• Title/Summary/Keyword: Integrated Psychological Support

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Using Intervention Mapping to Develop a Community-based Disease Self-management Support Program for Patients with Osteoarthritis (Intervention Mapping을 적용한 지역사회기반의 골관절염 자기관리지지 프로그램 개발)

  • Ahn, Yang Heui
    • Journal of muscle and joint health
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    • v.22 no.3
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    • pp.245-257
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    • 2015
  • Purpose: The purpose of this study was to apply intervention mapping (IM) to develop a community-based disease self-management support program for patients with osteoarthritis. Methods: IM was applied as follows: i) a needs assessment has been carried out by a literature review, survey and interview with osteoarthritis patients; ii) on the basis of the needs assessment, identification of expected outcomes and change objectives for the target population; iii) selection of theory-based methods and practical applications to influence self-management and the determinants of behavior; iv) design of the intervention by developing activities and materials such as osteoarthritis self-management guide and smart patient pocket book. The activities were integrated into an existing healthcare activities; v) implementation and evaluation plan has been developed. Results: The program is aimed at improving health status through activating patients by a patient-centered and tailored intervention for patients with osteoarthritis; consists of 8 sessions with coaching and cognitive emotional psychological skills; includes smart patient, communication, osteoarthritis, medication adherence, pain control, depressive mood control, physical activity and healthy diet. Conclusion: The IM is a systematic and feasible method for developing the program. The next step is to evaluate the impact of the intervention on activation, and health status.

Comparative Study on the Effect of Family, Organization and Community Factors on Work-Life Balance: Married and Working Women in Korea, Japan, and the U.K. (일과 삶의 균형에 영향을 미치는 가정, 조직, 지역사회 변인의 영향력에 대한 국가비교연구: 한국, 일본, 영국 기혼여성근로자를 중심으로)

  • Sohn, Young Mi;Park, Cheong Yeul
    • Journal of Family Resource Management and Policy Review
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    • v.19 no.2
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    • pp.51-74
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    • 2015
  • This study aimed to identify differences in the level of work-life balance as well as the effect of independent variables, including family (sharing family work, support for working), organization (culture, support services and systems), and community variables (accessibility to and amount of work-life balance programs), on work-life balance in South Korea, Japan, and the U.K. For these purposes, data were collected from 311, 324, and 322 married, working women (from 30 to 50 years of age) from Korea, Japan, and the U.K., respectively. It was consistently shown that U.K. employees scored higher in work-life balance than Korean and Japanese employees. Compared with Japan and the U.K., Korean participants were significantly lower in terms of work-leisure balance and work-self-development balance. The regression analysis revealed that 'sharing family work with partner' was commonly important and a major factor in all three countries. A 'supportive organizational culture' predicted work-life balance for Korean and Japanese participants, while work-life balance programs had a powerful effect on work-life balance only for U.K. participants. In the case of community variables, there were no significant effects for U.K. participants with regard to work-life balance. In contrast, 'the amount of work-life balance programs offered' was shown to affect the work-life balance of Korean working women, while 'accessibility to the programs' was significantly influential in Japan. We interpret these results according to social, economic, political, and psychological factors.

A Study on Social Relationship of Housing Types for Social Health of the Elderly (노인의 사회적 건강 측면에서 본 주택유형별 사회적 관계성 연구)

  • Lee, Yeun-Sook;Youn, Ga-Young;Chang, Jae-woo;Ahn, Chang-Houn
    • Korean Institute of Interior Design Journal
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    • v.22 no.5
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    • pp.258-266
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    • 2013
  • Rapidly aging society extends the span of aged life of the elderly people longer than before and this trend raises the issue of holistic health of the aged including their physical, psychological and social health making it necessary to study for environmental development to support this trend. This study intends to explore the direction of residential planning to support the deterioration phenomenon of social networks due to aging. Social networks here are treated as basic conditions for social health. This study researched the diverse types of elderly housings in preparation for the aged society and their spatial characteristics, social affordance characteristics and their potentials for social interactions from the viewpoint of their social relations. literature studies with contents analysis method was used. The results of this study were arranged primarily according to the characteristics of social relations by types of housings. Socially integrated types of housings can be found as inclusive housing type as they have both social characteristics that can be found in houses in general and the elderly housings, they should be considered as desirable types in Korea where collective houses are most popular. Form the existing housing plans housing plan direction should move toward socially integrated housing plans that can protect the elderly people collectively and the direction of housing plans here means the direction from more macro-perspective viewpoint. Therefore, the results of this study are meaningful in adding interpretation from the viewpoint of social relations respective housings and promoting housings for the elderly people more desirably.

