• Title/Summary/Keyword: Self-Help Groups

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Factors Influencing Use of Mental Health Helping Systems among College Students in Korea (한국대학생의 정신건강 원조체계 활용에 영향을 미치는 요인)

  • Lee, Sun-Hae;Chung, Sul-Ki
    • Korean Journal of Health Education and Promotion
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    • v.25 no.5
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    • pp.21-38
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    • 2008
  • Objective: This study examined the use of mental health helping systems among college students in Korea. A behavioral model of health service utilization was applied to examine factors influencing different types of helping systems. Methods: A total of 454 college students from four universities participated in the survey. A self-administered questionnaire measuring help-seeking behaviors including formal health and mental health services, informal helping system, peer group, and family support was used. Results: Respondents frequently turn to family members and peer group when in need, and age, sex, mental Health status, and attitude and knowledge on mental illness were significant factors affecting help-seeking behaviors of Korean students. While older students and those with more severe symptoms were more likely to seek help from formal resources, students with more severe symptoms were less likely to seek help from informal resources. Male students and those with negative attitude toward mental illness were less likely to ask peer groups for help. Conclusions: Study results indicate that informal resources and peer groups can be significant sources of social support for individuals in their late adolescence and young adulthood, however, their role as gateways to professional help is limited. Student counseling centers should take on a more active role in reaching out; implications for developing peer leaders as counselors and self-help groups are discussed.

Effects of a Self-Help Program including Stretching Exercise on Reduction of Symptom in Patients with Fibromyalgia (신장운동을 포함한 자조관리프로그램이 섬유조직염환자의 증상완화에 미치는 효과)

  • Han, Sang-Sook
    • Journal of muscle and joint health
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    • v.5 no.1
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    • pp.39-56
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    • 1998
  • This study was an quasi-experimental study, done to identify factors Influencing the reduction of symptoms in patients with fibromyalgia. The primary purpose of the study was to develop a Self-Help Program suitable for patients with fibromyalgia in Korea. The secondary purpose was to identify the effects of a Self-Help Program which included stretching exercise. This study was carried out between Feb. 24 and July 8, 1997 and patients in the study Included out patient diagnosed with fibromyalgia based on the criteria developed by the American College of Rheumatology(1990) and H, University which is a tertiary patient care clinic for Rheumatism. The experimental group included 38 patients who were residents of Seoul or Kyungi province, and a control group of 38 patients who were residents of other areas. The control patients were matched to the experimental group patients and they were selected considering the number of tender points on the Fibromyalgia Impact Questionnaire score and a score of self-efficacy. The experimental group participated in a Self-Help Program based on the American Arthritis Foundation(1995) guidelines. The program participants participated in a small group which consisted of 12-15 members attending the program once a week, for 6 weeks with each program lasted two to two and a half hours. The stretching exercise was carried out in each patient's home every day following the video tape exercise provided by the researcher, and the researcher provided encouragement and concern to the patients by calling them once a week. The number times the exercise was performed was divided by the number of participants to calculate the percentage of performance and determine the amount of exercise. Self-efficacy was measured by the Self-Efficacy Scale developed by Lorig et al. (1989) for arthritis patients. The degree of pain was converted to scores based on the Visual Analog Scale, the number of tender points was converted to scores based on the criteria of the ACR(1990) and of Yunus. Depression was measured by CES-D and physical disability, sleep disturbance, fatigue, and anxiety of patients with fibromyalgia were measured by the Fibromyalgia Impact Questionnaire. The level of the exercise performance was converted to scores using the number of times the exercise was performed following the video tape prepared by Association of Rheumatology Health Professionals. Data were analyzed by SPSS windows and the results ire described below. 1. The experimental group which participated in the Self-Help Program showed higher efficacy scores than the control group when both groups were analyzed for depression and the number of tender points as common variables(F=9.146, p=.003). 2. The experimental group which participated in the Self-Help Program showed lower scores than the control group, for pain, the number of tender points, depression, physical disability, fatigue, sleep disturbance and anxiety. These symptoms of fibromyalgia can all be seen to have subsided(F=9.483, p=.003 : F=32.680, p=.001 ; F=11.104, p=.001, F=5.344 : p=.024, F=7.630 : P=.007, F=15.6512, p=.003 : F= 7.5412, p=.008). 3. In the experimental group, the self-efficacy score for the first three weeks showed a positive correlation with the exercise-performance score for four to six weeks (r=.387, p=.043). 4. In the experimental group, the relationship between the level of exercise-performance and the reduction of symptoms showed a significant correlation only to physical disability(r= -.500, p=.001). 5. In the experimental group, the relationship between the self-efficacy score and pain, the number of tender points, depression, physical disability, fatigue, sleep disturbance and anxiety score showed inverse correlations and thus, a reduction of symptoms occured when the self-efficacy score increased(r=-.325, p=.004 ; r= -.253, p=.027, r=-.452, p=.001 : r=-.434, p=.001 ; r=-.316, p=.005 ; r=-.460, p=.001 ; r=-.397, p=.014). Therefore, self-efficacy improved following the Self-Help Program including the stretching exercise. It was also found that physical symptoms (pain, number of tender points, level physical disability) and psychological symptoms (depression, fatigue, sleep disturbance, anxiety) were reduced. Moreover, It was found that the higher the self-efficacy, the the higher the degree of achievement of goals set for the stretching exercises. In addition, the level of exercise-performance influenced the level of physical disability, one of the symptoms of fibromyalgia. Accordingly, the conclusions from this study are that exercise-performance and the reduction of symptoms is achieved through promotion of self-efficacy. Therefore, it is proposed that are the Self-Help Program including stretching exercises is an appropriate nursing intervention for the reduction of symptoms of fibromyalgia.

