• Title/Summary/Keyword: Health behavior change

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Study on Social Network Service(SNS) Users' Privacy Protection Behavior : Focusing on the protection motivation theory (소셜 네트워크 서비스(SNS) 이용자들의 개인정보보호 행동에 관한 연구: 보호동기이론을 중심으로)

  • Kim, Jung-Eun;Kim, Seong-Jun;Kwon, Do-Soon
    • The Journal of Information Systems
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    • v.25 no.3
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    • pp.1-30
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    • 2016
  • Purpose The purpose of this study is to grasp the factors influencing domestic SNS users' privacy protection behavior and verify their relationship through self-efficacy and responsiveness. Thus, this study tries to suggest efficient and effective measures for SNS personal information protection. Design/methodology/approach To this end, with main variables of the protection motivation theory based on the assumption that when users are exposed to the threat to their health, they would have protection motivation and change their behavior of protecting their health, a research model was suggested. In addition, in order to empirically verify the research model, a survey was performed targeting general college students having the experience of using SNS. Findings As a result of the analysis, first, perceived effectiveness and self-efficacy had a positive effect on responsiveness. Second, perceived barrier had a positive effect on self-efficacy. Third, self-efficacy and responsiveness had a positive effect on privacy protection behavior. This study is expected to contribute to establishing an effective guideline for measures that could induce SNS users' privacy protection behavior.

The Effects of Invasive Procedure Education Program on the Anxiety and Supportive Behavior of Mothers with Hospitalized Children (침습적 처치에 대한 교육 프로그램이 입원환아 어머니의 불안 및 지지행위에 미치는 영향)

  • Han, Jin-Sook;Moon, Young-Sook
    • Korean Parent-Child Health Journal
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    • v.9 no.2
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    • pp.150-160
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    • 2006
  • Purpose: This study was to examine how an invasive procedures education program affected the anxiety and supportive behavior of mothers with hospitalized children, and to help provide an efficient to improve their maternal role performance by boosting their supportive behavior. Method: To evaluate their anxiety, Spilberger(1972)'s Anxiety Inventory that was translated by Kim Jeong-taek, et al.(1978) was employed, and Weon Dae-yeoung(1999)'s modified version of Melnyx(1994)'s Index of Parent Support During Instructive Procedure was utilized to assess their supportive behavior. The collected data were analyzed with SPSS program. Statistical data on real number and percentage were acquired, and $x^2$-test and t-test were conducted. Result: There was a more favorable change in the anxiety(trait anxiety and state anxiety) of the experimental group that participated in an invasive procedures education program(a mean of -0.14) than in that of the control group that didn't(a mean of 0.16). The experimental group(an average of 4..65) outstripped the control group(a mean of 3.42) in that regard. Conclusions: The invasive procedures education program that catered to the mothers with hospitalized children turned out to be effective in easing their anxiety and enhancing their supportive behavior.

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Influence of review system using computerized program for Acute Respiratory Infection upon practicing doctors' behaviour (전산프로그램을 이용한 급성호흡기감염증 청구자료 심사 시행 후 개원의의 진료 및 청구 행태 변화)

  • Chung Seol-Hee;Park Eun-Chul;Jeong Hyoung-Sun
    • Health Policy and Management
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    • v.16 no.2
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    • pp.49-76
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    • 2006
  • The aim of this study was to explore the effects of a computerized review program which was introduced in August 1, 2003, using claims data for acute respiratory infection related diseases. National Health Insurance (NHI) claims data on respiratory infection related diseases before and after the introduction, with six month intervals respectively, were used for the analysis. Clinic was the unit of observation, and clinics with only one physician whose specialty was internal medicine, pediatrics, otorhinolaryngology and family medicine and clinics with a general practitioner were selected. The final sample had 7,637 clinics in total. Indices used to measure practice pattern was prescription rates of antibiotics, prescription rates of injection drug per visit, treatment costs per claim, and total costs per claim. Changes in the number of claims for major disease categories and upcoding index for disease categories were used to measure claiming behavior. Data were analysed using descriptive analysis, t-test for indices changes before and after the introduction, analysis of variance (ANOVA) for practice pattern change for major disease categories, and multiple regression analysis to identify whether new system influenced on provider' practice patterns or not. Prescription of antibiotics, prescription rates of injection drug, treatment costs per claim, and total costs per claim decreased significantly. Results from multiple regression analysis showed that a computerized review system had effects on all the indices measuring behavior. Introduction of the new system had the spillover effects on the provider's behavior in the related disease categories in addition to the effects in the target diseases, but the magnitude of the effects were bigger among the target diseases. Rates of claims for computerized review over total claims for respiratory diseases significantly decreased after the introduction of a computerized review system and rates of claims for non target diseases increased, which was also statistically significant. Distribution of the number of claims by disease categories after the introduction of a computerized review system changed so as to increase the costs per claims. Analysis of upcoding index showed index for 'other acute lower respiratory infection (J20-22)', which was included in the review target, decreased and 'otitis media (H65, H66)', which was not included in the review target, increase. Factors affecting provider's practice patterns should be taken into consideration when policies on claims review method and behavior changes. It is critical to include strategies to decrease the variations among providers.

