• Title/Summary/Keyword: Stepwise Multiple Regression model

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Adaptation in Families of Children with Down Syndrome: A Mixed-methods Design (다운증후군 자녀를 둔 가족의 적응력: 혼합적 연구 방법 적용)

  • Choi, Hyunkyung
    • Journal of Korean Academy of Nursing
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    • v.45 no.4
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    • pp.501-512
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    • 2015
  • Purpose: The purpose of this study, which was guided by the Resiliency Model of Family Stress, Adjustment, and Adaptation, was twofold: (a) to explore family and parental adaptation and factors influencing family adaptation in Korean families of children with Down syndrome (DS) through a quantitative methodology and (b) to understand the life with a Korean child with DS through a qualitative method. Methods: A mixed-methods design was adopted. A total of 147 parents of children with DS completed a package of questionnaires, and 19 parents participated in the in-depth interviews. Quantitative and qualitative data were analyzed using stepwise multiple regression and content analysis respectively. Results: According to the quantitative data, the overall family adaptation scores indicated average family functioning. Financial status was an important variable in understanding both family and parental adaptation. Family adaptation was best explained by family problem solving and coping communication, condition management ability, and family hardiness. Family strains and family hardiness were the family factors with the most influence on parental adaption. Qualitative data analysis showed that family life with a child with DS encompassed both positive and negative aspects and was expressed with 5 themes, 10 categories, and 16 sub-categories. Conclusion: Results of this study expand our limited knowledge and understanding concerning families of children with DS in Korea and can be used to develop effective interventions to improve the adaptation of family as a unit as well as parental adaptation.

Factors Affecting the Social Distance between Minority Groups and Nursing Cadets (국군간호사관생도의 소수집단에 대한 사회적 거리감에 영향을 미치는 요인)

  • Kang, Kyeong Hwa;Woo, Chung Hee;Chae, Duckhee
    • Journal of Korean Academy of Nursing Administration
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    • v.20 no.5
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    • pp.505-513
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    • 2014
  • Purpose: The purpose of this study was to identify factors affecting the social distance between minority groups and nursing cadets. Methods: A cross-sectional survey design was used. A questionnaire was distributed to the entire Armed Forces Nursing Academy cadets. Data from 273 nursing cadets were analyzed using t-test, ANOVA, Pearson correlation coefficients and Stepwise multiple regression. Results: Social distance had positive correlations with collective identity (r=.28) and multiculturalism (r=.37). A negative correlation was found between social distance and perceived threat (r=-.38). Perceived threat, multiculturalism, collective identity, and frequency of contact with minorities were identified as factors affecting the social distance. The model explained 24% of the variables. Conclusion: To effectively respond to the minority groups' nursing needs in the army, educational programs which help to reduce the perceived threat, to strengthen multiculturalism, and to establish a healthy collective identity of nursing cadets need to be developed.

Predictors of Smoking Cessation Counselling Activities among Community Health Practitioners (보건진료원의 금연지도활동에 영향을 주는 요인 - 광주$\cdot$전남지역을 중심으로 -)

  • 김진선
    • Korean Journal of Health Education and Promotion
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    • v.20 no.3
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    • pp.239-254
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    • 2003
  • Purposes: The purposes of this study were to investigate the smoking cessation counselling activities among community health practitioners(CHP) and to identify the predictors of their smoking cessation counselling activities. Method: A descriptive-correlation study using self-administered questionnaires was conducted. Questionnaires were mailed to all the CHP in a community. A total of 330 CHPs participated in this survey. Results: Of the CHPs surveyed, 245(74.2%) returned completed questionnaires. Most CHPs(90.7%) believed that if a health professional advises their patient to quit, the patient's chances of quitting smoking are increased. While the majority of CHPs “asked, advised, and assessed” their clients, a minority of CHPs “assisted, arranged, and recorded”. In the final stepwise multiple regression model, attitude about smoking cessation policies and counselling activities, self-efficacy of smoking cessation counselling knowledge and skills, and perceived barriers of smoking cessation counselling activities were identified as significant predictors of smoking cessation counselling activities among CHPs. Conclusion: Smoking cessation counselling activities are not a routine part of CHP practice. Efforts should be made to increase the self-efficacy of smoking cessation counselling knowledge and skills among CHPs. Helping CHPs to overcome their barriers to smoking counselling may open up new channels for smoking intervention.

