• 제목/요약/키워드: School-based intervention

검색결과 863건 처리시간 0.046초

유방암 환자의 스트레스 대응 능력 증진을 위한 심리사회적 중재 재발 및 효과: 예비연구 (Developing and Testing the Effects of a Psychosocial Intervention on Stress Response and Coping in Korean Breast Cancer Survivors : A Pilot Study)

  • 김조자;허혜경;강덕희;김보환
    • 대한간호학회지
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    • 제34권6호
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    • pp.1069-1080
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    • 2004
  • Purpose: The purpose of this study was to develop a socioculturally-appropriate psychosocial intervention program for Korean patients with breast cancer and test its effects on stress, anxiety, depression, and coping strategies. Methods: One group pretest and posttest design was used to test the effects of the intervention. A post-intervention interview was conducted to refine the nature of the intervention. A convenience sample of 10 breast cancer survivors was recruited from the outpatients clinics. Psychosocial intervention was developed to provide the health education, stress management, coping skill training and support weekly(90min) for 6 weeks. Results: There was a significant decrease in stress scores following the intervention(Z= -2.388, p=0.017). However, no significant changes were noted in the use of problem-focused and emotion-focused coping strategies, nor in the changes of anxiety and depression levels. Content analysis of interview data revealed six clusters; changes in perception, changes in problem solving approaches, changes in anger management, changes in life pattern, social support and reduction of perceived stress. Conclusions: Based on quantitative and qualitative data, we recommend the refinements of the intervention in the following areas for future studies: 1) duration, activities, and progression of psychosocial intervention; 2) research design and sample size; and 3) measurements.

조현병 환자를 위한 정신사회적 중재 (Psychosocial Intervention for Patients with Schizophrenia)

  • 김성완
    • 신경정신의학
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    • 제57권3호
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    • pp.235-243
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    • 2018
  • Treatment of schizophrenia has as its ultimate goals, the functional recovery of the patients and improvement of their quality of life. While antipsychotic medication is the fundamental method for treating schizophrenia, it has certain limitations in terms of treating the illness beyond its positive symptoms. Therefore, psychosocial intervention should be used in tandem with pharmacological methods in treating schizophrenia. The efficacy of several modes of psychosocial intervention for improving outcomes in schizophrenia is well attested. Approximately 10 modes of psychosocial intervention have been recommended based on existing evidence, including family intervention, cognitive behavioral therapy, supported employment, early intervention services, lifestyle intervention for physical health enhancement, treatment of comorbid substance abuse, assertive community treatment, cognitive remediation, social skills training, and peer support. Ideally, these interventions are offered to patients in combination with one another. Over the last decade, increased emphasis has been placed on early detection and intervention, with particular focus on long-term recovery. Early intervention with comprehensive psychosocial interventions should be enacted promptly from the initial detection of schizophrenia.

잠재의미분석방법을 통한 학교보건 연구동향 분석 (Trend Analysis of School Health Research using Latent Semantic Analysis)

  • 신선희;박윤주
    • 한국학교보건학회지
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    • 제33권3호
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    • pp.184-193
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    • 2020
  • Purpose: This study was designed to investigate the trends in school health research in Korea using probabilistic latent semantic analysis. The study longitudinally analyzed the abstracts of the papers published in 「The Journal of the Korean Society of School Health」 over the recent 17 years, which is between 2004 and August 2020. By classifying all the papers according to the topics identified through the analysis, it was possible to see how the distribution of the topics has changed over years. Based on the results, implications for school health research and educational uses of latent semantic analysis were suggested. Methods: This study investigated the research trends by longitudinally analyzing journal abstracts using latent dirichlet allocation (LDA), a type of LSA. The abstracts in 「The Journal of the Korean Society of School Health」 published from 2004 to August 2020 were used for the analysis. Results: A total of 34 latent topics were identified by LDA. Six topics, which were「Adolescent depression and suicide prevention」, 「Students' knowledge, attitudes, & behaviors」, 「Effective self-esteem program through depression interventions」, 「Factors of students' stress」, 「Intervention program to prevent adolescent risky behaviors」, and 「Sex education curriculum, and teacher」were most frequently covered by the journal. Each of them was dealt with in at least 20 papers. The topics related to 「Intervention program to prevent adolescent risky behaviors」, 「Effective self-esteem program through depression interventions」, and 「Preventive vaccination and factors of effective vaccination」 appeared repeatedly over the most recent 5 years. Conclusion: This study introduced an AI-powered analysis method that enables data-centered objective text analysis without human intervention. Based on the results, implications for school health research were presented, and various uses of latent semantic analysis (LSA) in educational research were suggested.

