• 근관절건강학회지
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• 제10권1호
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• pp.62-76
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• 2003

This study was a quasi-experimental study of non-equivalent control group pretest and posttest design. The purpose of this study was to determine the effect of Tai Chi exercise program on physical functions, psychological functions, and fall among the fall-prone elderly. The data were collected from September 19, 2001 to January 31, 2002. The study, conducted at two facilities located in Kwang-ju, was targeted to the ambulatory aged 60 years or older who had at least one of the key fall risk factors. Experimental group participated in Tai Chi exercise for 40 minutes per one time and three times a week for 12weeks at an auditorium. Fifty nine fall-prone elderly were assigned to 12-week Tai Chi exercise program (n=29) and control group (n=30). They underwent tests of lower muscle strength, time for chair stand, balance, flexibility, depression, falls efficacy, fear of falling, and numbers of fall at the baseline and at the 12th week. Numbers of fall and fall injuries were monitored for 16 weeks(12-weeks intervention plus 4-week follow-up periods) using fall calendar. Each participant was given a calendar to record the numbers of fall per day for a month. The calendars were collected at the last week of each month. 1. Tai Chi exercisers showed significant improvement in the strength of knee flexors, and ankle dorsiflexors and plantarflexors compared to the control group. The experimental group had improvement in the strength of knee extensors while the control group did not, with no statistical significance. 2. Tai Chi exercisers reported positive change in the average time of chair stand as compared to the control group. 3. Tai Chi exercisers had significant improvement in flexibility as compared to the control group. 4. There was no significant difference in the depression between the two groups, even though the Tai Chi exercisers maintained depression score in the same level while the others were increased. 5. Tai Chi exercisers showed significant improvements in the falls efficacy as compared to the control group. The falls efficacy was significantly improved among the experimental group while the opposite was identified among the control group. 6. The experimental group reported the significant reduction of the fear of fall, whereas control group reported the opposite. 7. Of the 59 subjects for 16weeks(12weeks intervention period and 4weeks follow up), 9 (31.0%) of the 29 in exercise group and 15 (50%) of the 30 in the control group fell (relative risk=0.62. 95% CI 0.32-1.19), even with no statistical difference. The results suggest that the Tai Chi exercise program can improve the strength of knee flexors, ankle dorsiflexors and plantarflexors, chair stand. flexibility, falls efficacy, and fear of falling for the fall-prone elderly.

• 인간행동과 음악연구
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• 제9권2호
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• pp.53-67
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• 2012

즉흥음악치료는 자폐아동들의 사회적 상호작용을 증진시킨다고 알려져 있다. 본 연구는 즉흥음악치료에서 치료사-내담자간의 상호작용의 음악적 동시성 및 선택대상을 규명하는 것을 목적으로 한다. 또한 즉흥음악치료 상황에서 일어나는 상호작용의 핵심적 요인을 음악요소 분석을 통해 규명하고자 하였다. 본 연구는 악기를 주로 사용하는 즉흥음악치료를 장난감을 사용하는 놀이치료 상황과 비교했으며, 두 가지 치료를 무작위 배치하는 교차설계를 이용하였다 (n = 10). 특정 회기별 목표행동분석(1, 4, 8, 12회기)을 실시하고, 반복측정 분산분석을 활용하였다. 분석결과 치료사와 아동간의 음악적 동시성의 빈도와 기간이 즉흥음악치료에서 장난감 놀이치료 상황에 비해 현저히 높게 나타났다 (p < .001). 또한 리듬과 다이내믹이 치료사와 아동간의 음악적 동시성을 가능케 하는 주요 요소로 측정되었다. 즉흥음악치료에서 자폐아동들은 나팔과 각종 호루라기를 가장 자주 선택했고, 장난감 놀이 상황에서는 인형의 집을 제일 많이 선택했다. 본 연구는 학령 전 자폐아동과 일하는 음악치료 임상가들에게 유용한 정보를 제공한다.

