• 제목/요약/키워드: concurrent mixed methods study

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Global Adult Tobacco Survey (GATS): A Case for Change in Definition, Analysis and Interpretation of "Cigarettes" and "Cigarettes Per Day" in Completed and Future Surveys

  • Jena, Pratap Kumar;Kishore, Jugal;Sarkar, Bidyut K.
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권5호
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    • pp.3299-3304
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    • 2013
  • Background: The Global Adult Tobacco Survey has 15 key indicators, cigarettes smoked per day (CPD) among daily smokers being one of them. The first wave of GATS in 14 countries indicated that mean CPD use is higher in women than men in India only, which is contrary to the current understanding of tobacco use globally. This study was undertaken to understand the unusual findings for mean CPD use in the GATS-India survey. Materials and Methods: Items B06a and B06b of the GATS India survey questionnaire that collected information on daily consumption of manufactured and rolled cigarettes were analyzed using SPSS software. Exclusive users were identified from these items after excluding the concurrent users of other tobacco products. Cigarette type, exclusive use and gender stratified analyses were made. Consumption of different types of cigarettes among the mixed users of manufactured and rolled cigarettes were correlated. Results: Higher mean number of CPD use among male daily-smokers was observed than their female counterparts in product specific analysis. Mean CPD as per GATS cigarette definition was higher in males than females for exclusive users but a reverse trend was observed in case of non-exclusive users. Use of manufactured cigarettes increased with increase in use of rolled cigarette among the mixed users and around half of these users reported equal CPD frequency for the both types of cigarettes. Conclusions: The anomaly in mean CPD estimate in GATS-India data was due to inclusion of two heterogeneous products to define cigarettes, variation in cigarette product specific user proportions contributing to the average and non-exclusive concurrent use of other tobacco products. The consumption pattern of cigarettes among the mixed users highlights bias in CPD reporting. Definition, analysis and interpretation of 'cigarettes per day' in the GATS India survey need to be improved by redefining cigarettes and making product specific analyses.

금속분말 혼합수지를 이용한 쾌속 형 제작에 관한 연구 (A study on the Rapid Tooling Using Metal Powder Filled Resin)

  • 김범수;배원병;정해도
    • 한국정밀공학회지
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    • 제16권6호
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    • pp.36-44
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    • 1999
  • The rapid Tooling technique is classified into two methods: one to directly utilize the model which was made by rapid prototyping technologies for dies, and the other to make a transferred type using the model as a master model and create dies and molds using it. In this study, the Al powder filled resin was made several mixed ratios and meshes sizes, and applied to slurry casting. And, variation of mechanical characteristics such as the shrinkage rate, the tensile strength, the elongation, the hardness, and surface roughness, are measured to compare. Consequently, as higher is the powder mixed ration and as smaller is the grain size of the power, the mechanical characteristics of the final mold are improved. Finally, the metal short fiber which can be fabricated easily and cheaply, if the self-excited vibration of an elastic tool, was also applied to slurry casting. It has been found tat the hardness gets higher, while the shrinkage rate lower, if mixed with short fiber.

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Analysis of the needs of forest healing facilities for female cancer survivors

  • Eun Kum Lee;Bum Jin Park
    • 농업과학연구
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    • 제50권4호
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    • pp.735-747
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    • 2023
  • This study was conducted to identify the appropriate space requirements for forest healing program for physical and mental health care of female cancer survivors in their 40s and 60s. From September to November 2023, 12 cancer survivors were surveyed at Chungnam National University Forest and Daejeon Healing Forest. One Forest Therapy instructor and two researchers conducted a forest healing program once a week for eight sessions of two hours each, Perceptions and satisfaction with the program and space were assessed using pre and post program questionnaires, and the effect of participation in the forest healing program on mood status was evaluated. The satisfaction survey results were supplemented by qualitative studies conducted through post-interviews. Result of the analysis showed that the satisfaction of the participants was very high (4.8/5.0). There was a notable increase in vigor and a decrease in total mood disturbance after participation in the program. Toilets and water facilities (11), tool boxes (9), pest control facilities (3), deck facilities (3), forest hut (3), electrical outlets (2), shade shelters (2), and shoe hairy (1) were proposed as required facilities for cancer survivors. This study demonstrated that the forest healing program is effective in reducing distress in female cancer survivors in their 40s and 60s and appropriate facility standards for the forest healing space are needed to increase the satisfaction of cancer survivors.

비만아동을 위한 정서적 자기조절 프로그램의 개발 및 효과: 혼합방법론의 적용 (An Emotional Self-Regulation Program for Obese Children: Pilot Study Using Mixed Methods)

  • 김희순;마유미;박지영;김승현
    • Child Health Nursing Research
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    • 제19권3호
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    • pp.187-197
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    • 2013
  • 목적 비만아동을 위한 이론기반의 정서적 자기조절 프로그램을 개발하고 운영하여 프로그램의 효과를 확인하고자 함. 방법 본 연구는 혼합방법 중 실험연구를 위한 끼워넣기 모형을 활용함. 즉 비동등성 대조군 전후 설계를 이용하여 본 프로그램이 비만아동의 우울, 식습관, 체질량지수에 미치는 효과를 평가하고 추가적으로 질적 자료를 통해 프로그램의 효과에 대한 이해를 돕고자 함. 결과 본 연구결과 정서적 자기조절 프로그램은 비만아동의 우울에 긍정적인 효과를 보였으며, 대상자는 '자신감 고취', '충동 조절', '또래와의 친밀감', '행복감', '체중감소를 위한 노력 및 경험' 등을 표현함. 결론 본 연구결과 정서적 자기조절 능력의 강화는 비만관리에 있어 효과적인 전략임을 확인하였으며 추후 대상자와 지역을 확대한 반복연구와 무작위 대조군 실험연구를 제언하는 바임. 본 연구는 프로그램의 효과에 대한 보다 풍부한 이해를 위해 혼합방법을 적용하고 프로그램의 개발 운영 평가에 있어 실무와의 연계성을 강조하였다는 점에서 의의를 가짐.

