• Korean Journal of Occupational Health Nursing
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• v.23 no.4
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• pp.262-268
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• 2014

Purpose: This study was conducted to identify the differences by the stages of change in exercise behaviors of caregivers based on Transtheoretical Model. Methods: The subjects were consisted of randomly chosen 105 caregivers working in a nursing home. The collected data were analyzed with descriptive statistics, chi-square test, ANOVA and Duncan test using IBM SPSS Statistics 19. Results: The results showed that in the stages of exercise behaviors, there were most participants in contemplation stage with 24.7%, followed by 22.8% in preparation, 21.9% maintenance, 19.0% action and 11.4% pre-contemplation. As for the process of change by the stages of change in exercise behaviors, it showed statistically significant differences in behavioral strategies (F=7.64, p<.001). In decisional balance, pros (F=3.75, p=.007) showed statistical significance, with higher pros in all stages except pre-contemplation. Self-efficacy was also statistically significant (F=6.25, p<.001), especially in the maintenance stage. Conclusion: This study suggested that in order to encourage caregivers to exercise, a strategic intervention to reinforce the process of change, recognition of positive decision-making and promotion of self-efficacy in exercise behaviors should be developed.

• Women's Health Nursing
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• v.10 no.3
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• pp.218-225
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• 2004

Purpose: The study was performed to identify exercise self-efficacy, depression, and stress by the stage of change in exercise behavior in middle aged women. Method: The subjects consisted of 317 women residing in B city by convenience sampling. The collected data was analyzed by the SPSS/WIN program. Result: The subjects were distributed in each stage of exercise behavior change: There were 53 subjects in the pre-contemplation stage, 86 subjects in the contemplation stage, 88 subjects in the preparation stage, 51 subjects in the action stage and 39 subjects in the maintenance stage. Analysis of variance showed that exercise self-efficacy (F=39.9, p<.001), depression (F=5.58, p<.001), and stress (F=6.33, p<.001) were significantly associated with the stages of exercise behavior change. There was a significant negative correlation between the stage of change and depression, and the stage of change and stress, but a significant positive correlation between the stage of change and self- efficacy, depression and stress. Conclusion: This study identified that exercise self-efficacy, depression and stress were significant variables to explain a possible relationship with exercise stages of middle aged women. This study provides new information to influence the development of better health promotion and exercise intervention for middle aged women in the community.

• Journal of muscle and joint health
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• v.26 no.3
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• pp.232-240
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• 2019

Purpose: The purpose of this study was to investigate the effects of exercise intention, exercise habit, exercise self-efficacy on exercise behavior with elders at welfare center. Methods: The subjects were 152 elders at the welfare center at J city. Data were collected using the questionnaires which consisted of the Exercise intention scale and the Exercise habit scale developed by Lee and Gu (2018), and the Exercise self-efficacy scale developed by Lee and Chang (2001). The collected data were analyzed with the SPSS/WIN 22.0 program, which was used for frequency, percentage, mean, standard deviation, x² test, and multiple logistic regression. Results: The regular exercise group consisted of 92 elders (62.5%) and the irregular exercise group of 60 elders (39.5%). The scores for exercise intention, exercise habits, exercise self-efficacy were 3.28±0.70, 3.92±0.61, 2.80±0.88 in regular exercise group, and 2.38±0.99, 3.00±1.07, 2.04±0.73 in irregular exercise group, respectively. Two groups were significantly different between the two groups. Multiple logistic regression analysis showed that exercise intention (OR: 2.26, 95% CI:1.19~4.28), exercise habits (OR: 1.79, 95% CI:1.01~3.15), exercise self-efficacy (OR: 1.99, 95% CI:1.11~3.57) were affecting factors for regular exercise in elders. Conclusion: To increase the regular exercise behaviors of the elderly at the welfare center, it is needed the strategies to increase exercise intention, exercise self-efficacy, and exercise habits.

• Korean Journal of Health Education and Promotion
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• v.16 no.1
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• pp.127-135
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• 1999

The purpose of this study was to verify the effects of the developed exercise prescription program by utilizing PRECEDE(Predisposing, Reinforcing, and Enabling Causes in Educational Diagnosis and Evaluation} model on adult's knowledge related to health, attitudes, behaviors and serum lipoprotein values. This study employed 20 males(40-47 yrs) without any apparent physical defects, who did not experience such physical activities. They were divided into experimental groups and control groups, each group consisted of 10 subjects who performed Jogging. The experimental design of the study utilized “two-way ANOVA Design” conducted by the repeated measurement two time(pre and post-test). As the results of the data, the conclusions were as follows: 1. There were statistically significant effects of the health module exposed to the experimental groups on the higher means of knowledge score in the experimental groups than those in the control groups. 2. There were statistically significant effects of the module exposed to the experimental groups on the positive changes of their attitudes. 3. There were significant changes on the behaviors of the health by doing the health program. Therefore the developed health program formed the improved knowledge about the health and the desirable attitudes and behaviors. 4. There were statistically significant effects of the exercise prescription program exposed to the experimental groups on the reduction of the resting heart rate and systolic blood pressure. 5. There were statistically significant effects of the exercise prescription program exposed to the experimental groups on the positive changes of their plasma TC / HDL-C ratio and triglycerides.