• 대한물리치료과학회지
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• 제18권3호
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• pp.9-16
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• 2011

Background : Smoking reduces the ability of the lungs to function. In particular, smoking reduces the vital capacity of the lungs, which is the amount of air the lungs can take in. This reduction in vital capacity has several important health effects. Purpose : The purpose of this study, therefore was to examine the effects of the respiratory muscle exercise on peak expiratory flow and respiratory muscle strength. Methods : For an experimental research design, it was employed 20 young healthy subjects and these subjects were assigned into two groups; a smoking group(n=10) and an non-smoking group(n=10). All groups were participated in respiratory muscle exercises twice a week for 5 weeks in same condition. For comparison between before and after for post treatment, it was analysed as paired t-test and ANCOVA. Results : The result of this study were as follows; In the case of smoking group, there were significant differences, from $427.77{\pm}76.61$ l/min to $526.66{\pm}58.52$ l/min of peak respiratory flow, from $94.33{\pm}22.07$ kg to $102.16{\pm}21.60$ kg of abdominal muscle strength between the before and the after of respiratory muscle strength exercises. In the case of nonsmoking group, there were significant differences, from $449.54{\pm}77.47$ l/min to $553.18{\pm}61.32$ l/min of peak respiratory flow, from $93.41{\pm}19.21$ kg to $101.58{\pm}18.92$ kg of abdominal muscle strength between the before and the after of respiratory muscle strength exercises. Conclusion : These results were suggested that the peak respiratory flow and muscle strength were improved after respiratory muscle strength exercises.

• 한국콘텐츠학회논문지
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• 제18권6호
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• pp.424-433
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• 2018

본 연구의 목적은 보건소 통합건강증진사업 담당자를 대상으로 참여동기, 성취동기, 교육성취도, 교육만족도, 현업적용도의 구조적 관계를 분석하는 것이다. 이를 위해 인천광역시 통합건강증진사업지원단 직무교육에 참여한 115명을 대상으로 참여동기, 성취동기, 교육성취도, 교육만족도, 현업적용도에 대한 설문조사를 실시하였다. 현업적용도에 직 간접적으로 영향을 주는 요인들 간의 가설적 경로 모형을 설정하고 모형의 적합도를 검증하였다. 연구결과, 40대에서 현업적용도가 유미하게 높았으며, 경력에 따른 유의미한 차이는 없었다. 내재적 동기와 개인지향 성취동기는 현업적용도에 직접적으로 영향을 미치거나 교육만족도를 매개로 간접적으로 영향을 미치는 것으로 나타났다. 교육만족도는 교육성취도와 현업적용도에 직 간접적으로 영향을 미쳤다. 현업적용도 향상을 위해 참여자의 동기와 교육만족도를 높이기 위한 방안을 마련할 필요가 있다. 이러한 연구 결과는 통합건강증진 담당자의 현업적용도를 높이기 위한 교육 프로그램을 개발하는데 기초자료를 제공하였다는데 의의가 있다.

• 유통과학연구
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• 제13권12호
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• pp.105-111
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• 2015

Purpose - Many global companies across industries are paying significant attention to co-creation activities, which enable consumers to participate in firms' value creation process, as a main model of new product development processes. In this study, we aim to examine different types of co-creation activities and their effects on consumer attitudes. We focus on upstream co-creation, downstream co-creation, autonomous co-creation, and sponsored co-creation. Upstream co-creation includes firms' control and management in the initial stage of new product development and prototype testing. Downstream co-creation indicates that consumers participate in firms-initiative activities at a later stage in new product development, such as public relations and marketing communications. Autonomous co-creation includes consumers' commitment activities in the absence of firms' rewards. However, under the sponsored co-creation, consumers can return monetary and social rewards from firms through their co-creation activities. The hypotheses regarding the effect of co-creation on consumer attitudes are as follows. (H1, H2, H3, H4) Upstream, downward, autonomous, and sponsored co-creation has positive effects on consumer attitude. (H5, H6) As intrinsic motivation increases, the positive effect of upstream and autonomous co-creation increases. (H7, H8) As extrinsic motivation increases, the positive effect of downward and sponsored co-creation increases. Research design, data, and methodology - To achieve our research goals, we analyzed responses from 246 samples from Korean consumers and verified the proposed hypotheses using a linear regression model. The samples include Korean consumers who experienced upstream, downstream, autonomous, and sponsored co-creation by firms. Results - First, both upstream co-creation and downstream co-creation with firms and consumers are found to have positive effects on consumer attitudes. Second, autonomous co-creation and sponsored co-creation are found to positively affect consumer attitudes. Third, consumers' intrinsic motivation has a fit-effect between upstream co-creation and autonomous co-creation, and their extrinsic motivation has a fit-effect between downstream co-creation and sponsored co-creation. Consumers who have strong intrinsic motivation are affected by upstream co-creation and autonomous co-creation. However, consumers who have strong extrinsic motivation are affected by downstream co-creation and sponsored co-creation. Conclusion - These results indicate that the fit between consumers' co-creation participation types and consumers'motivations is a significant factor in determining consumer attitudes. The results of this study imply that various types of consumer participation actually improve consumers' attitudes toward products and brands. In addition, our study also suggests that firms should consider the fit between co-creation types and consumers' motivations when they initiate co-creation activities. In this study, we survey consumers who participated in firms' co-creation activities. Future studies can compare different types of consumers. For instance, we can examine the different in different test by comparing experienced versus inexperienced consumers. Finally, we expand this research to user-generated content topics. This attending issue focuses on the mechanism that breaks down the boundaries and barriers between consumers and producers.

