• 대한간호
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• 제29권3호
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• pp.49-63
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• 1990

This article reviewed & analyzed 33 studies of the Health Belief Model applied to korean chronic ill patients which were published from 1975 to 1990. The findings of analysis are as follows. The subjects of researchs are patients with various chronic illness including Pulmonary Tb., DM., Hemodialysis & Kindney Transplantation, Hypertension, etc. The type of research is retrospective survey in all studies. The measurement of health' belief in all studies & sick role behavior in most studies have relied on self report. The analysis of the relationship between health belief and sick role behavior was done using correlation coefficient in most studies. To analyze empirical support for the relatiohship between health belief and sick role behavior, Significance ratio was computed. This ratio is value wherein the number of statistically significant findings with relationship in the expected direction for an HBM dimension are divided by total number of studies which reported significance levels for that dimension. Examination of this ratio across the 33 studies reveals susceptibility(30.3%), severity(34.4%), benifit(65.6%), barrier(50%). The following suggestions are based on the above findings and literature review. 1. It is necessary to develop the reliable, valid and standadized instrument for measurement of health beliefs. 2. In the further 'measurement of perceived susceptibility of the chronic ill patients, It is considering that the perceived susceptibility and perceived severity are measured together or the measurement of perceived, susceptibility is eliminated. 3. Relationship between perceived severity and sick role behavior is suggested to be analized using ANOV A, $x^2$ square instead of correlation coefficient. 4. Sick role behaviors should be measured by both self report and objective measurement. 5. Prospective, longitudinal survey should be needed. 6. Other factors influencing sick role behaviors of chronic ill patients should be investigated further.

• 근관절건강학회지
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• 제5권2호
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• pp.174-190
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• 1998

Osteoporosis has been known as a common complication of rheumatoid arthritis and a major preventable health problem. Lots of studios have demonstrated that changes in life style can help delay or prevent osteoporosis. Therefore nursing intervention related osteoporosis prevention have consisted of education programs aimed at changing dietary and exercise habit. However knowledge gained from education haven't always leaded to behavior change. Therefore it is important to consider other psychological variables in effecting behavior change. Numerous research have found self efficacy and health belief to be an important factor in individual decision making behavior. The purpose of the study was to develop health belief and efficacy expectation promoting program based on Health Belief Model & Self Efficacy Model and to investigate its effects in women with rheumatoid arthritis. For this purpose, one group pretest-post design was used. The subject of the study were 16 women with rheumatoid arthritis in Pusan city and data collection was carried out from April, 1997 to May, 1998. The intervention program was consisted of educating on osteoporosis and enhancing and reinforcing self efficacy by verbal persuasion during the period of 4 weeks. The instruments were used to collect data in this study were Osteoporosis Health Belief Scale, Osteoporosis Self Efficacy Scale, and Osteoporosis Preventive Behavior Scale. Data was analyzed by Wilcoxon signed rank test using SPSS $PC^+$ program. The results are as follows : 1) The behavior should be increased after intervention was supported(Z=-3.5162, p=.0004, diet : Z=-3.2942, p=.0010, exercise). 2) The sub-hypothesis that perceived sensitivity should be increased after intervention was supported (Z=-2.3854, p=.0171). 3) The sub-hypothesis that perceived severity should be increased after intervention was rejected(Z=-1.4327, p=.1520). 4) The sub-hypothesis that perceived benefit should be increased after intervention was supported(Z=-2.6410, p=.0083). 5) The sub-hypothesis that perceived barrier should be decreased after intervention was supported (Z=-2.4138, p=.0158). 6) The sub-hypothesis that efficacy expectation should be increased after intervention was supported(Z=-3.5162, p=.0004). As a conclusion, it was found that health belief and self efficacy promoting program was an effective nursing intervention for preventing osteoporosis of rheumatoid arthritis.

• 한국응용과학기술학회지
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• 제35권3호
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• pp.587-594
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• 2018

본 연구의 목적은 치과종사자의 손씻기에 대한 건강신념과 손씻기 수행도 간의 관련성을 파악하여 평가하는 것이다. 본 연구는 치과의원, 치과대학병원에서 근무하는 140명의 치과종사자를 대상으로 구조화된 설문지를 사용하여 자가보고식으로 작성하도록 하였다. 모든 자료는 통계분석은 t검정, 일원분산 분석, Pearson 상관계수분석으로 통계처리 하였다. 손씻기 수행도는 손씻기에 대한 건강신념과 r=0.285로 양의 상관관계를 보였다(p<0.01). 치과의원, 치과대학병원에서 근무하는 치과종사자의 병원감염 예방을 실천하기 위해서는 감염관리 교육 시 지각된 민감성, 지각된 심각성, 지각된 유익성, 지각된 장애성, 수행을 위한 동기로 구성된 손씻기에 대한 건강신념을 고려하고, 지속적인 손씻기 교육을 시행한다면 치과종사자의 손씻기 수행도도 증가할 것으로 사료된다.

