The use of health behavior theory in health counseling may improve its effectiveness. This article provides an overview of health behavior theory and guidelines on how to incorporate various theories into effective health counseling. Models that focus on behavior change at the individual level are described, including the health belief model, which focuses on individual health beliefs; social learning theory, which emphasizes interactions between individual, behavior and its environment; theory of reasoned action and theory of planned behavior, which examines factors influencing behavioral intention;. the stages of change model, which focuses on one's stage of readiness for change. Research review provides explanatory and predictive utility of four health behavior theories. Suggestions for effective health counselling are as follows: 1. Unified theoretical framework incorporating key concepts from different health behavior theories is needed. 2. Need assessment should be included in counselling process. 3. Behavior-change counselling should target changes in one or more key variables previously identified. 4. Focusing on promotional efforts into a high profile behavior(gateway behavior) can be an an adjunctive way of initiating other health promotion behaviors. 5. Counselling should be staged based, and different strategies and processes of changes should be applied at different stages.
This study was done to describe health behavior and determine affecting factors in Korean adults, based on the Health Behavior Assessment tool. The subjects were sample of 298 adults from five cities. The instrument for this study were Health Behavior Assessment tool (30 items, 4 scale). Frequency, percentage, t-test, ANOVA, cluster analysis with SPSS program were used to analyze the data. The results of the study are as follows ; 1) The average item score for health behavior was 2.56, the highest score on the subscale was limitation of liking(M=3.16), followed by stress management (M=2.98), nutrition(M=2.82), energy conservation (M=2.67). 2) A significant difference between age, sex, perception of health, and health behavior were found. 3) Pattern of health behavior among Korean adults focused on stress management in order to obtain emotional stability, and balance and harmony in dietary life, and energy conservation. Patterns of health behavior in Korean adults is unique in each individual. Therefore nursing intervention skill for health promotion have to be developed based on the health behavior in each individual.
Purpose: The purpose of this study is to provide base data for preparing plans that North Korean (NK) Refugees can adjust themselves to our society with a healthy mind after they get over their health problems using the Health Belief Model, knowing the relationship between individual characteristics and health beliefs, and health behavior. Methods: The subjects were 304 NK adult refugees in Hanawon. Data were collected by demographic questionnaire, health behavior scale, self-efficacy scale, perceived benefit scale, perceived barrier scale, perceived seriousness, perceived sensibility, and individual characteristics. Results: The factors influencing the health behavior of NK refugees were perceived benefits, self-efficacy, the period in the third country and experience in being expelled to NK, and these variables were describing 31.4% of the health behaviors of refugees. Conclusion: The perceived benefits and self-efficacy of health belief and specific experiences related to refugee affected NK refugees' health behavior.
Objectives: The aim of the study was to identify the effects of a community-level individual health counseling program for community. Methods: Data included baseline demographics, blood pressure, blood sugar, waist circumference, total cholesterol and health behavior index(body mass index, dietary practice guidelines score, physical activity, high-risk drinking) collected at public health centers in Chungnam province from January to September, 2011. Data obtained from the individual health counseling program in Chungnam province were analyzed using Wilcoxon Signed Rank Test and McNemar Test. Results: After the individual health counseling intervention, the results of health measurement index; systolic blood pressure, diastolic blood pressure, total cholesterol, waist circumference decreased in the health risk group, while total cholesterol and waist circumference decreased in the disease management group. Health behavior change in both groups. Body mass index, moderate physical activity, dietary practice guidelines scores were improved. Conclusions: These results indicate that the individual health counseling program for community was effective in improving health behaviors and status. The results demonstrate that step-by-step counseling program development and intervention studies are needed.
The purpose of this study was to test the revised Health Promotion Model of Pender and to determine the factors to promote health behavior for adolescents' smoking behavior. The subjects of the study was 783 boys of 4 high school students. among 39. schools locating in Daejeon metropolitan city. The data was collected from July 1st to 15th. 1997 by school health nurse The research tool were HPLP of Walker. Pender. General self-efficacy scale of Sherer. control scale was measured by subconcept of hardiness scale of Pollock. and perceived barrier. perceived benefit. activity-related-affect tool were made by researcher via literature review The data were analyzed by SAS program using frequency. t-test. ANOVA. Schefee test. regression. The results were as follows 1. The mean of total health promoting behavior was $2.27\pm.35$. Among sub domain of health promoting behavior, the highest score was interpersonal support$(2.72\pm.60)$. and the lowest was health responsibility $(1.58\pm.44)$. 2. There were statistically significant difference in total health promoting behavior according to religion. parenting style. school performance. girl friend. father's smoking of individual characteristics. 3. The socioeconomic status. smoking, parent pattern. family structure of individual characteristics and experience domain associated with perceived benefit. perceived barrier. activity-related affect. interpersonal influence of behavior-specific cognition and affect domain. The perceived barrier. self-efficacy. girl friend and father's smoking of interpersonal influence. and control explained $25.8\%$ of variance of health promoting behavior. From above results school health nurse has to emphasize on health responsibility for health promotion of adolescent. But they couldn't intervene for parent pattern. socioeconomic status. family structure of individual characteristics and experience domain. it could be possible for school health nurse to promote health of adolescents through improving perceived barrier. also develop program to increase self-efficacy and through parent health class for fathers. Above results point to the importance of including parents in smoking prevention effort targeting adolescents. Because increasing control also promotes health of adolescents. it should be studied further about the specific measure. To verify the variables for increasing the fitness of health promoting model. it needs further replication of the research.