• 한국보건간호학회지
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• 제2권2호
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• pp.99-116
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• 1988

This study examined the effect of Health Education on the aged. One of the Study objectives was to improve knowledge. attitude and self-care practice about diabetes of the aged who have responded positive in the urine sugar test. The other study objective was to find out factors influencing knowledge. attitude and self-care practice about diabetes. and the relationship among the three variables. The subjects, consisting of 45 positive responders in the urine sugar test, were selected from the elderly who attend elderly citizen center in southern part of Seoul Then they were divided into an experimental and a control group. The study design was set to compare the pre and post test data between the experimental and the control group with the measures of results from Health Education services including nursing care intervention programs on the aged diabetics. The first data collection was carried out in August. 1986 through questionaires and urine sugar testing. The second data collection was done in September, 1987 through the same methods. The results of the study are summarized as follows; 1. General characteristics of the subjects The experimental group has 9 females and 14 males and the control group has 12 females and 10 males. As for the educational level, more than half of the subjects in both group had completed at least 6 years of education. And there was no significant difference in urine sugar levels between the two groups. 2. The effect of Health Education on the extent of change in knowledge, attitude and self-care practice about diabetes was found to be significant. The first hypothesis that knowledge, attitude and self-care practice about diabetes in the aged will be unchanged by Health Education. was rejected by increased the three variables and decreased urine suger level in the experimental group. The second hypothesis that knowledge, attitude and self-care practice about diabetes wouldn't be concerned with each other, was rejected. That is. the three variables and urine sugar levels showed a significant positive relationship with each other but diabetic knowledge to urine sugar level had an insignificant positive relationship. The third hypothesis that the amount of learning Health Education will have no relationships with knowledge. attitude and self-care practice about diabetes. was rejected. That is, the more number of times an elderly person participated in Health Education. they increased their diabetic knowledge. attitude and self-care practice and decreased their urine sugar level. 3. Except for Health Education, an other factor influencing diabetic knowledge was educational level. And an other factor influencing the diabetic attitude was experience of the diagnosis of diabetes. 4. Except for Health Education. the other factors influencing self-care practice were experience of the diagnasis of diabetes, sex and experience of the hospitalization for diabetes. But factors influencing urine sugar level weren't found. Although the results seem to be plausible, this study is not without its problems. In paticular, the sample used is limited in its scope and size. So, more empirical work needs to be done for other diseases as well as diabetes before any general conclusions are to be made.

• 대한인간공학회지
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• 제32권6호
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• pp.481-487
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• 2013

Objective: The present study aims to evaluate the visual reactions of users when they are playing games of different flow levels, and to explore the visual variables that can sensitively reflect the different flow levels. Background: The flow is defined as a psychological state where interface users feel their actions in a virtual setting identical to those in real environment. To measure the flow states of users, the questionnaire-based FSS(Flow State Scale) has mostly been used. However, this method is a qualitative test that has limits in terms of the accuracy of users' flow experiences. Therefore, more accurate methods to measure users' flow experiences are required. Method: Ten subjects participated in the experiment, where the independent variables were three games with different flow levels(puzzle games, dot drawing and coloring) and the time frame(the first and last 10 seconds in game playing), whereas the dependent variables included the pupil size and the frequency and duration of eye blinking. This study was a within-subject design. Each participant performed three types of games with different flow levels 3 times for each for 10 minutes, and their visual reactions to each game were measured. Results: The higher the flow cause the bigger pupil size(p<0.01) and the lower eye blinking frequency(p<0.1), indicating that different types of games lead to different flow levels. The pupil size during the last 10 seconds when the flow level was higher was bigger by 2.1% compared with that during the first 10 seconds in game playing(p<0.1), and the eye blinking frequency decreased by 12%(p<0.01). Conclusion: It was found out that the pupil size and the frequency and duration of eye blinking were psychophysiological indices for evaluating users' flow experiences, which could quantify the flow states users go through. The psychophysiological variables capable of measuring diverse aspects of the flow need diversifying to be applicable to precise measurement of the flow. Application: These studies are warranted for both quantitative analysis of flow levels and qualitative improvement of cyber leisure in line with development of healthy games.