Starting Construction of Frailty Cohort for Elderly and Intervention Study

  • Won, Chang Won;Lee, Yunhwan;Choi, Jaekyung;Kim, Ki Woong;Park, Yongsoon;Park, Hyuntae;Oh, In-Hwan;Ga, Hyuk;Kim, Young Sun;Jang, Hak Chul;Korean Frailty Cohort and Intervention Study Group
    • Annals of Geriatric Medicine and Research
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    • 제20권3호
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    • pp.114-117
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    • 2016
  • A research project, the "Construction of Frailty Cohort for Elderly and Intervention Study," funded by the Ministry of Health and Welfare, has been ongoing since December 2015. The Korean Frailty and Aging Cohort Study (KFACS) aims to identify risk factors for adverse outcomes associated with frailty in community-dwelling older adults, as well as means of prevention. KFACS is a multicenter, longitudinal study, with the baseline survey being conducted in 2016-2017. The sample (n=3,000) consists of those aged 70-84 years, stratified by age and gender, recruited from urban and rural regions nationwide. An in-person interview and health examination are performed every 2 years. This project is also conducting many intervention studies. Project interventions focus on nutrition and exercise. The nutritional intervention study compares the effects of 1.2 g/kg versus 1.5 g/kg daily protein intake on sarcopenia and frailty in older Koreans. The exercise trial examines the effectiveness of an information and communication technology-based program in preventing or reducing frailty.

영아기 자녀를 둔 어머니를 위한 양육지지 집단 프로그램 개발 및 평가 (Development and Evaluation of the Parenting Support Group Program for Mothers with Infants)

  • 박선화;전경자
    • 지역사회간호학회지
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    • 제32권1호
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    • pp.40-50
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    • 2021
  • Purpose: The purpose of this study is to evaluate the changes in parenting competency, parenting environment, and parenting stress by developing and applying parenting support group program based on the social support intervention model for mothers with infants. Methods: In this experimental study, mothers with infants of 8~12 weeks old were recruited. 23 mothers were selected for analysis (11 in the experimental group and 12 in the control group). The parenting support group program was provided to the experimental group for seven sessions with 120 minutes per session. Results: The experimental group showed that the parenting competency and parenting environment were significantly increased and the parenting stress was significantly decreased immediately after intervention. In the case of parenting environment, it was found to have a lasting effect until the point of further investigation. Conclusion: The results indicate that the program as a social support intervention strategy for mothers rearing up infants is effective intervention in a universal context in the community.

MIND 식단교육을 이용한 치매예방 영양프로그램이 고위험 치매노인의 인지기능 변화에 미치는 영향 (The Effect of Dementia Prevention Nutrition Program Using MIND Diet on the Changes in Cognitive Function of the Elderly with High-Dementia Risks)

