• Title/Summary/Keyword: evidence-based programs

Search Result 240, Processing Time 0.025 seconds

A Meta-analysis on the effectiveness of interventions applied to teens in multicultural families. (다문화 가정 청소년에게 적용된 중재 프로그램의 효과에 대한 메타분석)

  • Byun, Soung-Won;Kim, Sin-Hyang;Park, Si-Hyun
    • Journal of Digital Convergence
    • /
    • v.15 no.1
    • /
    • pp.277-285
    • /
    • 2017
  • The purpose of this study identified the effectiveness of the existent interventions, which had been applied to the teens in multicultural families in South Korea. Totally 29 relevant studies, including dissertations and published articles, published from 2008 to 2014, were systematically searched and analyzed through meta-analytic method. The study results revealed the specific conditions which made the intervention more effective for the teens in multicultural families. Specifically, the program could be most effective when the program had a social adaptation intervention type as well as aimed to middle school students as a target population. Also, the program could be most effective when the program had lower than 8 sessions, run 3-5 times a week, and had from 21 to 30 participants in one intervention group. In addition, current existing programs showed higher effect sizes on outcomes focusing on relationships rather than on those focusing on psychological problems. This study is theoretically meaningful in terms of quantitatively synthesizing the existing intervention programs for the teens in multicultural families. In addition, we expect that this study would practically contribute to develop evidence-based programs for those teens in multicultural families.

The current child and adolescent health screening system: an assessment and proposal for an early and periodic check-up program (현행 영유아 및 소아청소년 건강검진제도의 평가 및 대안)

  • Eun, Baik-Lin;Moon, Jin Soo;Eun, So-Hee;Lee, Hea Kyoung;Shin, Son Moon;Seong, In Kyung;Chung, Hee Jung
    • Clinical and Experimental Pediatrics
    • /
    • v.53 no.3
    • /
    • pp.300-306
    • /
    • 2010
  • Purpose : Recent changes in the population structure of Korea, such as rapid decline in birth rate and exponential increase in old-aged people, prompted us to prepare a new health improvement program in children and adolescents. Methods : We reviewed current health screenings applied for children and adolescents in Korea and other developed countries. We collected and reviewed population-based data focused on mortality and morbidity, and other health-related statistical data. We generated problem lists in current systems and developed new principles. Results : Current health screening programs for children and adolescents were usually based on laboratory tests, such as blood tests, urinalysis, and radiologic tests. Almost all of these programs lacked evidence based on population data or controlled studies. In most developed countries, laboratory tests are used only very selectively, and they usually focus on primary prevention of diseases and health improvement using anticipatory guidance. In Korea, statistics on mortality and morbidity reveal that diseases related to lifestyle, such as obesity and metabolic syndrome, are increasing in all generations. Conclusion : We recommend a periodic health screening program with anticipatory guidance, which is focused on growth and developmental surveillance in infants and children. We no longer recommend old programs that are based on laboratory and radiologic examinations. School health screening programs should also be changed to meet current health issues, such as developing a healthier lifestyle to minimize risk behaviors—or example, good mental health, balanced nutrition, and more exercise.

Understanding Breast Cancer Screening Practices in Taiwan: a Country with Universal Health Care

  • Wu, Tsu-Yin;Chung, Scott;Yeh, Ming-Chen;Chang, Shu-Chen;Hsieh, Hsing-Fang;Ha, Soo Ji
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.13 no.9
    • /
    • pp.4289-4294
    • /
    • 2012
  • While the incidence of breast cancer (BC) has been relatively low in Asian countries, it has been rising rapidly in Taiwan. Within the last decade, it has replaced cervical cancer as the most diagnosed cancer site for women. Nevertheless, there is a paucity of studies reporting the attitudes and practices of breast cancer screening among Chinese women. The aim of this study is to assess Taiwanese women's knowledge of and attitudes toward BC screening and to identify potential factors that may influence screening behavior. The study population consisted of a sample of 434 Taiwanese women aged 40 and older. Despite access to universal health care for Taiwanese women and the fact that a majority of the women had heard of the breast cancer screening (mammogram, clinical breast exams, etc.), the actual utilization of these screening modalities was relatively low. In the current study, the majority of women had never had mammograms or ultrasound in the past 5 years. The number one most reported barriers were "no time," "forgetfulness," "too cumbersome," and "laziness," followed by the perception of no need to get screened. In addition, the results revealed several areas of misconceptions or incorrect information perceived by study participants. Based on the results from the regression analysis, significant predictors of obtaining repeated screening modalities included age, coverage for screening, barriers, self-efficacy, intention, family/friends diagnosed with breast cancer. The findings from the current study provide the potential to build evidence-based programs to effectively plan and implement policies in order to raise awareness in breast cancer and promote BC screening in order to optimize health outcomes for women affected by this disease.