Humidifier disinfectant lung injury, how do we approach the issues?

  • Choi, Jihyun Emma;Hong, Sang-Bum;Do, Kyung-Hyun;Kim, Hwa Jung;Chung, Seockhoon;Lee, Eun;Choi, Jihyun;Hong, Soo-Jong
    • Environmental Analysis Health and Toxicology
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    • v.31
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    • pp.19.1-19.7
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    • 2016
  • A large portion of the Korean population has been exposed to toxic humidifier disinfectants (HDs), and considering that the majority of the victims are infants, the magnitude of the damage is expected to be considerably larger than what has currently been revealed. The current victims are voicing problems caused by various diseases, including but not limited to lung, upper respiratory tract, cardiovascular, kidney, musculoskeletal, eye, and skin diseases, etc. However, there has been difficulty in gaining validation for these health problems and identifying causal relationships due to lack of evidence proving that toxic HD is the specific causes of extrapulmonary diseases such as allergic rhinitis. Furthermore, the victims and bereaved families of the HD case have not received any support for psychological distress such as post-traumatic stress disorder, depression, feelings of injustice, and anger caused by the trauma. In addition, because the underlying mechanisms of the toxic materials within the HDs such as polyhexamethylene guanidine phosphate, poly(oxyalkylene guanidine) hydrochloride, chloromethylisothiazolinone /methylisothiazolinone have yet to be determined, the demand for information regarding the HD issue is growing. The victims of the HD cases require support that goes beyond financial aid for medical costs and living expenses. There is a desperate need for government-led integrated support centers that provide individualized support through health screenings; in other words, we need an integrated facility that provides the appropriate social support to allow the victims to recover their physical and mental health, so as to well prepare them to return to a normal life. The implementation of such a plan requires not only the close cooperation between those departments already directly involved such as the Ministry of Environment and the Ministry of Health and Welfare, but also active support on a national scale from pan-governmental consultative bodies.

The Activities of Childhood Cancer Foundation in Taiwan (대만 어린이암재단의 활동)

  • Lee ChungHsiang
    • Korean Journal of Hospice Care
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    • v.2 no.1
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    • pp.182-192
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    • 2002
  • Childhood Cancer Foundation of ROC(CCFROC) has been founded since 1982. Its goal is to provide comprehensive care for cancer children and their families. And in turn, under the provision of good and complete care, they can be back to the school and society. To achieve this goal, it needs to get every body's effort of the society together. The foundation has been founder under this concept and tried to fulfil this task. The first step is to educate the public to know that childhood cancer can be cured and the process of treatment is long and expensive. In order to reach this life-saving procedure, campaigns for raising money is most important thing. Then, pediatric hematologists / oncologists try to organize study group, named Taiwan Pediatric Qncology Goupp(TPOG), to make treatment protocols for childhood cancers. Its primary purpose is to increase the cure rate to prove the earlier the diagnosis and treatment, the better the prognosis. The second step is to provide full support of medical expenses and further to give help for emergent need to living. Through the varieties of active exercises of cancer children or families, foundation provides opportunities for them to share the experience during the different periods of diseases. The third step is to extend the scope of training activities for many kinds of personnel who devote to the care for cancer children. On the other hand, it promotes the cooperation or communication with international organizations and sets up recreation playing ground in the communities. The aim is to provide a comprehensive and integrated care for cancer children during their education, breeding and even accomplishment period. Besides the financial support of medical care, it provides social services to give psychological support for children and their families, to strengthen doctor-patients or doctor-families relationship. The foundation provides the mourning religious activities to cherish the memory of their children who passed away and to comfort their sadness. Since the childhood cancer is curable, its treatment should be active, comprehensive and it needs to provide to all cancer children without exception. Indeed, the work of CCFROC should be changed according to the environment and different time period. But, it needs the full support from the society. We hope the scope and content of the work will be more extended and its achievement will be better than now in the future.

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An Analysis of Child Care and Education Teacher's Current Practices and Difficulties in Supporting Children with Problem Behaviors (국공립 어린이집 재원 유아의 문제행동과 교사의 현재 교수 실태 및 지원요구에 대한 탐색)

