• Korean Journal of Child Studies
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• v.34 no.3
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• pp.151-177
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• 2013

The present study employed a pretest-posttest quasi-experimental design to evaluate the effectiveness of a 16-week parent education program based on Respected Parents & Respected Children(RPRC). 124 mothers were assigned to two groups, an intervention (n = 62) group and a waiting (n = 62) group. Mothers in the intervention group participated in the program. After termination of the preventive intervention, differences between pre- and post-tests were examined in maternal characteristics (i.e., depression and anger, maltreatment and general parenting behavior, and parenting efficacy and stress) and preschoolers' aggression. The results indicated that mothers in the intervention group had greater reductions in self-reported negative characteristics. Mothers in the waiting group also reported significant decreases in anger, physical assault and permissiveness/neglect. There was no significant reduction in levels of aggression in the preschoolers. These findings support the argument that a parent education program based on RPRC can be very effective, especially in changing maternal characteristics positively that are crucial to child outcomes.

• The Journal of Korean Academic Society of Nursing Education
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• v.15 no.2
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• pp.311-320
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• 2009

Purpose: This study was done to investigate the factors associated with a mothers' caring behavior in health promotion of children with disabilities. Methods: Data were collected by using self-reported questionnaires from 371 mothers who had a 3-12 year old child with a disability from July 14 to 31, 2008. Data were analyzed by descriptive statistics, t-test, one-way ANOVA, and hierarchical multiple regression analysis with the SPSS program. Results: There were significant differences on the mothers' caring behavior according to children's negative and hyperactive behavior, mothers' perceived burden, parenting efficacy, and social support. Children's characteristics explained 5.1% of mothers' caring behavior. The power of explanation ($R^2$) was 16.6% by adding mother's characteristics including mother's job, burden, parenting efficacy, satisfaction and stigma, and increased to 23.5% by adding social support. Conclusion: These results showed that mothers' caring behavior for their children's health promotion could be influenced by children's behavior problems, mothers' perception of burden, parenting efficacy, and social support. It suggests that health promotion programs for children with disabilities should focus on lowering subjective burden and enhancing mother's efficacy as a type of social support.

• International Journal of Human Ecology
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• v.13 no.1
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• pp.29-37
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• 2012

This study examined risk and protective variables related with the continuity of developmental risks among 136 infants, aged 4-10 months. Using the Denver Developmental Screening Test, 136 infants among 2978 infants in the first wave of the Korea Child Panel were classified into the developmental risk group. Among the 136 risk group infants, 45 infants stayed in the risk group (continuing risk group) and the other 91 infants moved into the normal group (recovering risk group) after 1 year. Group differences were tested in the levels of infant, mother and father variables to examine which variables were associated with the continuity of developmental risks for a year. Variables indicating parents' marital relationships such as the mothers' marital satisfaction and conflict of the first wave and the fathers' marital satisfaction of the second wave significantly distinguished the continuing from the recovering risk group. In addition, there were significant group differences in the levels of mothers' self-efficacy in the first wave. The findings suggest that the exposure to marital conflict during infancy is associated with the continuity of developmental risks.

• Journal of the Korean Home Economics Association
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• v.42 no.4
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• pp.11-27
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• 2004

본 연구의 일차적 목적은 어머니의 특성과 관련된 요인들이 양육효능감에 미치는 영향을 살펴보고, 양육효능감이 어머니의 특성과 관련된 요인들과 자녀양육 행동과의 관계에서 매개역할을 하는 것인가를 분석하였다. 그리고 양육효능감, 자녀 양육행동, 아동 발달과의 상관관계를 살펴보았다 미국 내 거주하는 Early Head Start 프로그램 의 수혜 자인 저 소득층의 어머니와 영 아들을 (출생∼36개월) 대상으로 한 본 연구결과에 의하면 어머니의 특성과 관련된 요인들로 어머니의 연령, 소득수준, 양육에서 오는 스트레스가 양육효능감에 영향을 미치는 것으로 나타났다. 양육효능감은 어머니의 특성과 관련된 요인, 특히 어머니의 연령과 양육행동과의 관계에서 매개역할을 하는 것으로 나타났다 양육효능감, 양육행동, 아동발달과의 상관관계 분석에서는 양육효능감과 양육행동에서만 유의한 정적인 강관관계가 있는 것으로 나타났다. 지금까지의 선행연구들과는 맥을 같이하는 연구결과이지만, 저소득층(high-risk families)의 어머니와 영아를 대상으로 양육효능감을 포괄적이고 체계적으로 이해하고자 하였다는데서 의의를 찾을 수 있다. 나아가, 이 연구의 결과는 저소득층을 위한 아동 및 가족의 통합적 복지사업을 실천하는데 있어 의미가 있는 것으로 시사된다. 사회 경제적 자립을 위한 기회 제공과 자녀양육을 하는데 있어서 전문가의 직접적인 모델링을 통한 부모교육을 통해서 양육효능감을 향상시켜나갈 때, 아동 및 가족 복지 실현의 궁국적 목적을 이룰 수 있을 것이다.

