• Journal of Korean Academy of Nursing
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• v.50 no.2
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• pp.271-285
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• 2020

Purpose: This study examined the effects of a physical activity promoting program based on the Information-Motivation-Behavioral Skills (IMB) model on physical activity and health outcomes among obese older adults with knee osteoarthritis. Methods: This study utilized a randomized controlled trial with a convenience sample of 75 obese older adults with knee osteoarthritis in a university hospital. The older adults in the intervention group participated in a 12-week program involving weekly group sessions and monitoring calls with education booklets and video clips for exercise dances, while those in the control group received an usual care. Outcomes were measured using self-report questionnaires, anthropometrics, and blood analyses. The intervention effects were analyzed using Mann-Whitney U test and ANCOVA. Results: The mean age of participants was 74.9 years with 84.0% women. The intervention group at 12 weeks showed significantly greater improvements in self-efficacy for physical activity (F=81.92, p<.001), physical activity amounts (Z=-2.21, p=.044), knee joint function (F=15.88, p<.001), and health-related quality of life (F=14.89, p<.001) compared to the control group. Among obese-metabolic outcomes, the intervention group at 12 weeks showed a significant decrease in visceral fat mass (F=7.57, p=.008) and improvement in high-density level cholesterol (F=9.51, p=.003) compared to the control group. Conclusion: Study findings support the need for an IMB based physical activity program for promoting physical activity, knee function and health outcomes in obese older adults with knee osteoarthritis. Longitudinal studies are warranted to confirm the persistence of obese-metabolic effects in clinical settings.

• Journal of the Korea Society of Computer and Information
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• v.29 no.5
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• pp.131-142
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• 2024

In this paper, we propose antecedent factors that influence health promotion behaviors among rural older adults by gender. The study analyzed data from the 'Need Assessment Survey for the Development of Customized Care Programs for Rural Older Adults' conducted by the Rural Development Administration. The analysis utilized data from 502 individuals aged 65 and older residing in rural areas. The analysis method used SPSS 25.0 program to conduct descriptive statistics, chi-square analysis, correlation analysis, and hierarchical regression analysis. The analysis results showed differences between men and women in practicing health promotion behaviors. For men, lower age, lower education level, living with a spouse, and participating in social activities were associated with higher levels of health promotion behaviors. For women, older age, better self-rated health status, and participating in social activities were associated with higher levels of health promotion behaviors. This study provides baseline data to promote health promotion behaviors among rural older adults according to gender and suggests policy and practical implications based on the findings.

• Korean Journal of Family Social Work
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• no.58
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• pp.151-179
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• 2017

The purpose of this study was to evaluate the communication enhancement program through Social Network Service(SNS) of older adults in the community. This program was mainly designed for improving self-efficacy of older adults and enhancing their communication in the community by using SNS. This program was composed of several sub-programs; understanding the value of communication, meeting with SNS users, SNS education and practice, having activities with SNS, promoting SNS, holding public rehearsals and starting ceremony, and having off-line meeting. This study applied analytical framework based on logic model of systems theory, collected data from the subject group, and evaluated the sub-programs on dimensions of process and outcome. The results showed that this program has an effect on improving self-efficacy through participating SNS activities, enhancing communication through boosting SNS, creating new culture for older adults, and changing attitudes between generations. Based on these results, the practical guidelines for expanding the communication enhancement program through SNS, leading by older adults in the community, were suggested.

• 한국노년학
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• v.37 no.3
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• pp.583-600
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• 2017

The purpose of this study is to explore qualitatively what kind of coping strategy the Korean older adults use when they are depressed and why. Participants were users, older than 60, of an elderly welfare center in Seoul, and answers of 34 respondents who experienced depression were included in the analysis. The collected data were analyzed through content analysis. The results of the analysis showed that strategies to cope with depression used by participants were composed of 6 domains and 11 sub-domains: health behavior (medical approach / exercise and diet), family and social contact (social interaction / going out and going on a trip / communication with family), Religious activities (Religious activities), lifelong education (hobbies / educational activities), productive activities (labor), health risk behaviors (drinking and gambling / resignation). The depression coping strategies of the older adults and their characteristics are as follows. First, older adults used diverse problem-focused coping strategies to cope with depression. Second, older adults considered various coping strategies together and used them simultaneously. Third, the facility space for older adults functions as a shelter. Fourth, although there were cases where medical approach was used, the intention to reuse was very low. Through this study, the following suggestions were made to help older adults cope with depression more successfully. First, access to various coping strategies should be promoted. Second, more places where older adults can spend their time comfortably need to be provided. Third, resistance to mental health care should be resolved.

• Journal of Families and Better Life
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• v.7 no.1
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• pp.59-78
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• 1989

The purpose of this study is to clarify the value orientation about family life between the older generations and college student. For this purpose, questionnaire were distributed to the older generations and college students in Seoul. Among them 920 data were obtained To obtain the family value scale, item analysis through pearson's correlation and factor analysis were used in pretest, frequency distribution, percentile, mean , t-test , and step-wise multiple were used for data analysis. The results are summarized as follows. 1) Male college students show traditional tendency and female college students show modern tendency especially sex-role attitude, ancestor worship attitude, patriarchy attitude. 2) Male and female of the older generations how traditional tendency. 3) The older generations show traditional tendency, college students show modern tendency, especially sex-role attitude and kinship attitude. 4) Male adults and male college students show traditional tendency. 5) Female adults show traditional tendency , female college students show modern tendency. In female, generation gap is more serious than males. 6) the most influencial socio-demographic variables on family value consciousness of the older generations are the religion and education, In case of college students, sex, major, religion, family income grown-up area effect on their value consciousness about family life, Based on the above findings , we should develop school education and many social programs to reduce the generation gap.