  • Lee, Yeon Jeong;Cho, Youn Kyung
    • Korean Journal of Childcare and Education
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    • v.10 no.3
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    • pp.5-29
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    • 2014
  • The purpose of this study was to find out various problem behaviors of children who were not diagnosed with any disability, but instead, engaged in problem behaviors. This study also intended to review the difficulties of children with problem behaviors, their teachers' difficulties and needs, to suggest support for child care and education teachers. This study conducted semi-structured qualitative interviews with eight child care and education teachers. The interviews were transcribed into text and analyzed by contents. The results of this study are as follows. Problem behaviors of children described by teachers were classified into external and internal types. In addition, children with problem behaviors had experienced difficulties in maintaining relationships with their teachers, peers and parents. Many teachers were not successful to provide appropriate support for preschoolers who demonstrated problem behaviors in classrooms or some teachers provided individualized support. Teachers adapted the behavioral and the psychological approaches to problem behaviors of preschoolers. However, teachers reported difficulties with children with problem behavior and brought up the following issues on teaching children with problem behaviors; managing troubled matters happening in the class, difficulty in controlling teacher's emotions on problem behaviors, the lack of time, the integrated child care time without teacher in charge of child, the interruption in activity progress, the lack of a special way to deal with problem behaviors, and difficulty in cooperation with families through parents-teacher counseling sessions. Teachers counseled with parents who had a child with problem behaviors and revealed that parents reacted to problem behaviors in various ways such as embarrassment, acceptance, ignorance, or avoidance. Most teachers received assistance and support for teaching children with problem behaviors, from families, local communities and in-service training. Lastly, teachers with preschoolers with problem behaviors needed the support of experts on managing behavior problems, assistant teaching personnel, education for parents and teachers, respects for teachers, psychological counseling or play therapy from professional service agencies, diagnosis service at child care and education centers which children attended, and support networking with agencies. Teachers also required the family support of medical diagnosis and psychological counseling and financial support from the government.

A Process Model for Virtual Collaboration: Theoretical Synthesis and Empirical Exploration (가상협업을 위한 프로세스 모형)

  • Suh, A-Young;Shin, Kyung-Shik
    • Asia pacific journal of information systems
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    • v.18 no.2
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    • pp.73-94
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    • 2008
  • When individuals collaborated in virtual settings, communication is medicated through a variety of communication technologies, and is associated not only with communication effectiveness but also with socio-emotional interactions among group members. In this regards, scholars have examined how technology-mediated communication systems can be designed and used to facilitated communication interaction. However, the empirical results of the previous studies have revealed inconsistencies in the effects of communication media on users' behavioral or attitudinal responses, and on their viable effectiveness in organizations. Some studies claim that computer-mediated communication(CMC) is task-oriented but not suitable for emotional expression since it hinders close interpersonal interaction. On the other hand, some studies argue that individuals are able to develop interpersonal relationships more effectively in a CMC environment than in an FtF-environment. Due to the different perspectives, a theoretical gap exists, and it leads to the inconsistent research findings. The purpose of this paper is to combine the two different perspectives into single unified model, thereby providing a more realistic and comprehensive understanding about virtual collaboration. The present study here sought to answers the following questions with organizational communication perspective: What are the major components of virtual collaboration? What factors affect the performance of virtual collaboration? And what kind of managerial efforts should organization make in order to facilitate CMC media effectiveness in virtual collaboration? Although there is a certain belief that new media, namely technology-mediated communication support would create new opportunities, the problem of "how" or "why" has been an important question that is still not fully addressed. In this regards, we collectively reexamined previous literatures with major issues which are still controversial and integrated various theoretical activity within computer-mediated communication domain: task-oriented approach, socio-emotional approach, and evolutionary psychological approach. Our first contribution is to develop a framework for virtual collaboration by combining two different perspectives into a single unified model, providing a more realistic and comprehensive understanding. The second main contribution is the joint modeling of both social presence and cognitive effort, and the effects on two distinct but important communication outcomes(i.e., take performance and relational development). We tested the research hypotheses which were developed based on the various CMC theories using data gathered through a self-administered mail survey of 127 individuals of 69 virtual workgroups. The proposed model was supported, providing preliminary evidence that the tension between two opposite view should be integrated. The results show that the individual's psychological processes(social presence and cognitive effort) in a virtual environment significantly mediated the effect of CMC inputs (media richness, user adaptation, and shared contest) on the CMC outputs (task performance and relational development). Furthermore, this study shows that the lack of perceived media richness of CMC media can be complemented by user adaptation and shared context. Based on the results, we discuss how communication system should be designed and implemented so as to promote virtual interaction as well as how a virtual workgroup should be composed to complement the lack of media richness. A virtual collaboration using CMC media may create new value by overcoming the logistical constraints. On the other hand, it may also generate various managerial risks such as communicational depersonalization, process dissatisfaction, and low cohesion. Therefore, this study suggests that organization managers should carefully choose the CMC mediums and monitor individual member's cognitive and affective psychological processes during virtual collaboration to reduce potential risks in virtual collaboration.