• Journal of Korean Academy of Nursing
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• v.51 no.1
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• pp.119-132
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• 2021

Purpose: This study aimed to identify the effects of a direct breastfeeding program for premature infants in neonatal intensive care units (NICUs). Methods: This quasi-experimental study was conducted during August 2016 to April 2017. Sixty mothers of premature infants were assigned to the experimental (n = 31) or control groups (n = 29). The program was comprised of breastfeeding education and direct breastfeeding support. The experimental and control groups were provided with education and counseling on breastfeeding at the time of admission and discharge. In the experimental group, the mothers initiated oral feeding with direct breastfeeding and engaged in breastfeeding at least seven times during the NICU stay. The collected data were analyzed by the χ2-test and repeated measures ANOVA using an SPSS program. Results: The experimental group showed a higher direct breastfeeding practice rate (χ2 = 19.29, p < .001), breastfeeding continuation rate (χ2 = 3.76, p < .001), and self-efficacy (F = 25.37, p < .001) than the control group except for maternal attachment. Conclusion: The direct breastfeeding program in the NICU has significant effects on the practice and continuation rate of breastfeeding and breastfeeding self-efficacy. Therefore, this program can be applied in the NICU settings where direct breastfeeding is limited.

• International Journal of Human Ecology
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• v.12 no.1
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• pp.1-14
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• 2011

This study examined the features of maternal involvement in Korean children's early education and their relation to contextual variables and three forms of parental cognition. For this study 333 Korean mothers with 5 to 7 year-old children completed questionnaires that covered aspects such as demographical characteristics, three forms of involvement in their children's education, and three forms of parental cognition. Descriptive analysis indicated that mothers who were more involved in monitoring homework paid more monthly activity fees for supplementary classes and engaged more in cognitively stimulating activities at home. Financial investment in supplementary classes for children was not associated with engagement in cognitively stimulating activities at home. Stepwise regression analysis found that mothers who were more involved in monitoring their young childrens homework expressed higher aspirations for their childrens future occupation. Korean mothers who paid more for their child's supplementary classes had higher family incomes. Korean mothers who engaged more often in cognitively stimulating activities at home expressed higher parental self-efficacy, had a higher educational level, had a younger child, and had an earlier birth order or only child.

• Women's Health Nursing
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• v.24 no.1
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• pp.49-57
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• 2018

Purpose: Postpartum fatigue can impact maternal well-being and has been associated with levels of perceived self-care. This study aimed to examine the relationship among fatigue, depressive mood, self-care agency, and self-care action among postpartum women in Bangladesh. Methods: A descriptive cross sectional survey was done with 124 first-time mothers from two tertiary hospitals in Dhaka, Bangladesh. The Modified Fatigue Symptoms checklist, Denyes' Self Care Instrument, the Edinburgh Postnatal Depression Scale, and items on sociodemographic and delivery-related characteristics, were used in Bengali via translation and back-translation process. Results: High fatigue levels were found in 18.5% (n=23) and 73.4% had possible depression (n=91). There was a significant negative relationship between fatigue and self-care agency (r=-.31, p<.001), and self-care action (r=-.21, p<.05). Fatigue differed by level of self-care agency (t=4.06, p<.001), self-care action (t=2.36, p=.023), newborn's APGAR score (t=-2.93, p=.004), parental preparation class participation (F=15.53, p<.001), and postpartum depressive mood (t=-4.64, p<.001). Conclusion: Findings suggest that high level of self-care efficacy and behaviors can contribute to fatigue management, and highlight the need for practical interventions to better prepare mothers for postpartum self-care, which may, in turn, alleviate postpartum fatigue.

