• Title/Summary/Keyword: School Based Intervention

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Program Evaluation using the RE-AIM Framework: A Systematic Review and Application to a Pilot Health Promotion Program for Children (RE-AIM 프레임워크를 이용한 프로그램 평가: 체계적 고찰과 어린이 대상 건강증진 프로그램 평가)

  • Lee, Ji-Eun;Shim, Jae Eun;Kim, Kirang;Kang, Jae-Heon;Hwang, Ji-Yun
    • Korean Journal of Community Nutrition
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    • v.27 no.4
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    • pp.296-308
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    • 2022
  • Objectives: This study aimed to develop evaluation criteria for the elementary-school-based health promotion program using the RE-AIM framework and to examine their feasibility. Methods: Previous evaluation studies on health interventions for elementary-school students using the RE-AIM framework were reviewed systematically to identify appropriate evaluation criteria. A diet and physical activity intervention based on the transtheoretical model was implemented in a pilot study using the "Happy Me" application. The feasibility of using the RE-AIM framework to evaluate it was examined. Results: The review yielded the following evaluation criteria: "reach," the ratio of participants out of the total target population; "efficacy/effectiveness," the difference in outcomes between the intervention and control groups, or between a pre- and post-test; "adoption," the rate of use of the program and participation in the next stage of the program; "implementation," the progress on the program components; "maintenance," the participants' and teachers' intention to continue using the program. The pilot study reached 76.6% of the targeted population. The intake of sugar-sweetened beverages decreased (P < 0.0001), and the duration of walking increased (P < 0.0001). Other indicators could not be evaluated; therefore, potential indicators were suggested. Conclusions: This study produced feasible evaluation criteria for elementary-school-based health promotion using the RE-AIM framework. Nevertheless, the feasibility needs to be validated with a broader range of studies and long-term interventions.

Effects of teachers' internal-external control and leadership type on educational intervention for School-aged Attention Deficit Hyperactivity Disorder (교사의 내·외통제성과 지도성 유형이 학령기 주의력결핍 과잉행동장애 학생의 교육적 중재에 미치는 영향)

  • Cho, Young-Kyung;Park, Wan-Ju
    • The Journal of Korean Academic Society of Nursing Education
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    • v.20 no.3
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    • pp.382-391
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    • 2014
  • Purpose: The purpose of this study was to identify the predictors influencing on educational intervention for Attention Deficit Hyperactivity Disorder (ADHD) after analyzing the relationship among teachers' internal-external locus of control, leadership type and educational intervention for ADHD. Methods: A cross sectional study design was conducted with 255 teachers in three schools located in D, K and Y city. The data were analyzed by t-test, one-way ANOVA, Pearson correlation coefficients and multiple regression using SPSS 20.0. Results: Internal locus of control showed significantly positive correlations with educational intervention for ADHD. Efficient leadership type, harmony-oriented leadership type showed significant differences in inefficient leadership type on educational intervention for ADHD. Significant factors of the educational intervention were efficient leadership type, harmony-oriented leadership type, task-oriented leadership type and internal locus of control that were explained by 20.0% (F=12.5, p<.001) of educational intervention for ADHD. Conclusion: Based on the findings of this study, it is necessary to have teacher's efficient leadership type focused on ADHD symptoms. Teachers need to enhance their positive domain of internal-external locus of control towards students with ADHD to increase the effectiveness of their educational interventions for ADHD.

Effects of Sensory Integration Therapy and Home-Based Sensory Integration on Visual Attention in Children with Down Syndrome (감각통합치료와 가정프로그램 중재병행이 다운증후군 아동의 시각적 주의력에 미치는 효과: 단일사례연구)

  • Son, Ji-Won;Lee, Hye-Rim
    • The Journal of Korean Academy of Sensory Integration
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    • v.21 no.2
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    • pp.12-23
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    • 2023
  • Objective : The purpose of this study was to investigate the effect of sensory integration therapy and home program intervention on the visual attention of children with Down syndrome. Methods : This study used a single subject design for one child with Down syndrome, Sensory integrated treatment intervention was conducted once a week for 16 weeks, and home programs were conducted four times a week for 16 weeks. Changes in visual attention were measured after intervention in the target child. Results : After the intervention, the average values of object gaze, object horizontal pursuit, and object vertical pursuit time increased compared with the baseline period. In object gaze, object horizontal pursuit, and object vertical pursuit, a section higher than the ±2 standard deviation of the baseline period was observed during the intervention period. Conclusion : This study confirmed that the combination of sensory integrated therapy and home program intervention improved visual attention and visual perception in children with Down syndrome, and it is meaningful that it presented an effective intervention method.