Effects of a Strength Based I-Change Smoking Cessation Program for Smoking Middle School Boys (강점기반 I-Change 금연프로그램이 흡연남자중학생의 금연에 미치는 효과)

  • Kim, Jung Hee;Choi, Yeon Hee
    • Journal of Korean Academy of Nursing
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    • v.47 no.2
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    • pp.164-177
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    • 2017
  • Purpose: This study was done to develop a strength based I-change smoking cessation program for middle school boys and identified its effects. Methods: The study design was a nonequivalent control group pre-post test design. The participants were 97 middle school students from D city, who were in school from April 6 to September 25, 2015. The experimental group participated in the strength based I-change smoking cessation program, while the comparative group participated in a general smoking cessation program. The control group did not participate in any program. Data analyses involved $x^2$-test, Fishers' exact test, Bonferroni test, and Repeated measures ANOVA, with the IBM SPSS for Windows (version 20.0) program. Results: Compared to the comparison and control groups, the experimental group showed significant improvement in knowledge, attitude, self-efficacy, behavior change. Also cotinine in urine and modeling of social influence in the experimental group significantly decreased after the strength based I-change smoking cessation program. Conclusion: These findings indicate that the strength based I-change smoking cessation program is an effective intervention for middle school boys who smoke. The findings suggest that such programs can be used at public health centers or through school health education to decrease smoking in adolescents.

Factor Analysis on Behavior Change Mechanisms in Self-help Smoking Cessation (흡연행위의 자조적 변화기전에 대한 요인분석)

  • 오현수;김영란
    • Journal of Korean Academy of Nursing
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    • v.26 no.3
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    • pp.678-687
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    • 1996
  • Smoking is considered to be one of the important risk factors associated with various health problems. Thirty seven million people in America quit smoking in the past decade, with 90% quitting on their own(Americal Heart Association, 1986). According to McAlister(1975), 70% of smokers reported that they adopted a self-help smoking cessation approach rather than a formal treatment program. In our country, although, auccessful exsmokers have used, are not available, concerns about smoking cessation have increased, recently, due to changes in social and political attitudes to health promotion. This study was conducted to help smokers who had made a decision to adopt a self-helf smoking cessation approach instead of depending on a formal treatment program. It provided a structurd way for sucessful smoking cessation by identifying change mechanism factors which have been commonly used by smokers. The subjects selected for this study were 155 university students between 20 and 29. Years of age the results from the analysis of the collected data showed that seven factors in the self-help change processes significant, and they are named, Stimulus Control, Self-Determination, Information Management, Reinforcement Management, Helpful Relationships, Dramatic Relief, and Cognitive Restructuring. All of the factors except Self-Determination represent the same change mechanisms which are proposed by Prochaska et at.(1988). Self-Determination uniformly includes items belonging to various change processes. Therefore, it might be an transitional factor including strategies related to both cognitive and behavioral dimensions. In spite of this, noted that one item which gives meaning of Self-Determination shows the highest factor loading, it is named Self-Determination.

