• Korean Journal of Health Education and Promotion
• /
• v.23 no.2
• /
• pp.11-27
• /
• 2006

Objectives: This study was conducted to evaluate the effects of a tailored program based on the Transtheoretical Model to smoking cessation in high school girls. Methods: A quasi-experimental research design was used in this study. The participants were 35 industrial high school girls who have been smoking. The girls were allocated to an experimental group(18) and a control group(17) by randomization. For intervention, the experimental group received the group smoking cessation program and individual program which tailored according to the stage of change. A common group smoking cessation program was given to the control group. Data were collected before the program, immediately after and 4 weeks after the program was completed and were analyzed with repeated measure ANOVA. Result: In the experimental group, the daily smoking amount, nicotine dependency and decisional balance(Pros) score were significantly decreased and the self-efficacy score were significantly increased at one month after the intervention in comparison with before and immediately after it. The decisional balance(Cons) and processes of change score of the experimental group were significantly increased at immediately after the intervention and one month after it in comparison with before it, and at one month after it in comparison with immediately after it. A significant difference in the daily smoking amount, urine cotinine, nicotine dependency, decisional balance(Pros, Cons) and processes of change score between the both groups was found after one month of intervention. Conclusions: The tailored smoking cessation program was more effective, compared to the common smoking cessation program on smoking behavior, self-efficacy, decisional balance, processes of change. This program can be used for favorable changes in high school girl's smoking behavior.

• Journal of Digital Convergence
• /
• v.13 no.11
• /
• pp.549-559
• /
• 2015

The purpose of this study was to verify whether there are any differences in the level of exercise self-efficacy and perceived health status according to the stage of change for exercise behaviors in older adults. The subjects consisted of 231 older adults (91 male, 140 female) by convenience sampling residing in city D. The collected dates were analyzed using one-way ANOVA, Tukey HSD, and simple regression analysis by SPSS WIN 21.0 program. Moreover, all statistical significance level was set at a=.05. The study results were as follows: Analysis of variance showed that exercise self-efficacy showed significant differences according to the stage of change for exercise behaviors, and as a result of the posthoc analysis, it was found that as the stage became higher, their exercise self-efficacy became higher as well. Perceived health status showed significant differences according to the stage of change for exercise behaviors, and as a result of the posthoc analysis, it was found that as the stage became higher, their perceived health status became higher as well. Analysis of variance showed that exercise self-efficacy and perceived health status were significantly associated with the stages of exercise behavior change. This study identified that exercise self-efficacy and perceived health status were significant variables to explain a possible relationship with exercise stages of older adults. This study provides new information to influence the development of the better health promotion and exercise intervention for older adults in the community.

• Journal of Korean society of Dental Hygiene
• /
• v.6 no.1
• /
• pp.49-61
• /
• 2006

This study was intended to identify the pregnant women's oral health care behaviors and the necessity of active oral care so as to use in the dental hygiene education at dental clinics as basic materials to inform the importance of oral health during pregnancy and instruct how to improve it. And to suggest a dental service direction for dental hygienists, 150 pregnant women who visited the Ostetrics and Genecology Clinics located in tl,e north part of Cholla province were surveyed with questionnaire on their oral care behaviors, from september to October in 2004. The findings were as below: 1. 43.8% of the pregnant women have ever used the dental care institutes within the recent 3 months during pregnancy period. The purpose of the visits was mostly treatment of dental caries, accounting for 40.0%. Next came the treatment of periodontal diseases, accounting for 33.8%. 2. At dental care service, 84.7% of the pregnant women informed the clinic staff of their pregnancy, 12.0% of the pregnant women were having periodical oral examination. 3. 56.7% of the pregnant women have ever inquired about oral care methods, 24.0% of the pregnant women have ever taken any oral health education, of whom 47.1% had higher schooling over graduate school, with a statistically signifiant difference. 4. 55.3% of the pregnant women made changes in their oral care practice after they got pregnant. Change of oral care practices was more obvious in those who had higher schooling background, of whom specialist women accounted 76.9%. Change of oral care practices after pregnancy was statistically significantly different to the academic background and occupation. 5. Of the changes in oral care practice after pregnancy, 51.8% of the pregnant women answered they got sensitive to change in their oral status, and 39.8% increased the frequency of tooth brushing. 6. In selecting a tooth paste after they got pregnant, 58.0% of the women didn't give any special consideration to the kind of tooth paste, while 10.7% women as low selected such tooth pastes that contain fluoride. 7. Pregnant women's route for gathering oral care information was mostly mass media and Internet which accounted for 50.7%.