The Effects of Activity and Family Support on the Participation Restriction of Chronic Stroke Patients (만성 뇌졸중 환자의 참여제한에 활동과 가족지지가 미치는 영향)

  • Kim, Won-Ho
    • Physical Therapy Korea
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    • v.19 no.1
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    • pp.76-85
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    • 2012
  • The purpose of this study was to identify the factors determining the participation restriction of chronic stroke patients based on international classification of functioning, disability, and health (ICF) model. Sixty-eight stroke patients participated. The participants were assessed participation restriction using the Korean version of London handicap scale (K-LHS), modified Barthel index (K-MBI) to measure activities of daily living, Berg balance scale (K-BBS) to assess balance, and the center for epidemiologic studies depression (K-CES-D) to gauge depression. Also, 3 minutes walking test (3MWT), gait velocity, asymmetric posture, and family support were assessed. A stepwise multiple regression analysis was used to explore the factors determining participation restriction. There were no significant different in the K-LHS and K-MBI results by gender (p>.05). Correlations between the K-LHS and K-MBI (r=-.656), K-BBS (r=-.543), K-CES-D (r=.266), 3MWT (r=-.363), gait velocity (r=.348), and family support (r=-.389) were significant (p<.05). Also, the K-MBI and family support were the factors that determined participation restriction (p<.05) and that 40.2% of the variation in the K-LHS can be explained. Therefore, it is suggested that evaluation and intervention of patient's activity level and extent of family support is necessary to reduce participation restriction of chronic stroke patients.

Heritability and Repeatability of Superovulatory Responses in Holstein Population in Hokkaido, Japan

  • Asada, Y.;Terawaki, Y.
    • Asian-Australasian Journal of Animal Sciences
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    • v.15 no.7
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    • pp.944-948
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    • 2002
  • The aim of this study was to estimate heritability and repeatability for the number of embryos and transferable embryos collected per flush in Holstein population in Hokkaido, Japan. Data consisted of 306 MOET (Multiple Ovulation and Embryo Transfer) treatments on 224 Holstein cows from 1997 to 2000. Variance components for these traits were estimated using the REML procedure. The model included only non-genetic factors that were significant at the 0.05 level, through using generalized linear models, maximum likelihood methods, and stepwise regression procedure as fixed effects and sire and residual for heritabilities, donor and residual for repeatabilities as random effects. The factor identified as important in determining the results was the donor''s estrous condition after superovulation. Heritabilities for the number of embryos and transferable embryos collected per flush were 0.14 and 0.09, respectively. The corresponding repeatabilities were 0.43 and 0.32, respectively. These results show that it was difficult to genetically improve these traits, thus, environmental and physical factors affecting the donor must be improved. These results also show that it is necessary to take the donor''s estrous condition after superovulation and repeatabilities for the number of embryos and transferable embryos collected per flush into account when the genetic gains and inbreeding rates for MOET breeding schemes are predicted by a computer simulation.

Spatial Distribution Mapping of Cyanobacteria in Daecheong Reservoir Using the Satellite Imagery (위성영상을 이용한 대청호 남조류의 공간 분포 맵핑)

  • Back, Shin Cheol;Park, Jin Ki;Park, Jong Hwa
    • Journal of The Korean Society of Agricultural Engineers
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    • v.58 no.2
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    • pp.53-63
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    • 2016
  • Monitoring of cyanobacteria bloom in reservoir systems is important for water managers responsible of water supply system. Cyanobacteria affect the taste and smell of water and pose considerable filtration problems at water use places. Harmful cyanobacteria bloom in reservoir have significant economic impacts. We develop a new method for estimating the cyanobacteria bloom using Landsat TM and ETM+ data. Developed model was calibrated and cross-validated with existing in situ measurements from Daecheong Reservoir's Water Quality Monitoring Program and Algae Alarm System. Measurements data of three stations taken from 2004 to 2012 were matched with radiometrically converted reflectance data from the Landsat TM and ETM+ sensor. Stepwise multiple linear regression was used to select wavelengths in the Landsat TM and ETM+ bands 1, 2 and 4 that were most significant for predicting cyanobacteria cell number and bio-volume. Based on statistical analysis, the linear models were that included visible band ratios slightly outperformed single band models. The final monitoring models captured the extents of cyanobacteria blooms throughout the 2004-2012 study period. The results serve as an added broad area monitoring tool for water resource managers and present new insight into the initiation and propagation of cyanobacteria blooms in Daecheong reservoir.

