• Korean Journal of Health Education and Promotion
• /
• v.23 no.2
• /
• pp.77-89
• /
• 2006

Objectives: Recent studies have shown that tailoring to women's individual beliefs and stage of cancer screening adoption increase the probability that cancer screening will ensue. To identify variables associated with cancer screening behavior, many studies for cancer screening have used the Transtheoretical Model(TTM). This study was carried out to identity the cognitive and behavioral factors associated with breast cancer screening by stages of change among women, forties aged. Methods: Building on the TTM constructs, we collected the data to test the association with cognitive and behavioral factors for breast cancer screening by stage of change among women, forties aged (N=232), using the self-reported questionnaire. The stages of change were grouped according to screening participation and intention for breast cancer as precontemplation, contemplation, preparation, action, and maintenance. We found out the association between breast cancer screening and cognitive and behavioral factors, and testified the difference between stages of change by chi-square test, one-way ANOVA, and multiple comparison analysis(Duncan test). Results: Analyses of 232 women showed that participation on mammography was 68.1% within lifetime and 46.1% within last 2 years, and we found out the association with breast cancer screening participation, intention and cognitive-behavioral factors. The stages of change based on participation and intention were different from the decisional balance, the screening attitude, and the self-efficacy(p<0.01). The decisional balance was differ from stages of change because the difference on opinions about pros(positives) and cons(negative) were likely to significant by stages of change(p<0.05, p<0.01). Conclusion: To increase the screening rate for breast cancer, it should be developed the tailored message and recommend guideline. And the tailored message should be designed to increase the pros of breast cancer screening(mammography) and to decrease the cons, and considered the woman's stage of adoption.

• Korean Journal of Health Education and Promotion
• /
• v.23 no.2
• /
• pp.11-27
• /
• 2006

Objectives: This study was conducted to evaluate the effects of a tailored program based on the Transtheoretical Model to smoking cessation in high school girls. Methods: A quasi-experimental research design was used in this study. The participants were 35 industrial high school girls who have been smoking. The girls were allocated to an experimental group(18) and a control group(17) by randomization. For intervention, the experimental group received the group smoking cessation program and individual program which tailored according to the stage of change. A common group smoking cessation program was given to the control group. Data were collected before the program, immediately after and 4 weeks after the program was completed and were analyzed with repeated measure ANOVA. Result: In the experimental group, the daily smoking amount, nicotine dependency and decisional balance(Pros) score were significantly decreased and the self-efficacy score were significantly increased at one month after the intervention in comparison with before and immediately after it. The decisional balance(Cons) and processes of change score of the experimental group were significantly increased at immediately after the intervention and one month after it in comparison with before it, and at one month after it in comparison with immediately after it. A significant difference in the daily smoking amount, urine cotinine, nicotine dependency, decisional balance(Pros, Cons) and processes of change score between the both groups was found after one month of intervention. Conclusions: The tailored smoking cessation program was more effective, compared to the common smoking cessation program on smoking behavior, self-efficacy, decisional balance, processes of change. This program can be used for favorable changes in high school girl's smoking behavior.

• Journal of Korean Society on Water Environment
• /
• v.31 no.2
• /
• pp.120-133
• /
• 2015

Due to increasing impervious surfaces resulting from urbanization and industrialization which are directly linked to urban inundation and non-point pollutants runoff, there is a need to manage them systematically. A management over urban impervious surfaces calls for pervious/impervious maps, which enable viewing the distribution of impervious surfaces. Nevertheless, relevant data are absent as now. In this respect, despite the diversity of proposed methods, pilot implementation and accuracy verification have never been conducted. Therefore, this study is aimed to produce a pilot pervious/impervious map based on previously proposed methods and to elucidate its pros and cons with a view to proposing a method for producing a GIS-based optimal pervious/impervious map. Following previously proposed methods, a pervious/impervious map of Bupyeong-gu, Incheon was produced. Then, a method of producing optimal pervious/impervious maps applicable to urban areas was proposed through the comparison of pros and cons of relevant spatial data. As a result, the map had been confirmed 99.2% of classification accuracy. Based on the present findings, future studies should establish a standardized method for producing. Also, this method should be used to produce pervious/impervious maps of other regions so that it can be applied to managing impervious surfaces in major urban areas nationwide.

