• Title/Summary/Keyword: Intervention level

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Comparison of Vessel Elasticity according to Risk Factors for Coronary Artery Disease, and the Mediating Effects of Treatment Compliance among Patients with Percutaneous Coronary Intervention (관상동맥질환 위험정도와 혈관탄성의 관계에서 치료지시이행의 매개효과: 경피적 관상동맥 중재술 환자 대상)

  • Yeo, Ga Ram;Sung, Kyung Mi
    • Journal of East-West Nursing Research
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    • v.22 no.1
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    • pp.32-40
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    • 2016
  • Purpose: This study aimed to provide basic data for vascular health of patient who underwent percutaneous coronary intervention (PCI) by verifying the mediating effect of compliance in the relationship between risk level of coronary artery disease (CAD) and blood vessel elasticity. Methods: This is a descriptive study with 115 patients, who underwent the PCI a year ago and visited in the cardiology department from January to March, 2015. The risk level of CAD, blood vessel elasticity and the compliance were measured. For data analysis, SPSS/WIN 21.0 and AMOS (IBM) 21.0 were used. Results: There were a positive correlation with blood vessel elasticity score (i.e. inelasticity of the blood vessel wall) (r=.189) and a negative correlation with compliance (r=-.658) in mediating effect of risk level of CAD. There was a negative correlation between compliance and blood vessel elasticity (r=-.482). The direct effect (${\beta}=-.226$), indirect effect (${\beta}=.415$) and total effect (${\beta}=.186$) of mediating effect of risk level of CAD on blood vessel elasticity were significant. Compliance had a partial mediating effect of risk level of CAD on blood vessel elasticity. Conclusion: The results of this study suggest that managing and preventing moderating effect of risk level of CAD on compliance is helpful in restoring blood vessel elasticity.

Comparison of the Effects of Lumbar Stabilization Exercise According to the Presence or Absence of Gluteus Medius Muscle Weakness in Chronic Lower Back Pain Patients with Lumbar Instability (허리 불안정성이 있는 만성 허리통증 환자의 중간볼기근 약화 유무에 따른 허리 안정화 운동의 효과 비교)

  • Dae-ho Kim;Suhn-yeop Kim
    • Journal of the Korean Society of Physical Medicine
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    • v.19 no.2
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    • pp.29-45
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    • 2024
  • PURPOSE: This study aimed to compare the effects of pain level, lower back pain dysfunction level, psychosocial level, hip abductor strength (HAS), number of positive lumbar instability tests, and dynamic balance (DB) by applying lumbar stabilization exercises according to the presence or absence of gluteus medius muscle weakness in chronic lower back pain (CLBP) patients with lumbar instability. METHODS: Thirty-five CLBP patients with lumbar instability were divided into the gluteus medius weakness (n = 18) and gluteus medius non-weakened (n = 17) groups using the gluteus medius manual muscle test. Intervention applied conservative physical therapy and lumbar stabilization exercises to both groups that lasted three times a week for four weeks. To compare the intervention effects, the quadruple visual analog scale (QVAS), the Korean version of the Oswestry disability index (K-ODI), fear-avoidance beliefs questionnaire (FABQ), HAS, lumbar instability tests positive response counter (LIC), and DB were measured. RESULTS: Significant differences were shown for QVAS, K-ODI, FABQ, HAS, LIC, and DB for both groups pre- and post-intervention (p < .05). Compared to the gluteus medius weakness group, the gluteus medius non-weakened group showed a significant difference (p < .05) in the changes in QVAS, K-ODI, FABQ-W, FABQ-total, and HAS. CONCLUSION: In CLBP patients with lumbar instability, having gluteus medius weakness was less effective in improving lumbar stabilization exercise than gluteus medius non-weakness regarding pain level, lower back pain dysfunction level, psychosocial level excluding physical activity, and hip abductor strength. Therefore, additional gluteus medius strengthening exercises are necessary for patients with lumbar instability and gluteus medius muscle weakness.

Program Theory Evaluation of a Lifestyle Intervention Program for the Prevention and Treatment of Metabolic Syndrome (대사증후군 상태 개선을 위한 생활습관 중재프로그램의 프로그램 이론 평가)

  • Yoo, Seung-Hyun;Kim, Hye-Kyeong
    • Korean Journal of Health Education and Promotion
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    • v.27 no.4
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    • pp.165-175
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    • 2010
  • Objectives: The purpose of this study is to evaluate the program theory of a lifestyle intervention program for the prevention and treatment of metabolic syndrome. Methods: The program evaluated is a tailored intervention for multiple health behavior associated with metabolic syndrome which is informed by theoretical constructs from the Intervention Mapping and Transtheoretical model. The program components include one-to-one health counseling, a self-management handbook, and a health diary. To evaluate program impact theory we examined the logic of program goals and objectives, intervention methods and strategies, and the theoretical constructs of program materials through document review and matrix building. Results: This evaluation has found that the intervention program applied social cognitive theory constructs to design intervention methods and strategies in addition to the Transtheoretical model: self-monitoring for goal setting and monitoring skill, outcome expectation for the benefits of health behavior change, and interaction with environment for observational learning through modeling. While the intervention addresses multiple determinants and behaviors, it is limited to an individual level and lacks social and environmental approaches. Following the Transtheoretical framework, the contents of the intervention materials were developed utilizing consciousness raising as a main strategy for earlier stages of change, and counterconditioning and stimulus control for later stages of change. Conclusion: Program theory evaluation can be a process of enhancing program validity. It would also be necessary for providing basis for efficient program implementation. When comparisons of program theory between similar programs are possible, program theory and validity will be strengthened when comparisons of program theories between similar programs are possible.

