• 제목/요약/키워드: evidence-based programs

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A Conceptual Approach to Evaluating the Reliability of a Climate Change Adaptation System

  • Park, ChangKeun;Cho, Dongin
    • Asian Journal of Innovation and Policy
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    • 제9권1호
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    • pp.36-55
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    • 2020
  • Climate change is one of the most discussed issues in international for a today. Evaluating the effect of climate change at a regional level and setting up an appropriate policy to address the issues associated with climate change require a proper evaluation process on the climate change and adaptation projects already implemented. Although various evaluation approaches to climate change adaptation programs have been proposed, it is rare to find a proper systematic approach to evaluating the reliability of those climate change adaptation programs. In the current situation regarding the system to evaluate climate change adaptation programs, the purpose of this study is to suggest a theoretical and standardized evaluation system on the reliability of climate change adaptation schemes. The new approach suggested in this paper will be appropriate when requiring a confidence level for adaptation programs that are specially localized and categorized. Using various quantitative and qualitative evaluation methods with the inherent reality mechanism, we provide a conceptual framework to measure the reliability of climate change adaptation programs with a flexible adjustment process. With the proposed framework, it is possible to provide the level of confidence on the results collected from the evaluation systems and construct a standardized, system-wide assessment procedure toward climate change adaptation policies. By applying this approach based on scientific evidence on the reliability of climate change adaptation policies, appropriate and efficient climate change adaptation programs will be properly designed for and implemented in Korea.

보건단체에서 보건교육사의 활동 영역과 능력 개발 (The Roles and Professional Competencies of Health Education Specialists in Public Health Organizations)

  • 김혜경
    • 보건교육건강증진학회지
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    • 제27권2호
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    • pp.23-36
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    • 2010
  • Objectives: This study was performed to suggest the roles and professional competencies of health education specialists to improve the efficacy of health promotion activities in public health organizations. Results and Conclusion: Based on the advanced cases of utilizing health education specialists in international and domestic public health organizations, five key roles of health education specialists were proposed. They included developing and applying behavior change strategies necessary to begin and maintain health behavior practices, analysing the needs of the priority population in a systematic way, organizing multiple health behavior change programs and multilevel intervention programs, and doing research on health determinants and scientific evidence of health promotion programs, In order to improve the quality of health promotion services in public health organizations, professional competencies of health education specialist should be developed and strengthened.

The Detrimental Effect of Customer Demotion on Customer Profitability in Hierarchical Loyalty Programs

  • Chang, Woojung
    • Asia Marketing Journal
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    • 제22권1호
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    • pp.1-26
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    • 2020
  • Firms employing hierarchical loyalty programs (HLPs) periodically demote customers from higher to lower status level to divest from unprofitable customers and boost profitability. However, existing literature lacks objective evidence on how customer demotion affects demoted customers' future purchase behaviors and ultimately profitability for the firm. Moreover, customers in the HLP's higher position may respond to customer demotion differently from those in the HLP's lower position. Drawing upon emotions and equity theories, this study quantifies how the profits that customers contribute to the firm change after customer demotion, and compares demoted customers' behavioral reactions from top-tier with those from bottom-tier based on customers' actual behavior data from a major retail bank in South Korea. The findings show that withdrawing customer status actually deteriorates customer profitability, and customers with top-tier status decrease their profitability more dramatically than those with bottom-tier status after demotion. The results contribute to previous literature on customer demotion and relationship marketing, and provide specific guidelines into how firms should design and implement customer demotion in HLPs.

고등학교 논의기반 탐구 과학수업에서 학생 평가활동이 주장과 증거 형성에 미치는 영향 (Impact of Student Assessment Activities on Claim and Evidence Formation in High School Argument-Based Inquiry)

  • 이선우;남정희
    • 대한화학회지
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    • 제62권3호
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    • pp.203-213
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    • 2018
  • 이 연구는 논의기반 탐구 과학수업에서 학생 평가활동이 고등학생들의 주장과 증거 형성에 어떠한 영향을 미치는지 알아보고자 하였다. 이를 위해 인문계 고등학교 1학년 166명을 대상으로 논의기반 탐구 과학수업을 실시하였으며, 실험집단 학생(84명)들은 모둠의 주장과 증거에 대한 평가 기회를 제공받았고 비교집단 학생(82명)들은 이 단계를 생략하였다. 학생 평가활동이 학생들의 주장과 증거 형성에 미치는 영향 알아보기 위해 학생들이 작성한 주장과 증거 그리고 학생 평가활동의 결과를 분석하였으며, 인터뷰와 설문조사를 통해 학생 평가활동의 타당성과 활용정도를 알아보았다. 연구 결과, 논의활동에서 증거를 형성하는 능력이 비교집단보다 실험집단이 통계적으로 유의미하게 높게 나타났으며, 실험집단 학생들이 비교집단 학생들보다 더 정확하고 충분한 증거를 제시하는 것으로 나타났다. 또한 실험집단 학생들은 평가활동을 통해 주장에 대한 증거가 적절한지, 증거가 충분한지, 제시된 증거 자료는 정확한지 대해 평가하며 지속적으로 평가결과를 피드백으로 활용하였음을 알 수 있었다. 학생들은 평가 결과가 대체적으로 타당하다고 인식하고 있으며, 평가 결과를 다음 활동에 반영하여 다양한 증거를 제시하는 능력이 향상되었다고 인식하고 있음을 알 수 있었다. 이를 통해 논의기반 탐구 과학수업에서 학생 평가활동이 학생들의 주장과 증거를 형성할 때 주장의 타당성과 정당성을 높이는 증거 형성에 효과적이라는 것을 알 수 있다.