• Hwankyungkyoyuk
• /
• v.18 no.1 s.26
• /
• pp.70-81
• /
• 2005

The importance of classes aiming at enhancing students ability in problem solving and decision making has been being recognized as chances of individual citizen for taking part in social decision making processes. This study was intended to find whether teachers' opinion presentation have effects on students' decision making in a class introducing environmental issues. Total of 6 classes, 202 middle school students have participated in a series of experiments including 4 different environmental issues. Only two issues had been addresses in classes as experimental issues and other two issues not addressed as control issues. For each of the two experimental issues, the teacher researcher applied three different approaches to his students that included positive, negative, or no opinion. The results of this study can be summarized as follows; First, the results showed that students changed their decisions on environmental issues more frequently when dealing with those issues in a class than when not dealing with them. Second, as examining the relationship between patterns in which students make decisions and whether a teacher proposed his opinions or not, it is shown that the rates of students whose opinions is not changed nearly have no difference, while when teachers propose their opinions, it is shown that students who haven't yet chosen their positions easily make their decisions into pros or cons, compared with the opposite case. Third, the results of this study partly supported the third hypothesis that teachers opinion presentation would effect on decision-making of students. It was found that there has been a significant effect in the case of car free day system issue, but no statistically meaningful result in the case of no pets in the national park issue. However, in the issue of car free day system, it seems pretty clear that the students followed the direction of teachers' opinion no matter what it was pros or cons.

• The Transactions of the Korea Information Processing Society
• /
• v.4 no.2
• /
• pp.491-498
• /
• 1997

Geographic Infprmation System(GIS)is being apply to extended from specified ppkication to general purpose deu to the omprovement of computing power.As one part of postal Integarated Information Servies, Postalroute Optimication system(PROS) is comprsed of the composed of the shortest pathe genrator for providing fast and shortest route of postal delivery, the ischronal area generator, the boudary relacation generator, GIS engine, road map, and rdelational database , etc.This paper is related to creation algorithm of the shortest path generation (SPAWD;Shortest Path Algorithm With Direction)from PEOS model.To differ from the exsting shortest path generating methods, this paper suggests SPAWD alforithm for searching destinations of fast time between start and destination points with dirdstion.It comapares and analyzes the new algorithm with existion algorithms, and suggests directions of future studies.

• Korean Journal of Occupational Health Nursing
• /
• v.23 no.4
• /
• pp.262-268
• /
• 2014

Purpose: This study was conducted to identify the differences by the stages of change in exercise behaviors of caregivers based on Transtheoretical Model. Methods: The subjects were consisted of randomly chosen 105 caregivers working in a nursing home. The collected data were analyzed with descriptive statistics, chi-square test, ANOVA and Duncan test using IBM SPSS Statistics 19. Results: The results showed that in the stages of exercise behaviors, there were most participants in contemplation stage with 24.7%, followed by 22.8% in preparation, 21.9% maintenance, 19.0% action and 11.4% pre-contemplation. As for the process of change by the stages of change in exercise behaviors, it showed statistically significant differences in behavioral strategies (F=7.64, p<.001). In decisional balance, pros (F=3.75, p=.007) showed statistical significance, with higher pros in all stages except pre-contemplation. Self-efficacy was also statistically significant (F=6.25, p<.001), especially in the maintenance stage. Conclusion: This study suggested that in order to encourage caregivers to exercise, a strategic intervention to reinforce the process of change, recognition of positive decision-making and promotion of self-efficacy in exercise behaviors should be developed.

• Research in Community and Public Health Nursing
• /
• v.18 no.4
• /
• pp.611-623
• /
• 2007

Purpose: To evaluate a reducing alcohol intervention program for workers. Method: The intervention program employed one-group pretest-post-test design with repeated measuring by quasi-experimental study. The program was developed from literature review based on the Transtheoretical Model, and evaluated from April 6 to June 22, 2006. Sixteen white collar male workers participated. At the beginning, the subjects were at the pre-contemplation stage (50%) and contemplation stage (50%). The intervention was applied personally or in group twice a week for 9 weeks. Results: The scores of each stage of change in the post-test increased significantly compared with those in the pretest. The scores of process (cognitive and behavioral) of change in the post-test increased significantly compared with those in the pretest. The score of self-efficacy of change in the post-test increased significantly compared with that in the pretest. The score of pros-cons for drinking in the post-test decreased significantly compared with that in the pretest. The consumption of alcohol a week and a day in the post-test decreased significantly compared with that in the pretest. The levels in ALT, AST, GGT, total cholesterol, triglyceride, B.P. and BMI in the post-test did not decrease significantly compared with those in the pretest, but the level of FBS decreased significantly compared with that in the pretest. Conclusion: The above result informs us that a stage-based reducing alcohol intervention program for workers has the effect of increasing the stages of change, the process of change (cognitive and behavioral) and self-efficacy, and decreasing pros-cons for drinking alcohol consumption and FBS, and it also has a value as an effective means of nursing for workers.

• Journal of Digital Convergence
• /
• v.17 no.3
• /
• pp.439-448
• /
• 2019

The purpose of this study was to investigate factors affecting the pros and cons of 'Jol-hon' among workers. For this purpose, 288 workers were surveyed in Chungnam area. The main result are as follows. First, there were positively significant correlation among a hope, growth mindset, and organizational communication. Second, according to the discrimination analysis, the lower the age, the unmarried, the lower the hope, and the lower the organizational communication, the more favorable the 'Jol-hon'. In the case of married persons, there was no difference between the groups favoring and rejecting 'Jol-hon'. In the case of unmarried people, the lower the organizational communication, the more favorable the 'Jol-hon'. Finally, this study will present the theoretical basis for studying 'Jol-hon' in the future and suggest the policy implications to solve middle and senior couple problems.