• 보건교육건강증진학회지
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• 제28권2호
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• pp.87-97
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• 2011

Objectives: The objective of this study is to analyze factors affecting intention to use a paid health promotion service by using the health belief model. Methods: A self-administered survey was conducted with 276 health check-up participants aged ${\geq}20$ at a local medical center in Korea from November 8 to November 24, 2010. Results: 53.6% of the respondents had intention to use a paid health promotion service, and around 85% of them were willing to pay for 'less than five thousand won per month'. Factors affecting the intention to use paid the service was age, education, income, and health check-up experience. In terms of health belief model constructs, people had greater intention to use a paid the service when they perceived to be sensitive to lifestyle associated diseases and recognized advantages of health promotion services. Conclusions: Approximately half of the respondents had intention to use a paid health promotion service. Reasonable price for the service was less than five thousand Korean won per month. Health promotion service act and services should consider these findings.

• 한국체육학회지인문사회과학편
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• 제58권1호
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• pp.295-308
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• 2019

본 연구는 청소년의 비만율이 증가하는 현 상황에서 건강신념모형을 적용하여 청소년 비만예방척도를 개발하고 선행연구에서 구축된 통합적 타당도의 틀로 분석하고 근거를 제시하고자 하였다. 이 연구에서는 Messick(1995)의 통합적 타당도, Benson(1998)의 강력한 구인타당도 프로그램 틀, Wolfe와 Smith(2007a, 2007b)가 제안한 Rasch 모형의 통합적 타당도 구현방안을 종합적으로 반영할 수 있도록 개발된 통합적 타당도 분석 틀(서은철, 2015)을 수정하여, 실제영역의 3단계를 분석하여 건강신념모형을 적용한 청소년 비만예방척도의 타당도 증거를 제시하였다. 연구대상은 서울-경기지역 12개 고등학교에서 1801명을 표집하였으며, 통합적 타당도 분석 틀의 적용을 위해 표본1에 902명(남:464명, 여:438명)과 표본2에 899명(남:464명, 여:435명)으로 무선 분류하였다. 자료처리는 SPSS 23.0과 WINSTEPS 4.30(Linacre, 2018)을 사용하였다. 연구결과 실제영역 1단계에서 개발된 청소년 비만예방척도는 5영역(민감성, 심각성, 유익성, 장애성, 건강동기) 33문항이었다. 2단계에서는 자료의 적합성(일차원성 검증, global fit statistic)을 확인, Rasch 모형의 문항적합도 검증에서 2개 문항이 삭제되었다. 3단계에서는 Rasch 부분점수모형을 적용하여 단계 조정값에 문제가 있는 3개 문항이 삭제되었다.

• Korean Journal of Health Education and Promotion
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• 제2권1호
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• pp.1-19
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• 2000

With rapid economic development, the emphasis of the public health movement in Korea has shifted towards addressing the burden of chronic disease. With this shift in direction comes a greater focus on health behaviour and the need for planning models to assist in lifestyle modification programs. The Health Belief Model (HBM), which originated in the US, has generated more research than any other theoretical approach to describe and predict the health behaviour of individuals. In recent years it has been applied in many different cultures and modifications have been suggested to accommodate different cultures. Given the centrality of language and culture, any attempts to use models of health behaviour developed in a different culture, must be studied and tested for local applicability. The paper reviews the applicability and suitability of the HBM in Korea, in the context of the Korean language and culture. The HBM has been used in Korea for almost three decades. The predictability of the HBM has varied in Korean studies as in other cultures. Overall, this literature review indicates that the HBM has been found applicable in predicting health and illness behaviours by Korean people. However if the HBM is used in a Korean context, the acquisition of health knowledge is an important consideration. Most new knowledge in the health sciences is originally published in English and less frequently in another foreign language. Most health knowledge in Korea is acquired through the media or from health professionals and its acquisition often involves translation from the original. The selection of articles for translation and the accuracy of translation into language acceptable in the Korean culture become important determinants of health knowledge. As such translation becomes an important part of the context of the HBM. In this paper modifications to the HBM are suggested to accommodate the issues of language and knowledge in Korea.