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Effects of a 9-week Self-help Management.Aquatic Exercise Program on Pain, Flexibility, Balance, Fatigue and Self-efficacy in the Patients with Osteoarthritis (9주간의 자조관리.수중운동 프로그램이 골관절염환자의 통증, 유연성, 균형감, 피로감 및 자기효능감에 미치는 효과)

  • Jeong, Yeong-Hee;Kim, Jong-Im
    • Journal of muscle and joint health
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    • v.17 no.1
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    • pp.47-57
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    • 2010
  • Purpose: The purpose of the study was to identify the effects of a 9-week self-help management aquatic exercise program on pain, flexibility, balance, fatigue and self-efficacy in the patients with osteoarthritis living in the suburban area. Methods: Utilizing a quasi-experimental design, 43 osteoarthritis patients consisted of the experimental group (n=20) and the control group (n=23). Due to the busy schedule of the patients working in the farm, the program was provided for 9 weeks instead of 12 week program under the guidance of professional advice. The questionnaires and physical measurements were used to measure the outcome variables before and after the program. Data were analyzed with the SPSS WIN using descriptive statistics, t-test and ANCOVA. Results: The age was significantly different between the groups. After controlling for the age, pain and fatigue in the experimental group decreased significantly more than the control group. Flexibility, balance and self-efficacy in the experimental group improved significantly more than the control group. Conclusion: This 9-week program could be an effective nursing intervention to be used especially for osteoarthritis patients in the suburban area during the leisure seasons of the farmers to improve their arthritic symptoms and self-efficacy.

The effect of Aquatic Exercise Program on Pain, Physical Index, Self-Efficacy, and Quality of Life in Patients with Osteoarthritis (수중 운동 프로그램이 퇴행성 관절염 환자의 통증, 신체지수, 자기효능 및 삶의 질에 미치는 영향)

  • Kim, Jong-Im;Kang, Hyeun-Sook;Choi, Hee-Jung;Kim, In-Ja
    • Journal of muscle and joint health
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    • v.4 no.1
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    • pp.15-25
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    • 1997
  • The purpose of this study was to explore the effect of aquatic exercise program combined with self-help group on pain, weight, body mass index, self-efficacy, quality of life in osteoarthritis patients. This program was carried out three times a week for 6 weeks by 4 small groups of patients among 21 patients in regular swimming pool. Data were analyzed by paired t-tests for pre and post comparison. Study results indicate that all patients participated aquatic exercise program improved Pain, body weight, body mass index, self-efficacy, and quality of life. These results Indicated that the aquatic exercise program combined the self-help group can be recommended to the osteoarthritis patients as well as the rheumatic arthritis patients.

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A Cross-Sectional Survey for the Improvement of Self-Feeding: Focusing on Assistive Eating Devices (자립적 식사 향상을 위한 조사연구: 식사보조도구를 중심으로)

  • Lee, Young A;Choi, Yeon Suk;Lee, Kyung Hee
    • Journal of Korean Public Health Nursing
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    • v.37 no.2
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    • pp.261-274
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    • 2023
  • Purpose: This study aims to understand the current use of and demand for assistive eating devices. These device improve the self-feeding abilities in older adults. Methods: This study used a cross-sectional study design. Descriptive statistics were performed using SPSS 22.0 for Windows. The survey participant of 282 older people(47.7%), 42 family caregivers(7.4%), and 266 staff members(44.9%). Results: Whereas most of the older adults living in their home(87.3%) did not experience difficulty while eating, older adults residing in facilities(26.4%) expressed difficulty with the process of putting food into a spoon. The difference between the two groups was statistically significant(p<.001). Wile the older adults living in home considered assistive eating devices(34.5%) as the most important requirement for self-feeding, older adults in facilities considered receiving help(39.3%) as their biggest requirement(p<.009). Older adults, family caregivers, and nursing home staff were not familiar with assistive eating devices and were not aware of their necessity. Conclusion: The study could help increase awareness about assistive eating devices and the importance of self-feeding in research and nursing educational settings. Improvement in self-feeding ability may future enhance the daily quality of life of older adults.

