• Title/Summary/Keyword: Perceived locus of control

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Quality of life of Middle -Aged Persons Who have cancer (중년기 암환자의 삶의 질에 관한 연구)

  • 한윤복;노유자;김남초;김희승
    • Journal of Korean Academy of Nursing
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    • v.20 no.3
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    • pp.399-413
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    • 1990
  • This descriptive study was under taken to explore relationships among the quality of life, health locus of control and perceived state of health persons with cancer to contribute theoretical understanding about these phenomenon of interest to the quality of nursing care. The subjects of this were 200 persons with cancer (100- in patients and 100- out patients), both male and female, between 30 and 59 years of age. Data were obtained using a convenience sample technique from two university hospitals in seoul from August, 1989, to June, 1990. The instruments used for this study were the Quality of life scale developed by Ro, You - Ja and the Health Locus of Control scale developed by Wallston & Wallston. Data were analyzed using a SAS program for ANOVA, t-test, Schefffe test, Pearson Correlation Coefficients and Stepwise multiple regression. The results were as follows : 1. The scores on the quality of life scale ranged from 95 to 191 with as mean of 147.85(range 47 to 235). The Mean scores(range 1-5) on the different dimensions were family relationships 3.50, relationships with neighbours 3.48, self - esteem 3.17, physical state and function 2.99, economic life 2.93 and emotional life 2.91. 2. Significantly higher scores on the quality of life and demographic characteristics were as follows : the quality of life for women(t=2.80, p= .006), for those without complications(t=2.54, p= .013), and for those who perceived their illness as mild(F=4.85, p= .009). Higher scores on quality of life were correlated with the following : 1) emotional state and the age group 50-59(F=3.43, p= .34). 2) economic life and higher income(F=6.72, p= .002), those without complications(t=2.68, p= .00), and those who perceived their illness as mild(F=3.11, p= .05). 3) self-esteem and marriage(F=3.64, p=.028), those without complications(t=2.18, p=.03), and those who perceived their illness as mild(F=7.72, p=.000). 4) physical state and funciton and the age group 30-39(F=4.65, p=.010), those without complications (t=2.00, p=.05), and those who perceived their illness as mild(F=3.38, p=.04). 5) family relationship and those who live with their spouse(t=2.82, p=.005). 3. There was a significant positive correlation between the subjects perceptions of their current state of health and the quality of life score(r=.4364, p=.0001). 4. There was no relationship between Locus of control and quality of life in this sample. 5. Stepwise multiple regression analysis showed that: 1) the perception of current health status was the main predictor and accounted for 20.11% of the total variance. 2) sex and educational level accounted for an additional 21.71% of the total variance. 6. The quality of life and the perception of their current health status of these patients with cancer were generally lower than those of healthy adults as noted in previous studies. In conclusion, the quality of life for these cancer patients was generally low especially in regard to their emotional state. The current perceived state of health, sex, complications and perceived degree of illness were important variables relatiog to quality of life.

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A Structural Model for Health Promotion and Life Satisfaction of Life in College Students in Korea (대학생들의 건강증진행위와 삶의 만족도에 대한 구조모형)

  • Hong, Youn-Lan;Yi, Ga-Eon;Park, Hyun-Sook
    • Research in Community and Public Health Nursing
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    • v.11 no.2
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    • pp.333-346
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    • 2000
  • The purpose of this study was designed to test and develope the structural model that explains health promoting behaviors among college students in Korea. The hypothetical model was constructed on the Pender's Health promotion Model(l996) and the inclusion of some influential factors for life satisfaction. The conceptual framework was built around eight constructs. Exogenous variables included in the model were self-esteem, perceived health status, self-efficacy, internal locus of control, chance locus of control. powerful other locus of control. Endogenous variables were health promotion behaviors and life satisfaction. The results are as follows; 1. The overall fit of the hypothetical model to the data was moderate <$x^2$=4.18(df=11. p=0.041), GFI= 0.99, AGFI= 0.76, RMR= 0.019, CFI= 0.99, CN= 248.50> 2. Path and variable of the model were modified by considering both its theoretical implication and statistical significance of parameter estimates. Compared to the hypothetical model. the revised model has become parsimonious and had a better fit to the data expected in a chi-square value <$x^2$=8.43( df= 16, p=0.21), GFI= 0.99, AGFI= 0.92., RMR= 0.024, CFI= 0.99, CN= 312.01> 3. Some of the predictive factors. especially self efficacy. self esteem. powerful others locus of control. perceived health status revealed the direct effects on health promoting behaviors. Of these variables. self-efficacy was the most signigicant factor. These predictive variables of health promoting behaviors explained 59% of total variances in the model. 4. Health promoting behaviors, self-esteem. and perceived health status revealed direct effect on the life satisfaction. Self-efficacy was identified as an important variable that contributed indirectly to improve life satisfaction by enhancing health promoting behaviors. These predictive variables of life satisfaction explained 42% of total variances in the model. In conclusion. the derived model in this study is considered appropriate in explaining and predicting health promoting models and life satisfaction among college students in Korea and could effectively be used as a reference model for further studies by suggesting a direction in health promoting nursing practices.

