• Title/Summary/Keyword: Preventive Intervention

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The Effect of an Educational Intervention on Health Literacy and the Adoption of Nutritional Preventive Behaviors Related to Osteoporosis Among Iranian Health Volunteers

  • Dehghankar, Leila;Panahi, Rahman;Hasannia, Elham;Hemmati, Fatemeh;Siboni, Fatemeh Samiei
    • Journal of Preventive Medicine and Public Health
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    • v.54 no.6
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    • pp.404-411
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    • 2021
  • Objectives: Given the increase in osteoporosis among health volunteers and the effect of health literacy on the adoption of nutritional preventive behaviors, this study aimed to determine the effects of an educational intervention on health literacy and the adoption of nutritional preventive behaviors related to osteoporosis among health volunteers. Methods: This was a quasi-experimental, interventional study of health volunteers conducted in 2020. In this study, 140 subjects (70 in both intervention and control groups) were selected using the random multi-stage sampling method. An educational intervention was conducted using the Telegram application, and educational messages were sent to the health volunteers in the intervention group across 6 sessions. Data were collected via a demographic questionnaire, the Health Literacy for Iranian Adults survey, and a nutritional performance questionnaire, which were completed before and 3 months after the intervention. The data were collected and analyzed using SPSS version 23. Results: Before the intervention, there were no significant differences in the mean scores for health literacy variables and the adoption of nutritional preventive behaviors between the intervention and control groups (p>0.05). After the intervention, there was a significant change in the mean scores for health literacy and the adoption of preventive behaviors in the intervention group (p<0.05) as opposed to the control group. Conclusions: Interventions aimed at increasing health literacy are effective for promoting the adoption of preventive and healthy nutritional behaviors related to osteoporosis.

The Effect of a Dementia Preventive Intervention based on Motivational Interviewing among the Elderly over 75 Years of Age in Nursing Homes (요양시설입소 후기노인의 동기면담 기반 치매예방 프로그램 효과)

  • Jo, Hyun Mi;Kim, Suk-Sun
    • Research in Community and Public Health Nursing
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    • v.28 no.3
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    • pp.260-270
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    • 2017
  • Purpose: The purpose of this study was to examine the effects of the motivational interviewing (MI) dementia preventive intervention on dementia preventive behaviors, depression and cognitive function among elderly over 75 years of age in nursing homes. Methods: A nonequivalent control group pretest-posttest design was used. A total of 57 participants were divided into three groups; 18 in the MI dementia preventive intervention (Group A), 20 in the dementia preventive program (Group B) and 19 in the control group. Dementia preventive behaviors, depression, and cognitive function were assessed at pre, post, and 1 month after the intervention. Data were analyzed using descriptive statistics, t-test, ANOVA and repeated measure ANOVA. Results: The results reported that there were significant differences in dementia preventive behaviors and depression among Group A, B, and C. Also, there were significant differences in dementia preventive behaviors and cognitive function during time periods. There was a significant interaction between groups and times in relation to depression. Results suggested that the effects of MI dementia preventive program was persistent after 1 month following the intervention. Conclusion: Further research needs to develop dementia preventive programs considering physical and mental traits of the elderly in late years staying at nursing homes.

An Evaluation of a Patient Referral System using Intervention Analysis (시계열 개입 분석을 이용한 환자의뢰제도의 개입효과 평가)

  • Cho, Woo-Hyun;Lee, Hae-Jong;Sohn, Myong-Sei;Nam, Chung-Mo;Yu, Seung-Hum
    • Journal of Preventive Medicine and Public Health
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    • v.22 no.2 s.26
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    • pp.236-241
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    • 1989
  • The purpose of this study was to introduce the methodology of intervention analysis with time series data and to investigate the influence of the patient referral system on medical care utilization in Kangwha county. The data were obtained at the Kangwha Medical Inurance Society and we analysed the material based on the outpatient care fee. The results were as fellows: 1. The average outpatient care utilization in the hospital decreased by 41.7% due to the patient referral system. 2. The utilization of the health instituation increased by 278.8 persons per month due to the patient referral system. 3. The patient referral system did not influence the total outpatient are utilization. The methodology of intervention analysis, which detected the effect of intervention, will be helpful to the study of public health area.