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The Study on DISC with Direct and Indirect Social Support of Dental Hygienists (치과위생사의 행동유형(DISC)과 사회적 간접·직접지지와의 관계)

  • Kim, Ji-Hee;Kim, Hye-Jin;Yum, Jong-Hwa
    • The Korean Journal of Health Service Management
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    • v.8 no.2
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    • pp.127-137
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    • 2014
  • The purpose of this study is to investigate the relationship between behavior patterns(DISC) and direct indirect of social support from dental hygienists. The data used in this study were obtained from 171 dental hygienists who have been working on dental hospital or clinic in Pusan and Gyeongsangnam-do from 1st July to 30th August in 2011. In the level of direct indirect of social support according to subjects' general characteristics, higher educational level and non-religion was related with higher in direct of social support(p<0.05), and hygienists who worked in general hospital was related with higher indirect of social support(p<0.01). According to between behavior patterns(DISC) and indirect social support, these score were that I-type 3.55, D-type 3.53, C-type 3.41, and S-type 3.36. All behavior patterns(DISC) were similar with the indirect support. In direct support these score were that S-type 2.98 I-type 2.95, D-type and C-type 2.91. In frequency of behavior patterns(DISC), these were that I-type 56.7%, S-type 16.4%, C-type 14%, and D-type 12.9%. In correlation between factors, direction social support was correlated with I-type(p<.01) and C-type(p<.01) of behavior patterns(DISC). On based on these results, if the change of working environment, working condition will improve social support of dental hygienists. And education program have to developed for dental hygienists.

Testing of the Theory of Planned Behavior in the Prediction of Smoking Cessation Intention and Smoking Cessation Behavior among Adolescent Smokers (청소년 흡연자의 금연의도 및 금연행위 예측을 위한 계획적 행위이론(Theory of Planned Behavior)의 검증)

  • Song, Mi-Ra;Kim, Soon-Lae
    • Research in Community and Public Health Nursing
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    • v.13 no.3
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    • pp.456-470
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    • 2002
  • Objectives: The purpose of this study was to test the Theory of Planned Behavior (TPB) in the prediction of smoking cessation intention and smoking cessation behavior among adolescent smokers, in order to provide basic data to develop a future smoking cessation program as a nursing intervention. Method: The study subjects were 80 adolescent smokers who had smoked one cigarette and attended a five-day school smoking cessation program. The data were collected from October 24 to December 21, 1999. The instruments used in this study were the tools developed by Jee (1994) to measure TPB variables such as attitude toward smoking cessation behavior, subjective norm, perceived behavioral control, smoking cessation intention, and smoking cessation behavior. The data were analyzed with the SAS/PC program using descriptive statistics, hierarchical multiple regression, and logistic multiple regression. Results: 1. Attitude toward smoking cessation behavior, subjective norm, and perceived behavioral control were partially significant in predicting smoking cessation intention. 2. Smoking cessation intention and perceived behavioral control toward smoking cessation behavior did not significantly predict smoking cessation behavior. 3. There were partial interaction effects among the attitude toward smoking cessation behavior, subjective norm, and perceived behavioral control in the prediction of smoking cessation intention. 4. There were partial interaction effects between smoking cessation intention and perceiver behavioral control toward smoking cessation behavior in the prediction of smoking cessation behavior. Conclusion: This study partially demonstrated support for the TPB model that was partially useful in predicting smoking cessation intention and smoking cessation behavior among adolescent smokers. Therefore, it is recommended that attitude toward smoking cessation behavior and perceived behavioral control should be considered in developing smoking cessation programs and implementing nursing interventions to change the smoking behavior of adolescent smokers.

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A Study on the Effect of Oral Health Education on the Mentally Retarded Children (정신지체장애인의 구강보건교육 효과에 관한 연구)

