• Title/Summary/Keyword: Health Promotion Theory

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Effects of an Educational Intervention Based on the Protection Motivation Theory and Implementation Intentions on First and Second Pap Test Practice in Iran

  • Dehdari, Tahereh;Hassani, Laleh;Hajizadeh, Ebrahim;Shojaeizadeh, Davoud;Nedjat, Saharnaz;Abedini, Mehrandokht
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.17
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    • pp.7257-7261
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    • 2014
  • Background: Few Iranian women take the Papanicolaou test despite its important role in preventing cervical cancer. This study aimed to determine the effectiveness of an educational intervention based on the protection motivation theory (PMT) variables and implementation intentions in the first and second Pap test practice among Iranian women. Materials and Methods: In this quasi-randomized controlled trial, 200 women who were referred to 30 primary health care clinics in Tehran were randomly selected. PMT variables and Pap test practice were measured at baseline and again after 3 and 15 months. The 4-week educational intervention program was conducted for the intervention group. Results: Following the intervention, the mean scores of self-efficacy, perceived vulnerability, and behavior intention variables were significantly higher in the intervention group when compared to the control group (p<0.05). No significant differences were found in the perceived severity, response efficacy, response cost, and fear between the two groups following the intervention. Higher percent of women in the intervention group had obtained first and second Pap test compared to the controls. Conclusions: The PMT and implementation intentions provide a suitable theory-based framework for developing educational interventions regarding Pap test practice in Iran.

A Study on Rousseau's Health Theory and Health education in $\mathbb{\ulcorner}$Emil$\mathbb{\lrcorner}$ (루소의 건강관에 대한 현대적 고찰 -$\mathbb{\ulcorner}$Emil$\mathbb{\lrcorner}$을 중심으로-)

  • 반덕진
    • Korean Journal of Health Education and Promotion
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    • v.16 no.1
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    • pp.187-201
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    • 1999
  • A purpose of this study is to provide Rousseau's health theory and health education in 『Emil』. Though Rousseau was not so much a doctor as a philosopher, he was good at health care and health education. After he had thought over healthy children for 20 years, he had written 『Emil』 for 3 years. His health theory was included in the book. He was aware of the importance of mother's milk, clothes, and physical health. Especially, he told mothers to rear a child at the breast. He understood thoroughly the demerits of medicines, and made no account of doctors and medicines. But on the other hand, He emphasized natural healing power in human body. He thought that one oneself was a physician. He thought highly of inner healing. He thought that only hygiene of medicine was useful to mankind. He prescribed that hygiene was a kind of ethics education. Therefore, his hygiene was associated with mental health and moral evaluation. Because many years have passed, today we can not accept all his assertions. But we need to stress preventive medicines, spontaneous healing, and self-care in health education.

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Predicting Exercise Behavior in Female Workers: An Application of the Theory of Planned Behavior (계획된 행동이론을 적용한 사업장 여성근로자의 운동실천 차이 분석)

  • Bae, Sang-Soo;Lee, Hoon-Jae;Lee, Chang-Ok;Joe, Hee-Suk
    • Korean Journal of Health Education and Promotion
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    • v.20 no.1
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    • pp.173-186
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    • 2003
  • The objectives of this study were to verify the determinants of regular exercise behavior in female workers by applying a modified Theory of Planned Behavior. The variables investigated for this study were health status, health concern, health habit, attitude (7 items), subjective norm (3 items), and perceived behavioral control(5 items). Data was collected from 204 female workers using a self-administered questionnaire. The results of this study were as follows. 1) Regular exercise behavior was significantly influenced by perceived behavior control for time, pleasurable attitude, and the subjective norm of their colleagues. 2) A modified Theory of Planned Behavior is particularly useful in explaining exercise behavior of female workers. We suggest that health care providers should focus on not only attitude and social norms but also perceived behavioral control in order to improve the exercise behavior of female workers.