학교보건사업의 역사적 고찰을 통한 정책 방향에 관한 연구 (A Study on the Policy Improvement by Means of a Historical Review of School Health Programs)

  • 김상욱;김윤신;장창곡
    • 한국학교보건학회지
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    • 제17권2호
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    • pp.127-150
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    • 2004
  • Objectives: The purpose of this study is to provide a basic structure for the establishment of the direction of school health programs, an overview of the historical changes of school health programs and their results, and a conceptual framework on school health programs. Methods: The data analysis has been done using a statistical almanac, relevant laws and regulations, operation handbook of the program, theses, reports, records of public hearings, and other reports as a technical research primarily based on evidence. The methodology of this research classifies the development and growth transition of school health programs during a historical period through the investigation of regulations, organization, manpower, and its program via its development process and to provide a basic tool to design a solid school health policy. Results: A The growth and development of school health programs The development of school health programs was classified into three different periods including the forthcoming period (1945~1967), the completion period (1967~1993), and the actualization period based on the establishment of legislation for School Health Law, other relevant legislation, and the contents of school health programs (1993~present). B. Policy direction of school health programs School health programs have reestablished their goals and range based on basic direction, and developed the W1it model of information structure for school health program management and its basic structure. Finally, the stepwise support system through the building of the school health support center is recommended. (1) The basic direction of school health programs has proposed 7 basic goals to reestablish the policy direction of health improvement based on total health. (2) The W1it model of information system and the school health information system for school health program management has been developed to utilize positive management. (3) School health policy through the study of the health laws and systems has been developed. The necessity of school health support center for the policy support, functional support and operation support has also been proposed. Conclusions: It is necessary to build a school health support center that consists of health professionals in charge of policy support, functional support, and program support of school health programs in order to realize and develop new policy.

종합병원 간호사의 근거기반실무 준비도와 근거기반실무 역량의 영향 요인 (Factors Influencing of Evidence based Practice Competency and Evidence based Practice Readiness in General Hospital Nurses)

  • 류세앙;김윤숙;김윤희
    • 간호행정학회지
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    • 제22권5호
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    • pp.448-460
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    • 2016
  • Purpose: The study was done to verify evidence-based practice (EBP) readiness and factors contributing to EBP competency in general hospital nurses. Methods: Participants were 219 nurses working in 7 general hospitals in G-city and J Province. Data were collected from May 12 to May 28, 2015 and analyzed using one-way ANOVA, Pearson's correlation and stepwise multiple regression. Results: Mean score for EBP competency was $3.89{\pm}0.83$, for critical thinking disposition, $3.35{\pm}0.36$, for EBP attitude, $3.53{\pm}0.66$, for beliefs about value of EBP, $3.42{\pm}0.56$, for ability in research performance, $2.86{\pm}0.57$, for time to devote to EBP, $2.57{\pm}0.69$ and for organization support for EBP, $3.36{\pm}0.46$. EBP competency was significantly correlated with critical thinking disposition (r=.37, p<.001), beliefs about value of EBP (r=.43, p<.001), ability in research performance (r=.44, p<.001), and time to devote to EBP(r=.33, p<.001). Factors influencing EBP competency in general hospital nurses were research performance (${\beta}=.29$, p<.001), beliefs about value of EBP (${\beta}=.24$, p<.001), critical thinking disposition (${\beta}=.15$, p=.014), recognition of EBP (${\beta}=-.18$, p=.002), which together explained 35% of total variance. Conclusion: Findings indicate that introduction and activation of EBP in general hospitals is essential and development of systematic training programs to strengthen critical thinking disposition and EBP competency are needed.