• Journal of Oral Medicine and Pain
• /
• v.44 no.3
• /
• pp.92-102
• /
• 2019

Purpose: To investigate the masticatory function of patients with different temporomandibular disorders (TMD) phenotypes, and to explore the risk factors for the masticatory function of TMD patients among multiple biopsychosocial variables using patient-reported outcomes (PROs). Methods: Clinical features and TMD diagnoses of 250 cases were investigated by reviewing medical records. Psychosocial factors were evaluated using four questionnaires representing pain severity and pain interference (Brief Pain Inventory), pain catastrophizing (Pain Catastrophizing Scale, PCS), psychological distress (Symptom Check List-90-Revised, SCL-90R) and kinesiophobia (Tampa Scale for Kinesiophobia for Temporomandibular Disorders, TSK-TMD). Masticatory function, as a dependent variable, was determined using the Jaw Functional Limitation Scale (JFLS). Kruskal-Wallis test and Spearman's rank correlation were used for analyses. Results: A total of 145 cases were included and classified into four subgroups including group 1: TMD with internal derangement without pain (n=14), group 2: TMD with muscle pain (n=32), group 3: TMD with joint pain (n=60) and group 4: TMD with muscle-joint combined pain (n=39). Pain severity (p=0.001) and interference (p=0.022) were the highest in group 2, but the mean global score of JFLS was the highest in group 3, followed by group 4, group 2, and group 1 (p=0.013). Pain severity, pain interference, the mean global score of PCS and the mean global score of TSK-TMD showed significant and moderate correlation with the mean global score of JFLS. All subdimensions and the global severity index of SCL-90R had significant, but weak correlations with all scores of JFLS. Conclusions: The results suggest that masticatory functional limitation depends on the TMD phenotypes. Among the various PROs, pain perception, pain catastrophizing and kinesiophobia seem to be more influential risk factors on jaw function than psychological distress, such as depression and anxiety.

• Journal of Preventive Medicine and Public Health
• /
• v.26 no.1 s.41
• /
• pp.1-19
• /
• 1993

Mail questionnaire was administrated to 370 practising physicians and 388 pharmacists in Taegu city selected by systematic sampling to examine utilization states and opinion of pharmacy under medical care insurance programme and the attitude to the functional division between physicians and pharmacists from April to May 1992. Regarding the opinion on the outcome of drug-store under medical insurance, 71.2 percent of practicing physician answered faliure but 13.4 percent of practicing pharmacists answered failure in contrast. Fifty percent of practicing physician asserted introducing functional division between physician and pharmacist while 66.9 percent of practicing pharmacist answered drug-store under medical insurance itself is sucessful programme. Average daily numbers of preparation of medicine was 32.2 case. Percentage of utilization of drug-store under medical issurance to average daily cases of preparing of medicine was 20 percent, percentage of utilization with physician's prescription was 0.7 percent. And 58.7 percent of practicing physician experienced outside the institute prescription. Regarding the opinion on the pros and cons of enforcing functional division between physician and pharmacist, 59.2 percent of practicing physician prefered pros and 17.7 percent cons, but 38 percent of practicing pharmacist prefered pros and 45.5 percent cons. And pharmacist knew better the content of functional division between physician and pharmacist than physician. As a reason for pros of enforcing functional division between physician and pharmacist, practicing physician emphasized to prevent misuse or abuse of medicine but practicing pharmacist emphasized to display physician and pharmacist's professional ability. And as an opinion on implementation style of functional division between physician and pharmacist in pros respondents, practicing physician favored mandatory enforcement (52.3%), while practicing pharmacist favored partial incomplete functional division (81.7%). As the method of prescription if functional division between physician and pharmacist will be enforced, both practicing physician and pharmacist prefered generic name (44.0%, 89%) mostly, but physician prefered brand name (35.3%) secondly. Regarding the reason for not implementing functional division between physician and pharmacist up to date, both physician and pharmacist answered problem of business right between physician and pharmacist, followed by lack of recognition, and interest of people and lack of the govermental willness. Regarding the opinion on prior decision of condition for enforcing functional division between physician and pharmacist, practicing physician and pharmacist named uneven distribution of medical facilities and drug-store between rural and urban, inequality of physician and pharmacist manpower and the problem of manpower demand and supply mostly, and practicing physician pointed out establishing attitude of acceptance on the part of pharmacist and practicing pharmacist favored establishing attitude of acceptance on the part of physician, which was different attitudes between physician and pharmacist. Following conclusion was reached ; 1. Current drug-store under medical insurance program yield insufficient outcome, so we should consider program conversion from drug-store under medical insurance program to functional division between physician and pharmacist. 2. There were problem of business right and conflicts between physician and pharmacist at enforcing functional division between physician and pharmacist, so the goverment should search for formulating plan to resolve the problem and have neutral willness for the protection of the national health.