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Research and Development of Urban Health Infrastructure for Home Health Care for the Elderly (도시의 노인보건방문서비스를 위한 자원 및 모델 개발에 관한 연구)

  • Kang, Pock-Soo;Hwang, In-Soo;Kim, Chang-Yoon;Kim, Seok-Beom;Lee, Kyeong-Soo
    • Journal of agricultural medicine and community health
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    • v.21 no.1
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    • pp.47-60
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    • 1996
  • Home health care is one of the important components of health care services. Today, the need and demand for the home health care is increasing. To assess the effects of home visit health services by public health nurses in health center on the stat of health, use of medical services and quality of life by elderly people living at home, a randomized controlled trial was implemented for 65 years or more old people randomly allocated to intervention(93) and control(118) group. Intervention group received 2 visits a month over 6 months. Control group received no home visits. The data was collected in a one-year follow-up survey conducted at Kyongju before and after the intervention which composed of health risk assessment, risk factor education and health related behavior counseling. The prevalence rate of chronic illness was more decreased in intervention group than control group after intervention. The intervention group visited medical facilities less frequently than control group. And the home visit health services encouraged the elderly to practice regular exercise. After the intervention, the score of ADL(activities of daily living), LSI(life satisfaction index) and SSI(social support index) in intervention group were more increased than control group. And the increase of scores was more prominent in 70 years or more old people, female, non-smoker and non-chronic illed elderly rather than others. In conclusion, the regular home visit health services provided by public health nurses were beneficial for the elderly in terms of health promotion and quality of life.

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The Effects of a Preventive Tailored Early Intervention Program for the Quality of Parenting of Low Income Families (영아 어머니의 양육행동지원을 위한 맞춤형 예방 중재 프로그램 개발 및 효과: 저소득층을 중심으로)

  • Park, Shin-Jin;Lee, Young
    • Journal of the Korean Home Economics Association
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    • v.49 no.6
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    • pp.67-83
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    • 2011
  • The purposes of this study were to a develop a preventive tailored early intervention program and to investigate the effects of the program on the quality of parenting for low income families. The subjects were eighty five infants, aged 13 to 32 months, and their mothers. Of the 85 mother-infant dyads, 42 dyads were randomly assigned to the experimental group and 43 dyads to the control group. To prevent the risks of the adverse development of infants from low income families a tailored intervention program was created based upon the transactional model. This emphasized the quality of the home environment and of the daily mother-infant interaction. The risk factors were assessed and progress monitoring was undertaken for the preventive tailored intervention treatment. In order to assess the effects of the program, HOME, the NCAST Teaching Scale and the Parenting Stress Index/Short From were used. The collected data were analyzed with descriptive statistics, ANCOVA, and the McNemar test. The experimental group showed a significant increase in performance and higher scores than the control group on the scores from HOME, and the NCAST Teaching Scale and significant decrease and lower scores in the Parenting Stress Index(SF).

Intervention to Improve Menstrual Health Among Adolescent Girls Based on the Theory of Planned Behavior in Iran: A Cluster-randomized Controlled Trial

  • Fatemeh, Darabi;Mehdi, Yaseri
    • Journal of Preventive Medicine and Public Health
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    • v.55 no.6
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    • pp.595-603
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    • 2022
  • Objectives: Poor menstrual health may lead to school absenteeism and adverse health outcomes for adolescents. The purpose of this study was to determine the effect of pubertal and menstrual health education on health and preventive behaviors among Iranian secondary school girls. Methods: A quasi-experimental study was conducted to evaluate the effectiveness of a health intervention program. A total of 578 students (including intervention and control participants) in 12 schools in Tehran Province, Iran were included by multistage random sampling. The program comprised seven 2-hour educational sessions. After confirming the reliability and validity of a researcher-made questionnaire, that questionnaire was used to collect the required data, and the groups were followed up with after 6 months. Results: After the educational intervention, the mean scores of menstrual health-related knowledge and constructs of the theory of planned behavior were significantly higher in the intervention group than in the control group (p<0.001 for all dimensions). Conclusions: The results of this study emphasize the effectiveness of menstrual health interventions in schools. These findings should also encourage health policy-makers to take committed action to improve performance in schools.

A Follow up Study on the Mercury Concentration in Air and in Urine of Workers after Implementing Controls of Work Environment in Mercury Vapor Exposed Industry (모 수은폭로 사업장의 작업환경개선에 의한 근로자의 요중 수은 및 공기중 수은 농도의 추적조사 연구)