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Predictive Factors of Health promotion behaviors of Industrial Shift Workers (산업장 교대근무 근로자의 건강증진행위 예측요인)

  • Kim, Young-Mi
    • Korean Journal of Occupational Health Nursing
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    • v.11 no.1
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    • pp.13-30
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    • 2002
  • Industrial shift workers feels suffer mental stresses which are caused by unfamiliar day sleep, noisy environment, sleeping disorder by bright light, unusual contacts with family, difficulty in meeting with friends or having formal social meetings and other social limitations such as the use of transportation. Such stresses influence health of the workers negatively. Thus the health promotion policy for shift workers should be made considering the workers' ways of living and shift work specially. This study attempted to provide basic information for development of the health promotion program for industrial shift workers by examining predictive factors influencing health promotion behaviors of those workers. In designing the study, three power generation plants located in Pusan and south Kyungsang province were randomly selected and therefrom 280 workers at central control, boiler and turbine rooms and environmental chemistry parts whose processes require shift works were sampled as subjects of the study. Data were collected two times from September 17 to October 8, 1999 using questionnaires with helps of safety and health managers of the plants. The questionnaires were distributed through mails or direct visits. Means for the study included the measurement tool of health promotion behavior provided by Park(1995), the tool of self-efficacy measurement by Suh(1995), the tool of internal locus of control measurement by Oh(1987), the measurement tool of perceived health state by Park(1995) and the tool of social support measurement by Paek(1995). The collected data were analyzed using SPSS program. Controlling factors of the subjects were evaluated in terms of frequency and percentage ratio Perceived factors and health promotion behaviors of the subjects were done so in terms of mean and standard deviation, and average mark and standard deviation, respectively. Relations between controlling and perceived factors were analyzed using t-test and ANOVA and those between perceived factors and the performance of health promotion behaviors, using Pearson's Correlation Coefficient. The performance of health promotion behaviors was tested using t-test, ANOVA and post multi-comparison (Scheffe test). Predictive factors of health promotion behavior were examined through the Stepwise Multiple Regression Analysis. Results of the study are summarized as follows. 1. The performance of health promotion behaviors by the subjects was evaluated as having the value of mean, $161.27{\pm}26.73$ points(min.:60, max.:240) and average mark, $2.68{\pm}0.44$ points(min.:1, max.:4). When the performance was analyzed according to related aspects, it showed the highest level in harmonious relation with average mark, $3.15{\pm}.56$ points, followed by hygienic life($3.03{\pm}.55$), self-realization ($2.84{\pm}.55$), emotional support($2.73{\pm}.61$), regular meals($2.71{\pm}.76$), self-control($2.62{\pm}.63$), health diet($2.62{\pm}.56$), rest and sleep($2.60{\pm}.59$), exercise and activity($2.53{\pm}.57$), diet control($2.52{\pm}.56$) and special health management($2.06{\pm}.65$). 2. In relations between perceived factors of the subjects(self-efficacy, internal locus of control, perceived health state) and the performance of health promotion behaviors, the performance was found having significantly pure relations with self-efficacy (r=.524, P=.000), internal locus of control (r=.225, P=.000) and perceived health state(r=.244, P=.000). The higher each evaluated point of the three factors was, the higher the performance was in level. 3. When relations between the controlling factors(demography-based social, health-related, job-related and human relations characteristics) and the performance of health promotion behaviors were analyzed, the performance showed significant differences according to marital status (t=2.09, P= .03), religion(F=3.93, P= .00) and participation in religious activities (F=8.10, P= .00) out of demography-based characteristics, medical examination results (F=7.20, P= .00) and methods of the collection of health knowledge and information(F=3.41, P= .01) and methods of desired health education(F=3.41, P= .01) out of health-related characteristics, detrimental factors perception(F=4.49, P= .01) and job satisfaction(F=8.41, P= .00) out of job-related characteristics and social support(F=14.69, P= .00) out of human relations characteristics. 4. The factor which is a variable predicting best the performance of health promotion behaviors by the subjects was the self-efficacy accounting for 27.4% of the prediction, followed by participation in religious activities, social support, job satisfaction, received health state and internal locus of control in order all of which totally account for 41.0%. In conclusion, the predictive factor which most influence the performance of health promotion behaviors by shift workers was self-efficacy. To promote the sense, therefore, it is necessary to develop the nursing intervention program considering predictive factors as variables identified in this study. Further industrial nurses should play their roles actively to help shift workers increase their capability of self-management of health.