  • 송재은;최성혜;홍창형;정지향;문소영;나해리;박희경;박유경
    • 대한영양사협회학술지
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    • 제27권4호
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    • pp.248-262
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    • 2021
  • This study examined the effect of the Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) diet of the Korean multi-domain dementia prevention program on the cognitive functions of the elderly with dementia risk factors. We developed the program including nutrition, exercise, cognitive training, vascular disease prevention, and motivation. One- hundred and fifty-three participants aged 60~79 years with at least 1 dementia risk factor were randomly assigned in a 1:1:1 ratio to the facility-based intervention (FMI), home-based intervention (HMI), and the control group. The nutrition education program consisted of 10 classes over 24 weeks: the FMI received 7 group sessions and three 1:1 sessions, the HMI received 4 group sessions and three 1:1 sessions with 3 homework sessions. The Nutrition Quotient for Elderly (NQ-E) and the Mini Nutritional Assessment (MNA) were used to evaluate nutritional status. The Repeatable Battery for the Assessment Neuropsychological Status (RBANS), Korean Mini-Mental State Examination (K-MMSE), and the Cognitive Complaint Interview (CCI) were used to evaluate cognitive functions. A total of 136 people completed the program with an 11.1% dropout rate. The NQ-E (P=0.009) and RBANS (P=0.001) scores significantly increased in the FMI (N=45) and HMI (N=49) groups compared to the control group (N=42) after the study. The changes in the score of MNA and CCI did not differ significantly between groups. In conclusion, the nutritional intervention which focused on the MIND diet as a part of a multi-domain intervention program had a positive effect on the improvement of healthy eating habits and cognitive function scores in the high-risk dementia group.

산후 골반장기탈출증에 대한 한의학적 임상 연구 동향 (Review of Clinical Research of Korean Medicine on Postpartum Pelvic Organ Prolapse)

  • 박남경;황영식;김규태;박승혁;이진무;이창훈;장준복;황덕상
    • 대한한방부인과학회지
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    • 제33권4호
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    • pp.93-112
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    • 2020
  • Objectives: The purpose of this study is to review the clinical research trends of postpartum pelvic organ prolapse and to recognize the efficacy of Korean medicine intervention. Methods: Based on seven domestic and foreign databases, including Research Information Sharing Service (RISS), Oriental Medicine Advanced Searching Integrated System (OASIS), Journal of Korean Obstetric and Gynecology, Cochrane Library Central, Pubmed, China National Knowledge Infrastructure (CNKI) and WangFang Med Online, we analyzed the clinical trials using Korean medicine intervention, which included acupuncture and herbal medicine. Data retrieval was carried out on May 18 to 20, 2020, and a total of 13 papers were included. Results: All papers were published in China and it contains nine randomized controlled trials, three clinical trials, and one case. The most frequently used intervention was herbal medicine, and Bupleuri Radix, Cimicifugae Rhizoma were used. The treatment group treated by Korean medicine intervention was more effective than the control group. Also, there were no significant side effects of Korean medicine. Conclusion: This study shows that Korean medicine can be effective and safe medical alternatives or options for pelvic organ prolapse patients. However, to laying the foundation of clinical guidelines and applying it to the real-world clinical scene, further follow-up research is needed.

작업기반 중재를 위한 작업치료사 역량지표 개발: 델파이연구 (Development of Occupational Therapist Competency Indicators for Occupation-Based Intervention: Delphi Study)

  • 신재용;김정란;이지선
    • 재활치료과학
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    • 제7권1호
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    • pp.37-50
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    • 2018
  • 목적 : 본 연구는 작업기반 중재 전문가를 대상으로 델파이 조사를 실시하여 작업기반 중재를 위한 작업치료사 역량지표를 개발하고자 하였다. 연구방법 : 국내 작업치료사 역량지표관련 자료들을 종합 분석하여 2016년 10월부터 12월까지 3차에 걸쳐 델파이 조사 결과를 수집하였다. 도출된 결과를 토대로 전문가 패널을 통한 '작업기반 중재를 위한 작업치료사의 역량지표'를 개발하였다. 결과 : 역량지표는 8개 역량요소를 기반으로 1차 델파이 결과 133개, 2차 델파이 결과 135개의 역량지표가 조사되었으며 최종적인 작업기반 중재를 위한 작업치료사의 역량지표는 8개 요소를 기준으로 131개의 역량지표가 개발되었다. 3차 델파이 결과 내용타당도 .95, 안정도 .10, 수렴도 0, 합의도 1로 높은 수준의 합의를 보였다. 결론 : 개발된 작업기반 중재를 위한 작업치료사 역량지표는 실제 임상 현장에서 작업기반 중재를 실시하고, 교육훈련과 개발, 평가 등 인적관리를 위한 다양한 의사결정에 활용 될 수 있을 것이다.

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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    • 제14권11호
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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.