Purpose: By investigating oral health knowledge and oral health behavior of orthodontic patients, we intend to identify factors that affect their satisfaction with orthodontic treatment and use them as fundamental data for improving the satisfaction of orthodontic patients. Methods: Busan from February 1st to March 31st, 2021. Dental disease in Gyeongsangnam-do. A self-contained survey was conducted on patients undergoing orthodontic treatment in the clinic. A total of 185 copies were analyzed. Using the lBM SPSS Statistics 21 program, multiple regression analysis was conducted by setting oral health knowledge and oral health behavior as independent variables to determine factors affecting remedial treatment satisfaction. Results: The satisfaction level of orthodontic treatment was 1.53 points higher than 'understanding the cost of orthodontic treatment' and 'smooth relationship with related staff while receiving orthodontic treatment' was low at 1.23. The average calibration satisfaction was 1.34. Factors affecting remedial treatment satisfaction were shown in the order of oral health behavior (p<0.000), educational experience (p<0.010), gender (p<0.015) and oral health knowledge (p<0.020). Conclusions: Through the above results, it is necessary to develop programs to improve oral health knowledge through customized individual oral health education by enhancing individual oral health behaviors of individuals.
Purpose: This paper is a report of an analysis of the concept of pro-environmental health behavior. Methods: Rodgers' method of evolutionary concept analysis was used to analyze the concept. A literature search using keywords 'pro-environmental health behavior, 'environmental health behavior', and 'eco-friendly health behavior' was conducted using PubMed, CINAHL, PsychINFO, and RISS and utilizing the results published from 1983 to 2011. Database and bibliographic searches yielded 84 records. Results: Four critical attributes of pro-environmental health behavior were identified as 'prevention and protection', 'internal process', 'altruism', and 'alternative'. Antecedents to pro-environmental health behavior were climate change, environmental pollution, and health risk. The consequences of pro-environmental health behavior were individual and social behavioral changes. Conclusion: The concept of pro-environmental health behavior developed in this project may offer information to be considered as the concept is further develop and efforts are made to measure the attributes of pro-environmental health behavior.
Health information-seeking behavior (HISB) is active need-fulfillment behavior whereby health information is obtained from diverse sources, such as the media, and has emerged as an important issue within the transforming medical environment and the rise of medical consumers. However, little is known about the factors that affect HISB and its associations, and the health outcome of HISB. The aim of this study was to examine individual and social contextual factors associated with HISB and to systematically review their effects on health status among post-treatment cancer patients. Individual determinants of HISB included demographic factors, psychosocial factors, perceived efficacy and norms, and health beliefs. Contextual determinants of HISB encompassed community characteristics, neighborhood social capital, and media advocacy. Improving through factors on these two levels, HISB raised individuals' self-care management skills and medical treatment compliance, and enhanced shared decision-making and medical treatment satisfaction. Moreover, because HISB can differ according to individuals' social contextual conditions, it can give rise to communication inequalities. Because these can ultimately lead to health disparities between groups, social interest in HISB and balanced HISB promotion strategies are necessary.
This study focused on individual health education for people with hypertension who were being seen in public health centers. The program was an adjusted intervention program that considered the characteristics of each individual and reflected the individual's will to change. Each individual had a different lifestyle with different characteristics and habits so the study considered these individual's characteristics. A comparison was done of knowledge related to hypertension, self-efficacy, and self-care in these individuals. In order to determine the effectiveness of education given by the nurses the variables were measured before and after the individual health education program. The participants in this study were 85 people with hypertension who were seen at a public health center in G city. They were assigned to an experimental group (43) and a control group (42). A tool developed by Park Young-Im (1994) was used to measure knowledge related to hypertension and self-efficacy. A tool developed by Lee Young-Whee (1994) was used for self-care. Data collection was done for 10 weeks from March 24 to May 31, 2003 using interviews with questionnaires. The following is a summary of the results of the study. Hypothesis 1, 'the experimental group which had the individual health education will have higher knowledge scores on hypertension than the control group that did not have the individual health education' was supported (t=4.17, P=0.00). Hypothesis 2, 'the experimental group which had the individual health education will have higher self-efficacy scores than the control group that did not have the individual health education' was supported (t=4.06, P=0.00). Hypothesis 3, 'the experimental group which had the individual health education will have better self-care ability than the control group that did not have the individual health education' was supported (t=4.94, P=0.00). Based on the results of this study, the public health centers should develop an educational program that uses a variety of visual aids and assess the effects of the education on patients with different chronic diseases. After the development of an inclusive education program which will standardize health education effectively and provide a variety of teaching methods, study is needed to measure changes in lifestyle after education and to determine how much knowledge related to hypertension, self-efficacy, and self-care increase
Health behavior constitutes the single most important factor in an individual's health maintenance program. Pender's health promotion model emphasizes the positive aspects of health-seeking behavior hut omits some negative ones. Although Pender's work does include the concept of barriers, the main focus is upon health habits rather than upon the interaction between the consumer and the health care system. Therefore, since individuals actually do face many barriers in their health-seeking behavior, the present study deals with negative concepts-the barriers to health and healthy behavior. For this reason the expression health-seeking behavior was chosen over health promotion. In conclusion, the results show that barriers to health-seeking behavior are causal factors that could explain and predict the health-seeking behavior of middle life women. Midlife women shows that they have barriers to health-seeking behavior especially in inconvenience, cost, healthcenter site-related problem, relationship, fear. These findings suggest the need to develop a nursing strategy to improve the empowerment of self-determination in middle-aged women. Consequently, a goal of nursing care for middle-aged women should be to help them pursue health care with a greater degree of self-sufficiency.
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