• Korean Journal of Health Education and Promotion
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• v.8 no.2
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• pp.1-5
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• 1991

Definition of health education can be various depending on historical background and individual point of view. In the industrialized era when health promotion is given a high priority in health activities, health education could be defined as a combination of planned learning experiences and social actions, which expand health knowledge and experiences of individuals and communities in order to meet their health needs, change harmful health behaviors to be desirable for health promotion and motivate them to do that. To realize the proposed definition of health education, health education should develop new policies in harmony with health promotion, facilitate the development of human resources, reflect the modern educational technology, strengthen multisectoral approach, and pay more attention to monitoring and evaluation. To fulfill the above mentioned role, health education approach should shift foci from diseases to health orientation, from individualistic health behavior modification to a systematic change of the general public, from medical domination to recognition of lay competence and from authoritarian health education to supportive health education.

• Journal of Korean Academy of Nursing
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• v.27 no.2
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• pp.315-328
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• 1997

The purpose of this study was to explore the process of smoking behavior of college women with a history of smoking. The subject were 48 female students selected by theoretical sampling from a womens' university in Korea. The data were collected by in-depth interviews using audiotape recordings done over a period of seven months. The data were analyzed simultaneously by a constant comparative method in which new data were continuously coded into categories and properties according to strauss and corbin's methodology. Analysis of the data resulted in identification of 15 categories representing 34 concepts. The results of this study were as follows : 1. Smoking in college women is caused by either curiosity or antagonism toward male smokers 2. The meaning(phenomena) of smoking behavior in college women is justifiable or regretable 3. Smoking occurs in connection with eating, during period of psychological conflict or as an habitual practice 4. Smoking behavior is related to the perception of harmfulness to health, influence of others and the accessability of cigarettes. 5. College women experinced a change in their state of health, emotional relaxation, change in their social relationships It is suggested that the results of this study may contribute to the development of strategies for the purpose of decreasing smoking behavior among female college students.

• Korean Journal of Health Education and Promotion
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• v.21 no.3
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• pp.195-211
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• 2004

Stress is a primary health promotion issue in worksite research because psychological distress is closely related not only to workers' health status but also to their job performance. This study identified the significant health behaviors affecting workers' job-related stress in Korean manufacturing industry with the national survey data conducted by the Korean Occupational Safety and Health Agency in 2003. A total of 7,818 factory workers in 1,562 manufacturing companies participated in the Korean nation-wide occupational health survey and 3,390 workers answered that they had any stressors in their workplace among the 7,818 workers finally participated in the analysis. Participants were selected by the stratified proportional sampling process by manufacturing industry classification, company size, and company locations (8 metropolitan and 8 non-metropolitan regions) in Korea. Trained interviewers visited the target companies and interviewed the factory workers randomly selected in each company. Smoking, drinking, weight control, exercise, sleeping, break time at work, and perceived fatigue were included in the health behavior construct. Stress symptoms was consisted of physical and psychological stress with 8 items. All survey responses were anonymously coded into the SPSS statistical program and testified using stepwise multiple regression analysis. Male workers were 73.5% and the 30s were 40.0% among the age groups. The married and the high school graduate were majority with 52.1% and 61.8% each. Current smokers were 44.7% and More than 50% of the participants drank alcohol sometimes. No exercise group was 59.3% and the participants who dissatisfied with their daily sleeping hours were 43.5%. In t-test and analysis of variance, the significant general characteristics associated with physical and psychological job stress were young age (p<0.001), single marital status (p<0.001), and short working period at the present company (p<0.001). The health behaviors related to physical job stress were current smoking, weight change during the past one year (p<0.001), weight control effort (p<0.001), exercise (p<0.001), daily sleeping dissatisfaction (p<0.001), break time, and perceived fatigue (p<0.001). All 10 health behavior factors were significantly associated with psychological job stress (p<0.05). Weight change, weight control effort, exercise, daily sleeping dissatisfaction, little break at work, and high perceived fatigue were significant factors affecting job stress. Daily sleeping dissatisfaction, little break at work, little exercise, weight change for the past one year and young age were selected as the significant health behavior and general factors affecting physical job stress symptoms in stepwise multiple regression analysis. The five factors explained 18.9% of the physical stress score variance. Six factors were selected as the significant health behaviors affecting psychological job stress: daily sleeping dissatisfaction, little exercise, frequent drinking alcohol, high perceived fatigue, little break at work, and little weight control effort. The six factors explained 10.6% of the psychological stress score variance.