A Prediction Model for Functional Recovery After Stroke (뇌졸중 환자의 기능회복에 대한 예측모델)

  • Won, Jong-Im;Lee, Mi-Young
    • Physical Therapy Korea
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    • v.17 no.3
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    • pp.59-67
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    • 2010
  • Mortality rates from stroke have been declining. Because of this, more people are living with residual disability. Rehabilitation plays an important role in functional recovery of stroke survivors. In stroke rehabilitation, early prediction of the obtainable level of functional recovery is desirable to deliver efficient care, set realistic goals, and provide appropriate discharge planning. The purpose of this study was to identify predictors of functional outcome after stroke using inpatient rehabilitation as measured by Functional Independence Measure (FIM) total scores. Correlation and stepwise multiple regression analyses were performed on data collected retrospectively from two-hundred thirty-five patients. More than moderate correlation was found between FIM total scores at the time of hospital admission and FIM total scores at the time of discharge from the hospital. Significant predictors of FIM at the time of discharge were FIM total scores at the time of hospital admission, age, and onset-admission interval. The equation was as follows: expected discharge FIM total score = $76.12+.62{\times}$(admission FIM total score)-$.38{\times}(age)-.15{\times}$(onset-admission interval). These findings suggest that FIM total scores at the time of hospital admission, age, and onset-admission interval are important determinants of functional outcome.

Factors Influencing Health Promoting Behaviors of EMT-P Students using Pender's Model (Pender 모형을 활용한 응급구조학과 학생의 건강증진행위에 영향을 미치는 요인)

  • Choi, Eun-Sook
    • The Korean Journal of Emergency Medical Services
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    • v.11 no.2
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    • pp.5-17
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    • 2007
  • Purpose: The purpose of this study was to supply basic data for a health promoting program and to elevate the level of it by examining whether EMT-P Students' health promoting behaviors were related to health percetion, health concept, health status, self-esteem, perceived benefits of action, perceived barriers of action, perceived self-efficacy, activity-related affect, social support, preference, prior related behavior, and a plan for action. Method: Subjects were 116 EMT-P Students in K city. Data collection method was a structured questionnaire. Data was analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation analysis, and stepwise multiple regression. Result: The most powerful predictor was prjor related behavior(28.8%). Altogether prjor related behavior, health status, perceived barriers of action, a plan for action were proven to account for 44.6% of health promoting behaviors of EMT-P Students. Conclusion: It suggested that prjor related behavior, health status, perceived barriers of action, a plan for action should be considered when developing a EMT-P Students' health promoting program.

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Influences on Practical Intention of Breast Self-Examination among High School Girls' Knowledge and Attitude about Breast Self-Examination (일 지역 여고생의 유방자가검진에 대한 지식 및 태도가 유방자가검진 실천의지에 미치는 영향)

  • Chung, Bokyae;Lee, Sunhee;Seong, Jeonghye;Chun, Youngmi
    • Korean Journal of Health Education and Promotion
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    • v.31 no.2
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    • pp.79-87
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    • 2014
  • Objectives: The purpose of this study was to determine the Influences on practical intention of Breast Self-Examination (BSE) in high school girls' knowledge and attitude about BSE. Methods: The participants were 208 high school girls from D city. Data were collected from August 7, to August 9 in 2013 by a questionnaire. Data were analyzed with SPSS/WIN 19.0 using ANOVA, one sample t-test, Pearson correlation, and stepwise multiple regression. Results: The factors influencing the practical intention of BSE were attitude (${\beta}=.370$) and knowledge (${\beta}=.138$). The explanatory power of this model was 16.7%. Conclusions: The results of this study revealed that knowledge and positive attitude of BSE influenced on the practical intention of BSE. Therefore, It is needed to develop the education program to obtain the knowledge and positive attitude of BSE for high school girls.

Relationships among Work Environment, Job Satisfaction and Turnover Intention of Nurses in an Emergency Department (응급실 간호사의 업무환경, 직무만족도 및 이직의도 간의 관계)

  • Jung, Hee-Young;Sung, Mi Hae
    • Journal of East-West Nursing Research
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    • v.20 no.1
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    • pp.29-36
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    • 2014
  • Purpose: The purpose of this study is to identify relationships among work environment, job satisfaction and turnover intention of emergency department (ED) nurses. Methods: The survey was given to 220 ED nurses which are located in G metropolitan from May 1st to July 31st of 2012. The results were analyzed by descriptive statistics, t-test, ANOVA, pearson correlation coefficients and stepwise multiple regression using SPSS WIN 19.0 program. Results: The turnover intension according to the general characteristics of the subjects has significant difference between emergency room experience, current duty satisfaction, and turnover plan in 1 year. In the correlation between work environment, job satisfaction and turnover intention of the subjects, work environment and job satisfaction have positive correlation, job satisfaction and turnover intention either job satisfaction and turnover intention have a negative correlation. Factors influencing turnover intention are job satisfaction, career and current duty satisfaction, also the full explanatory power of the model was 24.4%. Conclusion: The results indicate factors that influence turnover intention are job satisfaction, career, and current job satisfaction. We hope these result help to provide effective intervention strategies for reducing ED nurses' turnover.