Effects of an Efficacy Expectation Promotion Program on Self-Efficacy, Health Promotion Behavior and Quality of Life for Rural Middle Age Women (효능기대증진프로그램이 자기효능감.건강증진행위.삶의 질에 미치는 효과 -농촌 중년여성을 중심으로-)

  • Kang, Na-Yon;Kim, Jin-Soon
    • Journal of Korean Academy of Rural Health Nursing
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    • v.3 no.1
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    • pp.15-23
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    • 2008
  • Purpose: This study was done to examine the effects of a Program Promoting Efficacy Expectation, as to whether the program improved self-efficacy, health promotion behavior and quality of life for rural middle-aged women. The program was based on Bandura's self-efficacy theory and Pender's health promoting behavior theory. Method: The research design was a quasi experimental, nonequivalent control group pretest-posttest design. Data were collected from August 25 to December 7, 2000. The participants were 40 to 59 year old women who resided on Je-ju island. Among the 83 participants, 43 were assigned to experimental group and the rest to the control group. Results: The level of self efficacy and the degree of health promoting behavior of participants in the experimental group was higher than those in the control group (t=12.82, p=0.0001; t=14.13, p=0.0001). Also, the level of quality of life in the experimental group was higher than that of the control group (t=12.02, p=0.0001). Conclusion: The Efficacy Expectation Promotion Program was an effective nursing intervention for improving self-efficacy, health promotion behavior and quality of life. Therefore, when nurses are planning programs directed at improving health promotion behavior in rural middle aged women, they should consider the concept of self-efficacy.

Experiences of the Elderly with Chronic Diseases in a Health Management Program (만성질환 노인의 건강관리 프로그램 참여 경험)

  • Kim, Jeong-Soo
    • Korean Journal of Health Education and Promotion
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    • v.28 no.3
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    • pp.17-29
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    • 2011
  • Objectives: This study was to explore how elderly with chronic disease in a health management program managed their health and to describe their health management strategies. Methods: The data were collected through in-depth interviews, with a purposeful sample of twelve in an urban community. The collected information was analyzed through grounded theory approaches by Strauss and Corbin. Results: Though open coding process, 35 concepts, 17 subcategories, 8 categories were identified. As for the participation experience process, four stages had surfaced, namely, 'Perception of chronic disease', 'Concerned about health', 'Developing life pattern', 'Restoring health'. These processes were within 'Restoring Health Equilibrium', core category. Consequently, the participants revealed in restoring relationship-oriented life and settling in family-focused life. Conclusions: These findings have implications for the understanding of health promotion for the elderly with chronic diseases and contributing to make a basic data for developing elderly health management program.

The Effect of Work-site Health Promotion Program on Health Promoting Behavior, Cholesterol, and the Quality of Life of Middle-aged Workers (산업장 건강증진프로그램이 중년기 근로자의 건강증진행위, 콜레스테롤치 및 삶의 질에 미치는 영향)

  • Park, Jeong-Sook;Park, Kyung-Min
    • Korean Journal of Adult Nursing
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    • v.14 no.2
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    • pp.194-204
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    • 2002
  • Purpose: This study is aimed at showing the effect of work-site health promotion programs for health promoting behavior, cholesterol, and quality of life of middle-aged workers. Method: Thirty-one middle-aged workers were the experimental group and thirty-one were the control group. The 8-week work-site health promotion program was given to the experimental group. After this, health promoting behavior, cholesterol and quality of life were measured by questionnaires for the experimental and control groups. Health promotion theory, flexibility and muscle strength, aerobic exercise, nutrition, stress management, cancer prevention and early detection, smoking and alcohol problems, and summary lecture were all included in the 8-week work-site health promotion program. Health promoting behavior was measured by Park's HPBS, cholesterol was measured by enzyme method, and quality of life was measured by Ro's QOL. Result: The experimental group showed a higher score of health promoting behavior than the control group. There were no differences on cholesterol and quality of life between the experimental and control groups. Conclusion: It is necessary that nurses provide middle-aged workers with work-site health promotion programs to improve health promoting behavior. It's necessary also to re-study this with the pre-post research design.

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A Study on Recognizing Value and Belief of Health with aged (노인이 인지하고 있는 건강의 가치신념에 관한 연구)

  • Shin, Dong-Sun;Hong, Chun-Sil
    • Research in Community and Public Health Nursing
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    • v.7 no.1
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    • pp.38-51
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    • 1996
  • There is a increasingly growing emphasis on health promotion, disease prevention and optimum functioning for peaple including the chronically ill and disabled. According as the purpose of the nursing is the promotion of health, the value and belief of heal th within the nursing paradigm need to be defined in every culture. The paradigm components must be explored for meaning given by the aged in their traditional thought and philosophy, The problem addressed by this qualitative study was how the aged recognize value and belief of health, which contribute to the development of Korean nursing theory. Theoretical support for the study was from Leininger's cultural care theory and Korean philosophy and traditional oriented thought. Literature review refers to literature on the aged, health of the aged, and definition and meaning of general health concept. Grounded theory methodology guied the research methodology and analysis to build a substantive theory. The informants were 119 from a variety of social levels and family patterns; traditionally the aged are responsible for the health. The concentrated interviewing period was from may to june, 1995 ; the interviews were done by the researcher with two supporter and most were recorded on audio tape. Result from analysis of base datas follows; The value and belief of health that emerged from the categories and properties were the physical stability, the stability of mind, the stability of mind and body, the smoothness (harmony) of body function, the family concord, and the perfection of self. These values and beliefs of health are affected by the cosmic dual forces thought is based on the Great Absolute, family principle of confucian scholar, and Buddism. Among the values and beliefs of health, family concord is found out Korean culture peculiarities. These values and beliefs are all integrated into the idea of health. The study provided implications for nursing theory research, education, and practice change and development.

