International Journal of Fuzzy Logic and Intelligent Systems
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v.4
no.3
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pp.311-315
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2004
Because of the characteristics of the cyber world, such as usefulness, anonymousness, patency, economic performance, rapidness, etc., cyber counseling has great possibility. Because he or she may not meet a consultant directly, a client can expose his/her inside problems or secret personal problems, keeping anonymousness. However, existing cyber counseling has the limit in durability of counseling because target counseling appropriate to a client is impossible and a counseling activity is done by one time counseling. In this paper, we attempt to develop a target cyber counseling system in which target cyber counseling is possible. The system will use a counseling assistance agent who can play the role of a counseling supporter as well as a counselor in the cyber space. If target counseling becomes possible, it can heighten efficiency of cyber counseling because a client is satisfied with the result of counseling and thus counseling activities can be continued.
Objectives: Korean Medicine Doctors (KMDs) have treated patients with obesity using a holistic approach with a multicomponent approach on counseling. However, there is currently no data regarding KMDs' counseling practices for weight loss. We conducted a retrospective chart review to better understand the Korean medicine counseling practice for weight loss. Methods: Twenty-one KMDs were involved in this project as practitioners. The contents of counseling were categorized based on patterns according to the counseling manual for the standardized management of obesity in Korean Medicine. Results: The counseling was conducted based on the theory of Korean medicine and the contents of counseling were different from patterns. However, the quality of the counseling were different from each KMD, and the counseling were focused on evaluating patient conditions and not on providing specific recommendations for lifestyle changes. Conclusions: Therefore, specific guidance of counseling for healthier lifestyle and dietary habits, and the training of the standardized manual training are needed.
This study was conducted to develop expanding strategies of nutrition counseling in school foodservices. The study participants were 102 school dietitians in Gyeonggi province, and information on the current status, dietitians' necessity awareness, and practical activation needs for nutrition counseling were investigated. While 78.8% of dietitians were aware that nutrition counseling was in need, it was only 31.3% who understood the necessity of nutrition counseling. The implementation rate of students' nutrition counseling was 26.2%, and 74.0% of counseling dietitians reported that they conducted nutrition counseling because it was on the inspection list by the Office of Education. Overall, dietitians did not have high consciousness of the need for nutrition counseling. The implementation rate of students' nutrition counseling was remarkably low due to the reason of excessive work and insufficient participants, and it was interpreted that dietitians had a low intrinsic motivation for nutrition counseling. So, we suggested several strategies to activate school nutrition counseling as follows. First of all, dietitians needed to increase the students' participation rate by promoting the importance of nutrition counseling to students and by assigning their available work hours for nutrition counseling. Second, in academic communities, standardized counseling manuals and media covering the important nutrition and health issues should be developed and disseminated, and education programs needed to build up dietitians' self-esteem and knowledge on nutrition counseling. Lastly, the Office of Education should have the initiative in activating nutrition counseling in school foodservices by supporting a budget and counseling dietitians who exclusively responsible part-time counseling at schools.
Sungha Kim;Seung Eun Chung;Kyungsun Han;Sunmi Choi;Jun-Hwan Lee
The Journal of Korean Medicine
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v.44
no.4
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pp.1-13
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2023
Objectives: Weight counseling is an inevitable process for patients with obesity who intend to lose weight; however, the contents of real-world counseling practices remain uncertain in Korean medicine (KM) practice. This study aimed to explore the structure and constituents of obesity counseling in KM. Methods: Qualitative methods were used to explore the structure of weight counseling and clinicians' approaches to weight counseling, particularly the advice and main constituents of weight counseling in KM. Nine KM clinicians (4 women, 5 men) from nine clinics completed face-to-face, individual and semi-structured interviews from September 2019 to February 2020 in Seoul, Daejeon, Cheonan, Seongnam, Asan, and Hwaseoug. The interviews were digitally recorded, transcribed verbatim, and categorized based on their constituents. Results: During weight loss counseling, the six principal constituents of KM identified were: planning with patients, motivation, correcting misinformation on weight loss, dietary and exercise advice, medication guidance, and customized guides for each type. Conclusion: Clinicians with in-depth knowledge about obesity prescribed personalized guidance for exercise, diet, and medication through an integrative approach. The study results provide an in-depth understanding of weight counseling in KM. These six constituents could guide the counseling provided by clinicians in obesity care.
This research examined the work performance by consumer counselors, evaluations of their counseling work, the level of their satisfaction, and willingness to sustain consumer counseling work among Consumer Agencies and also identified the variables influencing the evaluation scores on those. The results were summarized as follows. First, the evaluation scores on the work performance of consumer counseling were generally high and they turned out to be generally satisfied with their work. On the other hand, most counselors responded that they would continue their counseling work. Second, there were differences in evaluation scores about speed and specialized area of counseling among Consumer Agencies. Counselors who worked for the Korea Consumer Protection Board recorded high scores in those both criteria. There were differences in the willingness of counselors to continue their counseling work among Consumer Agencies, too. Third, the evaluation scores in six areas of counseling tasks were high when the degree of satisfaction of counselors were high or when agencies treated the counseling important. Fourth, when counselors earned more salaries and owned the experience of in-firm training and when the Consumer Agencies highly valued counseling as consumer tasks, the degree of satisfaction among counselors increased. Finally, when counselors were old, major in consumer science, and held regular work-schedule, they exhibited high degree of satisfaction in their counseling work and they showed greater willingness to sustain their counseling work.