Trends in adherence to dietary recommendations among Korean type 2 diabetes mellitus patients

  • Park, Kyong
    • Nutrition Research and Practice
    • /
    • v.9 no.6
    • /
    • pp.658-666
    • /
    • 2015
  • BACKGROUND/OBJECTIVES: The current study examined trends in adherence to dietary recommendations and compared the levels of adherence between diagnosed and undiagnosed subjects with type 2 diabetes mellitus (T2DM) in Korea over the past 14 years. SUBJECTS/METHODS: Data were collected from the 1998-2012 Korea National Health and Nutrition Examination Surveys (KNHANES). Diagnosed diabetes was defined as giving a positive response to questions about awareness of the disease, a physician's diagnosis of diabetes, or medical treatment for diabetes, whereas undiagnosed diabetes was defined as having a fasting glucose level ${\geq}126mg/dl$. Assessment of adherence level was based on 6 components of dietary guidelines, considering meal patterns and intake levels of calories, carbohydrates, vegetable/seaweed, sodium, and alcohol. The participants received 1 point if they met the criteria for each of the 6 components, and the total possible score ranged from 0 to 6 points. Multivariate generalized linear regression was performed, taking into account the complex survey design. RESULTS: Among all diabetic patients aged 30 years or older, the proportion of diagnosed diabetes increased dramatically, from 40.9% in 1998 to 75.9% in 2012 (P for trend < 0.001). The overall adherence levels to dietary recommendations were low and did not significantly differ between diagnosed and undiagnosed subjects with T2DM for all survey years. Several improvements were observed, including increased adherence to maintaining sufficient vegetable/seaweed consumption (increased from 0.12 to 0.16 points) and limiting sodium intake (increased from 0.12-0.13 points to 0.19-0.24 points; P for trend < 0.001), while adherence to maintaining moderate alcohol consumption decreased. CONCLUSIONS: Analysis of data collected by the KNHANES indicates that Korean T2DM patients have poor adherence to dietary recommendations and maintenance of a healthy lifestyle, regardless of disease awareness. This finding suggests that development of practical, evidence-based guidelines is necessary and that provision and expansion of educational programs for T2DM patients is critical after diagnosis.

The Korean Practice Parameter for the Treatment of Pervasive Developmental Disorders : Non-Pharmacological Treatment (전반적 발달장애의 한국형 치료 권고안 : 비약물적 치료)

  • Koo, Young-Jin;Cho, In-Hee;Yoo, Hee-Jeong;Yoo, Han-Ik K.;Son, Jung-Woo;Chung, Un-Sun;Ahn, Dong-Hyun;Ahn, Joung-Sook
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
    • /
    • v.18 no.2
    • /
    • pp.117-122
    • /
    • 2007
  • Practice parameters for non-pharmacological treatment of children and adolescents with pervasive developmental disorders are based on the scientific literature for evidence-based practices. Appropriate educational and behavioral interventions are important in improving the long-term outcome in pervasive developmental disorders. Early and sustained intervention appears to be particularly important. The goal for interventions is to gain pragmatic skills for verbal communication, playing with peers, daily living routines, self-management, and social adaptation. Appropriate involvement and collaboration with parents and family are essential for well-functioning intervention programs. The life-long nature of autism implies that the clinician should maintain an active role in long-term treatment planning and family support. Vocational training and training for more independent living are important for adolescents with autism. Professionals should be knowledgeable about local and national resources and opportunities for family support as well as support of the individual.

  • PDF

Development of "Drink Smart" Alcohol Education Program for University Students: Application of the Intervention Mapping and Transtheoretical Model (대학생 절주교육 프로그램(과음없는 캠퍼스 만들기) 개발: Intervention Mapping과 Transtheoretical Model의 적용)

  • Kim, Hye-Kyeong;Kim, Myung;Lee, Eun-Hee;Kwon, Eun-Joo;Cho, Han-Ik
    • Korean Journal of Health Education and Promotion
    • /
    • v.28 no.5
    • /
    • pp.145-160
    • /
    • 2011
  • Objectives: This study attempted to apply the Intervention mapping and Transtheoretical models to develop a program to promote moderate alcohol drinking in university students. Methods: Surveyed data from 1,137 university students were analyzed to identify personal and environmental determinants for alcohol drinking. Based on these determinants, program objectives were established. Crossing the objectives with related important determinants resulted in matrices of learning objectives for which educational strategies were developed. Subsequently, an intervention program were designed to achieve those objectives. Results: Identified personal determinants included awareness, attitudes, self-efficacy and behavioral skills. Environmental determinants were binge drinking behaviors of family members and peers, and social pressure for drinking. Program, impact and learning objectives were developed to change the identified determinants. Program activities included provision of information on positive and negative consequences of binge drinking, opportunities for assessing one's drinking pattern, increasing outcome expectancies of and skill building for monitoring drinking, resisting peer pressure and managing stress. To facilitate adoption and maintenance of the program, an intervention diffusion plan was suggested. An evaluation plan was developed by utilizing RE-AIM framework. Conclusions: In order to expand evidence bases for effective theory-based programs, the developed program should be tested in diverse university settings.

