• Korean Journal of Clinical Pharmacy
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• v.26 no.3
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• pp.245-253
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• 2016

Objective: This study was conducted to evaluate payer-driven medication adherence intervention program from the patient's and counselor's perspectives. Methods: Target patients for intervention were selected by retrospective adherence measures based on national health insurance claims data for hypertension, diabetes and hyperlipidemia. As a serial intervention for higher risk groups of medication non-adherence, initial direct mailing, the first direct telephone call and the second direct call or a home visit were followed. Interview approach to qualitative inquiry was used to evaluate intervention results. Results: Participants including 4 patients received telephone calls, and 4 National Health Insurance Service staff and 4 pharmacists participated as counselors were interviewed regarding their impression of the intervention program. Three major themes arose: overall perception; necessities; and suggestions for success, of the intervention. Despite short period of intervention, educational intervention by telephone counseling involving pharmacists shows potential to improve self-management of chronic disease, and pharmacist-involvement. But more sophisticated selection of target patients requiring the intervention and complementation of electronic database system would be necessary. In addition, personal disposition of counselor was revealed to be an important factor for achieving successful outcome of intervention. Conclusion: The findings suggest that the individualized counseling intervention would be an efficient option for improved medication adherence. Further researches should include longer periods of interventions, a quantitative analysis using adherence measures based on claims data and consideration of clinical benefits associated with the intervention.

• Journal of Korean Public Health Nursing
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• v.22 no.1
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• pp.62-73
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• 2008

Purpose: To examine the outcomes of a smoking cessation clinic at a public health center, in Hwasung city in 2006 and to examine the perceptions of the users regarding the clinic services. Method: 620 smokers who visited the smoking cessation clinic from January, 2006 to November, 2006 were enrolled. An instrument developed by the researcher was used to collect their perceptions. The instrument comprised 24 questions, on a 5-point Likert scale investigating the clinic services in terms of counseling time, environment, readiness of the counselors, counseling information, campaign method, medication use, and follow-up services. The general characteristics of the participants were collected from the database developed by the Ministry of Health & Welfare. The data were analyzed with frequencies, percentage, mean and standard deviation methods. Results: The outcomes of the smoking cessation clinic in Hwasung city in 2006 showed some limitations in terms of low-income group, female smokers, and young adult smokers. Conclusion: Strategies for solving these limitations were necessary to increase the effectiveness of the smoking cessation clinic. Clinic services focused on cognitive-behavioral therapy needed to be developed in accordance with chemotherapy. More effective publicizing campaigns of the clinic services also needed to be developed for more people to know about the clinic. Strategies to increase the accessibility for the people living far from the clinic were also necessary. Assessment of the smokers who did not visit clinic was also recommended in order to determine their intentions, or barriers to visit the clinic.

• Journal of Genetic Medicine
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• v.4 no.1
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• pp.1-5
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• 2007

Unprecedented amount of genetic information being generated from the result of Human Genome Project (HGP) and advances in genetic research is already forcing changes in the paradigm of health and disease. The ultimate goal of genetic medicine is to use genetic information and technology to develop new ways of treatment or even prevention of the disease on an individual level for 'personalized medicine'. Genetics is play ing an increasingly important role in the diagnosis, monitoring and management of common multifactorial diseases in addition to rare single-gene disorders. While wide range of genetic testing have provided benefits to patients and family, uncertainties surrounding test interpretation, the current lack of available medical options for the diseases, and risks for discrimination and social stigmatization may remain to be resolved. However an increasing number of genetic tests are becoming commercially available, including direct to consumer genetic testing, yet public is often unaw are of their clinical and social implications. The personal nature of information generated by a genetic test, its power to affect major life decisions and family members, and its potential misuse raise important ethical considerations. Therefore appropriate genetic counseling is needed for patient to be informed with the benefits, limitations and risks of genetic tests, prior to informed consent for the tests. Physician also should be familiar with the legal and ethical issues involved in genetic testing to tell patients how w ell a particular genetic risk factor relates with likelihood of disease, and be able to provide appropriate genetic counseling. Genetic counseling become a mandatory requirement as global standard for many genetic testing such as prenatal diagnosis, presymtomatic DNA diagnostic tests and cancer susceptibility gene test for familial cancer syndrome. In oder to meet the challenge of genetic medicine of 21 century in korean health care system, professional education program and certification board for medical genetics specialist including non-MD genetic counselors should be addressed by medical society and regulatory policy of national health insurance reimbursement for genetic counseling to be in place to promote the implementation of clinical genetic service including genetic counseling for proper genetic testing.