한국형 노인요양시설 근거중심 감염관리 가이드라인 개발 (Development of Evidence-based Guidelines for Nursing Home's Infection Control in Korea)

  • 박연환;이성현;이유미;이지영;이민혜
    • 근관절건강학회지
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    • 제25권2호
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    • pp.135-147
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    • 2018
  • Purpose: The purpose of this study was to develop evidence-based guidelines for infection control in nursing homes in Korea (ENIK). Methods: Three steps were planned for the development which were developing a draft and testing the content validity. First, the draft was based on evidence and developed through focus group interviews with nurses in nursing homes, a comprehensive review of international guidelines and literature, and systematic reviews of interventions for infection control and outbreaks in long-term care facilities. Clinical applicability was established through reviews of nursing records and job assignments in one nursing home. The final step consisted of experts evaluating the content validity. The ENIK was revised to fit Korean nursing homes. Results: The ENIK consisted of recommendations in 9 compositions and a one-page practical algorithm. The principles of infection control were presented by statements and specific strategies were recommended in resident care programs. The infection control practical algorithm was organized into 3 steps: screening at admission, prevention, and control at the early stage. The practice to control infection was composed of a 5-step process. Conclusion: The ENIK will contribute to improving the competency of infection control practice because it provides standardized practice and is tailored to Korean nursing homes.

국내 보건의료기관 기반 청소년 비만관리 프로그램 현황 - 만성질환 관리모형을 중심으로 - (Evaluation of Healthcare Organization Based Management Program in Korea - Using Chronic Care Model -)

  • 고든솔;최민재;홍석원;이선희;김영은;노진원
    • 한국병원경영학회지
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    • 제21권1호
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    • pp.14-31
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    • 2016
  • Obesity of adolescents causes mental and physical problems as well as social problems, which need prevention and management. Although a number of systematic reviews and meta-analyses on obesity programs for adolescents were conducted, there is no study evaluating the programs based on CCM(Chronic Care Model), an organizing framework for improving chronic illness care. This study was conducted to review the features of studies in obesity management programs and interventions of the selected studies were evaluated in terms of inclusion of components of the Chronic Care Model. 4 databases were searched for relevant studies in obesity management programs, which were published from 1994 to 2014 in Korea. Results were analyzed in a qualitative way. 14 studies were satisfied inclusion criteria. The interventions most frequently utilized the elements of self-management support(66.7%) and only 1 of the studies included more than three components of CCM. This study presents the direction of health policies about managements of metabolic syndrome, which means that we identified effective process of the obesity management programs for adolescents in Korea and also this study will be used as a basic information for the development of obesity management program.

Therapeutic potential of eccentric exercises for age-related muscle atrophy

  • Lim, Jae-Young
    • Integrative Medicine Research
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    • 제5권3호
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    • pp.176-181
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    • 2016
  • Recent studies have focused on evidence-based interventions to prevent mobility decline and enhance physical performance in older adults. Several modalities, in addition to traditional strengthening programs, have been designed to manage age-related functional decline more effectively. In this study, we reviewed the current relevant literatures to assess the therapeutic potential of eccentric exercises for age-related muscle atrophy (sarcopenia). Age-related changes in human skeletal muscle, and their relationship with physical performance, are discussed with reference to in vitro physiologic and human biomechanics studies. An overview of issues relevant to sarcopenia is provided in the context of the recent consensus on the diagnosis and management of the condition. A decline in mobility among the aging population is closely linked with changes in the muscle force-velocity relationship. Interventions based specifically on increasing velocity and eccentric strength can improve function more effectively compared with traditional strengthening programs. Eccentric strengthening programs are introduced as a specific method for improving both muscle force and velocity. To be more effective, exercise interventions for older adults should focus on enhancing the muscle force-velocity relationship. Exercises that can be performed easily, and that utilize eccentric strength (which is relatively spared during the aging process), are needed to improve both muscle force and velocity.

TV 오락 프로그램의 건강정보 실천에 미치는 영향에 관한 연구 (Study on the Influence of Health Information from TV - Amusement Programs on Practice of Health Behavior)

  • 박선희;장혜정;권영대
    • 보건교육건강증진학회지
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    • 제20권1호
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    • pp.187-202
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    • 2003
  • The conveyance of health information through mass media is becoming more popular, even through recreation at television programs. This study aims to investigate the influence of health related TV programs for recreation on a practice action of health behavior. In particular, the relationship between attitude, belief, and behavioral practice of the TV audience is explored. Data was collected from 200 respondents for two weeks in May, 2002. The results showed that the motive of the TV audience for watching TV recreation programs was either entertainment or fun. They satisfied with the programs in general. However, the rate of desirable health behavior practice after watching those programs was low. The degree of practice was significantly correlated with belief, satisfaction, and application possibility of the TV audience to the program. In addition, two personal factors such as gender and subjective evaluation of personal health status were significant in influencing health behavior. The appearance of experts on programs was the most important factor influencing the belief of an audience. This implies that audiences want to have the health information fulfilling scientific evidences. It is suggested that TV recreation programs would be beneficial to most audience members for in receiving important health information, only if recreation and interest factors in the program as well as the evidence-based health information and knowledge are successfully combined.