  • Kim, Young-Sook
    • Journal of Korean society of Dental Hygiene
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    • v.1 no.1
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    • pp.19-37
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    • 2001
  • The purpose of this study was to develop effective oral health education programs for mentally retarded children and promote their oral health, by offering oral health education for 45 mentally retarded children between age 6 to 20, tracking the change of their knowledge depending on the frequency of education, and examining the educational effect before and after oral health education. The children with mental retardation attended a special school for idiots in Gweonseon-gu, Suwon, Kyonggi Province, being able to take training(IQ 25-49). The education program was designed to be suitable for their cognitive power after consultation with a special school teacher. A teacher provided the same education seven times, once a week, and an interview was held with each of them to assess their correct answer rate. The findings of this study were as below: 1. The repeated oral health education served to have the children with mental retardation acquire better knowledge about harmful food for the teeth, what had to be done after eating cookies or candies between meals, the right time for toothbrushing, the concept of dental caries, and how to cope with dental caries(p<0.01). But after that education was offered four times, the frequency of that education made no difference. 2. The repeated oral health education increased, their knowledge on the role of the teeth and the right choice of toothbrush(p<0.01), yet there was no significant difference in their knowledge about oral health behavior, because they had already been familiar with that. 3. As a result of investigating the change of their oral health know-ledge before and after oral health education according to the type of handicap, the type of handicap made no significant difference to the change of their oral health knowledge. 4. The oral health education for the children with menial retardation had a significantly different effect on their knowledge about harmful food for the teeth, what had to be done after eating between meals, the right time for toothbrushing, the role of the teeth. the right choice and use of toothbrush, how to do toothbrushing, and fluorine(p<0.01).

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The Impact of Diagnostic Imaging Fee Changes to Medical Provider Behavior: Focused on the Number of Exams of Computed Tomograph (영상진단 수가 변화가 의료공급자 진료행태에 미치는 영향: 전산화단층영상진단 검사건수를 중심으로)

  • Cho, Su-Jin;Kim, Donghwan;Yun, Eun-Ji
    • Health Policy and Management
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    • v.28 no.2
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    • pp.138-144
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    • 2018
  • Background: Diagnostic imaging fee had been reduced in May 2011, but it was recovered after 6 months because of strong opposition of medical providers. This study aimed to analyze the behavior of medical providers according to fee changes. Methods: The National Health Insurance claims data between November 2010 and December 2012 were used. The number of exams per computed tomography was analyzed to verify that the fee changes increased or decreased the number of exams. Multivariate regression model were applied. Results: The monthly number of exams increased by 92.5% after fee reduction, so the diagnostic imaging spending were remained before it. But medical provider decreased the number of exams after fee return. After adjusting characteristic of hospitals, fee reduction increased the monthly number of exams by 48.0% in a regression model. Regardless type of hospitals and severity of disease, the monthly number of exams increased during period of fee reduction. The number of exams in large-scaled hospitals (tertiary and general hospital) were increased more than those of small-scaled hospitals. Conclusion: Fee-reduction increased unnecessary diagnostic exams under the fee-for-service system. It is needed to define appropriate exam and change reimbursement system on the basis of guideline.

Experience of Parent-related Negative Life Events, Mental Health, and Delinquent Behavior among Korean Adolescents (부모관련 부정적 생활사건의 경험과 청소년의 정신건강 및 비행행위)

  • Kim, Dong-Sik
    • Journal of Preventive Medicine and Public Health
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    • v.40 no.3
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    • pp.218-226
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    • 2007
  • Objectives : This study examined the relationship of parent-related negative life events with mental health and delinquent behaviors among Korean adolescents. Methods : A total of 2,976 high school first-grade pupils (1,498 boys & 1,478 girls) taking part in the third wave of Korean Youth Panel Survey completed a self-administered questionnaire regarding parent-related life events, depressive feelings, suicidal ideation, delinquent behaviors, demographic characteristics, parental socioeconomic status, social support, and social capital. Data analyses were conducted using multivariate logistic regression. Results : After adjusting for all covariates, the more parent-related negative life events adolescents experienced throughout their whole life, the more likely adolescent were to have mental and behavioral problems. A significant dose-response relationship between them was more clearly observed in girls than in boys. The experience of parentrelated negative events during childhood was significantly associated with suicidal ideation and delinquent behaviors for boys, and with depressive feelings for girls during adolescence. Indeed, parental social support, social capital, and having a close friend with delinquent behaviors, especially for girls, partially mediated the relationship between parent-related negative life events and both outcomes. Conclusions : The study showed a clear dose-response relationship of frequency of parent-related negative life events with poor mental and behavioral health for both genders. The residual effect of being exposed to parent-related events during childhood on mental health and delinquent behaviors during adolescence still remained.