• Asian Pacific Journal of Cancer Prevention
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• 제17권8호
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• pp.3721-3725
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• 2016

The liver fluke Opisthorchis viverrini is a serious health problem in Thailand. Infection is associated with cholangiocarcinoma (CCA), endemic among human populations in northeast and north Thailand where raw fish containing fluke metacercariae are frequently consumed. Recently, Thailand public health authorities have been organized to reduce morbidity and mortality particularly in the northeast through O. viverrini and CCA screening projects. Health modification is one of activities included in this campaign, but systemic guidelines of modifying and developing health behavior among liver fluke and CCA prevention in communities towards health belief and social support theory are still various and unclear. Here we review the guidelines for modifying and developing health behavior among populations in rural communities to strengthen understanding regarding perceived susceptibility, severity, benefits, and barriers to liver fluke and CCA prevention. This model may be useful for public health officers and related organizations to further health behavior change in endemic areas.

• 한국치위생학회지
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• 제14권4호
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• pp.463-470
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• 2014

Objectives : The purpose of this study was to investigate the association factors of infection control practice based on health belief model in the dental hygienists in dental clinics. Methods : A self-reported questionnaire was filled out by 278 dental hygienists in 160 dental clinics in Gwangju by a proportional stratified sampling method from September 13 to October 7, 2013. Data were analyzed by t-test, ANOVA, correlation analysis, and multiple regression analysis using SPSS version 12.0. Results : In multiple regression analysis, practice scores were significantly higher in aged dental hygienists and those who took infectious disease history from the patients before treatment. With regard to health belief model, perceived barrier was negatively associated with the practice(${\beta}$=-.16, p<.001), importance of infection control in hand hygiene(${\beta}$=.14, p=.026), and use of personal protective equipment(${\beta}$=.17, p=.043). The intention of action was positively associated with the practice(${\beta}$=.13, p=.002). Conclusions : This study will provide the basic evidence for the quality improvement of infection control and prevention. So the dental hygienists will be able to put into practice in infection control management.

• 보건교육건강증진학회지
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• 제28권3호
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• pp.83-98
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• 2011

Objectives: This study aims to assess the stages of individual readiness to take the cancer screening test and to identify factors relating to the progress of their readiness to take the test. Methods: We analyzed the data acquired from our 'Cancer Screening Behavior among Korean Adults' Survey' in 2003. 1,057 participants' stages of readiness to take the cancer screening test were classified through the Precaution Adoption Process Model (PAPM). Their knowledge, beliefs and other factors related to cancer screening were examined at each PAPM stage through the Health Belief Model (HBM), and the various PAPM stages were compared with each other to identify factors likely to determine progress between stages. Results: The distribution of the PAPM stages of readiness for cancer screening was as follows: 18.9% were unaware; 9.7% were unengaged; 29.8% were deciding to take the test; 1.5% decided not to take the test; 11.6% decided to take the test, while 28.6% had taken the test. The factors likely to determine progress from one to another stage were 'Knowledge', 'Perceived susceptibility', 'Perceived benefits', 'Perceived barriers' and 'Family member's experience of cancer screening'. Conclusions: This study can be used to develop health promotion programs that enhance cancer screening behavior in Korea.

• 성인간호학회지
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• 제16권1호
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• pp.72-81
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• 2004

Purpose: The purpose of this study was to examine factors related to different stages of mammography screening based on the transtheoretical model (TTM) and health belief model (HBM). Method: 143 women were recruited from community centers in W city. The mean age was 44.08 (SD=7.78) and 74 (51.7%) had experienced education on preventative behavior related to breast cancer. The Decisional Balance Scale (Pros and Cons of mammography) and Stages of Adoption of Mammography Scale by Rakowski et al. (1992) and the revised Health Belief Model Scale (Perceived Seriousness, Perceived Susceptibility and Health Motivation) by Champion (1993) were used. Result: According to the stage of adoption of mammography, 17.4% of the women were In pre-contemplation, 45.5% in contemplation, 24.5% in action, and 12.6% in maintenance. The mean differences for pros, and the decisional balances between the stages of mammography adoption were significant (F=8.84, p=.000; F=7.20, p=.000). Education related to prevention of breast cancer was the most important variable. Prevention education, history of breast disease and pros of mammography explained the stages of mammography adoption ($R^{2}=26%$). Conclusion: Findings support TTM as a useful tool for improving mammography adherence. Behavioral interventions that target decisional balance and health belief can effectively promote adherence to mammography.