• Title/Summary/Keyword: Intervention level

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Effectiveness of an Intervention Program on Knowledge of Oral Cancer among the Youth of Jazan, Saudi Arabia

  • Quadri, Mir Faeq Ali;Saleh, Sanaa Mahmoud;Alsanosy, Rashad;Abdelwahab, Siddig Ibrahim;Tobaigy, Faisal Mohamed;Maryoud, Mohamed;Al-Hebshi, Nezar
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.5
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    • pp.1913-1918
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    • 2014
  • Background: The study is the first of its kind to be conducted in Saudi Arabia (KSA), aiming to analyze the effectiveness of an intervention program in improving the knowledge of oral cancer among the youth. Materials and Methods: A total of 1,051 young Saudis (57% males and 43% females with a mean age of $20.4{\pm}1.98$) were selected using multi-stage cluster sampling. Knowledge assessment was accomplished using a closed-ended questionnaire which was subjected to reliability tests. Prevalence of risk factors in relation to gender was analyzed using the chi-squared test. Effectiveness was calculated by comparing the pre- and post-intervention means, using the two-tailed paired t-test. Multiple logistic regression was employed in order to determine factors associated with awareness of risk habits, signs/symptoms and prevention of oral cancer. The significance level in this study was set at 0.05. Results: Females were seen to be more into the habit of sheesha smoking (3.3% rather than the use of other forms of risk factors. Prevalence of diverse risk factors such as cigarette smoking (20%), sheesha (15.3%), khat (27%) and shamma (9%) was seen among males. Gender and the use of modifiable risk factors among the study sample were significantly (p<0.001) associated with effectiveness of the intervention. The intervention program was highly effective (p<0.001) in improving the knowledge of oral cancer among the youth in Jazan, KSA. Multivariate analysis revealed that age and gender are the most significant factors affecting knowledge. Conclusions: The study gives a direction for further public health initiatives in this oral cancer prone region.

The Use of Propensity Score Matching for Evaluation of the Effects of Nursing Interventions (Propensity Score Matching 방법을 이용한 간호중재 효과 평가)

  • Lee, Suk-Jeong;Yoo, Ji-Soo;Shin, Mi-Kyung;Park, Chang-Gi;Lee, Hyun-Chul;Choi, Eun-Jin
    • Journal of Korean Academy of Nursing
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    • v.37 no.3
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    • pp.414-421
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    • 2007
  • Background: Nursing intervention studies often suffer from a selection bias introduced by failure of random assignment. Evaluation with selection bias could under or over-estimate any intervention's effects. PS matching (PSM) can reduce a selection bias through matching similar Propensity Scores (PS). PS is defined as the conditional probability of being treated given the individual's covariates and it can be reused to balance the covariates of two groups. Purpose: This study was done to assess the significance of PSM as an alternative evaluation method of nursing interventions. Method: An intervention study for patients with some baseline individual characteristic differences between two groups was used for this demonstration. The result of a t-test with PSM was compared with a t-test without matching. Results: The level of HbA1c at 12 months after baseline was different between the two groups in terms of matching or not. Conclusion: This study demonstrated the effects of a quasi-random assignment. Evaluation using PSM can reduce a selection bias impact that affects the result of the nursing intervention. Analyzing nursing research more objectively to reduce selection bias using PSM is needed.

Effect of Sensory Integration Video Modeling on Self-initiation and Task Performance in Children with Intellectual Disability (감각통합활동 동영상이 지적장애아동의 자발성과 과제 수행율에 미치는 효과)

  • Hong, Mi-Young;Kim, Jin-Kyung;Kang, Dae-Hyuk
    • The Journal of the Korea Contents Association
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    • v.11 no.5
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    • pp.260-269
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    • 2011
  • The aim of this research was to examine whether the sensory integration video modeling intervention would be beneficial to the children with intellectual disabilitiy. Four children with intellectual disabilitiy participated and the A-B-A design was utilized in this study. In the intervention phase, each individual watched his/her own 8 minutes long previously recorded video which was the independent variable in this study. The dependent variables were (1) the self-initiation and task performance of the four sensory integration activities, (2) performance time of Grooved Pegboard. During the intervention period, each individual participated in the occupational therapy session twice a week. The result showed that sensory integration video modeling increased self-initiation and task performance of the participants. Self-initiation and the task performance scores of the participants were maintained even after the intervention period. When Grooved Pegboard was administered, the performance time decreased. The findings indicated that sensory integration video modeling may be an effective intervention for improving self-initiation and task performance and reducing inattentiveness in children with intellectual disabilitiy. In the future research, it is suggested that the level of cognition and sensory processing capabilities of the participants be considered to validate the effectiveness of sensory integration video modeling.