  • Bang, Shin Ho;Kim, Kwang Jong;Park, Jong Tae
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.4 no.2
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    • pp.198-207
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    • 1994
  • In order to evaluate the effectiveness of environmental intervention of work place, metal mercury concentration in air and in urine of the total 43 workers for 3years from December 1991 to October 1993 in a fluorescent lamp manufacturing industry exposed to mercury, was measured before and after implementation of controls such as establishing exhaust ventilation at the department of exhaustion, coating the floor of work place with epostane, cleaning of the floor, improved housekeeping, and etc. The results were as follows. 1. Before the intervention(December 1991) 39.0% exceeded metal mercury Threshold Limit Value(TLV, $0.05mg/m^3$). After the intervention(October 1993) 10.0% exceeded TLV and geometric mean of mercury in air was $0.1mg/m^3$, and showed effectiveness rate of intervention to be 74.4% 2. After the intervention, geometric means of mercury concentrations in air were 0.013, $0.019mg/m^3$ and showed effectiveness rate of intervention to be 76.6%, 65.5% in A factory(right tube lamp)and at exhaustion department, respectively, A follow up survey fround statistically significant reductions in mercury concetration in air three years later. 3. Mercury concentration in urine of 11 workers(29.7%) exceeded warning level of $100{\mu}l/l$ before the intervention. After the intervention, of 3workers(8.8%) exceeded warning level and geometric mean of mercury concentration($26.5{\mu}l/l$) in urine was 2.4 times than that of before the intervention. Geometric means of mercury concentrations in urine of workers at exhaustion department, at sealing and aging department were 44.0, $77.7{\mu}l/l$, respectively and they decreased 2.3, 3.2 times than that of before the intervention.

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Effects of school-based depression awareness education program for adolescent (학교를 기반으로 한 청소년 우울증 인식개선교육 프로그램의 효과)

  • Choi, Ran;Yim, Hyeon Woo;Jo, Sun-Jin;Bang, Myeong Hee;Ji, Yu Na;Lee, Won Chul
    • Korean Journal of Health Education and Promotion
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    • v.32 no.1
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    • pp.57-65
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    • 2015
  • Objectives: This study was conducted to evaluate the impact of a School-based Depression Awareness Education Program on depression knowledge and help-seeking orientation for adolescent. Methods: The students of two high schools were allocated to the intervention (n=221) or control group (n=223) in this cluster-randomized trial. The school-based depression awareness education was a 3-hour program. The intervention group received pre, post and follow up tests while the control group received pre and follow up tests after two months. Depression knowledge, attitude to friends'depression, and help-seeking for professional assistance was evaluated at each test. Differences in the two month change between the intervention and control groups were analyzed by t-test or chi-square test. Results: There were positive changes in depression knowledge, response to friend's depression, and attitude to professional help-seeking in the post test compared to the pretest among intervention group. Improvement of depression knowledge was greater in the intervention group than in the control group (P=0.011), but there were no significant differences in response to friend's depression (P=0.268) or help-seeking orientation (P=0.263) after two months. Conclusions: School-based Depression Awareness Education resulted in significant positive changes in depression knowledge in high school students, but made no attitudes difference to professional help-seeking.

A Tobacco Cessation Intervention with Rural, Medically Underserved, Blue-collar Employees: A Quasiexperimental Study

  • Stewart, Telisa;Formica, Margaret K.;Adachi-Mejia, Anna M.;Wang, Dongliang;Gerrard, Meg
    • Safety and Health at Work
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    • v.7 no.4
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    • pp.293-298
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    • 2016
  • Background: The aim of this study was to increase knowledge regarding the dangers associated with tobacco use, and decrease secondhand smoke exposure and tobacco use behaviors with an antitobacco messaging campaign among rural, medically underserved, blue-collar workers. Methods: A quasiexperimental study was conducted with employees at two worksites. One worksite received the intervention, which consisted of nine different antitobacco messages. Baseline and follow-up surveys were conducted at each worksite to assess change in knowledge and behavior; the data were compared across the two worksites. Results: Two hundred twenty-two and 243 participants completed baseline and follow-up surveys at the intervention and comparison sites, respectively. A statistically significant difference was seen over time between the worksites on knowledge of the dangers of tobacco (p < 0.0001); the mean knowledge score increased at the intervention site, but remained unchanged at the comparison site. In general, non-smokers at both worksites appeared to try to decrease exposure to secondhand smoke over the follow-up period. Repeated measures analysis indicated that there were no differences in motivation to quit (p = 0.81), interest in quitting (p = 0.40), thinking about quitting (p = 0.53), or several tobacco-use behaviors over time among smokers at the intervention and comparison worksites. There were slight increases over time in the proportion of smokers who do not allow smoking in their homes/vehicles at the intervention worksite, although not statistically significant. Conclusion: Participants at the intervention worksite increased their knowledge regarding the dangers of tobacco use and secondhand smoke exposure. Among current tobacco users, the intervention appeared to increase family rules regarding secondhand smoke exposure in their homes and vehicles.