• Title/Summary/Keyword: Prevention and Intervention

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The Effects of Smoking Prevention Education on High School Students (고등학생의 흡연예방교육 효과분석)

  • 김수영;정영숙
    • Korean Journal of Health Education and Promotion
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    • v.20 no.2
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    • pp.81-94
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    • 2003
  • Purpose: This study was to develop a smoking prevention educational program and to verify the effects of the program as an intervention to prevent smoking among high school students. Method: This study was designed by using a nonequivalent Quasi-experimental control group pretest-posttest. The instruments used in this study were scale on smoking prevention knowledge and attitude. The experimental group received 8 smoking prevention educational classes, each lasting 50-minutes every week. The collected data was analyzed by real number and percentage, Chi-Square test, t-test, ANCOVA, Pearson correlation coefficients, Cronbach's α, using the SPSS WIN 11.0 program. Result: 1) After the completion of the smoking prevention education program, the experimental group's smoking knowledge scores(16.05±3.40) were higher than the control group's scores(14.39±3.81). Mean scores of smoking knowledge were statistically significantly different between the experimental group and the control group(F=38.700, p=.000). 2) After the completion of the smoking prevention education program, the experimental group's smoking prevention attitude scores were 47.52±5.30 and the control group's scores were 47.l0±5.54. Mean scores of attitude toward smoking prevention were statistically significantly different between the experimental group and the control group. 3) The relationship between smoking knowledge and attitude toward smoking prevention indicated positive correlation though the degree of positive correlation was low. Conclusion: Smoking prevention educational program which included self-search, smoking influence, adolescent smoking, family smoking, secondary smoking, self assertion using refusal skill was proved to be effective as an intervention for smoking prevention in high school students.

Effects of an Educational Intervention Based on the Protection Motivation Theory and Implementation Intentions on First and Second Pap Test Practice in Iran

  • Dehdari, Tahereh;Hassani, Laleh;Hajizadeh, Ebrahim;Shojaeizadeh, Davoud;Nedjat, Saharnaz;Abedini, Mehrandokht
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.17
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    • pp.7257-7261
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    • 2014
  • Background: Few Iranian women take the Papanicolaou test despite its important role in preventing cervical cancer. This study aimed to determine the effectiveness of an educational intervention based on the protection motivation theory (PMT) variables and implementation intentions in the first and second Pap test practice among Iranian women. Materials and Methods: In this quasi-randomized controlled trial, 200 women who were referred to 30 primary health care clinics in Tehran were randomly selected. PMT variables and Pap test practice were measured at baseline and again after 3 and 15 months. The 4-week educational intervention program was conducted for the intervention group. Results: Following the intervention, the mean scores of self-efficacy, perceived vulnerability, and behavior intention variables were significantly higher in the intervention group when compared to the control group (p<0.05). No significant differences were found in the perceived severity, response efficacy, response cost, and fear between the two groups following the intervention. Higher percent of women in the intervention group had obtained first and second Pap test compared to the controls. Conclusions: The PMT and implementation intentions provide a suitable theory-based framework for developing educational interventions regarding Pap test practice in Iran.

Promoting Safety Behaviors Among Korean American Students in USA: Evaluation of the Risk Watch$\circledR$ Curriculum

  • Gong, Deukhee;Orpinas, Pamela
    • Korean Journal of Health Education and Promotion
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    • v.20 no.4
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    • pp.79-93
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    • 2003
  • Childhood injuries are the primary cause of death and disability among children aged 5 to 14. Consistent practice of learned safety behaviors can reduce the occurrence of severe injuries among children. However, safety behavior concern is low among Korean-American children specifically and American children, in general. The objective of the study is to evaluate the impact of an unintentional injury prevention curriculum, Risk Watch among Korean-American children. A quasi-experimental design with a nonequivalent control group was used for the designed of the study. Two intervention and two control Korean schools in Atlanta participated in this study. The intervention consisted of weekly lessons in traffic, bicycle, pedestrian, and fire safety. One hundred and two students completed a pre-test and a post-test. The main outcomes were safety behaviors (seat belt use or helmet use), behavioral intentions, and safety knowledge. Analysis of covariance was used for the statistical analyses. Strong intervention effects were found for increasing knowledge of all safety topics in the intervention group. Additionally, statistically significant intervention effects were detected for increasing seat belt and helmet use, as well as behavioral intentions of wearing a seat belt and wearing a helmet, among pre-kindergarten and kindergarten students. For students in grades 1 and 2, intervention effects were found for increasing helmet use. Among students in grades 3 to 8, the intervention group showed statistically significant increases for seat belt use. Limitations of the study and recommendations for modifying and supporting unintentional injury prevention programs for school children are discussed.