• Korean Journal of Clinical Pharmacy
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• v.18 no.2
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• pp.124-131
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• 2008

The impacts of guideline for digestives on physicians' prescription of GI medication Clinical practice guidelines provide benefits to physicians, patients, and researchers. It also helps doctors to make decisions in medical services. In many countries, practice guidelines lead to activities of quality improvement and are developed using evidence based methods. This research was to assess the impacts of Korean Medical Association's guideline for digestives on the change of physicians' behavior. This study was progressed as one-group pre-test post-test quasi-experimental design using health insurance claims data. The unit of analysis was institution. Data was analyzed using paired t-test for change of prescription rate before and after the distribution of practice guidelines. And the multiple regression analysis was performed to examine the independent impact of the guideline on the prescribing rate of GI medication. Prescription rates of GI medication per claim by medical institution increased significantly, 1.98%point (from 50.27% to 52.25%) and multivariate regression analysis showed significant increase in the prescription rate of GI medication after the distribution of guideline (p<0.001). In conclusion, the distribution of guideline for digestive might not have the effects on the change in provider's behavior. Furthermore, to activate the use of practice guideline, it would be necessary to educate the contents to physicians as well as to develop practice guideline.

• Perspectives in Nursing Science
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• v.7 no.1
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• pp.1-9
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• 2010

Purpose: The purpose of this study was to review behavior change theories in terms of important variables, concept definitions, and applicability to diabetes self-management behavior. Methods: Six behavior change theories (the Transtheoretical Model, the Health Belief Model, the Theory of Reasoned Action, the Theory of Planned Behavior, Social cognitive theory, and Information-Motivation-Behavioral skills Model) were reviewed which were applied in diabetes self-management interventions. Results: The five key concepts from the five non-stage behavior change theories were delineated. Based on the key concepts, a theoretical framework was formulated as the explanatory model of diabetes self-management behaviors. The four major concepts in Information-Motivation- Behavioral skills Model were included. The cognitive arm of the proposed theoretical framework included constructs related to diabetes knowledge, motivation (beliefs, attitude, social norm), self-efficacy, and intention. Conclusion: The theoretical framework described here includes the key factors of successful diabetes self- management intervention. However, the concept of motivation needs further exploration and clarification for operationalization.

• Korean Journal of Health Education and Promotion
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• v.20 no.3
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• pp.171-188
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• 2003

This study, based on stages of behavioral change, was aimed at suggesting strategies for the adoption of moderate drinking habits for community-based health education designed to help rural people. An interview survey was conducted during the period from March 4 to April 5, 2002 by sampling 467 rural people living in 6 villages covered by a public healthcare clinic. The results of this study can be summarized as follows； 1. The perceived non-moderate drinkers were less prepared for behavioral change. 2. The heavier drinking habits were ‘drinking alone’, ‘meals accompanied by drinking’ and ‘drinking twice or more at a time’. The agricultural off-season and the custom of brewing liquor at home were negative environmental factors for moderate drinking. 3. The predisposing factors affecting moderate drinking were recognition of health, expectation of the drinking effect, etiquette encouraging overdrinking and control of drinking. The reinforcing factors were stress from ordinary life and perception of being loved. The enabling factor was accessibility to the public healthcare clinic. 4. Rural residents are less motivated to participate in health education for moderate drinking. Based on the above findings, health education strategies for each stage can be suggested as follows： 1) Pre-contemplation stage： improvement of perception, motivation, sharing of experiences, and reawakening. 2) Contemplation/preparation stag e： measurement of value, departure from the inertia against a change, formation of a habit, and reinforcement of the behavior. 3) Action/maintenance stage： creation of a social atmosphere, encouragement of participation, change of life style, and improvement of environment.

