• Title/Summary/Keyword: Intervention Strategies

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The Mediating Effect of Depression in the Relationship between Knee Pain and Cognitive Functions in Older Adults: Focusing on Group differences by Gender, Age, and Educational Attainment (노인의 무릎통증과 인지기능 간 영향관계에서 우울의 매개효과 -성별, 연령, 학력에 따른 집단별 차이를 중심으로-)

  • Ju, Mee-Ra;Kang, Chang-Hyun;Youk, Kyoung-Soo
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.5
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    • pp.207-218
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    • 2022
  • This study, to confirm the mediating effect of knee pain on cognitive functions and depression in older adults, and as an interdisciplinary research between the physical and psychological mechanisms, confirmed the identifying group differences by gender, age, and educational attainment of older adults, and aimed to research the improvement of cognitive functions, which is a main factor of dementia's risk prediction. The analysis data was from the 8th Korean Longitudinal Study of Ageing (KLoSA) in 2020, and the research model was verified using Process macro and model #4. The main analysis results are as follows. First, depression partially mediation effect of knee pain on cognitive functions. Second, the mediation effect of depression by gender was significant, but the direct effect in the male older adults group was twice that in the female older adults; the indirect effect did not vary significantly based on gender. Third, the mediating effect of depression by age was relatively greater in the old-old aged group than in the young-old aged one. Fourth, as for the mediating effect of depression according to the classification of educational attainment, the mediating effect was not significant in the group with a college degree or higher education but was significant in the remaining three sub-groups. Based on the results, this study makes implications for the need for active intervention strategies to improve cognitive functions, focusing on group differences by gender, age, and educational attainment in the management of knee pain and depression.

Relationship between Levels of Problem Gambling and Stress among Gambling Addicts: The Multiple Mediation Effects of the Basic Psychological Needs (도박중독자의 문제도박 수준과 스트레스와의 관계: 기본심리욕구의 다중매개효과)

  • Kim, Jae-Hwan;Jang, Sung-ho;Shin, Sung-man
    • Korean Journal of Culture and Social Issue
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    • v.28 no.1
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    • pp.43-59
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    • 2022
  • This study conducted a multiple mediation analysis using sub-factors of basic psychological needs (BPNs) as mediators in the relationship between problem gambling and stress of gambling addicts to confirm that BPNs and stress, which affect gambling addiction, may be the result of problem gambling and to find effective intervention strategies. A total of 206 adults gambling addicts were screened by using CPGI. Descriptive statistics, correlation, hierarchical regression, and mediation analysis were conducted. Hierarchical regression analysis results yielded that problem gambling and sub-factors of BPNs were significant predictors of stress when controlling for gender and debt. The sub-factors of BPNs mediated the relationship between problem gambling and stress. These results indicated that BPNs and stress are not only the causes of gambling addiction but also the results from the harmful consequences of gambling addiction. The study supported the possibility of the psychological process of "Deficits of BPNs (of gambling users) → stress (of gambling users) → problem gambling → gambling addiction (of gambling addicts) → problem gambling → Deficits of BPNs (of gambling addicts) → stress (of gambling addicts)" among the variables and provided clinical implications for problem gambling counseling. Lastly, the limitations of this study and suggestions for further study were discussed.

The Effect of the Gambler's Basic Psychological Needs Satisfaction on Gambling Behavior: The Dual Mediating Effects of General Motivation and Mattering (도박이용자의 기본심리욕구 만족이 도박행동에 미치는 영향: 일반 동기와 대인존재감의 이중매개효과)

  • Kim, Seo-hee;Shin, Sung-man
    • Korean Journal of Culture and Social Issue
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    • v.27 no.4
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    • pp.585-607
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    • 2021
  • In order to examine the variables affecting gambling behavior and find intervention strategies, this study examined the effects of basic psychological needs satisfaction on the severity of gambling behavior and low-level gambling behavior through the general motivation level and mattering respectively. Self-reported data of 402 adults who have participated in gambling at least once in the last 3 months were analyzed, and dual-mediator model was conducted. Basic psychological needs satisfaction significantly contributed to gambling behavior severity through general motivation and mattering. Specifically, basic psychological needs satisfaction had a significant positive effect on mattering through general motivation. and mattering through this path had a significant negative effect on gambling behavior severity. On the other hand, basic psychological needs satisfaction had a significant negative effect on low-level gambling behavior, but the dual mediating effect of general motivation and mattering was not significant in this relationship. Based on these results, the theoretical implications on the effects of the general motivation and interpersonal presence on gambling behavior were proposed, study limitations and suggestions for future research were discussed.