Speech and language disorders in children (소아에서 말 언어장애)

  • Chung, Hee Jung
    • Clinical and Experimental Pediatrics
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    • v.51 no.9
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    • pp.922-934
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    • 2008
  • Developmental language disorder is the most common developmental disability in childhood, occurring in 5-8% of preschool children. Children learn language in early childhood, and later they use language to learn. Children with language disorders are at increased risk for difficulties with reading and written language when they enter school. These problems often persist through adolescence or adulthood. Early intervention may prevent the more serious consequences of later academic problems, including learning disabilities. A child's performance in specific speech and language areas, such as phonological ability, vocabulary comprehension, and grammatical usage, is measured objectively using the most recently standardized, norm-referenced tests for a particular age group. Observation and qualitative analysis of a child's performance supplement objective test results are essential for making a diagnosis and devising a treatment plan. Emphasis on the team approach system in the evaluation of children with speech and language impairments has been increasing. Evidence-based therapeutic interventions with short-term, long-term, and functional outcome goals should be applied, because there are many examples of controversial practices that have not been validated in large, controlled trials. Following treatment intervention, periodic follow-up monitoring by a doctor is also important. In addition, a systematized national health policy for children with speech and language disorders should be provided.

Effectiveness of a Sexual Health Program for Men with Rectal Cancer Resection (직장절제술을 받은 남성 직장암 환자의 성건강 프로그램의 효과)

  • Woo, Sang Jun;Lee, Eun Sook;Kim, Hyeong Rok
    • Korean Journal of Adult Nursing
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    • v.29 no.3
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    • pp.225-234
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    • 2017
  • Purpose: The aim of this study was to evaluate the effect of sexual health program for men with rectal cancer resection based on sexual function, self-esteem, depression, and marital intimacy. Methods: Using a quasi-experiment design, the intervention group (n=32) participated in the sexual health program based on PLISSIT (Permission, Limited Information, Specific Suggestions, Intensive Therapy) model. They received the program three times between August 2014 and March 2015. The comparison group (n=30) received a general educational program for rectal cancer. Four survey questionnaires such as International Index of Erectile Function (IIEF), Self-Esteem Scale, Center for Epidemiologic Studies Depressing Scale (CES-D), Marital Intimacy were used to measure the four key variables. Results: After the sexual health program, the intervention group showed statistically positive effect for the sexual function (F=4.14, p=.046), self-esteem (F=16.71, p<.001), depression (F=12.56, p=.001), and marital intimacy (F=12.45, p=.001) than the comparison group. Conclusion: Sexual health program should be consistently provided for men with rectal cancer resection since the intervention group reported better self-esteem, less depression, more intimacy and better sexual functioning.

A Study on Customized Nutrition Intervention Program Design and Application for the Low-Income Elderly (저소득층 노인을 위한 맞춤영양관리 프로그램의 개발과 시범 적용 연구)

  • Do, Hyun-Joo;Lee, Young-Mee
    • Korean Journal of Community Nutrition
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    • v.16 no.6
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    • pp.716-729
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    • 2011
  • This study aimed to plan nutrition support programs for the elderly living alone whose nutrition status were seriously concerned, conducted seven stages nutrition intervention program on a trial basis, and evaluated the effectiveness of the program of the Elderly Nutrition Support Project. Subjects were selected for personalized nutrition management based on nutritional risk score and nutrition intervention were tailored to the problems occurred. The elderly nutrition support program targets were 44 senior citizens who lived alone with low income. The 33 (as Type 1) of the subjects with whom milk, tofu, seaweed, eggs, black beans have been supported, and also provide nutrition education, and the rest 11 persons (as Type 2) to whom food was not supported but provide nutrition education programs. As a result, all subjects showed that compared with pre and post program implementation, their daily exercise time and milk and protein consumption level were increased and some improvement was observed regular meals consumption and low-salt diets. Their nutrient intake level such as calories, protein, calcium, iron improved after implementation. In addition, NSL DETERMINE scores significantly improved from 13.21 to 7.24 in Type 1 and 11.27 to 9.91 in Type 2. As positive dietary behavioral changes were observed as in that they purchased more protein and calcium rich foods.

RTI Model and Its Applicability in Educational Settings for Students with Achievement of Below Basic Proficiency Level

  • Jun, Myongnam;Kim, Namok;Yang, Myonghee;Kwon, Daehoon;Hong, Daewoo;Choi, Hyeonah
    • International Journal of Internet, Broadcasting and Communication
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    • v.7 no.2
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    • pp.79-83
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    • 2015
  • The Response to Intervention(RTI) approaches is the method to help students who are at risk for learning difficulties in advance and provide an appropriate level of intervention. In this article, the characteristics of model RTI were reviewed for students with achievement of below basic proficiency level. We considered RTI as supporting system to document students' progress and its applicability for the general educational setting in Korean school. The tier of RTI make it possible the evidence based individual instruction and counseling, differentiated step-by step approach for students with achievement of below basic proficiency level. In conclusion, RTI can be used as educational tools for dealing with improvement of academic subjects learning, behavioral and emotional problem for students with achievement of below basic proficiency level. For building high quality implementing for RTI it is needed the collaboration of teachers, counselors and learning consultants and related educators.