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Related factor of oral health promotion activities, self-efficacy and oral disease control and beliefs of nursery teacher (유아교육기관교사의 자기효능감, 통제위 및 구강질병관리신념과의 관련요인)

  • Lee, Hyang-Nim;Shim, Hyung-Sun
    • Journal of Korean society of Dental Hygiene
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    • v.10 no.1
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    • pp.157-172
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    • 2010
  • Objectives : This study is to grasp the efficacy, locus of control, oral disease management beliefs, etc and to make a close inquiry the relevance between theses key figures and oral health promotion practice for a teacher and oral care about children and to provide the basic materials of oral health education for the teachers of infant nursery. Methods : This study was made from July to September in 2009 to nursery teacher by having the self-report questionnaire for teachers of infant nursery who are performing nursry school tearcher. Total 187 questionnaire were distributed and among these, 167 questionnaire excluding 20 questionnaire of incomplete responses were statistically analyzed with SPSS12.0. Results : The efficacy is highly in a married person(p=0.001) according to the teacher's age(P=0.006), perceived good oral status(p=0.001) according to the oral conditions and has the significant difference. The internal locus of control is highly in a married person(p=0.006) according to the teacher's age(P=0.037) and the marital status and has the significant difference statistically. The external locus of control is the highest(p=0.038) in the age of 40 among teacher's age and has the significant difference statistically. The oral disease management beliefs is the highest in the age of 20 ~ 29(p=0.001), highly in married(p=0.003) and has the significant difference according to the marital status and perceived good oral status(p=0.045) according to the oral conditions. There has no significant difference in the efficacy, the internal locus of control, the external Lotus of Control, oral disease management beliefs following by the infant oral care after taking medicines and oral care of infants after tooth brushing. Conclusions : Therefore, the oral health promotion activities should be induced by educating the nursery teacher and it needs to spread out the oral care education with the development to operate practically. It is considered in need of the infant oral care which is not burden on to the nursery teacher but helpful to the infant by connecting the subjects of dental hygiene and oral health education training.

The Effect of Self-Efficacy on Job satisfaction for the Hospital Employees (병원 조직구성원의 자기효능감이 직무만족에 미치는 영향)

  • 남경동;김광점
    • Health Policy and Management
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    • v.13 no.4
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    • pp.66-83
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    • 2003
  • Self-efficacy is a person's perceived capability to perform a behavior. We have studied the antecedents of self­efficacy, and its moderating role on the relationship between job characteristics and job satisfaction. Data is collected through questionnaire from 910 employees of 6 large hospitals in Korea. The results show that individual's internal locus of control has positive relationship with self­efficacy and self-efficacy has positive relationship with job satisfaction. Contrary to the hypothesis, supervisors' transformational leadership doesn't show any relations with self­efficacy. The moderating role of self efficacy on the relationship between job characteristics and job satisfaction is supported. These results suggest that hospital managers should manage the self­efficacy as an important instrument of enhancing productivity and employee satisfaction.