How Should We Approach Nurse Suicide in Korea: With the Aspect of Prevention-Intervention-Postvention Management (간호사 자살이 남긴 과제: 일상 속의 예방관리-적극적 개입관리-체계적 사후관리)

  • Kim, Hyoung Suk;Bae, Hyun Ji;Kang, Kyeong Hwa
    • Journal of Korean Academy of Nursing
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    • v.51 no.4
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    • pp.408-413
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    • 2021
  • Recently, nurse suicide has emerged as one of the major issues. We tried to review the status of nurse suicide and its management in Korea through inspecting related web sites, news articles, and research. However, there were no sufficient reports or statistics along with the research throughout the country. Moreover, there were no organized nurse suicide management systems or programs including suicide prevention, suicide intervention, suicide postvention management. In other countries, there were various trials and successful experiences about nurse suicide programs, and those have been managed in organized and integrated ways. It gave us a lot of implications. To effectively prevent and manage the nurse suicide in Korea, nursing workforce, nursing managers, and nursing researchers should be concerned about nurse suicide. Furthermore, discussions and the research must be made actively. Based on such efforts, appropriate programs, organized manage systems, and policies must be devised at institution and national level.

Systematic Review of Osteoporosis Preventive Intervention Studies based on Health Belief Model (건강신념모델 기반의 골다공증 예방 중재연구에 대한 체계적 문헌고찰)

  • Noh, Eun-Young;Ryu, So Im
    • Journal of muscle and joint health
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    • v.30 no.2
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    • pp.70-82
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    • 2023
  • Purpose: This study aims to systematically clarify and enhance the understanding of osteoporosis prevention interventions based on Health Belief Model (HBM). The analysis includes HBM constructs, intervention characteristics, and outcomes from prior studies. Methods: We extensively searched eight electronic databases to identify peer-reviewed studies that implemented HBM-based interventions for osteoporosis prevention until June 2023. Results: Initially, 638 articles were identified, and after a rigorous evaluation process, 11 articles were included in the evidence synthesis. The analysis revealed that HBM-based interventions significantly improved likelihood of taking action including knowledge, HBM constructs and adopting preventive behaviors such as calcium intake and exercise. However, most interventions included in this study did not fully encompass all five HBM constructs or specify the particular components adopted. Conclusion: There is a need for additional research and intervention refinement for a more comprehensive understanding of osteoporosis preventive interventions. This should involve a concerted effort to incorporate all HBM constructs into the context of osteoporosis prevention. Thus, more effective interventions promoting optimal preventive behaviors and reducing the burden of osteoporosis can be developed.

Adaptation and Effects of the Evidence-based IPC Nursing Protocol on Prevention of Postoperative Venous Thromboembolism (외과적 수술 후 정맥혈전색전증 예방을 위한 근거기반 IPC(Intermittent Pneumatic Compression) 간호프로토콜의 수용개작 및 효과)

  • Kim, Nam Yong;Kim, Eun A;Sim, Jae Yeun;Jung, Soon Hee;Kim, Hye Young;Jang, Eun Hee;Shin, Jee Hye
    • Journal of Korean Academy of Nursing Administration
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    • v.23 no.1
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    • pp.63-75
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    • 2017
  • Purpose: This study was conducted to adapt the standardized evidence-based nursing protocol using the IPC (intermittent pneumatic compression) intervention to prevent venous thromboembolism in surgical patients. Further, an investigation was done to measure knowledge on prevention of venous thromboembolism, surrogate incidence of venous thromboembolism and to assess IPC compliance in the study patients compared with those in surgical patients who underwent IPC intervention due to previous clinical experience. Methods: An analysis was done of the nine modules suggested by National Evidence-based Healthcare Collaborating Agency (NECA) in the adaptation manual of the clinical practice guideline for protocol adaptation. A nonequivalent control group post test design as a quasi-experiment was used to verify the effect of the IPC protocol. Results: There was a significant difference in knowledge of prevention of venous thromboembolism, IPC application time after intervention and the number of IPC applications between the experimental group (n=50) using the IPC nursing protocol and the control group (n=49). However, the symptoms of deep vein thrombosis and pulmonary thromboembolism were not observed in either the experimental group or the control group after the intervention. Conclusion: Results confirm that the standardized IPC nursing protocol provides effective intervention to prevent venous thromboembolism in surgical patients.

Early Interventions After Trauma (외상 후 초기중재)

  • Park, Joo-Eon;Lee, Boung-Chul;Jung, Young-Eun;Chae, Jeong-Ho
    • Anxiety and mood
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    • v.5 no.2
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    • pp.75-79
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    • 2009
  • In this article, we review the efficacy of early interventions after traumatic incidents and during acute stress disorder (ASD). There are some evidences that psychopharmacological medications such as propronolol, morphine, and hydrocortisone are effective in the prevention of posttraumatic stress disorder (PTSD). Considering the role of selective serotonin reuptake inhibitors in hippocampal neurogenesis and an animal model of PTSD, early administration of selective serotonin reuptake inhibitors is also fairly promising. Other pharmacological treatments including benzodiazepines did not treat ASD nor prevent PTSD. There are good evidences that cognitive behavioral therapy including cognitive therapy and prolonged exposure is a valuable intervention for ASD and the most effective prevention for PTSD. No contolled researches on eye movement desensitization&reprocessing, psychodynamic psychotherapy and hypnotherapy have performed. Recent randomized controlled studies using psychological debriefing did not prove as a useful intervention for the prevention of PTSD until now, although the efficacy of debriefing has been at the centre of controversy.