A Study on the Classic Theory-Driven Predictors of Adolescent Online and Offline Delinquency using the Random Forest Machine Learning Algorithm (랜덤포레스트 머신러닝 기법을 활용한 전통적 비행이론기반 청소년 온·오프라인 비행 예측요인 연구)

  • TaekHo, Lee;SeonYeong, Kim;YoonSun, Han
    • Korean Journal of Culture and Social Issue
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    • v.28 no.4
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    • pp.661-690
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    • 2022
  • Adolescent delinquency is a substantial social problem that occurs in both offline and online domains. The current study utilized random forest algorithms to identify predictors of adolescents' online and offline delinquency. Further, we explored the applicability of classic delinquency theories (social learning, strain, social control, routine activities, and labeling theory). We used the first-grade and fourth-grade elementary school panels as well as the first-grade middle school panel (N=4,137) among the sixth wave of the nationally-representative Korean Children and Youth Panel Survey 2010 for analysis. Random forest algorithms were used instead of the conventional regression analysis to improve the predictive performance of the model and possibly consider many predictors in the model. Random forest algorithm results showed that classic delinquency theories designed to explain offline delinquency were also applicable to online delinquency. Specifically, salient predictors of online delinquency were closely related to individual factors(routine activities and labeling theory). Social factors(social control and social learning theory) were particularly important for understanding offline delinquency. General strain theory was the commonly important theoretical framework that predicted both offline and online delinquency. Findings may provide evidence for more tailored prevention and intervention strategies against offline and online adolescent delinquency.

Parents' Perceptions on Their Experiences and Roles in a Synchronous Videoconferencing Music Therapy Intervention for Their Children With Developmental Disabilities (발달장애 아동·청소년 대상 실시간 비대면 음악치료에서의 보호자 역할에 대한 인식 조사)

  • Ryu, Jinsun
    • Journal of Music and Human Behavior
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    • v.20 no.1
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    • pp.99-115
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    • 2023
  • Given the ongoing discussion regarding remote music therapy following the COVID-19 pandemic and the pivotal role of parental involvement in it, this study investigated parents' perceptions on their roles in a synchronous videoconferencing music therapy for their children with developmental disabilities. A total of 32 participants participated in an online survey comprising 68 questions. Descriptive statistics summarized the collected responses, and Pearson's correlation was conducted to examine the relationship between perceived parental roles, psychological burden, and willingness to participate in future remote music therapy. The findings showed that parents of children with developmental disabilities acknowledged the benefits of tele-music therapy and possessed substantial information about its implementation. Furthermore, they reported their roles of providing physical, participatory, and mediating support. As parents exhibited greater satisfaction with their role in supporting their children's participation or managing their off-task behaviors, they perceived reduced psychological burden. These findings hold significant implications for expansion of tele-music therapy strategies to address the unique needs of children with developmental disabilities and support their parents as immediate mediators for their children.

A Study on the Empowerment Experiences of People with Disabilities Participating in Encounter Group Counseling Program - Using Focus Group Interview for People with Physical Disabilities and Brain Lesions (엔카운터 집단상담에 참여한 장애인들의 임파워먼트 경험에 관한 연구 - 지체장애인과 뇌병변 장애인 중심 포커스 그룹 인터뷰)

  • Joo, Eun-Sun;Kim, Hee-Jung
    • The Journal of the Korea Contents Association
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    • v.22 no.5
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    • pp.456-477
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    • 2022
  • The purpose of this study is to provide basic data on practical intervention strategies that many people with disabilities can empower in the future by analyzing the experiences in which people with disabilities were empowered through Encounter group counseling program focusing on people with physical disabilities and brain lesions, who account for 50% of all people with disabilities. The research questions were: First, did people with disabilities get empowerment experiences through an Encounter group counseling program? Second, what kind of empowerment experiences did people with disabilities begin to have through the program? In this study, a focus group interview was conducted with the participants of the program to qualitatively evaluate the empowerment experiences from the Encounter group program. The participants were people with physical disabilities and brain lesions experiencing Encounter group counseling programs at the self-reliance center in Seoul from 2015 to 2019. As a result of the analysis, 7 components, and 17 sub-components were derived, which were grouped into three themes: 1) restoring self relationship 2) forming new relationship with others, and 3) realizing a sense of solidarity with society. The research results were discussed considering the impact of the Encounter program on personal, interpersonal, and social empowerment of people with disabilities and finally, limitations of the study and suggestions for follow-up studies were presented.

Education needs for clinical nursing practice using an Importance-Performance Analysis and Borich needs assessment model: Focused on nurses in the general wards of a tertiary hospital (Importance-Performance Analysis와 Borich 요구도 분석 방법을 활용한 임상간호실무 교육 요구도: 일개 상급종합병원 일반병동 간호사 대상)

  • Lee, Mira;Kim, Jiyoung;Kim, Boyeon;Park, Yooyun;Han, Jiyoo;Lee, Seunghee;Lee, Hyunju
    • The Journal of Korean Academic Society of Nursing Education
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    • v.29 no.2
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    • pp.124-137
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    • 2023
  • Purpose: This study's aim was to confirm the importance and performance of the clinical practice of nurses working in the general wards of a tertiary hospital and to analyze their educational needs. Methods: The study employed a descriptive research design, and a self-reported questionnaire was developed and used for nurses in a tertiary hospital. Data were collected from July 22 to July 29, 2022, analyzed by an independent t-test, paired t-test, and one-way ANOVA for the importance and performance of each clinical nursing practice according to general characteristics, and then a post hoc verification was performed by Scheffé's test. An Importance-Performance Analysis and Borich needs assessment model were used to analyze clinical nursing education needs. Results: Clinical nursing practice performance showed a significant difference according to length of total clinical career, time working in current department, and preceptor experience. According to the results of the Importance-Performance Analysis, neurological evaluation, and nursing intervention, artificial respirator and high-flow oxygen inhalation nursing, chemotherapy, emergency nursing, and cardiopulmonary resuscitation were identified as belonging to the "concentrate here" quadrant. All these items ranked in the top 10 in the Borich needs assessment model. Conclusion: Based on these results, the current education system should be reviewed, and short and long term education strategies based on educational needs should be established to strengthen the competence of nurses.