Health-Promoting Life-Style and Related Factors Among Teachers (교사의 건강증진생활양식 실천도와 관련요인)

  • 정인숙
    • Korean Journal of Health Education and Promotion
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    • v.20 no.2
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    • pp.179-196
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    • 2003
  • This study was aimed at examining the self-reported health-promoting life- style (HPL) and related factors among teachers assumed to be role models for students. The subjects were 300 teachers who were conviently drawn from nine elementary schools and three high schools. The conceptual framework for this study was based on the Pender's revised Health Promotion Model(1996). Data was collected by a mailed survey (response rate, 62.5%) with structured questionnaire. The score of health-promoting life-style was 2.8(full mark: 5.0), harmonized relationship was the highest(3.2), and professional helath management was the lowest(2.0). The related factors to health-promoting life-styles were age, marital stauts, career, perceived health status, self esteem, intermal locus of control, perceived benefit, perceived barrier, self efficacy, and social support in univariate analysis. In the final regression model, predictors of HPL were social support, self esteem, perceived benefit. self efficacy, and perceived health status after control the effects of demographic characteristics (p<.0001, R2=0.494). The results generally supported the Pender Model. It is recommended to develop the health promotion program for teachers based on these results, and to evaluate the effect of that program for teacher.

Active Coping Strategy Model for Chronic Arthritis : Appling Internal Model of World and Coping Resource (내적모형과 대응자원을 이용한 만성관절염 환자의 적극적 대응전략모형)

  • Mun, Mi-Sook;Lim, Nan-Young
    • Journal of muscle and joint health
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    • v.6 no.1
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    • pp.100-135
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    • 1999
  • Typical symptoms of rheumatic disease affect overall daily living and cause severe stress. Individuals afflicted with rheumatic disease have many illness-related stresses. Pain was the predominantly perceived stress followed by limitation in mobility, difficulties in carrying out activities of daily living. helplessness, dependency on others, threat to self-esteem, interference in social activity, interference in family relationships. difficulties performing at work, and discomfort of the treatment. Patients with chronic arthritis are subjected to long periods of continuous stress, which may require the management by the health care provider. In these cases, the purpose of the nursing is helping to promote health through supporting patient's coping. Therefore, for the nursing intervention to be effective, it is critical to build a theoretical framework that describes stress-coping for chronic arthritis. Thus, the purpose of this dissertation is to present a theoretical framework which describes the stress-coping processes and to empirically test pathos of this framework for the people with chronic arthritis. The foundation upon which this framework is built in the Erickson, Tomlin, and Swain(1983) theory of Modeling and role-Modeling. The subjects were 275 patients with rheumatoid arthritis or osteoarthritis who visited the outpatient clinic. A hypothetical model of stress-coping was tested by covariance structure analysis with PC-LISREL 8.12 program. As a result, the overall fit was good(Chi-square=94.49, P=0.00, RMR=0.067, GFI=0.95, AGFI=0.91, NNFI=0.93, NFI=0.91) for the hypothetical model. The results of hypothesis testing were as follows : Basic need satisfaction had a statistically significant influence on illness-related experience, emotional stress and coping resources. Internal health locus of control had a statistically significant influence on coping resources. However, independent variables(basic need satisfaction, internal health locus of control, illness-related experience, emotional stress and coping resource) did not have significantly influence on coping. And then, the hypothetical model was modified by considering both the theoretical implication and statistical significance of the parameter estimates. The revised model had a better fit to the data(Chi-square=83.11(P=0.00), RMR=0.061, GFI=0.96, AGFI=0.92, NNFI=0.95, NFI=0.92). Hypothesis emerged from the revised model was tested. The results of hypothesis testing were as follows : Basic need satisfaction had a statistically significant influence on illness-related experience, emotional stress and coping resources. Internal health locus of control had a statistically significant influence on illness-related experience and coping resources. Internal health locus of control, illness-related experience, emotional stress and coping resources had a significantly influence on coping. According to the results of this dissertation, basic need satisfaction and internal health locus of control play a central role in appraisal of illness-related experience and coping resources. And illness related-experience, emotional stress, and coping resources affect on coping activities. In summary, nursing interventions to enhance basic need satisfaction and internal health locus of control will decrease illness related experience and emotional stress and increase coping resources. Increased coping resources will prompt coping activities.

