• Korean Journal of Adult Nursing
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• v.19 no.3
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• pp.379-388
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• 2007

Purpose: The purposes of this study were to compare the motivation for health behavior, health behaviors practices, and ADL of institutionalized elderly women with those of non-institutionalized elderly women. Methods: A cross-sectional descriptive survey was conducted in convenience samples of 144 aged women(80 institutionalized and 64 non-institutionalized) using structured questionnaires. Descriptive statistics, $x^2$-test, and ANCOVA were used for data analysis with SPSS program. Results: The institutionalized elderly reported significantly higher motivation than the non-institutionalized elderly. In subcategories of motivation, self-efficacy of the institutionalized elderly was significantly lower than that of the non-institutionalized elderly. The non-institutionalized elderly reported significantly lower perceived benefits and significantly higher perceived barriers than institutionalized elderly. The institutionalized elderly reported significantly lower health behaviors in exercise and nutrition than the non-institutionalized elderly. Among health behaviors of the non-institutionalized elderly women, stress management marked the lowest score. Conclusion: To enhance motivation of institutionalized elderly women, interventions for building self-efficacy are needed. To promote the health behavior of the non-institutionalized elderly, stress management programs are needed. All elderly women need exercise.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.16
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• pp.6981-6986
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• 2015

Background: Breast cancer is the most common cancer in women. One way to decrease the burden of this cancer is early detection through mammography. This study compared the effectiveness of two different educational methods for teachers' uptake of mammography based on the Health Belief Model. Materials and Methods: The current study was a randomised trial of 120 teachers over 40 years old in two groups receiving multimedia or group education, both based on the Health Belief Model. Participants completed questionnaires before, immediately and three months after educational intervention. Mammography was evaluated before and after educational intervention. Results: The participants in the two groups were demographically similar. Comparison showed no difference noted in the scores of knowledge, perceived barriers, susceptibility, and severity constructs between two groups (p > 0.05). Health motivation and benefit were perceived to be higher in the group education compared to the multimedia group. There was a significant difference in mammography between two groups after the intervention (p= 0.003). Conclusions: Planning and implementation of educational program based on the Health Belief Model can raise knowledge and increase participation in mammography especially with group education.

• Journal of Korean Academy of Nursing
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• v.31 no.5
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• pp.858-870
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• 2001

Purpose: This study was to compare changes in health behaviors, motivational factors, cardiovascular risk factors, and functional status (SIP) after implementing the 6-month motivation-enhancing program to institutionalized elderly women. Methods: Sixty-four elderly women participated. Face to face interviews with blood sampling and anthropometric assessment were conducted at the pretest, 10 weeks and 6 months during the program. Results: 1. The program participants showed significantly better health behaviors over 6 months. The mean motivational level was also significantly improved, especially for perceived benefits, perceived barriers, and emotional salience. 2. The mean of cardiovascular risk factors for the participants was 21.8 at the level of low to moderate risk. After completing the program, total risk score was significantly decreased to 18.7 at 10 weeks, and further to 17.7 at 6 months. A significant reduction was also found in HDL and LDL-cholesterol levels, blood pressure, obesity, inactivity, and stress. 3. The functional status (SIP) was 11% at the baseline and significantly changed in positive direction at 10 weeks(M=9.3) and at 6 month(M=6.3). The significant improvement was also found in physical and psychosocial dimensions and sleep/rest dimension. Conclusion: The motivation enhancing program was effective to reduce cardiovascular risks and to improve the functional status of institutionalized elderly women by motivating them to perform better health behaviors.

• Journal of Korean Public Health Nursing
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• v.31 no.1
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• pp.135-148
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• 2017

Purpose: This study was conducted to predict the effects of behavioral intention on pap screening tests in unmarried college women using a path model. Methods: The study subjects were 216 university students and data were collected through self-report questionnaires including knowledge, attitude, subjective norms, perceived behavioral control, behavioral intentions to take the Pap test, and health responsibility. Results: Knowledge regarding the Pap test was moderate. The factors of knowledge, attitude, and perceived behavioral control negatively influenced the behavioral intention of the Pap test. However, the factors of subjective norms and health responsibility positively influenced behavioral intention. Conclusion: Subjective norms are the most importance factor to increase the intentions of the Pap test among unmarried college women. It is also necessary to eliminate barriers to undergoing pap testing, as well as to provide nursing intervention to obtain correct knowledge and a positive attitude regarding the Pap screening test.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.9
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• pp.4019-4023
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• 2015

Background: Breast cancer is the most frequently occurring cancer in women and the most common cause of cancer death worldwide. Materials and Methods: A cross-sectional study was carried out among 792 female undergraduate students in public universities in Klang Valley, Malaysia, from January to April 2011. Data were collected using a validated questionnaire developed for this study. Results: The mean age of respondents was $21.7{\pm}1.2$ years. Most of them were single (96.8%), Malay (91.9%) and 150 (19.6%) claimed they had practiced BSE. There was a significant differences between performers and non-performers correlated to age, marital status, check breast by doctor, and being trained about BSE. Performers had lower mean scores for perceived barriers and susceptibility and higher mean score for confidence. Stepwise logistic regression analysis yielded four significant predictor variables. Conclusions: Overall our findings indicate that the practice of BSE while perceived as being important is not frequently practiced among female in Malaysia. Targeted education should be implemented to improve early detection of breast cancer.