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Effectiveness of a combined obesity prevention program in South Korea for children from low-income families that included primary caregiver participation

  • Park, Namhee;Im, Mihae
    • Child Health Nursing Research
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    • v.27 no.3
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    • pp.211-224
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    • 2021
  • Purpose: Obesity among children from low-income families is becoming a social problem. The aim of this study was to evaluate the effectiveness of an obesity prevention program that included physical activity, nutrition education, behavioral modification, and primary caregiver participation components among children from low-income families. Methods: The study analyzed a nonequivalent control group using a pretest-posttest design. A total of 77 children were recruited from six community childcare centers using purposive sampling. For the intervention group (n=40), the pretest was administered before the combined intervention program involving the participants' primary caregivers was conducted for 8 weeks. The posttest was conducted immediately after the program and again four weeks after the program. Results: Flexibility (F=4.64, p=.020), muscular endurance (F=11.22, p<.001), nutritional knowledge scores (F=4.79, p=.010), body image satisfaction scores (F=4.74, p=.012), and self-esteem scores (F=3.81, p=.029) showed significant differences and interactions between group and time for the intervention and control groups. Conclusion: Strategies to actively engage the primary caregivers of low-income families in children's obesity programs are needed. Obesity prevention programs for children based on the program in this study should be routinely developed, and continuing attention should be given to children from low-income families.

Smoking Cessation Intervention in Rural Kerala, India: Findings of a Randomised Controlled Trial

  • Jayakrishnan, Radhakrishnan;Uutela, Antti;Mathew, Aleyamma;Auvinen, Anssi;Mathew, Preethi Sara;Sebastian, Paul
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.11
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    • pp.6797-6802
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    • 2013
  • Background: Prevalence of tobacco use is higher in the rural than urban areas of India. Unlike tobacco cessation clinics located in urban areas, community-based smoking cessation intervention has the potential to reach a wider section of the community to assist in smoking cessation in the rural setting. The present study aimed to assess the effectiveness of a cessation intervention in rural Kerala state, India. Materials and Methods: Current daily smoking resident males in the age group 18-60 years from four community development blocks in rural Kerala were randomly allocated to intervention and control groups. The intervention group received multiple approaches in which priority was given to face-to-face interviews and telephone counselling. Initially educational materials on tobacco hazards were distributed. Further, four rounds of counselling sessions were conducted which included a group counselling with a medical camp as well as individual counselling by trained medical social workers. The control group received general awareness training on tobacco hazards along with an anti-tobacco leaflet. Self-reported smoking status was assessed after 6 and 12 months. Factors associated with tobacco cessation were estimated using binomial regression method. Results: Overall prevalence of smoking abstinence was 14.7% in the intervention and 6.8% in the control group (Relative risk: 1.85, 95% CI: 1.05, 3.25). A total of 41.3% subjects in the intervention area and 13.6% in the control area had reduced smoking by 50% or more at the end of 12 months. Lower number of cigarettes/ bidi used, low nicotine dependence and consultation with a doctor for a medical ailment were the statistically significant predictors for smoking cessation. Conclusions: Rigorous approaches for smoking cessation programmes can enhance quit rates in smoking in rural areas of India.

Attitude of Infant and Toddler′s Mother towards Massage Intervention (마사지 중재에 대한 영유아 어머니의 태도)

  • Jung Hyang-Mi
    • Child Health Nursing Research
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    • v.8 no.1
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    • pp.20-31
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    • 2002
  • The purpose of this study was to understand and analyze the subjective structure of attitude, opinion of infant and todder's mother, regarding the massage intervention in order to yield fundamental data for the activation scheme of the massage intervention. This research was based on a Q-Methodological approach. According to the results of this study, there were four categories of mothers' opinion about the massage intervention. The first type accepts the wholistic effect of massage intervention very positively that it improves infant's health in various aspects: prevention of diseases, promotion of the growth, settlement of sentiments, etc. The second type describes the effect of the intervention in the emotional aspect, such that the intimacy plays a very significant role in the intervention. The third type explains the complementary effect of the intervention that it eases symptoms rather than actually cures diseases. The fourth type emphasizes the healing effect of the intervention that it is required to go through professional training to utilize the effect. For example, a Kyongrak massage is very effective for curing diseases. In consideration of various types of massage intervention, it is very necessary to have a specialty for the massage intervention and develop unique mothers education programs depending upon different applications of the massage intervention in order to reorganize and activate the massage intervention as a nursing intervention for infant and toddlers.

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