Clinical significance of serum alanine aminotransferase and lifestyle intervention in children with nonalcoholic fatty liver disease

  • Kwon, Kyoung Ah;Chun, Peter;Park, Jae Hong
    • Clinical and Experimental Pediatrics
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    • v.59 no.9
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    • pp.362-367
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    • 2016
  • Purpose: This study aimed to investigate the clinical significance of serum alanine aminotransferase (ALT) levels in children with nonalcoholic fatty liver disease (NAFLD) and the effect of lifestyle intervention on NAFLD. Methods: The clinical data of 86 children diagnosed with NAFLD were reviewed retrospectively. Forty-six patients belonged to the elevated ALT group and 40 to the normal ALT group. The clinical parameters of patients with NAFLD were also compared based on the status of ALT levels after lifestyle intervention. Results: Patients with elevated ALT had significantly higher body mass index (BMI) scores than those with normal ALT (P<0.05). Of all the patients with elevated ALT, 89% exhibited moderate or severe degree of fatty change in the liver on ultrasonographic examination, whereas most patients with normal ALT exhibited mild or moderate degree changes. Liver biopsy was performed in 15 children with elevated ALT and all showed mild histological changes. Of all patients with elevated ALT, 49% achieved normal ALT levels after lifestyle intervention. Those with more severe histological changes tended to have continuously increasing ALT levels. There was no correlation between the normalization of posttreatment ALT level and BMI, as well as ultrasonographic findings at diagnosis. Conclusion: ALT elevation in NAFLD is highly associated with higher BMI scores and more severe degree of fatty changes on ultrasonographic examination. Lifestyle intervention can significantly improve ALT in children with NAFLD. The degree of histologic changes appears to be a predictor of the treatment response to NAFLD.

Comparison of Lumbar Stabilization Exercises and Gluteal Strengthening Exercises on Pain, Disability and Psychosocial Factors in Low Back Pain Patients with Lumbar Instability (요추부 불안정성을 가진 요통환자의 요추부 안정화 운동과 둔근 강화 운동이 통증, 기능장애 및 심리사회수준에 미치는 효과 비교연구)

  • Jeon, Ji-hye;Kim, Suhn-yeop
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.23 no.2
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    • pp.33-44
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    • 2017
  • Background: Lumbar stabilization exercise and gluteal muscle strengthening exercises are widely used to treat for lower back pain patient. The present study aimed to compare the effects of lumbar stabilization exercise and gluteal muscle strengthening exercises on chronic lower back pain with lumbar spine instability, with regard to pain intensity, disability, and psychosocial factors. Methods: Among 53 patients with chronic lower back pain, those with spine instability were selected using 5 examination tests. The selected 28 patients were randomly assigned to lumbar stabilization exercise group (LSE, n=15) and gluteal strengthening exercise group (GSE, n=13). Each group performed the corresponding exercise for 40 minutes, twice a week for 4 weeks. To analyze and compare the effects, pain intensity, the level of low back disability, and psychosocial factors were assessed before and after intervention. Results: There was significant difference in lower back pain intensity between the two groups before and after intervention. The change in low back disability was significant in the GSE group alone following intervention (p<.05), but no other significant difference was found between the groups. Among psychosocial factors, the changes in the fear-avoidance beliefs questionnaire (FABQ)-physical activity and FABQ-total were significant in the LSE group alone following intervention (p<.05). However, no significant difference were found in these factors between the two groups before and after intervention. Conclusions: LSE and GSE for lower back pain with lumbar spine instability showed no significant difference for pain intensity, physical disability, or psychosocial functioning.