RTI Model and Its Applicability in Educational Settings for Students with Achievement of Below Basic Proficiency Level

  • Jun, Myongnam;Kim, Namok;Yang, Myonghee;Kwon, Daehoon;Hong, Daewoo;Choi, Hyeonah
    • International Journal of Internet, Broadcasting and Communication
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    • v.7 no.2
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    • pp.79-83
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    • 2015
  • The Response to Intervention(RTI) approaches is the method to help students who are at risk for learning difficulties in advance and provide an appropriate level of intervention. In this article, the characteristics of model RTI were reviewed for students with achievement of below basic proficiency level. We considered RTI as supporting system to document students' progress and its applicability for the general educational setting in Korean school. The tier of RTI make it possible the evidence based individual instruction and counseling, differentiated step-by step approach for students with achievement of below basic proficiency level. In conclusion, RTI can be used as educational tools for dealing with improvement of academic subjects learning, behavioral and emotional problem for students with achievement of below basic proficiency level. For building high quality implementing for RTI it is needed the collaboration of teachers, counselors and learning consultants and related educators.

The Effect of Government Intervention on the Market Failure in firm Training in Korea (기업교육훈련에 대한 정부 개입과 그 효과)

  • Kim, Ahn-Kook
    • Journal of Labour Economics
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    • v.32 no.2
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    • pp.125-150
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    • 2009
  • This article analysed the effect of government intervention on the market failure in firm training in Korean. I used the Employment Insurance DB and the KISLINE DB and joined two data by the firm identification number 2004-2006 year. I estimated the effect of intervention of government by propensity score matching and difference-in-difference method to avoid of participation selection and endogeneity problem. The result is that government intervention on the firm training have made positive effect but it is not significant statistically. We have to investigate the market failure in firm training and to reassess the level of optimal firm training in Korea. After the study, the government intervention on the firm trainig will have to be rearranged.

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Gestalt Group Meditation Therapy Effect on Occupational Stress and Anxiety in Working Women

  • Kim, Sung-Bong
    • International Journal of Contents
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    • v.5 no.4
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    • pp.44-50
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    • 2009
  • The purpose of this research was to measure the effect of a gestalt group meditation therapy intervention program on occupational stress and anxiety in working women aged 30 to 49 in Korea. Scientific methods were employed to test a gestalt group meditation therapy intervention program as treatment for working women in 30-40s to reduce their level of occupational stress and anxiety. The study involved 18 volunteer subjects ages of 30 to 49 years, randomly divided into two groups: (1) gestalt group meditation therapy intervention program, and (2) no program. Both groups completed a pre-test and a post-test of occupational stress scale and trait anxiety inventory. The outcome data was analyzed as qual1litative information using the SPSSPC+ computer program. Mann-Whitney U test was used to analyze the result in order to verify the sameness between experienced group and controlled group of pre-test scores within the groups. Also U-test comparisons were used to analyze the treatment effects. The results of this investigation indicated that (1) occupational stress scores decrease after gestalt group meditation therapy intervention program on the treatment group, and (2) trait-anxiety scores decrease after gestalt group meditation therapy intervention program on the treatment group. In summary, the gestalt group meditation therapy intervention program for career women, aged 30 to 49, in Korea could reduce the subjects' occupational stress and anxiety.

The effect of home training using video contents on abdominal muscle thickness, Oswestry disability index, and pain in students with chronic low back pain (비디오 컨텐츠를 사용한 홈 트레이닝이 만성 허리 통증이 있는 대학생의 배근육 두께, 허리기능 및 통증에 미치는 영향)

  • Sun-Wook Park
    • Journal of the Korean Society of Physical Medicine
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    • v.18 no.2
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    • pp.71-82
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    • 2023
  • PURPOSE: This study examined the effect of training using video content on abdominal muscle thickness, Oswestry disability index (ODI), and pain in college students with chronic back pain. METHODS: Twenty-nine college students with chronic back pain participated in this study. The subjects were assigned randomly to 15 experimental groups who trained using video content and 14 control groups who exercised voluntarily using back exercise leaflets. The video used for the intervention was obtained from YouTube, and the difficulty level of the video was classified into six levels. Both groups participated in the intervention for 40 minutes/day, three times a week for six weeks, and the variables of abdominal muscle thickness, ODI, and pain were compared before and after the intervention. RESULTS: In the experimental group, there were statistically significant changes in the thickness of the internal oblique and transverse abdominis muscles, ODI, and pain after the intervention, except for the external oblique muscle (p < .05). In the control group, there was no statistically significant difference in all variables after the intervention (p > .05). A statistically significant difference in all variables was observed between the experimental group and the control group after the intervention except for the external oblique muscle (p < .05). CONCLUSION: Treatment of chronic low back pain using video content is a possible alternative treatment if quality images are selected and the difficulty levels are adjusted.