• Korean Journal of Occupational Health Nursing
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• v.18 no.1
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• pp.55-70
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• 2009

Purpose: This study was done to investigate the effect of non-smoking campaign for subway workers on their health behavior such as smoking, drinking, and exercise. Method: The study was done on the subjects of 112 male employees for 3 years from 2003 to 2005 working at the Seoul Metropolitan Rapid Transit Corporation. However, the subjects decreased to 105 in 2004 and 111 in 2005 due to work transfer. The data were obtained through administering questionnaires. The non-smoking campaign was done with health education using various strategies and methods by an administrator-in-charge assisted by the community health center. Results: Smoking rate and cigarette consumption decreased but there was no statistical significance. Smokers' frequency of drinking and exercise were higher than that of non-smokers, but there was no statistical significance. Conclusion: The result indicated the program was not effective to change the subjects' health behavior; therefore, tailored program considering the subjects is recommended.

• Korean Journal of Health Education and Promotion
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• v.11 no.2
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• pp.1-17
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• 1994

This study is concentrated on the concept of health promotion through the consideration and the review of articles and books concerning the theory and practice of health promotion. The study results are as follows: Firstly, the early definitions of health promotion are behavior-oriented concepts in general. Secondly, the concepts of health promotion generally regard environmental factors as of great importance. Thirdly, the concepts of health promotion attach great importance to the aspect of policy. Fourthly, health promotion programs usually need the support from the study results of social epidemiology. Fifthly, some distinguished academic fields have been fused into an integrated field under the concept of health promotion. Sixthly, the two key concepts of health promotion are behavior and environment. This study concludes that health promotion can be defined as "the optimal combination of educational, medical and policy resources to maximize the health potential of people most efficiently or effectively through the change of their behavioral and environmental factors at the level of individual, organization or society.

• Korean Public Health Research
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• v.44 no.4
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• pp.1-13
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• 2018

Purpose : The purpose of this study was to explore the subjective experiences of problem drinkers participating in the early intervention program for moderate alcohol drinking. Methods : A qualitative descriptive study design was used. Data were collected through individual interviews with thirteen problem drinkers and analyzed using qualitative content analysis. Results : The experiences of the problem drinkers participating in the early intervention program were derived from four themes and nine sub-themes in terms of awareness, alcohol expectancies, perceived self-efficacy and behavioral change. They participated in programs offered in the workplace, and there were differences in motivation level among individuals, but generally accepted the necessity of the program. Participants who had trust with the program provider were more likely to change drinking behavior. Conclusion : Problem drinkers who participated in the early intervention program showed that it is a useful approach to change the problem drinking behavior by promoting awareness of alcohol-related knowledge, motivation for change through acquiring enough information and acquisition of self-efficacy as a behavior skill. These findings can be used as basic information for implementing and adapting early intervention for prevention of alcoholism in primary health care setting including workplace.

• Korean Journal of Health Education and Promotion
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• v.24 no.4
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• pp.99-114
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• 2007

Object: To analyze the effect of a media-campaign for "walking exercise participation improvement", which impacted walking-related awareness and behavior change of residents in Seoul. Method: This study used three campaign media including printing information, walking exercise indication board and a public advertisement of cable TV to lead a walking-related awareness change and practice frequency(number of days per week walking) and time(minutes per day walking) of walking exercise. To evaluate the exposure and message-recall levels of a campaign and effects of awareness change and walking practice, this study used a questionnaire survey(N=377). Result: 1) Group of exposure to campaign more participate and had the higher frequency(p=.015) and time(p=.023) in walking exercise and in comparison with group of nonexposure. 2) Group of changed awareness to campaign more participate and had the higher frequency and time in walking exercise and in comparison with group of no changed perception(p <.05). 3) Level of message recall of ${\ulcorner}$printing information${\lrcorner}$ was associated with number of days per week walking, and level of message recall of ${\ulcorner}$public advertisement of cable TV${\lrcorner}$ was associated with minutes per day walking at a statistically significant level(p <.05). Conclusion: These results suggest that media campaign can enhance the success of community-based efforts to promote awareness change and walking practice.