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Health Promotion in Canada (캐나다의 건강증진)

  • George, Anne
    • Proceedings of The Korean Society of Health Promotion Conference
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    • 2001.09a
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    • pp.81-89
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    • 2001
  • Canada has a rich history in the theory and development of the field of health promotion. Over 25 years ago, in 1974, the Canadian government produced the first government policy document that identified health promotion as a national strategy. The document, which came from the national Health Minister, was entitled A New Perspective on the Health of Canadians (Lalonde, 1974).

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Assessment of Questionnaire of Physical Activity at Workplace Based on the Social Cognitive Theory (PAWPQ-SCT): A Psychometric Study in Iranian Gas Refinery Workers

  • Kamel Ghobadi;AhmadAli Eslami;Asiyeh Pirzadeh;Seyed Mohammad Mazloomi;Fatemeh Hosseini
    • Safety and Health at Work
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    • v.14 no.4
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    • pp.358-367
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    • 2023
  • Background: This study aimed to develop and assess the psychometric features of the Physical Activity at Workplace Questionnaire (PAWPQ) based on the Social Cognitive Theory (SCT) to evaluate employees' physical activity (PA) behaviors at the workplace. Methods: This psychometric cross-sectional study was conducted on 455 employees working in one of the gas refineries in Iran. The participants were selected using the proportional stratified sampling method in 2019. The data collection tools were a demographic information questionnaire, the short form of the International Physical Activity Questionnaire (IPAQ), and a questionnaire developed based on the SCT, whose psychometric features were confirmed in terms of validity and reliability. Data were analyzed using SPSS22 and AMOS20 software. Results: The first version of PAWPQ-SCT had 74 items. After evaluating content and face validity, nine items were removed. The results of the content validity index (0.98), content validity ratio (0.86), and impact score (3.62) were acceptable for the whole instrument. In exploratory factor analysis, after removing seven items-58-item final version of the scale-six factors could explain 73.54% of the total variance. The results of structural equation modeling showed the acceptable fit of the model into the data (RMSEA = 0.052, CFI = 0.917, NFI = 0.878, TLI = 0.905, IFI = 0.917, CMIN/DF = 2.818). Cronbach's alpha coefficient and Intraclass Correlation were 0.90 and 0.86, respectively. Conclusion: This study confirmed that the psychometric features of the 58-item final version of PAWPQSCT constructs were acceptable in a sample of Iranian employees. This questionnaire can be used as a valid and reliable tool to evaluate Iranian employees' PA behaviors and develop effective educational interventions for workers and managers.

Customer's Intention to Use Hospital-based Health Promotion Services (병원건강증진서비스에 대한 의료소비자의 이용의도)

  • Hahm, Myung-Il;Kang, Myung-Geun;Park, Choon-Sun;Cho, Woo-Hyun
    • Journal of Preventive Medicine and Public Health
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    • v.36 no.2
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    • pp.108-116
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    • 2003
  • Objective : To determine the relationships between customer's attitude, the subjective norm and the intention to use hospital-based health promotion services. Methods : This study was based on the theory of reasoned action, suggested by Fishbein and Ajzen. The subjects of this study were 501 residents of Seoul, Bun-dang, Il-san and Pyung-chon city, under 65 years, who were stratified by sex and age. A covariance structural analysis was used to identify the structural relationships between attitude towards health promotion programs or services, their subjective norm and their intention to use the aforementioned services. Results : The subjective norm for using the health promotion programs or services provided by hospitals was a significant predictor of the intention to use, but the attitude towards the services was not significant Conclusions : Our results suggest that a customer's reference group affects their use of the hospital-based health promotion services. Because the subjects of this study were restricted to specific urban areas, there are limitations to generalizing the study results. Despite the limitations of these results, they can serve as baseline information for the understanding of consumers behavior toward hospital-based health promotion services.