• 제목/요약/키워드: Prevention and Intervention

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Development and Testing of a Sexually Transmitted Diseases Prevention Program in At-Risk Prostitutes (요보호 윤락여성을 위한 성병예방 중재프로그램 개발 및 효과검증)

  • Ahn, Yang-Heui;Jin, Gi-Nam
    • Journal of Korean Academy of Nursing
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    • v.35 no.5
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    • pp.868-878
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    • 2005
  • Purpose: The purpose of the study was to test the effectiveness of an 8 session intervention program to prevent sexually transmitted diseases (STDs) among at-risk prostitutes. Method: An experimental research design was employed. Subjects were 59 prostitutes (29 in the control group and 30 in the experimental group) who agreed to participate in this study. An STD Prevention Framework derived from Cox's Interaction Model of Client Health Behavior guided the overall intervention and the components. The intervention had 8 sessions with STD-prevention strategies and was led by Public Health Nurses. Analysis included change scores, $x^2$-test, and t-test. Result: The results revealed significant increase in feelings and skills of condom use, peer belief on condom use, condom use practice, and satisfaction with service at public health centers (PHC) on STDs knowledge and skills in the experimental group. However, newly contracted STDs were not significant statistically between groups. Conclusion: The 8 session STDs prevention program showed a effect on emotions, skills and' behaviors of condom use even with the limitation of methodological rigors because of subject-specific conditions. In the future, a capacity-building model based on collaborating networks among community-based organizations will be needed to develop in effective STDs prevention.

The Effect of Pediatric Inpatient Fall Prevention Education on Caregivers' Fall-related Knowledge and Preventive Behaviors (아동낙상예방교육이 입원아동 보호자의 낙상관련 지식과 예방행위에 미치는 효과)

  • Park, So Yeon;Ju, Hyeon Ok
    • The Journal of Korean Academic Society of Nursing Education
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    • v.23 no.4
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    • pp.398-408
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    • 2017
  • Purpose: This study aims to identify the effect of pediatric fall prevention education with leaflets and picture books on the fall-related knowledge and preventive behaviors in caregivers of inpatient children. Methods: This study is a non-equivalent control group non-synchronized design. It divided 62 caregivers of inpatient children aged 5 and under into an experimental group and a control group in P general hospital located in B City. Results: Fall related knowledge score in the experimental group was increased by 2 points after the intervention and the score in the comparison group was increased by 0.1 points. The difference after the intervention in fall related knowledge scores between the two groups was statistically significant (t=7.67, p<.001). The fall related prevention behavior score of the experimental group increased by 9.3 points after the intervention, and the score of the comparison group increased by 2.5 points. The difference in the scores of fall related prevention behaviors between the two groups was statistically significant (t=5.71, p<.001). Conclusion: Pediatric inpatient fall prevention education using leaflets and picture books can improve caregivers' fall-related knowledge and preventive behaviors. In turn, this can reduce children's falls in pediatric wards in general hospitals.

Effect of Fall Prevention Exercise Program on Fall Efficacy, Depression, and Quality of Life of Elderly in the Community

  • Sungbae Jo;Yang Rae Kim
    • Physical Therapy Rehabilitation Science
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    • v.11 no.4
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    • pp.391-399
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    • 2022
  • Objective: This study aimed to investigate the effects of fall-prevention exercise programs on fall efficacy, depression and health-related quality of life in elderly. Design: a randomized controlled trial Methods: A total of 57 participants over 65-years-old have been allocated to control and experimental groups. The experimental group received 8 weeks of fall-prevention exercises that included strengthening of lower extremities, balance and gait training. They received the exercises twice a week for 50 minutes as a group.Both groups were assessed using Modified Falls Efficacy Scale (MFES), Geriatric Depression Scale (GDS), and 36-Item Short-Form Health Survey (SF-36) prior and post to the intervention. The control group also received the same exercise program after the post evaluation. Results: The experimental group showed overall improvement in MFES, GDS, and physical components of SF-36 (p<0.05). The MFES was significantly increased in the experimental group after the intervention (p<0.05). The GDS was significantly decreased in the experimental group after the intervention (p<0.05). The SF-36, only physical Function, Role limitations due to physical health, general health, and energy and fatigue categories were improved in the experimental group after the intervention (p<0.05). Conclusions: The results showed 8 weeks of fall-prevention exercise programs can increase fall efficacy and physical related quality of life while reducing depression of elderly over 65.