Self-care in Patients with Atrial Fibrillation Based on the Theory of Unpleasant Symptoms (불쾌 증상 이론을 적용한 심방 세동 환자의 자가관리)

  • Kim, Min Young;Lee, Sun Hee;Park, Han Jong
    • Journal of Korean Clinical Nursing Research
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    • v.28 no.1
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    • pp.23-33
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    • 2022
  • Purpose: This study aimed to identify the relationships among disease severity, anxiety, depression, social support, unpleasant symptoms and self-care among patients with atrial fibrillation based on the unpleasant symptom theory, and to examine the mediating effects of unpleasant symptoms. Methods: A cross-sectional study was conducted. The participants were 216 patients with atrial fibrillation who were being followed up on an outpatient basis at a university hospital in Seoul. Data were collected from November 1, 2020 to June 30, 2021, using self-report questionnaires. Data were analyzed using IBM SPSS/WIN 27.0 and PROCESS macro with 95% bias-corrected bootstrap confidence interval(CI). Results: The average age of participants in this study was 66.0years. Disease severity (β=10.19, p<.001) and depression (β=1.53, p<.001) had significant positive relationships with unpleasant symptoms. Also, unpleasant symptoms (β=-0.03, p=.006) had a negative relationship with physical activity, which is a subscale of self- care. Social support (β=0.06, p<.001) was positively related with physical activity. Unpleasant symptoms showed a mediation effect in the relationship between disease severity and physical activity (Bias corrected bootstrap CI -0.65, -0.04). Depression had an indirect effect on physical activity that was mediated by unpleasant symptoms (Bias corrected bootstrap CI -0.11, -0.00). Conclusion: The findings of this study suggest that integrated strategies including physical, psychological, and social factors should be considered to promote self-care in patients with atrial fibrillation.

Development of personal health management data server platform based on health care data (헬스케어 데이터 기반의 개인 건강관리 데이터 서버 플랫폼 개발)

  • Park, Doyoung;Song, Hojun
    • Journal of Platform Technology
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    • v.10 no.1
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    • pp.29-34
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    • 2022
  • The emergence of new diseases such as the Covid 19 pandemic that occurs in the 21st century and the occurrence of health abnormalities according to the busy daily life of modern people are increasing. Accordingly, the importance of health care management and data-based health management is being highlighted, and in particular, interest in personal health management data based on personal health care data of patients is rapidly increasing. In this study, to solve the difficult problems of personal health management, we developed a personal health care platform incorporating IT for self-diagnosis and solution and developed an application that measures bio-signals generated in the human body and transmits them to the platform. A health management system was established. Through this, not only the health care of modern people, but also the psychological and emotional care support needs through psychological and emotional monitoring of the developmentally disabled and the vulnerable who have difficulty in expressing their opinions are to be addressed. In addition, the overall health and living environment data of the individual was integrated to develop an optimized medical and health management service for the individual.

A Case Report on the Use of M&L Psychotherapy for Chronic Pain Patients through a Traditional Korean Psychiatric Therapeutic Approach (한의정신치료적 접근을 통한 만성통증 환자의 M&L 심리치료 활용 1례 보고)

  • Hyun-A Sim;Jin-Hyun Kim;Jae, kyoung Lee;Soo-Duk Kim;Young-Tak Koh
    • Journal of Oriental Neuropsychiatry
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    • v.35 no.3
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    • pp.279-289
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    • 2024
  • Objectives: To report effects of M&L psychotherapy combined with Korean medical treatments on a patient with chronic low back pain. Methods: We treated a patient with chronic low back pain using M&L psychotherapy alongside a combination of Korean medical treatments, which included acupuncture, pharmacopuncture, cupping, and herbal medicine. The patient was diagnosed based on the ICD-11 diagnostic criteria for chronic primary pain. To evaluate the patient's progress, we used the Numerical Rating Scale (NRS), Oswestry Disability Index (ODI), Visual Analogue Scale (VAS), Beck's Depression Inventory (BDI), and Beck's Anxiety Inventory (BAI). Results: After three weeks of inpatient treatment and two months of outpatient treatment, the patient showed significant improvement in both pain and psychological symptoms. The NRS score decreased from 7 to 2. The BDI score decreased from 54 to 11 and the BAI score decreased from 33 to 9. Conclusions: This study demonstrates that M&L psychotherapy combined with Korean medical treatments can significantly reduce chronic low back pain and improve psychological symptoms such as depression and anxiety. The patient's notable improvements in NRS, BDI, and BAI scores suggest that an integrated treatment approach addressing both physical and mental health aspects is effective for managing chronic pain. These findings support potential benefits of holistic and multidisciplinary strategies for treating patients with chronic pain.