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The Effects of Mentee's Characteristics and Value Orientation on Informal Mentoring Function of ROK Military (멘티의 성격특성과 가치성향이 군(軍) 조직의 비공식적 멘토링 기능에 미치는 영향)

  • Lee, Ho Bok;Lee, Kyu-Man
    • Management & Information Systems Review
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    • v.32 no.4
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    • pp.81-101
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    • 2013
  • The purpose of this study was to examine the effects of mental similarity and internal locus of control, which are the characteristics of an organizational member, and individualism and power distance, which are an individual's sense of value, on mentoring function in an informal mentoring relationship of ROK army. For corroborative analysis, the sample was collected from 547 questionnaires, which contain validate data out of 1,000 questionnaires distributed to junior officers working at ROK army's division level unit. The data proved that, First, mental similarity and internal locus of control positively effected upon mentoring function. Second, individualism positively effected upon mentoring function while power distance had a negative effect on it. Thus in an informal mentoring relationship of ROK army, a mentee perceived as he or she gains more support from mentoring function when a mentee recognizes higher mental similarity, individualism, and is in an internal locus of control. On the other hand, a mentee who perceived higher power distance felt as he or she gets less support from mentoring function. Through this investigation, the significance of influential components of mentoring function in a mentoring relationship of ROK army was demonstrated, and these research results could be highly supportive for a future research based on mentoring relationship.

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Maternal Behavior to Preventing Childhood Accident in the Home (아동사고에 대한 어머니의 예방행위 영향요인)

  • Kim, Kwuy-Bun;Son, In-A
    • 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.

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A Study of Factors Influencing Health Promoting Behavior and Quality of Life in the Elderly (노인의 건강증진 행위 및 삶의 질에 영향을 미치는 요인)

  • 박은숙;김순자;김소인;전영자;이평숙;김행자;한금선
    • Journal of Korean Academy of Nursing
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    • v.28 no.3
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    • pp.638-649
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    • 1998
  • The purpose of this study was to investigate the factors influencing health promoting behavior and quality of life in the elderly, to provide the basic data for health promoting intervention in order to improve quality of life. The subjects of this study were 571 elderly person over the age of 65, living in Seoul, Korea, during the period from November, 1997 to January, 1998. The instruments for this study were the health promoting behavior scale developed by Walker et (1987), the quality of life scale by 노유자(1988), the health concept scale by Laffrey(1986), the perceived health states scale by Lawston et al. (1982), the health value scale by Wallston et al. (1978), the self esteem scale by Rogenberg(1965) and the self efficacy scale by Sherer(1982). The instruments for this study were pretested on the elderly for reliability and validity. The data were analyzed using descriptive statistics, t-test, Pearson correlation coefficients ANOVA and stepwise multiple regression. The results of this study are as follows ; 1. The health promoting behavior showed significant positive correlation with health concept, perception of health status, self esteem, internal health locus of control, self efficacy and quality of life in the elderly. 2. The quality of life showed significant positive correlation with health concept, perception of health status, self esteem, internal health locus of control, self efficacy in the elderly, 3. Stepwise multiple regression analysis revealed that the most powerful predictor of health promoting behavior was quality of life. A combination of quality of life, health concept, perceived health status, self esteem, internal health locus of control, and self efficacy accounted for 46% of the variance in health promoting behavior in the elderly. 4. Stepwise multiple regression analysis revealed that the most powerful predictor of quality of life in the elderly was self esteem. A combination of self esteem. A combination of self esteem, health concept, perceived health status. health promoting behavior and self efficacy accounted for 56% of the variance in quality of life in the elderly. From the results of the study, the following recommendations are presented as follow : 1. Development of a health promoting program to improve quality of life in the elderly. 2. In developing the health promoting program, the above major influencing factors be considered. 3. It is suggested that an education specialist in practice in the community be included in the program development.

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