An Analysis of the Momentum Effect by Students' Cognitive Characteristics (학습자의 인지 특성에 따른 학습 지속 효과의 분석)

  • Kim, Jun-Tae;Kwon, Jae-Sool
    • Journal of The Korean Association For Science Education
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    • v.14 no.1
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    • pp.70-84
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    • 1994
  • This study tried to find the effect to cognitive structure upon the momentum effect. The previous studies showed that the momentum effect is influenced by students' cognitive levels and the abstractness of test items. The cognitive structure is examined by cognitive level and cognitive style. Cognitive levels and cognitive styles are determined by GALT and GEFT respectively. The research method used in this study is time series design. The period is 50 days. The period is divided into "pre-test", "intervention-test", "post-test". Pre-test period is 5 days and in this period class instruction does not exist Intervention-test period is 30 days and in this period class instruction exist Post-test period is 15 days and in this period class instruction does not exist. Field independent students showed longer momentum effect than field dependent students. Formal level students showed less ratio of decrease on post-test than nonformal level students. Momentum effects is not artifact but the essential characteristics of science study.

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Effects of the Breast Cancer Risk Appraisal on Breast Self-Examination Practice in Adult Women (유방암위험사정이 일 여성의 유방자가검진(BSE)실행에 미치는 영향)

  • Choi, Yeon-Hee
    • Research in Community and Public Health Nursing
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    • v.7 no.2
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    • pp.281-293
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    • 1996
  • Breast cancer ranks as one of the major health problems of adult women. Studies have shown that Breast Self-Examination (BSE) is effective in detecting breast cancer in its early stages. To motivate women BSE practicing, a nonequivalent control group pretest-posttest design was conducted. Women 40 years or older who participated in the public education program for BSE from March 11 to April 6, 1996, were randomized in an experimental group(N=50) which received a letter about the Breast Cancer Risk Appraisal and in a control group(N=50) which didn't received a letter about the Breast Cancer Risk Appraisal. After 6 months, a follow-up phone survey was taken on all participants to measure the effectiveness of the intervention. Collected data was analyzed by one, two, and three-way ANOVA with an SAS program. The results are summarized as follows : 1. The level of the Breast Cancer Risk Appraisal of the subjects is high risk(17%), moderate risk(12%), boderline risk(14%), no increased risk (57%). 2. The intervention was effective in increasing the practice scores of BSE for women(F=5.12, P<.05). 3. BSE practice scores according to breast cancer risk appraisal level of the experimental group was not significantly increased after the intervention as contrasted with the control group (F=2.33, P>.05). 4. BSE practice scores according to educational level of the experimental group was significantly increased after the intervention, as contrasted with that of the control group (F=10.09, P<.001) .On the basis of this study it can be concluded that the Breast Cancer Risk Appraisal increases practice of BSE.

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Effects of Sciatic Nerve Mobilization Technique on Perceived Pain and Knee Strength in Patient With Chronic Low Back Pain (좌골신경가동화기법이 만성 요통 환자의 통증과 슬관절 신전근력에 미치는 영향)

  • Cha, Hyon-Gyu;Oh, Duck-Won
    • Physical Therapy Korea
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    • v.17 no.3
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    • pp.31-39
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    • 2010
  • The purpose of this study was to determine the effect of sciatic nerve mobilization technique on perceived pain, straight leg raise test (SLR), and strength of knee extensor, location of symptoms (LOS) in patients with chronic low back pain. 22 patients with chronic low back pain were recruited for this study. The subjects were randomly assigned to either the experimental group (EG) or the control group (CG), with 11 patients in each group. All patients received a routine physical therapy (hot pack and transcutaneous electrical nerve stimulation). The mobilization technique of the sciatic nerve was performed for 10 min in the case of the EG subjects. Outcome measurements included the level of the perceived pain, SLR, and strength of the knee extensor, LOS. The measurements were recorded 3 times: before the intervention, after the intervention, and at 1 hour of follow up. The two groups did not significantly differ with regard to the level of perceived pain, SLR, and strength of the knee extensor, LOS before the test (p>.05). In the case of the EG subjects, all the variables measured after the intervention significantly differed from those measured before the intervention (p<.05). However, in the case of the CG subjects, a significant difference was noted only with regard to the level of perceived pain (p<.05). The findings indicate that sciatic nerve mobilization technique exerts a positive effect on the control of subjective symptoms and knee strength in patients with chronic low back pain. Further studies are required to generalize the result of this study.