• The Journal of Asian Finance, Economics and Business
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• v.9 no.8
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• pp.19-27
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• 2022

Graduate well-being is foundational to academic success, and they are becoming more and more vulnerable. This is as they suffer from mental health challenges like anxiety and depression at rates six times higher than the general population. When the nature of their educational experience changes, such as when they had to stay in their homes during the COVID-19 pandemic, the stress on their mental health increases. The number of cases of emotional wellness among university students is considered a public health problem, but these young people often do not seek appropriate treatment. This study, therefore, aims to identify the influence of health behavior factors on graduate emotional wellness. This study used a questionnaire with a cross-sectional survey design. Questionnaires were distributed online to graduates from selected Private and Public Higher Education Institutions in Malaysia. The Partial Least Square Equation Model (PLS-SEM) was used to analyze the results of the study. Overall findings indicate that the health behavior factors have a significant influence on graduate emotional wellness. The findings from this study will benefit the management, academics, counselors, and other entities, including the Students' Representative Council, in identifying ways to improve services and upgrade the necessary facilities to enhance the graduate's emotional wellness.

• Informatization Policy
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• v.30 no.2
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• pp.86-108
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• 2023

This study attempts to explain phenomenologically the shadow work that occurs among Kwangju·Jeonnam business support counselors as video consultation increases due to the counseling management systems used in business consulting for SMEs and digital transformation since COVID-19. Since digital shadow work is widespread, it has been considered basic and mandatory work, not recognized as shadow work itself, assuming that it is continuously used for a long time. We found that, in the case of the newly expanded video consulting systems, most of the users complain of burden and inconvenience and tend to choose face-to-face despite the time and cost savings associated with the former. These study results practically suggest that, in order to implement such digital systems successfully, a well-prepared system, an elaborate way of reducing the burden and inconvenience, and an adaptation period are considered critical as they can minimize the shadow work of users.

• The Journal of the Institute of Internet, Broadcasting and Communication
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• v.24 no.2
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• pp.161-166
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• 2024

The current generation of adolescents stands out as the most digitally interconnected in the annals of history, navigating an era characterized by unprecedented levels of technological connectivity. This study explored the impact of smartphone addiction on the quality of peer relationships among adolescents, with a focus on the mediating role of depression. Analyzing data from 2,288 responses of 14-year-old adolescents extracted from the 2022 cross-sectional data of the Korean Children and Youth Panel Survey 2018, research questions were tested. The findings showed that smartphone addiction among adolescents exacerbates depression, consequently leading to a deterioration in the quality of peer relationships. The results contribute to expanding scholarly understanding of the intersection between digital technology and the mental and social well-being of adolescents. Furthermore, there is a call to action for parents, teachers, counselors, policy maker, and practitioner in education institutions to establish programs that monitor and intervene in cases of excessive smartphone use among adolescents.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.2
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• pp.978-986
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• 2015

The Korean government has administered the 'AMPQ-II' to all middle school students to prevent psychological problems and make immediate interventions when necessary. On the other hand, there has been a paucity of studies of the effectiveness of this governmental policy, or the factors influencing the effectiveness of the intervention. Using the data from 48 counselees from two middle schools, the present study examined the effectiveness of the intervention programs, and whether the counselor's characteristics and the number of counseling sessions might matter in the effect. The results suggested that most students reported improvements after the interventions. The intervention effect was less pronounced when the counselors had governmental certification. The number of counseling sessions was not a significant factor for predicting the effectiveness of the interventions. Interpretations of the present study should be made cautiously because of the small sample size. The present results, however, suggest that efforts to improve the quality of the counseling teachers are necessary. In addition, increasing the number of counseling sessions is not necessarily effective.