• 한국보육지원학회지
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• 제10권2호
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• pp.111-131
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• 2014

본 연구는 영유아의 스마트기기 사용에 대한 실태와 어머니의 인식에 대해 조사하고자 하며 이 연구를 통해 영유아기 자녀의 스마트기기 사용에 따른 문제점을 예방하기 위한 기초자료를 마련하기 위한 것이 목적이라고 할 수 있다. 부산광역시 소재한 유치원, 어린이집에 다니는 만 1세부터 만 5세까지의 영유아 자녀를 둔 어머니 397명을 대상으로 조사연구를 실시하였으며 수집한 자료는 Window용 PASW 18.0 통계 프로그램을 이용하여 각 문항별로 빈도와 백분율을 실시하였고, 변인별 차이를 알아보기 위해 빈도와 백분율 문항에 대해서는 카이검증 및 일원배치 분산분석을 실시하였다. 그 결과 첫째, 영유아 가정의 스마트기기 사용여부를 살펴본 결과 대부분이 스마트기기를 사용하고 있고 자녀가 원할 때는 사용을 허용하고 있었으며 집에서 잠들기 전 저녁시간에 오락적인 놀이를 위해서 사용하고 있다고 하였다. 둘째, 자녀의 성별, 기관유형, 연령에 상관없이 어머니들 모두 스마트기기의 유해한 부분 차단의 안전성을 가장 많이 요구하는 것으로 나타났다. 결론적으로 어머니들은 스마트기기의 유해 부분을 차단하는 안전성 방안마련과 스마트기기를 학습에 도움이 되는 방향으로 사용하기를 원하고 있음을 볼 때 앞으로 자녀가 안전하게 스마트기기를 사용할 수 있고 교육의 효과도 극대화 할 수 있는 연구들이 필요함을 알 수 있다.

• 한국비블리아학회지
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• 제29권1호
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• pp.369-391
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• 2018

본 연구의 목적은 조직의 성과목표 달성 정도를 도서관 각 부서별로 평가할 수 있는 방법론을 제안하는 것으로, '공공기관 고객만족지수(Public-service Customer Satisfaction Index, 이하 PCSI)모형'의 선행요인 모형을 활용하여 방법론을 설계하였다. 본 연구를 위해 대규모 도서관 한 곳을 선정하여 업무를 분석하고 업무 중 고객만족에 영향을 미치는 성과목표와 관련 있는 업무만을 추출하여 12개 서비스 품질지표와 매핑하였다. 매핑 결과는 서비스품질에 대한 고객의 평가를 기반으로 조직성과를 측정할 수 있는 성과측정표로 설계되었다. 도서관 이용자 341명이 참여한 설문조사로 서비스 품질을 실제로 측정하고, 그 결과를 업무분석표에 대입함으로써 조직 전체와 부서별 성과평가 점수를 산출하였다. 서비스품질 점수를 활용한 이 부서별 성과평가 방법론은 전 부서에 공통적으로 적용할 수 있는 동시에 각 부서의 개별적 성과까지 평가할 수 있는 단일 측정도구를 제시하므로 그 효율성이 높다. 추후 후속 연구를 통해 본 연구결과에 제안한 개선안도 추가 검증함으로써 서비스품질과 고객만족에 기반한 정성적 평가도구로 활용성을 향상시킬 수 있을 것이다.

• 대한간호학회지
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• 제50권4호
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• pp.571-582
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• 2020

Purpose: This study aimed to determine the effects of a 12-week metabolic syndrome BeHaS (Be Happy and Strong) program in elderly people with metabolic syndrome living alone, based on a community-based participatory research (CBPR). Methods: A nonequivalent control group pre-posttest design was used, and the participants were 43 elderly people living alone (experimental group 24, control group 19). The experimental group received a one-hour program per week and two individual health consultations during 12 weeks. The control group received two sessions about the metabolic syndrome and two individual health consultations. The effects of health behavior, blood pressure, blood sugar levels, abdominal circumference, triglycerides, and self-esteem were evaluated. The data were analyzed using the independent t-test and Mann-Whitney U test. Results: The health behavior with respect to the metabolic syndrome in the experimental group increased significantly (t = - 3.19, p = .002). Both diastolic blood pressure and abdominal circumference decreased in the experimental group (t = 2.00, p = .028 and t = 3.91, p < .001). No significant differences were observed between the groups in systolic blood pressure, fasting blood sugar levels, triglycerides, and self-esteem. Conclusion: The 12-week metabolic syndrome BeHaS program using community resources improves the health of elderly people with metabolic syndrome living alone. Based on these findings, further studies on the effectiveness of the metabolic syndrome BeHaS program and the experiences of those who participated in the CBPR are warranted.