• Korean Journal of Health Education and Promotion
• /
• v.14 no.1
• /
• pp.125-145
• /
• 1997

Over the last several decades, the debates on school sexuality education program have centered on the specific education topics and its in-depth to be taught for different level of students. Many people, on the whole, worried that sexuality education for the adolescents promote irresponsible sexuality activities and that students become more liberal following sex education(in all ways, not just sexually). At the present time, however, most social leaders agree that school sexuality education program should be developed and implemented as an important part of the formal school curriculum. Because they believe that sexuality education programs will be effective to change irresponsible sexual behavior and prevent sexual risk among teenagers. Researches demonstrate that not all school-based sexuality and AIDS education programs are effective, but that some programs are effective. On the basis of previous studies, the present paper reviewed the beliefs and questions which generate discussion and opposition to sexuality education program at the school. The effectiveness of the educational instruction was also evaluated focused on the reducing specific sexual risk behavior and reinforcement of individual values against sexuality activities. Lastly, this paper proposed several ways and means for effective sexuality education program in general.

• Journal of Korean society of Dental Hygiene
• /
• v.7 no.3
• /
• pp.273-284
• /
• 2007

Oral health in youth is very important because this period influences life for adult remarkably. Therefore, more effective oral health education and recognition of early treatment for oral disease are required sincerely. For more effectual education for high-school students, it is necessary to consider their circumstance like obesity and smoking. This study will analyze the correlation oral health behavior with obesity and subjective oral health concerns. In addition to, the actual condition of smoking for high-school girls and oral health condition will be verified. A survey was progressed for high-school girls in Busan city and BMI(body mass index) was used for classification of weight. The statistical significance was analyzed using SPSS 13.3 for Windows. Results of this study is following. 1. The frequence of daily toothbrushing was significantly different with obesity although difference of oral health knowledge was not significant. The frequency of toothbrushing of overweight students were lesser than the others. This results may be caused by low-level for oral health concerns and by passive life style of fat person. This habit has possibility of causing serious periodontal disease like periodontitis and tooth caries. 2. The correlation of obesity and time of brush change, using for supplement, and recent dental institution was insignificant. However, concerns of oral health were showed significantly according to obesity. Under-weight and standard-weight students were more concerned about oral health than over-weight. This results can be related to frequence of toothbrushing for fat subject. This relevance of two factors was confirmed by logistic regression analysis. 3. Approximately 70% students have smoking experience responded to uncomfortableness of periodontal conditions. On the other hand, non-smoking students felt uncomfortable in 50%. This results indicated that smoking have an effect on oral health condition. Further study which identify periodontal conditions practically has to go on for verification of direct correlation smoking and oral health.

• Korean Journal of Health Education and Promotion
• /
• v.22 no.2
• /
• pp.97-110
• /
• 2005

Objectives: Recent studies have shown that tailored messages for cancer screening to the beliefs and stage of cancer screening behavior of individual women increases the take-up probability. Many studies on cancer screening have used the Transtheoretical Model (TTM) to identify variables associated with cancer screening behavior. This study was carried out to identify the cognitive-behavioral factors associated with stomach cancer screening among women aged 40 years and over, and to develop and evaluate a tailored educational program for stomach cancer screening by stages of change. Methods: Building on the TTM constructs, we conducted a quasi-experimental study(N=283) to test the effectiveness of a tailored educational program for endoscopic stomach cancer screening. We carried out pre and post tests in the experimental group(N=162) and the control group(N=121), and the experimental group was subdivided into an on-line group(N=81) and an off-line group(N=81) by educational methodology using e-mail and the postal service. We used the chi-square test, trend test, and paired t-test to test the effectiveness of the program for stomach cancer using a tailored stage-matched messages. Results: To examine the effectiveness of the program for stomach cancer screening by the tailored stage-matched messages, the stage-matched materials were offered to the experimental group(N=162) four times for 4 weeks. The stage-matched materials consisted of the four types for stomach cancer. The tailored message was effective in changing the cognitive-behavioral factors, such as experience process, behavior process, con opinion for stomach cancer, self-efficacy, and the behavioral stages for stomach cancer screening. The stomach cancer screening adherence was higher for the stage-matched materials using postal mail than for those using e-mail. Conclusion: To improve the stomach cancer screening rate, the use of tailored messages for stomach cancer screening will be generated using an expert system. Therefore the implementation of tailored educational program will be supported a partnership between public and private health organizations and increasing awareness of the necessity of community-based interventions.

• Research in Community and Public Health Nursing
• /
• v.5 no.1
• /
• pp.53-63
• /
• 1994

Health could be maintained and promoted by pursuing an active healthy lifestyle. Life-style include health habits and behavior pattern such as exercise, diatry change, weight control, stress management et al. The objectives of this studies are (1) to analyze recognition and practice of lifestyle between nurses and non-nurses, (2) to analyze health status of clients which presented healthy lifestyle, (3) to analyze factors that affected healthy lifestyle. The lifestyle assessment questionnaire is divided into ten sections: competence in selfcare, nutritional practices, physical activity, sleep patterns, stress management, self-actualization, sense of purpose, relation with others, environmental control, and use of health care system. The major results are as follows : (1) The level of recognition and practice of lifestyle was not high. Nurses showed more higher score than non nurses in lifestyle area such as competence in selfcare, stress management, environmental control, and use of health care system. (2) Good health status and lifestyle presented positive relation. (3) In mutiple classifiction analysis, competence in selfcare, nutritional practices, physical activity, sleep patterns, stress management, environmental control, and use of health care system had significant relation to independent variables. (4) Change of concept for healthy lifestyle after this survey was higher in nurses group and the most concern area was stress management. To sum up, lifestyle pattern of nurses as health professional was not desirably high. Therefore nurses ownself should effort to practice healthy lifestyle prior to others, and then educate importance of lifestyle for health promotion and disease prevention. In conclusion, it will be useful to consider significant lifestyle factors that was be identified in this study to develop health promotion program.