A Study on Guidelines of Tourism Development in Korea and Japan

  • Jung, Won-Jo;Lee, Han-Seok;Lee, Myung-Kwon
    • Journal of Navigation and Port Research
    • /
    • v.38 no.3
    • /
    • pp.277-289
    • /
    • 2014
  • Fishing village is becoming the central base of fishing industry and it plays a major role. However, there is a decrement of marine resources and some difficulties with the deterioration of fishing industry management. In order to solve these problems, there should be some developments(e.g. fishing village toursim development) on various undergoing government and the private organization programs. Nevertheless, there are not guidelines for fishing village tourism development to utilize for practical business. Therefore, it is necessary to understand the current status and guidelines regarding the development of fishing village for coastal planner. The primary purpose of this study is to investigate the characteristics of fishing village development works in Korea and Japan. The second purpose is to identifie success factors after analyzing individual success cases. Based on evidence from the literature and a dialogue with village leader, a literature review on extracting success cases for guidelines were selected according to criteria such as the degree of contribution to an increase in income of the fishing village, the degree of contribution to an increase in consumption of marine products using local natural resources, the number of tourists that visits the village. Finally we propose guidelines for future fishing village development projects. The guidelines based on the successful cases, as well as the major factors about the objectives and direction of fishing village tourism development, suggested as follows. 1)Plans for land use, 2)Development of tourist resources, 3)Plans for views, 4)Plans for resource protection, 5)Plans for operation and marketing.

The Effect of Recreation Therapy in Physical and Mental Health for Korean American Senior (레크리에이션 치료가 재미 한인노인의 신체적, 정신적 건강에 미치는 영향)

  • Park, Eunsik
    • Journal of Digital Convergence
    • /
    • v.15 no.9
    • /
    • pp.435-441
    • /
    • 2017
  • The purpose of this study was to evaluate the effect of recreational therapy as part of Social Adult Day Care Program administered in the state of New York for the Korean American elderly living in the United States. The study was conducted in a nonequivalent control group posttest-only design from February to April, 2017. The participants included 35 subjects in the experimental group and 35 subjects in the control group; among the sample, 66 participants' data were analyzed. The average age of subjects who participated in this study was 79.4 years, and the average duration of residence in the United States was 24.6 years. Based on the study results, the recreational therapy program provided by the day care center was found to have a positive effect on the participant's daily life performances, depression and loneliness. Therefore, a variety of cultural sensitive recreational therapy program for the elderly population should be developed and operated in the future; furthermore, evidence-based research should be conducted to evaluate the effects of these programs.

Development of the Core Task and Competency Matrix for Unit Managers (병원 간호단위관리자의 핵심직무 ­- 핵심역량 매트릭스 개발)

  • Lee, Tae Wha;Kang, Kyeong Hwa;Lee, Seon Heui;Ko, Yu Kyung;Park, Jeong Sook;Lee, Sae Rom;Yu, Soyoung
    • Journal of Korean Clinical Nursing Research
    • /
    • v.23 no.2
    • /
    • pp.189-201
    • /
    • 2017
  • Purpose: The aim of this study was to develop the nursing management core task and competency matrix for hospital unit managers. The perceived level of importance and performance of identified core competencies by unit managers were also investigated. Methods: Literature review and expert survey identified nursing management core task and competencies. Subsequently, the core task and competency matrix was developed and validated by expert panel. A survey of 196 nurse managers from 3 cities identified perceived importance and performance of core competiences. Results: Thirty-eight nursing management core task and thirty-seven nursing management core competencies were identified comprising five categories; Clinical practice knowledge, Evidence-based practice, Employee development, Strategic planning and Initiative. Based on the core task and competencies, the task and competency matrix for unit managers was developed. In the analysis of importance and performance of core competencies, the mean score of importance ($3.50{\pm}0.30$) was higher than the mean score of performance ($3.03{\pm}0.34$). Conclusion: The development of core task and competencies for unit managers in hospitals provides a guide for the development and evaluation of programs designed to increase competence of unit managers.

A Study on the 4th Industrial Revolution in the View of Special Educational Teachers (특수교사들의 관점에서 바라보는 4차 산업혁명)

  • Jeong, Gyeong Hee;Song, Byung Seop
    • 재활복지
    • /
    • v.22 no.4
    • /
    • pp.153-172
    • /
    • 2018
  • This study is to examine the awareness of the 4th industrial revolution among special educational teachers as a preliminary study to explore the future special educational should continue forward in this new period. For the purposes of this study, a survey was conducted focusing on 117 special educational teachers in Korea. The major results were presented as follow. special educational teachers recognized that "the 4th industrial revolution" will have a positive effects on the special education, However, the level of understanding and interest in this was low. Moreover, Special teachers learned about 4th Industrial Revolution mainly through TV and media, recognized the needs for expert education on the fourth industrial revolution. Special teachers recognized that the Fourth Industrial Revolution was necessary for special education but was not realistically prepared. Special teachers said that programs for special education should be developed and distributed based on the 4th Industrial Revolution. In conclusion, The study is meaningful in understanding the Fourth Industrial Revolution from the perspective of special teachers and in providing basic evidence to support special education.