• Journal of the Korean Society of Child Welfare
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• no.59
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• pp.209-234
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• 2017

This study viewed schools as a cause of students dropping out and posited that dropping out of high school would vary depending on the characteristics and influencing factors of the school from which students were dropping out. Therefore, focusing on schools, we longitudinally investigated the change patterns of school dropout across high schools in the country, and the types of changes in dropping out of high school. In addition, we predicted the general characteristics of schools according to the type of school students were dropping out from, looked at the changes in the major factors (i.e., school violence and school counseling) affecting school dropout, and reviewed schools' long-term efforts and outcomes in relation to school dropout. For this purpose, KERIS EDSS's "Secondary School Information Disclosure Data" were used. The final model included data collected five years20122016) from high schools across the country. The results were as follows. First, in order to examine the longitudinal change patterns of dropping out of high schools, a latent growth models analysis was conducted, and it revealed that, as time passed, the dropout rate decreased. Second, growth mixture modeling was used to explore types according to the change patterns of the school students were dropping out from. The results showed three types: the "remaining in school" type, the "gradually decreasing school dropout" type, and the "increasing school dropping out". Third, the multinomial logistic regression was conducted to predict the general characteristics of schools by type. The results showed that public schools, vocational schools, and schools with a large number of students who have below the basic levels in Korean, English and mathematics were more likely to belong to the "increasing school dropout" type. Further, the larger the total number of students, the higher the probability of belonging to the "remaining in school" type or the "gradually decreasing school dropout" type. Lastly, growth mixture modeling was used to analyze the trend of school violence and school counseling according to the three types. The focus was on the "gradually decreasing school dropout" type. In the case of the "gradually decreasing school dropout" type, it was found that as time passed, the number of school violence cases and the number of offenders gradually decreased. In addition, in terms of change in school counseling the results revealed that the number of placement of professional counselors in schools increased every year and peer counseling was continuously promoted, which may account for the "gradually decreasing school dropout" type.

• Journal of Digital Convergence
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• v.15 no.2
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• pp.47-58
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• 2017

Career and academic Counseling is often viewed as the catalyst for frequent and consistent interaction with students, but it is more than simply advising students about which majors, universities or jobs to consider. Ongoing, personal contact of career and academic counselors with students is an essential component in long-term career-related efficacy. But statistics show that high schools in non-urban or rural areas face significant issues different from those schools in metropolitan or suburban contexts, failing to maintain the significant number of teachers enough for effective career and academic counseling. This article proposes an alternative model of career and academic counseling, provided by MBA(Master of Business Administration) alumni based social enterprise in Seoul. This service explores the skills, knowledge and capabilities which MBA alumni gained from their jobs and MBA programs within the context of a career-competency framework. This paper concludes with the social and educational aspect of this shared responsibility strategy that may enhance student motivation and persistence in non-urban high schools.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.5
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• pp.281-293
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• 2020

This study examines the effect of a counselor's supervision experience on counselor development, and verifies the moderating effect of supervision satisfaction on the relationship between the counselor's supervision experience and counselor development. Data were collected via survey administered to 299 counselors who were actively engaged in counseling practice for institutions and public organizations in Seoul, Gyeonggi, Gangwon, and Jeolla regions, such as schools, universities, and professional counseling services. Data analysis was conducted using SPSS version 21.0. The results of the analysis are as follows. First, the amount of participation in individual supervision and group supervision had a significant effect on counselor development. Second, age and years of counseling experience had major effects on counselor development. Third, when the moderating effect of supervision satisfaction on the relationship between the amount of participation in individual or group supervision and counselor development was verified, it was found that supervision satisfaction had a moderating effect on the relationship between the amount of participation in group supervision and counselor development (regarding the level of understanding with cases). The result can be interpreted as meaning that a counselor's positive supervision experience has a direct influence on the outcome and quality of counseling services. Based on these results, proposed implications are presented regarding counseling supervision.