partially supported the effects of the inpatient cardiac rehabilitation program to motivate and improve the quality of life, and provide the need to apply early rehabilitation interventions for the patients after cardiac events. Further study with a longitudinal design is also suggested to verify the effect of cardiac rehabilitation program from hospitalization to discharge and subsequently to fully recover to the level of pre-hospitalized state.

• 보건교육건강증진학회지
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• 제17권2호
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• pp.219-228
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• 2000

The fundamental hypothesis of health promotion is that the modification of behavior to better fit practices associated with health will in fact increase health and longevity. Therefore, it is in general said that the most important thing to health promotion is the practice of health education which can result in the change of human behaviors. The National Health Promotion Fund is the financial resource of health promotion programs in Korea. The budget for health education of the fund accounted for 0.58 billion won out of the health promotion budget, 29.5 billion won in 1998. It has been the smallest out of 4 categories of health promotion programs from 1998 to 2000. What is worse, only 0.26 billion won was spent on health education in fact. It was less than a half of the budget for health education. In addition to it, the budget for the development of health education material was 0.17 billion won in 1998. But it was not spent on the project at all. And the project of educational material development got no budget in 1999. The Korean health promotion needs to enlarge the portion of community health education services drastically in order to attain the proper behavioral change of the people in the future.

• Nutritional Sciences
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• 제4권1호
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• pp.39-46
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• 2001

The effects of a four-week weight control program including nutrition, exercise, behavior modification and meditation were studied in 15 obese children who resided in the Chuncheon area. There were no differences in anthropometric value, health perception, self-esteem and nutrition knowledge before and after the nutrition education program. Food behavior significantly improved after the program, especially in the area of binge eating (p〈0.05). Consumption of ramyon and fried chicken significantly decreased (p〈0.05). These results showed that short-term nutrition education programs did not do enough to change the anthroppometric value of study subject. These results suggest that it is necessary to include parents in nutrition education programs for greater effectiveness. And there is a need to develop an apply systematic nutrition education programs to reduce the weight of obese children.