• Korean Journal of Community Nutrition
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• v.3 no.4
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• pp.609-621
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• 1998

Although many people initially enroll in health education programs, there are many instances of erratic participation and dropouts. Inconsistent participation in intervention programs minimizes their impact on health promotion. Therefore, a theoretical understanding of factors influencing participation in these programs can potentially enhance the effectiveness of its educational strategy. This study used the Pender's Health Promotion Model to examine specific factors influencing incentives to participate in an elderly nutrition education program. The Elderly Nutrition Counseling and Education Program was conducted with 147 volunteers (76 males, 71 females), aged 60 to 87, at 5 separate community elderly centers, by public health dietitians from February to April 1997. Some participants dropped out during the program. Overall, 61 people(18 males, 43 females) finished all 7 steps over 2 months. Pre-intervention data were collected by trained dietitians. This data included individual cognitive-perceptual factors(perceived benefits of nutrition improvement, importance of health, perceived control over health by multidimensional health locus of control, self esteem, perceived health status, concern about health, depression scale and social health scale), which were known to influence the likelihood of health behavior, and modifying factors(socioeconomic variables, biological characteristics, behavioral factors, such as smoking, alcohol drinking and exercise). Male finalists had a significantly lower chance for health locus of control, and better social health status with their children and grandchildren, compared to males who dropped out. Female finalists had a significantly higher locus of control regarding food behavior, higher self-esteem, better recognized nutritional status, worse self-recognized health status and lower concern about health than those who dropped out. There was no significant difference between the attendees and dropouts in age, BMI$(kg/m^2)$, Nutritional Risk Index, depression scale and daily nutrient intake. These results suggest that elderly nutrition intervention plans should focus on the individual cognitive and perceptual factors, with interpersonal influences, to increase participation in nutrition in nutrition improvement programs.

• Research in Community and Public Health Nursing
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• v.21 no.3
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• pp.333-340
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• 2010

Purpose: The purpose of this study was to examine the bone mineral density (BMD), body mass index (BMI), stress, and health promotion lifestyle of female college students and to assess relations among them. Methods: A total of 220 female college students were assessed through anthropometric measurements and bone mineral density test using quantitative ultrasound. In addition, the subjects were asked about stress and health promotion lifestyle with a self-rating questionnaire. Collected data were processed with the SPSS/WIN 12.0 program. Results: 1) Of the students, 67.8% had weight control experience. The percentage of the osteoporosis, osteopenia and normal groups were 2.8%, 53.5% and 43.8%, respectively, and the percentage of the underweight, normal and overweight groups according to BMI were 27.9%, 57.2% and 14.9%, respectively. 2) The levels of stress and health promotion lifestyle were 2.9 and 2.3, respectively. 3) There was a positive correlation between BMD and BMI (r=.196, p<.01). There was a negative correlation between stress and health promotion lifestyle (r=-.35, p<.01). 4) Weight control experience made negative effects on BMD and BMI. Conclusion: The findings of this study suggest the necessity of new health promotion programs to increase bone density of female college students. Stress management programs are also needed.

• Korean Journal of Health Education and Promotion
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• v.17 no.1
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• pp.171-184
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• 2000

In present paper, author proposed an effective health education strategy for local health department, which was revised from the PATCH of CDC. The author suggested that an health department should follow several steps to have an effective health promotion programs in their community. First step would be community mobilization that encourage key persons and major organizations and agencies to participate in the program. The second step is collecting demographic and vital statistics in the community or for a target audience as well as social, psychological and behavioral data. Based on the data analysis, the next step is to choose a target audience and health problem(s) for the target audience in question. The fourth step is the development of health education strategy for the target audience and the health problem. The fourth step also includes selecting a proper communication channel and educational materials as well as pre- and post-testing. The final step is implementing health education programs and evaluating the process, outcome and impact of the program. Korean Institute for Health and Social Affairs(KIHASA) has developed a model for health education programs used in local health department. KIHASA can provide technical assistance and health education materials to assist local health departments in Korea.

• Proceedings of The Korean Society of Health Promotion Conference
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• 1999.07a
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• pp.117-128
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• 1999

Before considering health promotion programs carried out in Japan, I would like to explain a summary of today's health conditions of Japan for a while. Current major concern in public health world as well as political or economic world is an aging society. To say more precisely, it would be an aging society with relatively small children's population. Estimated total population is 126,166,000 in 1997. Among these, almost 10% population lives in Tokyo Metropolitan Area.(omitted)

• Korean Journal of Health Education and Promotion
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• v.20 no.1
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• pp.187-202
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• 2003

The conveyance of health information through mass media is becoming more popular, even through recreation at television programs. This study aims to investigate the influence of health related TV programs for recreation on a practice action of health behavior. In particular, the relationship between attitude, belief, and behavioral practice of the TV audience is explored. Data was collected from 200 respondents for two weeks in May, 2002. The results showed that the motive of the TV audience for watching TV recreation programs was either entertainment or fun. They satisfied with the programs in general. However, the rate of desirable health behavior practice after watching those programs was low. The degree of practice was significantly correlated with belief, satisfaction, and application possibility of the TV audience to the program. In addition, two personal factors such as gender and subjective evaluation of personal health status were significant in influencing health behavior. The appearance of experts on programs was the most important factor influencing the belief of an audience. This implies that audiences want to have the health information fulfilling scientific evidences. It is suggested that TV recreation programs would be beneficial to most audience members for in receiving important health information, only if recreation and interest factors in the program as well as the evidence-based health information and knowledge are successfully combined.