Impact of a Fall-Prevention Exercise Program on Balance, Gait, Lower Limb Strength, and Psychosocial Characteristics in Older Adults with Dementia (낙상예방 운동 프로그램이 치매 노인의 균형, 보행과 하지 근력, 심리사회적 특성에 미치는 영향)

  • Choi, Gi-young;Kim, Suhn-yeop
    • Journal of the Korean Society of Physical Medicine
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    • v.14 no.1
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    • pp.75-89
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    • 2019
  • PURPOSE: This study measured the impact of a 12-week fall-prevention exercise program on balance, ambulatory ability, lower limb strength, and psychosocial characteristics in older adults diagnosed with dementia. METHODS: The participants comprised 31 older adults (9 men, 22 women) diagnosed with Alzheimer's or vascular dementia at a long-term care hospital located in Gunsan City. A fall-prevention exercise program was provided to the experimental group, while the control group was only provided with instruction and materials related to the fall-prevention exercise program. The participants were evaluated before the intervention, 6 weeks after the intervention, and 12 weeks after the intervention on static and dynamic balance abilities (using Timed Up and Go test: TUG, Tinetti-balance scale, one-leg standing test: OLS), gait (Tinetti-balance scale, 6-minute walk test: 6MWT), lower limb strength (sit to stand test; STS), and psychosocial characteristics (Short Form 36 Health Survey-Korean version, Korean Mini-Mental State Exam). RESULTS: An independent samples t-test and repeated measures analysis of variance were used for the statistical analysis. There were statistically significant improvements after the intervention (p<.05) in dynamic balance abilities (TUG and OLS using the left foot), gait (6MWT), and lower limb strength (STS) for the experimental group, but not for the control group. No difference was seen in psychosocial characteristics. CONCLUSION: Older adults with dementia who participated in the fall-prevention exercise program showed significant improvements in their static and dynamic balance abilities, lower limb strength, and ambulatory ability after the intervention.

Effects of the smoking prevention intervention in primary school students - centering on the change of knowledge and attitude- (국민학생들의 흡연예방교육 개입효과에 관한 연구 -흡연에 대한 지식 및 태도 변화를 중심으로-)

  • Kang, Yun Ju;Sub, Sung Jae
    • Journal of the Korean Society of School Health
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    • v.8 no.1
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    • pp.133-142
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    • 1995
  • The purpose of this study was to examine the effect of smoking prevention program on changing the knowledge and attitude about smoking behavior of elementary school students, In September 1993, as a pretest, a total of 1492 students from 4 elementary schools in Seoul were assessed with self-completing questionnaire pertaining to knowledge and attitude about smoking. Among them, 704 students from 2 schools were assigned to intervention group and 788 students from other 2 schools were assigned to control group. Smoking prevention program was implemented in intervention group for about six months. In September 1994, as a posttest, all students were reassessed with the same questionnaire. The overall experimental smoking rate of students in the study was 8.0%; 13.4% in males and 2.9% in females. The baseline smoking knowledge score of intervention group and control group was 12.3 and 12.0, respectively. There was no significant difference between the two groups. But each score collected after one year interval was 15.3 and 13.0, respectively, which were significantly different(p<0.01). The main items of attitude, such as 'future intention to smoke', were not significantly changed by the intervention. Important predictors of 'future intention to smoke' in males were past history of experimental smoking, paternal smoking and knowledge about smoking. In females, past history of experimental smoking and knowledge about smoking were important predictors.

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Intervention Program Effectiveness for Preventing Sexual Violence: A Systematic Review (성폭력 예방 교육 중재 프로그램에 관한 체계적 문헌고찰: 국내 연구를 중심으로)

  • Woo, Chung Hee;Ryu, Gi Wook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.4
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    • pp.409-419
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    • 2019
  • This study was conducted to synthesize sexual violence prevention programs by systematic review and to establish an effective program for its prevention. Existing studies of domestic sexual violence prevention programs were retrieved using RISS, KISS, and NDSL from 2000 until August 2018. Of 1125 studies identified, 22 met the inclusion criteria. Study participants were children to adults and students with disabilities. The methods of intervention varied according to the characteristics of the participants and included lectures, discussions, role plays, puppet shows, songs and campaigns. The contents of the intervention were related to the concepts of sexual violence, sexual violence coping, sexual harassment, and gender equality, while the main variables influencing the results of intervention were sexual knowledge, sexual attitude, sexual violence knowledge, sexual violence coping and gender equality consciousness. In most of the studies was effective. However, for some studies, sexual awareness and sexual attitude were not significant influencing factors. Future sexual violence prevention programs should include gender equality and bystander concepts, that can recognize social responsibility for sexual violence.