The purpose of this study was to measure the counseling effects for diabetes mellitus patients. To measure the effects of the nutrition counseling, 40(13 men and 27 women) outpatients with diabetes mellitus were selected and they were randomly assigned to either the counseling group or non counseling group. Twenty-one counseling group patients received nutrition counseling weekly for 6 weeks and 19 patients served as non counseling group(control group) did not received counseling over same study period. The results of this study can be summerized as follows : 1) The food attitude score of the counseling group significantly increased from 61.9$\pm$15.9 prior to counseling to 87.0$\pm$7.8 after counseling (p<0.001). 2) Fasting blood glucose level and postgrandial blood glucose level also showed significant difference between two groups(p<0.01). In the counseling group, the fasting blood glucose level significantly decreased from 163.5$\pm$48.6mg/dl to 142.3$\pm$40.6mg/dl(p<0.01), and the postgrandial blood glucose level significantly decreased from 281.3$\pm$105.1mg/dl(p<0.001). 3) There was a significant difference of glycosylated hemoglobin between the two groups(p<0.005), and the glycosylated hemoglobin level of counseling group significantly decreased from 11.2$\pm$2.9% to 9.7$\pm$3.6%(p<0.005). 4) There was a significant correlation between the food attitude score difference and the glycosylated hemoglobin level difference in counseling group(p<0.05).
Background: Medication counseling is important to improve qualify of pharmaceutical care, but there are lack of studies to investigate satisfied counseling practice in community pharmacies. Purpose: This study was to investigate current medication counseling provided by community pharmacists. Method: Questionnaires to assess medication counseling practices were mailed to nationwide 1,269 community pharmacists who were Sookmyung Women's University alumni. Result: One hundred sixty five pharmacists were responded to the questionnaires (response rate 13.63%). 16.8% of them all respondents had counseling room in their pharmacies. 75% and 29.9% of respondents provided patient counseling always for new and refilled prescriptions, respectively. Counseling was provided primarily by verbal, but especially for drug name, usage and storage, it was provided in written concurrently. 31.1% of respondents was satisfied with counseling practices by themselves, and a major barrier of unsatisfied counseling was lack of time in 64.6% of respondents. Majorities of respondents (66.3% and 76.3%) spent 1-3 minutes and <1 minute, for new prescription and refilled prescription, respectively. Approximate 99% of respondents presented necessity of standardized patient counseling information for drugs and 97.6% responded that quality of patient counseling would be improved by using software containing counseling information. Old respondent group had higher accumulative patient counseling practice scores and pharmacy owner group took much time for counseling, resulting in higher scores too. Conclusion: This study showed that qualified patient counseling practice has not been reached in community pharmacies. Much more discussion to seek ways to improve the quality would be necessary.
Objectives: This study suggests the application of philosophical counseling in the clinical field of Korean medicine and analyze the specific case. Methods: Through the analysis of coexisting factors of Korean medicine and philosophical counseling, we establish the area of philosophical counseling that Korean medicine practitioner can apply in the medical field. We described effects of philosophical counseling on the patient's symptom and the progress after discharge through a counseling approach based on philosophical questions. Results: During philosophical counseling, the Korean medical doctor asks questions about the nature of suffering and encourages patients to gain insight into their problems. In answering the vital philosophical questions, the patient leads to a creative interpretation of future life directions. We described the method of specific approaches through the description of the two cases. Conclusions: The philosophical counseling is compatible with the concept of Korean medicine, therefore, a Korean medicine practitioner can induce the recovery of mind and body through the creative interpretation of the patient by asking the patient the appropriate question which causes reflective thinking.
Journal of Family Resource Management and Policy Review
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v.8
no.2
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pp.15-26
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2004
This research evaluated counseling tasks performed by consumer counselors between Korea and Japan. Results of this research could be summarized as follows. First, not only female but also male counselors occupied counseling tasks in Korea, in Japan, all counselors were female, most of whom were married and older than in Korea. The average number of counselors in Korea was large than those in Japan, but income of counselors was higher in Japan. Average numbers of counseling were large, the level of perception on the significance of counseling tasks was lower in Korea, but degree of job satisfaction was higher in Korea than their Japanese counterparts. Second, evaluation scores of Korean counselors were higher than those in their Japanese counterparts in the light of objectiveness and fairness of counseling. On the other hand, the degree of job satisfaction among counselors and their perceptions on the significance of counseling tasks affected the evaluation scores. In contrast, both degree of job satisfaction and hours of job-training education generated those impacts. finally, Korean counselors highly evaluated their agencies' counseling tasks than their Japanese counterparts. In sum, this study showed that the overall performance of consumer counseling tasks was more positive in Korea than in Japan.
Objectives: We analyzed the reports of philosophical counseling and derived the characteristics of the questions that were administered in philosophical counseling. We also wanted to discuss if philosophical questions are necessary and applicable in Oriental medicine counseling. Methods: A systematic search of three Korean databases were performed. Case reports or case series that apply philosophical counseling to clients were included in this study (through June 27, 2019). We extracted questions and answers from the dialogue of each case. Extracted conversations between counselor and client were analyzed qualitatively. Results: Seven published articles with 17 cases were included and were analyzed for philosophical counseling. Philosophical questions have the following characteristics to help clients: (1) To clarify the phenomenon, (2) To identify subject and object, (3) To consider other people's perspective, (4) To review the premise, (5) To review the association relationship (6) To allow opportunities to think differently, and (7) To think of identity and values. Philosophical counseling and Korean medical counseling have commonalities in improving patients' resilience through logical conversation. The use of philosophical counseling in Korean medical counseling will maximize clients' philosophical resilience and the reparative power of nature. Thus, it is desirable to apply philosophical counseling to the practice of Korean medicine (KM). Conclusions: Through the qualitative analysis, we analyzed and categorized major characteristics of philosophical counseling. In the future, the possibility of using philosophical counseling should be explored in the KM practice.
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