• Research in Community and Public Health Nursing
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• v.17 no.2
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• pp.283-294
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• 2006

Purpose: The purpose of this study was to identify the factors influencing childhood immunization. Method: Data were collected by questionnaires from 251 Parents who have 6 months to 7 years old children at public health centers in Seoul and Kyunggi Province. The data were analyzed using descriptive statistics, t-test, ANOVA, and multiple regression. Result: According to general characteristics of the parents and children, there were statistically significant differences in education level of parents, child immunization card, gender, age, and birth order of children. The main factors that affected children's immunization were perceived barriers of action, perceived control, birth order of children, child immunization card, and education level of parents, and these factors explained 49.4%(explanatory power of this model was 49.4%). Conclusion: The results of this study showed strategies for compliance of children immunization. Therefore, when the program are developed for public immunization, these factors need to be considered.

• Journal of Korean Academy of Nursing
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• v.34 no.5
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• pp.791-800
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• 2004

Purpose: This study was to investigate the characteristics and related factors of breast cancer screening and repeat screening, and to propose nursing interventions to increase the rate of breast cancer screening and repeat screening. Method: Study subjects was 236 women residing in the community, teachers and nurses who were older than 45 were recruited. Data was collected with self administered questionnaires from July 1st to August 31st, 2003 and analysed using SPSS/WIN 10.0 with $X^2$test, t-test, and stepwise multiple logistic regression at a significant level of =.05. Result: The breast cancer screening rate was 57.2%, and repeat screening rate was 15.3%. With the multiple logistic regression analysis, factors associated with mammography screening were age and perceived barriers of action, and factors related to the repeat mammography screening were education level and other cancer screening experience. Conclusion: Based on the results, we recommend the development of anintervention program to decrease the perceived barrier of action, to regard mammography as an essential test in regular check-up, and to give active advertisement and education to the public to improve the rates of breast cancer screening and repeat screening.

• Journal of Korean Academy of Nursing
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• v.34 no.5
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• pp.801-808
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• 2004

Purpose: This study was aimed to identify the effect of self-foot reflexology on the relief of premenstrual syndrome and dysmenorrhea in high school girls. Method: Study subjects was 236 women residing in the community, teachers and nurses who were older than 45 were recruited. Data was collected with self administered questionnaires from July 1st to August 31 st, 2003 and analysed using SPSS/WIN 10.0 with Xtest, t-test, and stepwise multiple logistic regression at a significant level of =.05. Result: The breast cancer screening rate was 57.2%, and repeat screening rate was 15.3%. With the multiple logistic regression analysis, factors associated with mammography screening were age and perceived barriers of action, and factors related to the repeat mammography screening were education level and other cancer screening experience. Conclusion: Based on the results, we recommend the development of an intervention program to decrease the perceived barrier of action, to regard mammography as an essential test in regular check-up, and to giveactive advertisement and education to the public to improve the rates of breast cancer screening and repeat screening.

• Nutrition Research and Practice
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• v.10 no.3
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• pp.352-358
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• 2016

BACKGROUND/OBJECTIVES: Nutrition is a determinant factor of health in elderly people. Independent living in elderly people can be maintained or enhanced by improvement of nutritional behavior. Hence, the present study was conducted to determine the impact of Health Belief Model (HBM)-based intervention on the nutritional behavior of elderly women. SUBJECTS/METHODS: Cluster-random sampling was used to assess the sample of this clinical trial study. The participants of this study attended a 12-week nutrition education program consisting of two (2) sessions per week. There was also a follow-up for another three (3) months. Smart PLS 3.5 and SPSS 19 were used for structural equation modeling, determination of model fitness, and hypotheses testing. RESULTS: The findings indicate that intervention had a significant effect on knowledge improvement as well as the behavior of elderly women. The model explained 5 to 70% of the variance in nutritional behavior. In addition, nutritional behavior was positively affected by the HBM constructs comprised of perceived susceptibility, self-efficacy, perceived benefits, and barriers after the intervention program. CONCLUSION: The results of this study show that HBM-based educational intervention has a significant effect in improving nutritional knowledge and behavior among elderly women.

• Journal of Families and Better Life
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• v.31 no.6
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• pp.11-21
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• 2013

The main purpose of this study is to explore the relationship between perceived the authoritarian parenting style and academic achievement among college students. Specifically, it is hypothesized that authoritarian parenting would indirectly affect the academic achievement of college students through self-differentiation level and career decision-making self-efficacy. 283 college students, after the consideration of their grade and gender, were selected for this study as participants. Methods describing the primary analytical technique of Structural Equation Modeling were used for the study. The results demonstrate that an authoritarian parenting style negatively affected the academic achievement of college students. There are mediation effects of self-differentiation and career decision-making self-efficacy between the perceived authoritarian parenting style and academic achievement among college students. The findings imply that the positive development of adult children requires more egalitarian parenting styles than those used on early adolescents. Next, for female students, specialized career counseling programs focusing on reducing psychological career barriers and career stress are needed. Lastly, it is implied that parenting styles used on adult children in Korea may differ from Western styles. Therefore, it may be difficult to explain the relationship between parents and adult children with a traditional theoretical framework.