• Korean Journal of Health Education and Promotion
• /
• v.27 no.2
• /
• pp.37-48
• /
• 2010

Objectives: In health care setting, patient education and health promotion services are inexpensive and effective initiatives to change health behavior due to use medical service resources and personnel. This study performed to define the responsibilities and competencies of health education specialist in private health care setting. For our suggestion, we reviewed regulatory, recommendation, and programs related to health education and promotion in clinics and hospitals. Results and Conclusion: The health promoting hospital and health services in Europe and innovative hospitals of community health promotion in the U.S. were examples of approaches that supply target groups with health promotion services in health care setting. The National Commission for Health Education Credentialing has suggested the specified responsibilities and competencies of health education specialist in health care setting according to their general duty. Considering the recommendation of the NCHEC, our suggestion included: 1) the three kinds of job scope, 2) the major targets, 3) the specified responsibilities and competencies, and 4) the available health promotion programs in clinic and hospital setting. The suggestion will contribute to the development of job market for health education specialist and to the cooperation with community health resources in health promotion services and comprehensive health care.

• The Korean Journal of Community Living Science
• /
• v.13 no.3
• /
• pp.69-80
• /
• 2002

This study was conducted to investigate the relationship among body image Perception, eating behavior and health status in young females. The survey was carried out by self-questionnaires for 293 female high school students(HS) and 164 female college students(CS) living in Daegu and suburbs of Daegu. For the perception of body image, 9-grade body figure drawings were used based on average Korean body size. EAT-26 and Rosenberg Self-Esteem Scale were used to measure the tendency of eating disorder and self-esteem. It appeared that 40.5% of the subjects were off the normal range of body weight; especially 34.2% of the subject were underweight. The subjects' perception about current body image was within normal range. Almost of all the subjects believed that the ideal body image was thinner than their own current body image, and they wanted to be thinner than their current body image. The change of eating behaviors related to weight control of CS was significantly higher than that of HS students. EAT-26 score, self-esteem score, and subjective health status score were no difference between groups. The cut-off point of the eating disorder in this study was equal to or greater than 20 in EAT-26 score. The rates of the eating disorder were very high as 9.6% of HS and 8.5% of CS. Eating disorder was positively correlated with BMI, current body image, dissatisfaction of body image and the change score of eating behavior. But eating disorder was negatively correlated with health status. From the results of this study, we suggested that one of causes related to the eating disorder behaviors in adolescent females was resulted from misperception about ideal body image. There is a great need to provide nutrition educations concerning appropriate perception of body image and weight control among adolescent females.

• Korean Journal of Community Nutrition
• /
• v.9 no.1
• /
• pp.12-18
• /
• 2004

The purpose of this study was to investigate the differences of middle school students' recognition of food and nutrition part in Home Economics by gender, school location and school type. The study was carried out through questionnaire about three category: perception (interests, practical usefulness, attitude change in food behavior), difficulty (nutrition and health in adolescence, balanced diet, principle of cooking and preparing food), necessity (nutrition and health in adolescence, balanced diet, principle of cooking and preparing food). The subjects were 1014 middle school students of 1st grade in Jeonbuk area; urban 334, suburban 339 and rural 341. The results of this study were as follows. 1) There was difference in ‘interests’ by gender (girls > boys), school location (urban, suburban > rural) and school type (coeducation > boys, girls). There were differences in ‘practical usefulness’ by school location (urban > rural) and in ‘attitude change in food behavior’ by school location (urban > suburban > rural) and school type (boys, girls > coeducation). 2) There was difference in difficulty in section of ‘nutrition and health in adolescence’ by school location (suburban > rural). There were no differences in section of ‘balanced diet’ by gender, school location and school type. But there were differences in section of ‘ principle of cooking and preparing food’ by school location (urban, rural > suburban) and school type (coeducation > boys). 3) There were differences in necessity for ‘balanced diet’ and for ‘ principle of cooking and preparing food’ by school location (urban, suburban > rural) and school type (coeducation > boys, girls). Characteristically, the boys had more necessity for ‘nutrition and health in adolescence’ and for ‘balanced diet’ than girls but girls had more necessity for ‘principle of cooking and preparing food’ than boys. It suggests that gender, school type and school location should be considered for an effective and practical curriculum of food and nutrition part in Home Economics.