• Journal of the Korean Home Economics Association
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• v.50 no.1
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• pp.41-50
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• 2012

The purpose of this study was to examine the response pattern of children of early childhood (ages 4 to 5) to strangers' luring behaviors that suggest imminent crime. Data were collected from registrants offered by four kindergartens and daycare centers. Individual interviews were performed (N = 100) by using a questionnaire. Results were as follows: First, children of early childhood responded unfavorably to strange adults' kindness and request for aids. However, it was found that they did not make the right decision in relation to strange adults' luring behaviors that lead to crime when family related clues were manipulated. Second, children of early childhood responded favorably to strange adults' luring behaviors that are suggestive of criminal intent when candy, ice cream, and toys were offered. Especially, youngsters were more prone to be deceived by these indices than the older children. Third, older children responded unfavorably to strange adults' luring behaviors that suggest a criminal intent In addition, youngsters did not respond cleverly to strange adults' luring behaviors that suggest a criminal intent while showing a reluctant response.

• The Korean Journal of Rehabilitation Nursing
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• v.20 no.1
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• pp.52-60
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• 2017

Purpose: This study aimed to evaluate the effects of lifestyle modifications on the constipation relief, the time required to see the effects, and the effective lifestyles for constipation in older adults admitted to a geriatric hospital. Methods: Nonequivalent control group pre-post test design was used. The subjects consisted of 25 elderly in the control group and 23 in the experimental group. Constipation was measured with symptoms of constipation, number of bowel movement and use of laxatives. Life style modification consisted of drinking water before breakfast, having a breakfast, scheduled toileting after breakfast and walking everyday for 3 weeks. Results: Symptoms of constipation (t=2.23, p=.030) and number of bowel movement per week (t=-2.55, p=.014) were significantly different between two groups after 3 weeks. Drinking water, scheduled toileting and walking might contribute to the results. Conclusion: Lifestyle modification was effective on constipation in older adults admitted to a geriatric hospital. However, the effects were produced after 3 weeks. Nevertheless, it is recommended that nurses continuously encourage older adults for drinking water, regular trying for bowel movement and walking to relieve constipation, since the lifestyle modification does not need any special education and skill.

• Research in Community and Public Health Nursing
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• v.20 no.4
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• pp.513-521
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• 2009

Purpose: The purpose of this study was to analysis the effect of death preparing education on death anxiety, spiritual well-being and meaning of life in adults. Methods: This study adapted the one group pre-posttest design. Data collection and intervention were performed from January 19 to 25, 2009. The participants were 30 adults (aged 20 or older) from Jeonju City. The death preparing education program consisted of five steps. Data were analyzed through paired t-test with SPSS/WIN 12.0 program. Results: There were significant differences in death anxiety, spiritual well-being and meaning of life between before and after the death preparing education program. Conclusion: The death preparing education program for adults was confirmed to be an effective intervention to lower death anxiety and to improve spiritual well-being and the meaning of life. Therefore, I look forward to broad application of this program to adults.

• Korean Journal of Community Nutrition
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• v.20 no.1
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• pp.30-40
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• 2015

Objectives: This study was performed to investigate the associations of food security with socio-demographic characteristics, nutrient intakes and mental health status among older Korean adults. Methods: This study was conducted using data from the 2008-2010 Korea National Health and Nutrition Examination Survey (KNHANES). Subjects were 4,451 adults aged 65~98 years. Food security was measured using a self-reported question on food sufficiency of subjects' household. Based on the answers, study subjects were classified into secure, mildly insecure, moderately insecure, and severely insecure groups. Dietary intake was estimated by 24-hour dietary recall. Nutrient intake was assessed by dietary reference intakes (DRI). As for mental health status, the data on mental stress, depression, and suicide ideation were used. Results: Rate of food insecurity in older adults was 14.3%. Old age, being female, low education, low income level, living alone, and discomfort in daily living were more related to food insecurity. Means of nutrient intakes were significantly different according to food security status. Intakes of calcium, potassium, and vitamin $B_2$ were lower than recommended intakes in all groups. Consumption amounts of soy and soybean products, vegetables, mushrooms, fruits, vegetable oils, meats, eggs, seafood, and dairy products were lower in food insecure groups. Mental stress, depression, and suicide ideation were higher in food insecure groups independent of the gender and income level. Conclusions: These present findings suggested that food security is related to mental health as well as nutrition status in older Korean adults. A national system that include food and psychosocial support programs for the elderly should be considered in order to improve the overall health of older Korean adults.

• Journal of Preventive Medicine and Public Health
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• v.44 no.4
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• pp.149-156
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• 2011

Objective: The purpose of the present study was to examine the relationship between the use of senior center and health-related quality of life in Korean older adults. Methods: A questionnaire survey was conducted to two types of older adults who lived in Busan, Korea: 154 older adults who used a senior center and 137 older adults who did not use a senior center. The Korean version of short-form 36-item health survey was administered to assess the health-related quality of life. Demographic variables were obtained from a questionnaire. These were gender, age, family status, marital status, education, monthly income, present illness, body mass index and physical activity. Results: The 8-domain scales of physical function and role-physical were significantly higher in the users of the senior center compared with the non-users (F=4.87, p=0.027 and F=7.02, p=0.009, respectively). The 8-domain scales of vitality was also significantly higher in the users of the senior center compared with the non-users (F=7.48, p=0.007). Conclusions: The present study showed that the users of the senior center have higher physical function, role-physical and vitality compared with the non-users. These findings suggest that although the results are unable to specify causal relationships using the senior center may lead to some improvement in health-related quality of life.