• Research in Community and Public Health Nursing
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• v.26 no.4
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• pp.330-341
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• 2015

Purpose: This study developed a self-report measure for easy assessing of the health literacy of Asian immigrant women in South Korea. Methods: After a literature review, focus group interviews, and content validity evaluation, 14 preliminary items were generated. These were translated into Chinese, Vietnamese, and English. Data were collected from 229 Asian immigrant women. Validity and reliability tests were conducted. Results: Factor analysis yielded final 10 items in three factors: primary functional and interactive health literacy, secondary functional and interactive health literacy, and critical health literacy, which explained 61.90% of the total variance of health literacy. In known-group comparisons, health literacy was significantly lower in recent immigrants, those with a low education level, and those with low Korean language proficiency. For convergent validity, health literacy was positively associated with health specific self-efficacy and maternal health knowledge. For criterion-related validity, health literacy was positively associated with the REALM-SF. The overall reliability coefficient (Cronbach's ${\alpha}$) of the instrument was .773. Conclusion: The Health Literacy Assessment Scale for Asian Immigrant Women (HLAS) represents a multidimensional construct which encompasses functional, interactive, and critical health literacy. This self-report HLAS can be a useful and convenient method for appraising the health literacy of Asian immigrant women.

• Women's Health Nursing
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• v.26 no.4
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• pp.274-284
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• 2020

Purpose: The purpose of this study was to investigate the effects and characteristics of health care programs for pregnant women with gestational diabetes mellitus (GDM) in Korea. Methods: This study was conducted according to the Cochrane Collaboration's systematic literature review handbook and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses reporting guideline. We searched eight international and domestic electronic databases for relevant studies. Two reviewers independently selected the studies and extracted data. For each study, information on the research method, participants, characteristics of the program, and results were extracted using a previously established coding table. The National Evidence-based Healthcare Collaborating Agency's risk of bias assessment tool for non-randomized studies was used to assess the risk of bias of the included articles. A qualitative review of the selected studies was performed because the interventions differed considerably and the measured outcomes varied. Results: Out of 128 initially identified papers, seven were included in the final analysis. The risk of bias was evaluated as generally low. Health care programs for pregnant women with GDM showed positive effects on blood glucose control. Anxiety and depression were reduced, and self-management and self-care behavior, self-efficacy, and maternal identity improved. Conclusion: Our study provides clinical evidence for the effectiveness of health care programs for pregnant women with GDM, and its results can be used to support the development of health care programs for GDM. More well-designed research is needed on GDM, especially studies that deal with emotional stress and apply a family-oriented approach.

• The Korean Journal of Emergency Medical Services
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• v.6 no.1
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• pp.87-102
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• 2002

Injury has now replaced disease as the biggest single cause of death in children after their first birthday. Each day child dies from preventable, unintentional injury and the medical cost of these injury is increasing remarkably. It is necessary to develope injury prevention models to explain, predict, manage, evaluate and analyze the information about accident. The purpose of this paper is, firstly, to investigate parent's actions regarding safety measures at home and secondly, to identify the influencing factors of parents' safety behaviors. The selection of such factors is guided by the theoretical framework of the Pender's Health Promotion Model. Method ; The questionnaire was developed on the basis of other investigations, through pilot testing, peer review, and review by field health workers. The questionnaire was completed by 231 mothers of young children. Data was collected between April and May 2002. Variable Use of three different domains of safety behavior, safety habits, supervision and perception of safety devices, were listed. Mothers were self reported on internal locus of control, mother & child relationships, and marital intimacy. Also the elements of the Health Promotion Model: perceived benefit, barrier, threat, and self-efficacy, were surveyed. Results & discussion The results indicate that most parents take considerable action to reduce household hazards. The constructs derived from the Model were statistically significant differences for a small part of the variables on parental behavior to reduce hazards in the home, such as age, education, economic status, self-efficacy, perceived benefit, internal locus of control. Future studies ought to include social influences, such as expectations, perceived norms, knowledge, and child-related variables, relevant to parental safety measures in their home.