한국 노인가족부양자의 '부양긍정감척도' 개발을 위한 연구 (The Study on the Development of the 'Caregiving Affirmation Scale' for Korean Caregivers for the Aged)

  • 장영신
    • 한국노년학
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    • 제32권2호
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    • pp.415-429
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    • 2012
  • 본 연구의 목적은 노인을 돌보는 가족부양자를 대상으로 부양에 대한 긍정감 수준을 측정하기 위한 척도를 개발하고, 개발된 "부양긍정감척도"의 일반화 가능성을 검증하기 위한 것이다. 이를 위하여 연구방법으로는 믹스법을 사용하여 질적 연구와 양적연구를 병행하여 실시하였다. "부양긍정감"의 척도개발 과정은 다음과 같이 진행하였다. (1) 질적 연구와 선행연구를 통한 문항개발, (2) 1차 설문조사를 통한 문항내용 확인 및 전문가 집단에 의한 내용타당도 검증, (3) 2차 설문조사를 통한 부양긍정감의 구성요인을 확인하였다. 그 결과, 노인가족부양자의 "부양긍정감척도"는 총 16문항으로서 '부양기술 충족감', '사회공헌감', '노인에 대한 친근감', '자아존중감'의 네 가지 하위요인으로 구성되어 있음을 확인하였다. 그리고 "부양긍정감척도"의 신뢰도는 Cronbach's α값이 0.89로 높은 내적 일치도를 보였고, 확인적 요인분석을 통해 요인과 문항 간의 관계가 통계적으로 유의미함을 확인하였다. 이로 인해 "부양긍정감척도"의 요인구조에 대한 구성타당도가 확인되었다. 그리고 본 척도는 생활만족도와 0.68의 높은 상관관계를 보임으로서 동시타당도도 입증되었다. 이상과 같은 과정을 통해 제시된 부양긍정감척도는 노인복지에 관한 연구와 실천현장에서 노인가족부양자의 경험을 다차원적으로 평가할 수 있는 사회측정도구로 활용될 것으로 기대된다.

간호장교를 대상으로 한 생명존중 역량강화 프로그램 개발과 평가 (Development and Evaluation of the Life Respect Enhancement Program for Nursing Officers)

  • 황선영;최희승
    • 대한간호학회지
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    • 제50권4호
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    • pp.599-610
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    • 2020
  • Purpose: The present study was conducted to develop the Life Respect Enhancement Program and test its effectiveness on suicide knowledge, suicide intervention skills, self-efficacy in suicide prevention, and gatekeeper behaviors among nursing officers. Methods: The program was developed according to the ADDIE model and finalized after practical need analysis, expert verification, and a preliminary study. The present study used a concurrent embedded mixed-method research design. To compare the effects of the Program and the control group on the outcome variables, a quantitative study was conducted using a nonequivalent control group with a pretest-posttest design. Quantitative data were analyzed using χ2-tests, t-tests, and RM-ANOVA. A qualitative study was conducted using FGI with six members of the experimental group 3 months after intervention completion. Results: In total, 56 nursing officers participated in the 3-month follow-up test. Compared to the control group, the experimental group showed significant improvements in suicide knowledge, suicide intervention skills, and self-efficacy in suicide prevention scores at post-test. The significant group differences in suicide knowledge and suicide intervention skills were maintained at 3 months. The gatekeeper behavior scores of the experimental group were also significantly higher than those of the control group at 3 months. Qualitative analysis of the participants' experiences with the Program yielded two themes and seven sub-themes. Conclusion: The newly developed Life Respect Enhancement Program demonstrates significant effects on suicide knowledge, suicide intervention skills, and gatekeeper behaviors. Thus, this program is recommended to promote suicide prevention competencies among nursing officers in military clinical settings.

보건소 비만예방관리 사업 현황 및 요구도 분석 (Current Status and Needs Assessment for Obesity Prevention and Management Project at Public Health Centers)

  • 박지영;임미해;백설향;박종원;황가희;김완수;오유미;조아라;조지은
    • 지역사회간호학회지
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    • 제32권3호
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    • pp.368-381
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    • 2021
  • Purpose: The obesity prevention and management program led by public health centers are important in the community. This study aims to identify the current status of obesity prevention and management programs at public health centers and perceptions regarding facilitators and barriers when implementing programs. Methods: This study used a concurrent mixed methods design. A survey was conducted to investigate the current status and infrastructure of the obesity prevention and management program at eighty-three public health centers nationwide. Nine program managers and six local residents with experience in the program were interviewed by using a semi-structured questionnaires. Results: Most of the infrastructure facilities for the program were inadequate, and insufficient budgets and lack of professional staff were identified as barriers. Facilitators included diversification of program delivery methods, operator competence, and visible outcomes and rewards. For the effectiveness of the program, it is vital to have adequate assistants, a sufficient budget, various promotional methods, and connections with various institutions in the community. On this basis, it is acknowledged that the public health center serves as a platform for preventing and managing obesity in the community. Conclusion: It is expected that infrastructure improvements in public health centers and the link with community resources are needed. In addition, there is an urgent need to set standards for obesity prevention and management programs implemented in public health centers to 'resolve regional disparities'.