A study on the level of depression and parent efficacy of the mothers of children with disabilities in some areas of Daejeon (대전 일부 지역 장애아동어머니의 우울수준 및 부모효능감에 관한 연구)

  • Kim, Mi-Ran;Kim, Na-Young
    • Journal of Digital Convergence
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    • v.11 no.8
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    • pp.303-313
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    • 2013
  • The This is a study on the level of depression and parental efficacy of the mothers who have children with disabilities. Thus, it compared the level of depression of the mothers of children with intellectual disabilities and the mothers of children with cerebral palsy. Both groups displayed mild depressive state; however, there was not a statistically significant difference between the two groups. Although there was not a significant difference between the two groups for parent efficacy, the factors of the number of family members and whether to participate in self-help meetings displayed a significant difference in the relationship of parent efficacy in accordance with the demographic characteristics. Of the mothers of children with intellectual disabilities, those mothers who were participating in the self-help meetings were found to have a higher parent efficacy than the mothers who were not participating in the self-help meetings. However, of the mothers of children with cerebral palsy, those mothers who were not participating in the self-help meetings were found to have a higher parent efficacy. As for the correlation between level of depression and parent efficacy, it was found that the higher the parent efficacy was, the lower the level of depression was. The interest was found to be higher with higher parent efficacy when sub-dividing and comparing frustration and interest that were the sub-domains of parent efficacy.

A Grounded Theory Approach to the Experience of Leaders in Self-help Group for Parents of Children with Cancer. (소아암 부모모임 리더들의 자조집단 참여 경험)

  • Kim, Jin-Sook
    • Korean Journal of Social Welfare
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    • v.57 no.2
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    • pp.405-434
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    • 2005
  • This study has been performed to analyze the experience of parents who had led a parents-group of children with cancer. For this study, fifteen participants were selected for an in-depth interview and the personal experiences of each participant had been interviewed in person until data were saturated. This study employed the grounded theory approach of Strauss and Corbin(1998). With the qualitative constant comparative analysis, ninty four concepts, twenty six subcategories, and seventeen categories were generated. In the axial coding, a paradigm model was proposed as follows: The central phenomenon of the leaders' experiences was that they had been 'Pushed Back' to lead the groups. The causal conditions were 'A Sense of Solidarity', 'Regaining Self-possession', and 'Feeling a Necessity of Parents Group'. The contextual conditions were 'Want to Help', 'A Sense of Mission', and 'Discontent with the Cure Environment'. The intervening conditions were 'Self-reflection of Leadership', 'Reaction of Their Own Family', 'Hope to Have an Expanded Group'. The action/interaction strategies were 'Assuming All Field Work', 'Accumulation of Experiences', 'Recognition of a Role Scope'. The consequences were 'Being Comforted', 'Positive Self-awareness', 'a Sense of Worthiness', and 'Desire to Quit'. In the selective coding, the core category was 'Pushed to Lead a Group'. Based on the core category, four types and five stages in the leaders' experiences were identified. The types include 'a Devoted Family Type', 'a Volunteer Type', 'a Role Model Type', and 'a Activist Type': the stages consist of 'Stage of Maintain Identity as a parent of a child with cancer', 'Stage of Questioning', 'Stage of Active Participation', 'Stage of Experience Accumulation', and 'Stage of Progressive Change'. The result of this study presents some implications and suggestions for social work services and theories with respect to the self-help group of pediatric cancer by attempting to understand more about the experiences of leaders' in such groups.

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A Cross-cultural study of Body Image Perceptions between Korean and British University Students

  • Kim, Bu-Yong;Lee, Seunghee
    • Journal of Fashion Business
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    • v.19 no.6
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    • pp.14-27
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    • 2015
  • This study explores the comparison of body image, body satisfaction, and clothing behaviors between Korean and British young women. Body image was measured by two methods: visual and verbal. For the data analysis, the Statistical Package for Social Science (SPSS) Version 16.0 for Windows was used to provide descriptive statistics, an independent sample t-test, and paired sample t- tests were applied in this study. Our results show that Korean and British female college students perceived ideal-body images that were smaller than their self defined body images. The ideal and self-images were significantly different in both groups. Both groups were dissatisfied with their own body size. The study was limited to a small sample size. Future studies using more participants from a more diverse age group and ethnic groups are recommended. The study will help marketers and retailers develop new products and new markets aimed at Korean and British women related to body image and body satisfaction.