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The Quality of Reporting of Intervention Studies in the Korean Journal of Women Health Nursing (KJWHN): Based on the TREND Guidelines (여성건강간호학회지에 게재된 중재 연구 논문보고의 질 평가: TREND 지침에 근거하여)

  • Kim, Myounghee;Cheon, Suk-Hee;Jun, Eun-Mi;Kim, Sue;Song, Ju-Eun;Ahn, Sukhee;Oh, Hyun-Ei;Lee, Eun-Joo
    • Women's Health Nursing
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    • v.19 no.4
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    • pp.306-317
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    • 2013
  • Purpose: This study was done to evaluate quality of reports of non-randomized controlled quasi-experimental study articles published in the Korean Journal of Women Health Nursing (KJWHN). Methods: A search was done for experimental studies assessing intervention effects among all articles published in the KJWHN from 2008 to 2013. Original articles were reviewed and analyzed according to the 22 checklist items of the guidelines for Transparent Reporting for Evaluations with Non-randomized Designs (TREND). Results: Thirty-five articles on experimental studies were identified. The evaluation of the quality of reporting in these experimental studies found that there was a wide variety in the level of satisfying the TREND checklist. In particular, according to TREND topics, low levels of reporting quality were found for "title & abstract (only for information on how units were allocated to the intervention)", "outcomes in methods", "assignment in methods", "blinding in methods", "recruitment in results", "baseline data in results", "interpretation in discussion (especially intervention mechanism and success or barriers), "generalizability in discussion". Conclusion: Results indicate that adherence to TREND guidelines varied in experimental studies published in the KJWHN suggesting the recommendation that for higher levels of complete reporting, TREND guidelines be used in reports on experimental studies.

Effectiveness of a Reducing Alcohol Intervention Program for Workers (근로자 절주 프로그램의 효과)

  • Kim, Keum-Ee
    • Research in Community and Public Health Nursing
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    • v.18 no.4
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    • pp.611-623
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    • 2007
  • Purpose: To evaluate a reducing alcohol intervention program for workers. Method: The intervention program employed one-group pretest-post-test design with repeated measuring by quasi-experimental study. The program was developed from literature review based on the Transtheoretical Model, and evaluated from April 6 to June 22, 2006. Sixteen white collar male workers participated. At the beginning, the subjects were at the pre-contemplation stage (50%) and contemplation stage (50%). The intervention was applied personally or in group twice a week for 9 weeks. Results: The scores of each stage of change in the post-test increased significantly compared with those in the pretest. The scores of process (cognitive and behavioral) of change in the post-test increased significantly compared with those in the pretest. The score of self-efficacy of change in the post-test increased significantly compared with that in the pretest. The score of pros-cons for drinking in the post-test decreased significantly compared with that in the pretest. The consumption of alcohol a week and a day in the post-test decreased significantly compared with that in the pretest. The levels in ALT, AST, GGT, total cholesterol, triglyceride, B.P. and BMI in the post-test did not decrease significantly compared with those in the pretest, but the level of FBS decreased significantly compared with that in the pretest. Conclusion: The above result informs us that a stage-based reducing alcohol intervention program for workers has the effect of increasing the stages of change, the process of change (cognitive and behavioral) and self-efficacy, and decreasing pros-cons for drinking alcohol consumption and FBS, and it also has a value as an effective means of nursing for workers.

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The Nutritional Status and Intervention Effects of Multivitamin-Mineral Supplementation in Nursing-Home Residents in Korea (노인복지시설 거주노인의 영양상태와 비타민-무기질 보충 효과에 관한 연구)