Physical Activity and Suicidal thoughts in Male and Female Adolescents (남녀 청소년의 신체활동과 자살 생각)

  • Kwon, Min;Lee, Jinhwa
    • Journal of the Korean Society of School Health
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    • v.30 no.3
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    • pp.325-335
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    • 2017
  • Purpose: The purpose of this study was to investigate the effect of physical activity on suicidal ideation according to gender in South Korean adolescents. Methods: This study is designed as a cross-sectional study. Using the statistics from the 12th (2016) Korea Youth Risk Behavior Web-based Survey, hierarchical logistic regression analysis was conducted. The study sample comprised 62,558 middle and high school students aged primarily 12 to 17. Results: The rate of engaging in physical activity more than three times a week was 39.6% for boys and 28.8% for girls and the rate of suicide ideation was 9.35% for boys and 14.9% for girls. Male students were 1.42 times more likely to commit suicide when they did not engage in physical activity than when they do more than three times a week but it was found to have no significant effect on female students. Conclusion: Physical activity should be encouraged in the physical education curriculum and the school health area to reduce suicidal ideation in adolescents. Differentiated interventions are required according to gender. It is suggested that intervention programs involving physical activity be implemented more actively for male students and intervention programs centering on obesity and smoking prevention be implemented for female students.

Effects of Group Counseling Program Based on Goal Attainment Theory for Middle School Students with Emotional and Behavioral Problems (정서·행동 관심군 중학생 대상 목표달성이론을 적용한 집단상담 프로그램의 효과)

  • Jeong, In Ju;Kim, Soo Jin
    • Journal of Korean Academy of Nursing
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    • v.47 no.2
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    • pp.199-210
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    • 2017
  • Purpose: The purpose of this study was to examine the effects of a group counseling program based on goal attainment theory on self-esteem, interpersonal relationships, and school adjustment of middle school students with emotional and behavioral problems. Methods: Forty-four middle school students with emotional and behavioral problems (22 in the experimental group and 22 in the control group) from G city participated in this study. Data were collected from July 30 to September 24, 2015. The experimental group received the 8-session program, scheduled once a week, with each session lasting 45 minutes. Outcome variables included self-esteem, interpersonal relationship, and school adjustment. Results: There were significant increases for self-esteem (t=3.69, p=.001), interpersonal relationship (t=8.88, p<.001), and school adjustment (t=4.92, p<.001) in the experimental group compared to the control group. Conclusion: These results indicate that the group counseling program based on goal attainment theory is very effective in increasing self-esteem, interpersonal relationship, and school adjustment for middle school students with emotional and behavioral problems. Therefore, it is recommended that the group counseling program based on goal attainment theory be used as an effective psychiatric nursing intervention for mental health promotion and the prevention of mental illness in adolescents.

Application of Cognitive Enhancement Protocol Based on Information & Communication Technology Program to Improve Cognitive Level of Older Adults Residents in Small-Sized City Community: A Pilot Study (중소도시 지역사회 거주 노인의 치매예방을 위한 Information & Communication Technology 프로그램 기반 인지향상 프로토콜 적용: 파일럿(Pilot) 연구)

  • Yun, Sohyeon;Lee, Hamin;Kim, Mi Kyeong;Park, Hae Yean
    • Therapeutic Science for Rehabilitation
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    • v.12 no.2
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    • pp.69-83
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    • 2023
  • Objective : This study, as a preliminary study, applied an Information & Communication Technology (ICT) home-based program to elderly people aged 65 years or older to confirm the effect of the cognitive enhancement program and to find the possibility of remote rehabilitation. Methods : This study from August to October 2022, three subjects were selected and the intervention was conducted for about 2 months. This intervention was conducted using Korean version of Mini-Mental State Examination, Korean version of Montreal Cognitive Assessment (MoCA-K), Computer Cognitive Senior Assessment System, and the Center for Epidemiologic Studies Depression scale to evaluate cognitive improvement before and after the program. The therapist remotely set the level of cognitive training according to the subject's level through weekly feedback. Results : After the intervention, all subjects showed improved scores in most items of the MoCA-K conducted before and after the intervention. In addition, among the items of Cotras-pro, upper cognition, language ability, attention, visual perception, and memory were improved. Conclusion : Cognitive rehabilitation training using an ICT home-based program not only prevented dementia but also made it habitual. Through this study, it was confirmed that remote rehabilitation for the elderly could be possible.