The Comparison of Health Status, Functional Status, and Home Environment Hazards in Terms of the Fear of Falling in Community-dwelling Older Adult (재가 노인의 낙상공포 여부에 따른 건강상태, 신체기능상태 및 가정환경 위험 비교)

  • Lim, Kyung-Choon;June, Kyung Ja;Yoon, Jong-Lull
    • 한국노년학
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    • v.29 no.4
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    • pp.1577-1589
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    • 2009
  • The purpose of this study was to compare the health status, functional status, and home environment hazards by the fear of falling and explore the factors that contribute to the fear of falling. This was a descriptive study. Data were collected for two years with 973 older adults who enrolled in a health center at A city. Trained nurses visited subjects' home and collected data using Resident Assessment Instrument MDS-HC. The average age of the subjects was 76.8 (±7.6) and female was 74.8%. 20.7% of subjects reported fear of falling. In terms of the fear of falling, two groups were compared. There were significant differences in vision, urinary incontinence, pain that interrupts daily activity, unstable gait, comorbidities, frequency of depressive or anxious sign. The greater the age, IADL and ADL dependency, comorbidities, unstabled gait, the more fear of falling. In conclusion, this study reassured the importance of assessing the major factors related to fear of falling such as age, IADL and ADL, comorbities, gait among older adults. This study will contribute to establish strategies for preventing fall. Reducing the fear of falling through the comprehensive nursing intervention will ultimately improve the quality of life in the elderly.

Sleep Disturbance, Physical Activity and Health Related Quality of Life in Patients with Chronic Obstructive Pulmonary Disease (만성폐쇄성폐질환자의 수면장애, 신체활동 및 건강관련 삶의 질)

  • Lee, Haejung;Lim, Yeonjung;Jung, Hee Young;Park, Hye-Kyung
    • 한국노년학
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    • v.31 no.3
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    • pp.607-621
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    • 2011
  • Purpose The purpose of this study was to examine the relationship between physical activities, sleep disturbance, and health related quality of life (HRQOL) in patients with chronic obstructive pulmonary disease (COPD). Methods A descriptive survey design used pretest dataset of COPD symptom management intervention study (N=245). Measures included the international physical activity questionnaire, the COPD and asthma sleep impact scale, and the St. George's respiratory questionnaire of HRQOL. The data were analyzed using descriptive analysis, t-test, ANOVA, Pearson correlation coefficients, and simultaneous multiple regression by the SPSS WIN 18.0 program. Results The mean scores (SD) of HRQOL and sleep disturbance were 36.04 (19.43) and 14.33 (6.20), respectively. About 32% of participants were physically inactive. The multivariate approach showed the patients who have more sleep disturbance (β=.27), lower levels of FEV1 % predicted (β=-.23), lower physical activities (β=-.19), lower household income (β=-.16), and diagnosed longer than 5 years (β=.14) reported lower HRQOL (R2=.34). Conclusion The findings of this study suggest that improving the quality of sleep and physical activities can be efficient strategies for HRQOL in patients with COPD. Future research in enhancing HRQOL through improving sleep quality and physical activities is needed.

Development of Robot-Mediated Social Skills Training 'Friendly Friends' Contents for Elementary School Students (로봇을 활용한 초등학생용 사회성 기술 훈련 '사또(사이좋은 또래)' 콘텐츠 개발)

  • Lim, Bo Lyeong;Baek, Ye Eun;Park, Jiyeon
    • The Journal of the Korea Contents Association
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    • v.22 no.8
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    • pp.44-53
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    • 2022
  • The purpose of this study is to plan and develop contents for training social skills using robots for elementary school students. Seven functions (guiding activity, providing reinforcement, guiding students behavior, team setting, presenting team order, timer setting, and checking scores) were developed by analyzing functions that robots can take charge of in the training contents. A total of 8 sessions of social skills training contents were developed by selecting social skills required for academic achievement and social interaction of elementary school students. The lesson consisted of providing positive and negative examples, modeling, role-playing, providing feedback on performance, and encouraging generalization stages using effective strategies for acquiring social skills. After developing social skills training contents using robots for elementary school students, so-called Friendly Friends (FF), a satisfaction survey was conducted on the field application of contents and participating students and teachers to examine the acceptance pattern. As a result, it was found that the participating students and teachers were satisfied with the contents. Finally, the meaning and the expected effects of the 'FF (Friendly Friends)' contents were discussed, and also, the matters to be considered when developing social skills training contents using robots in the future were suggested.