  • 김화영;안소영;송요숙
    • Korean Journal of Community Nutrition
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    • v.5 no.2
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    • pp.201-207
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    • 2000
  • This study was performed to assess the nutritional status of nursing home residents and to assess the effect of nutrition intervention. The subjects were 123 people aged over 60 years from 5 different nursing homes. The nutrition intervention study was carried out by supplementing their diet with multivitamin-minerals for 2 months. The mean intakes of most nutrients did not meet the RDA, Though the nutrient content of the menus provided by the facilities were satisfactory. Nutrients of which intakes fell below 75% of the RDA were protein, Ca, Fe, vitamin A vitamin B$_1$, and vitamin B$_2$. The BMIs of male and female subjects were 22.0kg/$m^2$ and 24.6kg/$m^2$ and the WHRs were 0.92 and 0.90, respectively. The percentage of subjects with hypertention (BP$\geq$140/90mmHg) and with anemia(Hb$\leq$13mg/100$m\ell$ in men, Hb$\leq$12mg/100$m\ell$ in women) were 34.6% and 41.9%, respectively. The serum cncentrations of albumin, total protein, triglyceride, total cholesterol, HDL-cholesterol, and total lipid fell within normal ranges. However, 27.5% of the subjects showed a high serum cholesterol level of over 250mg/100$m\ell$. The concentration of C3 was 81.2mg/100$m\ell$, IgG, 1343mg/100$m\ell$, and IL-2, 0.766mg/$m\ell$. after 2 months of vitamin-mineral supplementation, the levels of blood glucose and total cholesterol were significantly decreased and triglyceride was significantly increased. The vitamin-mineral supplementation had no effect on the mean levels of vitamin A and E, IgG, IL2, and C3. However, the intervention resulted int he improvement of serum vitamin A and E levels when the subject\`s serum levels were low before the supplementation.

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Assessment of Village Health Worker Training Program in Tuguegarao, Philippine

  • Kim, Jung-Min;Koh, Kwang-Wook;Oak, Chul-Ho;Jung, Woo-Hyuk;Kim, Sung-Hyun;Park, Dae-Hee
    • Journal of Preventive Medicine and Public Health
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    • v.42 no.6
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    • pp.377-385
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    • 2009
  • Objectives : This study was performed to evaluate the effectiveness of 'village health worker training program' which aimed to build community participatory health promotion capacity of community leaders in villages of low developed country and to develop methods for further development of the program. Methods : The intervention group were 134 community leaders from 25 barangays (village). Control group were 149 form 4 barangays. Intervention group participated 3-day training program. Questionnaire was developed based on 'Health Promotion Capacity Checklist' which assessed capacity in 4 feathers; 'knowledge', 'skill', 'commitment', and 'resource'. Each feather was assessed in 4 point rating scale. Capacity scores between intervention group and control group were examined to identify changes between the pre- and post-intervention periods. A qualitative evaluation of the program was conducted to assess the appropriateness of the program. The program was conducted in Tuguegarao city, Philippine in January, 2009. Results : The result showed significant increases in the total health promotion capacity and each feather of health promotion capacities between pre and post assessment of intervention group. But there was no significant change in that of control group. Participants marked high level of satisfaction for preparedness, selection of main subjects and education method. Qualitative evaluation revealed that training program facilitated community participatory health promotion capacity of participants. Conclusions : This study suggested that the Village health worker training program is effective for building health promotion capacity of community leaders and it can be a main method for helping low developed countries with further development.

Influencing Factors on Health Behavior Compliance in Men Who Underwent Percutaneous Coronary Intervention: Focusing on the Elapsed Period (관상동맥중재술을 받은 남성의 건강행위 이행에 미치는 영향요인: 경과기간을 중심으로)

  • Ha, Haeng-Ju;Seo, Minjeong
    • Journal of Digital Convergence
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    • v.19 no.12
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    • pp.661-673
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    • 2021
  • This study is a descriptive study to understand the effect on the health behavior compliance of men who got coronary intervention, focusing on the elapsed period. The subjects of this study were 249 men who underwent coronary intervention at a university hospital, and the collected data were analyzed using Stepwise multiple regression. As a result of the study, the influencing factors the implementation of healthy behaviors were self-regulation(β=0.35, p<.001), risk factors among educational request(β=-0.26, p<.001), and the elapsed period(β=0.19, p<.001), marital status(β=0.15, p=.001), educational level(β=-0.12, p=.035), and the total explanatory power was 29.1%. IIn order to increase the health behavior performance of male patients who underwent coronary intervention, it is necessary to develop a program that can strengthen the autonomous motivation of subjects with high severity and elapsed time of less than 1 year and more than 1 year.