Injury prevention for children (아동 사고 예방)

  • Son, Ina
    • The Korean Journal of Emergency Medical Services
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    • v.5 no.1
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    • pp.99-107
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    • 2001
  • Injury has now replaced disease as the biggest single cause of death in children after their first birthday. Each month one child dies from preventable, unintentional injury and the medical cost of these injury is increasing remarkably. It is necessary to develop injury prevention system to manage, evaluate and analysis the information about accident. This resource manual developed as a result of literature review of child care safety project which is based on the Kidsafe Tasmanian Division in Australia and the other resources. The purposes of this study is to; 1. Develop model to enable services to focus on injury prevention 2. Develop standardized child care injury report form 3. Develop home safety checklist 4. Development of injury prevention policies The suggestions to develop injury prevention policies : 1. detail analysis of injury occurrence 2. investigation of known intervention and their effectiveness 3. analysis of policy environment 4. development of policy on implementation of intervention 5. develop protocol and materials to develop an injury prevention focus 6. increase knowledge and awareness among staff and parents of where injuries were occurring and develop.

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Development of a Smoking and Drinking Prevention Program for Adolescents using Intervention Mapping (Intervention Mapping 설계를 통한 중학생 대상 흡연음주예방 교육프로그램 개발)

  • Kye, Su-Yeon;Choi, Seul-Ki;Park, Kee-Ho
    • The Journal of Korean Society for School & Community Health Education
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    • v.12 no.3
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    • pp.1-15
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    • 2011
  • Objectives: We describe the development of a smoking and drinking prevention program for adolescents, using intervention mapping. Methods: The study sample consisted of 1,000 high school second-grade students from 6 high schools in Seoul. The PRECEDE model was applied for the needs assessment. We carried out a social diagnosis by assessing the factors such as the quality of life, happiness level, and satisfaction with school life; an epidemiological diagnosis on the perceived health status, stress levels, and priority of health issues; a behavioral diagnosis on the smoking and drinking rate and the intention to smoke and drink; and an educational diagnosis on knowledge, beliefs, attitudes, self-efficacy, outcome expectations, social norms and life skills. Results: The development process included a needs assessment, identifying factors that influence smoking and drinking among adolescents. Intention, knowledge, perceived norms, perceived benefit, perceived cost, perceived susceptibility, self-efficacy, and life skills were identified as determinants. Three performance objectives were formulated to describe what an individual needs to do in order to avoid smoking and drinking. Subsequently, we constructed an intervention matrix by crossing the performance objectives with the selected determinants. Each cell describes the learning objectives of the smoking and drinking prevention program. The program used methods from the transtheoretical model, such as consciousness raising, outcome expectations, self-reevaluation, self-liberation, counterconditioning, environmental reevaluation, and stimulus control. The program deals with the effects of smoking and drinking, self-improvement, decision making, understanding advertisements, communication skills, social relationships, and assertiveness. Conclusions: By using the process of intervention mapping, the program developer was able to ensure a systematical incorporation of empirical and new data and theories to guide the intervention design. Programs targeting other health-related behavior and other methods or strategies can also be developed using this intervention mapping process.

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The promotion of mental health and the prevention of mental health problems in child and adolescent

  • Cho, Sun Mi;Shin, Yun Mi
    • Clinical and Experimental Pediatrics
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    • v.56 no.11
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    • pp.459-464
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    • 2013
  • Improving mental health and reducing the burden of mental illness are complementary strategies which, along with the treatment and rehabilitation of people with mental disorders, significantly improve population health and well-being. A Institute of Medicine report describes a range of interventions for mental disorders that included treatment and maintenance, reserving the term "prevention" for efforts that occur before onset of a diagnosable disorder. Mental health problems affect 10-20% of children and adolescents worldwide. Despite their relevance as a leading cause of health-related disability and their long lasting consequences, the mental health needs of children and adolescents are neglected. Early intervention can help reduce the significant impacts that children and adolescents with serious mental health problems may experience. Screening is the first step in early intervention, recognizing emotional and behavioral problems and providing help at an early stage. It is essential to implement early intervention in a sensitive and ethical manner to avoid any of the negative outcomes.

Development and Application of a Multidimensional Suicide Prevention Program for Korean Elders by utilizing a Community Network (지역사회 네트워크를 이용한 한국노인의 다차원적 자살예방 프로그램 개발 및 적용)

  • Jo, Kae-Hwa;Kim, Yeong-Kyeong
    • Journal of Korean Academy of Nursing
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    • v.38 no.3
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    • pp.372-382
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    • 2008
  • Purpose: The purpose of this study was to develop a multidimensional suicide prevention program for Korean elders by utilizing a community network and to evaluate its effect. Methods: A non-equivalent control group pretest-posttest design was used. The subjects were recruited from two different elderly institutions located in D city and K province, Korea. Nineteen subjects in the control group received no intervention and 20 subjects in the experimental group received a multidimensional suicide prevention program. Results: There were more significant decreases in depression, suicide ideation, and increases in life satisfaction in the experimental group compared to the control group. Conclusion: According to the above results, the multidimensional suicide prevention program for Korean elders decreased stressful events like depression, and suicide ideation and increased life satisfaction through the community network. These findings suggest that this program can be used as an efficient intervention for elders in a critical situation.