• Korean Journal of Health Education and Promotion
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• v.30 no.3
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• pp.13-23
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• 2013

Objectives: This study was conducted to find out health behaviors and health promotion behaviors and their influencing factors among North Korean refugee adolescents. Methods: All the 139 students registered in a specialization school which provided regular school curriculum for the North Korean refugee adolescents participated in the survey. Collected data were analyzed by descriptive statistics, t-test, ANOVA, and multiple regression analysis. Results: Current smoking, alcohol drinking and experience of depression in North Korean refugee adolescents were more prevalent than those of South Korean adolescents. Self-esteem, self-efficacy and social support were identified as factors affecting health promotion behavior. Conclusions: Health promotion program is needed to reduce the North Korean refugee adolescents' depression and to stop smoking and drinking. In the process of creating these programs, of creating program, we should consider self-esteem, self-efficacy and social support in the educational method to make these programs be effective.

• Journal of Korean Academy of Nursing
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• v.35 no.3
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• pp.461-468
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• 2005

Purpose: The purpose of the study was to compare community residents' perceptions, participation, satisfaction, and behavioral changes between a health promotion demonstration health center and general health center. Method: The design of the study was ex-post facto that compared community residents in demonstration health centers and general health centers. The sample included 2,261 community residents who were conveniently selected from demonstration (792 participants) and general health centers (1,496 participants). Result: The results of the study were as follows: 1) Perception and participation rates of exercise, nutrition, and hypertension management programs were significantly higher in the participants of demonstration health centers than those of general health centers.; 2) Satisfaction rates of all programs except the smoking cessation program were significantly higher in the participants of demonstration health centers than those of general health centers. However, only the exercise rate among risk behaviors of participants was significantly higher in demonstration health centers than general health centers. Conclusion: Systematic efforts for health promotion were effective not only in improving the community's awareness, participation, and satisfaction of the program, but also in changing health behaviors. This evidence should be used to foster and disseminate health promotion programs toother health centers to improve community residents' health status and quality of life.

• Korean Journal of Health Education and Promotion
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• v.30 no.4
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• pp.125-134
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• 2013

Objectives: The aim of this study is to develop the strategy of promoting participation on physical activity programs among the disabled through analysis of satisfaction on the Welfare Center for the Disabled-based program. Methods: The subjects were 151 disabled people who had physical disability or brain disorder. They had participated on the physical activity programs which were opened in 13 welfare centers for the disabled of Daegu and Gyeongbuk. The data were collected by the survey for 2 weeks in May, 2011. Results: There were no differences in the satisfaction on physical activity programs by general characteristics and health status. As for cognitive factors, it were significantly different on the satisfaction by the importance of physical activity and the fitness maintenance factor (p<0.05, p<0.01). Significant differences were found in the satisfaction by the participating attitude and the participation motives, such as goal-oriented and activity-oriented motives. It were significantly different on the satisfaction by the duration, frequency per week, time per once, and components in terms of the physical activity program. Conclusions: To revitalize the physical activity-for-all project for the disabled, it needs to develop the strategy and to enhance the health education to improve their health status.

• Research in Community and Public Health Nursing
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• v.9 no.1
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• pp.5-20
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• 1998

The purpose of this study was to develop health promotion programs for middle aged women and to identify the adaptability and the effectiveness of the program in order to provide a model for health promotion programs as a basis for nursing intervention. The research design was a quasi-experimental, nonequivalent control-group pretest -posttest design. The data were collected from October 30 to December 11, 1996. The study subjects were middle aged women residing in Chonju city, with ages from 40 to 59. The experimental group consisted of 42 subjects who were recruited through announcements of the local newspaper. The control group consisted of 49 subjects who were mothers of nursing college students. The health promotion program for middle aged women was based on the Bandura's self efficacy theory and Pender's heath promotion behavior theory consisting of exercise and heath diaries as performance accomplishments as well as education and group sessions as verbal persuasion and vicarious experiences. The study program was provided for 6 weeks, 3 hours a day per week. There was a pretest before the program and a posttest after the 6 week program. The instruments used for the study were a Self Efficacy Scale and a Health Promotion Behavior Scale developed by Park(1995). The data analysis was done by the use of a SPSS/PC. The study results were as follows: 1. In the analysis of the homogeneity between the experimental and control groups, there were significant differences in the socio-demographic characteristics, self efficacy and health promotion behavior. There were significant differences between the experimental and control groups in occupation, the number of children, and the status of involvement in social activities. 2. The first hypothesis, 'The level of self efficacy of the experimental group will be higher than that of the control group.' was supported(F=10.154, p=.002). The second hypothesis, 'The degree of health promotive behaviors in the experimental group will be higher than that of the control group.' was supported(F=17.349, p=.000). 3. There was a significant positive correlation between the self efficacy and the health promotion behaviors in pretest and posttests (pretest: r=.732, p=.000 ; posttest : r=.754, p=.000). 4. The significant variables for health promotion behaviors were religion(t= -1.97, p=.05), family income(F=4.85, p=.00), education level (F=6.38, p=.00) and involvement in social activities(t= -3.06, p=.00) in socio-demographic characteristics. In summary, a heath promotion program based on self efficacy theory has made an improvement on health promotion behaviors. Also, the results show that the higher the level of self efficacy, the better the health promotion is in middle aged women. The study has proved that nurses can provide nursing intervention for the improvement of health promotion in middle aged women through the adaptation of a program increasing the subject's self efficacy level.

• 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.