Determinants of Smoking-Cessation Behaviors in Female University Students (여대생의 금연행위에 영향을 미치는 요인에 관한 연구)

  • 김혜원
    • Journal of Korean Academy of Nursing
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    • v.29 no.1
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    • pp.48-60
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    • 1999
  • This study was done to determine the factors influencing smoking-cessation behavior in female university students. A total of 534 students participated in this cross sectional study by answering a questionnaire. The data collection was done between September 1 and October 31, 1997 The measurement tools used in this study were the self help change process scale (Cronbach's alpha=.9930 : developed by Oh & Kim, 1996) for smoking-cessation behaviors, the self efficacy scale(Cronbach's alpha=.8250 : developed by Sherer et al, 1982), the sex role acceptance scale (KR-20=.7757 : developed by Kim, 1991) and the social support scale(Cronbach's alpha=.9172 : developed by Park, 1985). The summarized results are follows : 1. The mean scores for smoking-cessation behaviors in smokers (N=150) was 91.72 that was considered a middle score compared to the total possible score of measurement tool (150.0). The mean score for smoking-cessation behaviors by smoking-cessation step showed significant different between the groups(F=11.71, p=.000). 2. The group with no experience in smoking(N=332) showed a high general self efficacy score (t=5.24, p=.000), and more openness to sex role acceptance(t=-2.15, p=.032) compared to the group with smoking experience (N=202). 3. General self efficacy, sex role acceptance, and social support were not different significantly between the groups according to the steps in smoking-cessation. 4. Significant factors influencing smoking-cessation behavior (total, sub concepts) were religion, sex role acceptance, social support, smoking duration, smoking attitude, time of smoking onset, amount of smoking, drinking, and perception of health status. 5. Smoking-cessation behaviors which explained 11% of the variance were smoking attitude, and smoking duration. In conclusion, this study identified factors influencing smoking-cessation behavior. Thereby it will help in the development of smoking-cessation intervention strategies. For future research, exploration other determinants of smoking cessation behaviors, evaluation of intervention efficiency, and comparative study by gender characteristics are needed.

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Causes Attributable to Achieving Consumers' Personal Goals in Advance, Deservingness and Indulgent Consumption (소비자의 사전 목적달성에 귀인되는 원인과 자기보상자격 그리고 탐닉소비)

  • Choi, Nak-Hwan
    • Journal of Distribution Science
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    • v.15 no.4
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    • pp.79-89
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    • 2017
  • Purpose - Previous studies have not paid attention to pride type and effort type when consumers feel pride. In the present paper, the pride was divided into the two types such as hubristic pride and authentic pride. The causes attributed to achieve the goals when consumers achieved their personal goals, which could induce their pride were divided into trait, special effort, and universal effort, gratitude. This research attempted to investigate the mediation role of self-reward deservingness in finding the differences of inclination to indulgent consumption among the traits or special effort, the universal effort, and other's help. Research design, data, and methodology - In the empirical study, 'general flour food restaurants, Kimbabchunkuk, Edya, etc.' and 'VIPS, Outback, Starbucks, etc.' were taken as the two groups of subjects as empirical brand goods since they presented good contrast with each other. The single-factor design between subjects was adopted in this study by classifying the causes attributable to achieving the pre-goals of consumers into 4 categories: one attributable to trait; one attributable to special effort; one attributable to universal effort; one attributable to other's help. Results - The outcomes from the empirical analysis are as followings. First, the consumers who attributed to trait or special effort for achieving their personal goals in advance turned out to show stronger inclination toward direct indulgent consumption than those who attributed to universal effort or other's help for achieving the goals, without regard to self-reward deservingness. Second, those consumers who attributed to special effort for achieving their personal goals in advance revealed stronger inclination toward indulgent consumption with mediation of self-reward deservingness than those who attributed to trait or universal effort. And those who attributed to special effort or trait for achieving the goals revealed stronger inclination toward the consumption with the mediation of the deservingness than those who attributed to other's help. Conclusions - The present study is contributing to the progress of theories concerning hubris pride, authentic pride, and indulgent consumption. Marketing managers should endeavor to find pride type consumers felt according the causes attributed to for achieving important goals in advance, and make an efforts to develop messages that could appeal to the pride type.