• Korean Journal of Adult Nursing
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• v.15 no.2
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• pp.236-246
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• 2003

Purpose: The purpose of this study was to examine the differences of the process of change, decision making, self-efficacy and perception of subjective health according to the stages of exercise behaviors suggested by transtheoretical models among older adults. Method: The subjects consisted of 291 older adults. Trained research assistants interviewed the older adults using structured questionnaires. ANOVA analyses with post hoc test were used to examine the mean differences for each stage of exercise behavior using SPSS for windows. Result: The subjects were divided into five stages of exercise behavior: 24.4% precontemplation, 12.4% contemplation, 17.9% preparation, 12.4% action, 33.0% maintenance stage. There were significant differences in process of change, decision making, self-efficacy and subjective health perception according to the exercise stage of change. 'Self-liberation' and 'stimulus control' were important strategies for intention of exercise, while 'reinforcing management' for the actual practice of exercise. 'Self-efficacy' was an effective strategy to change older adults from pre-contemplation to preparation stage. Conclusion: For exercise intervention, older adults should be classified into groups according to their stages of exercise behaviors and provided effective individualized intervention depending on their stage.

• Journal of the Korean Society of School Health
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• v.32 no.3
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• pp.165-174
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• 2019

Purpose: The purpose of this study was to identify the influence of eHealth literacy on health promoting behaviors, thereby providing basic data for the development of interventions for health promoting behaviors among university students. Methods: Data were collected from 242 university students aged 19 and over in a university located in K province in South Korea. Participants responded to structured questionnaires in September 2018. eHealth literacy and health promoting behaviors were measured by eHealth Litaracy (EHL) and a translated version of the Health Promoting Lifestyle Profile (HPLP-II), respectively. The correlation between eHealth literacy and health promoting behaviors were analyzed using Pearson's correlation, and multiple regression analysis was carried out to examine the influence of eHealth literacy on health promoting behaviors. Results: The participants had a moderate level of eHealth literacy with the greatest score recorded in the sub-domain of functional eHealth literacy and the lowest in the sub-domain of critical eHealth literacy. Female students and students who majored in healthcare had higher levels of eHealth literacy than male students and those with non-healthcare majors. The degree of health promoting behaviors was moderate or lower with the highest score being in the sub-domain of interpersonal support and the lowest in the sub-domain of health responsibility. Health promoting behaviors had significant relationships with eHealth literacy, exercise hours, subjective health status, and health concerns. Multiple regression analyses revealed that the participants engaged more in health promoting behaviors when they had greater eHealth literacy (β=.18, p<.001), interest in their own health (β=.33, p<.001), exercise hours (β=.18~.23, p<.001), and subjective health status (β=.17~.18, p=.007~.031). Conclusion: In order to facilitate health promoting behaviors of university students, interventions for health promoting behaviors need to be developed including strategies to improve competencies relevant to critical eHealth literacy and to increase exercise hours.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.13 no.3
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• pp.409-418
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• 2006

Purpose: This study was done to identify the process of change, decisional balance and self-efficacy corresponding to stage of exercise behavior based on the Transtheoretical model in patients with chronic arthritis. Method: The participants were 151 patients with chronic arthritis using an out-patient pain clinic and hospital in C city. The collected data were analyzed using ANOVA, Sheffe test and discriminant analysis with SPSS/WIN. Results: The patients were distributed as follows for each stage of exercise behavior 21.8% in the precontemplation stage, 26.5% in the contemplation stage, 25.2% in the preparation stage, 7.3% in the action stage, and 19.2% in the maintenance stage. Significant effects for stage of change were found for nine of the 10 processes of change and Pros, Cons, self-efficacy. Scores on these variables were found to increase across the stage of exercise behaviors from precontemplation to maintenance. Discriminant analysis revealed that self-efficacy and stimulus control, and reinforcement management were the major correlates of the stage of exercise behaviors. Conclusion: The findings of this study give useful information for exercise intervention, by using strategies of exercise for chronic arthritis patients in different stages of exercise behavior.

• Women's Health Nursing
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• v.19 no.1
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• pp.57-65
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• 2013

Purpose: This study identified the effects of body weight control behaviors on bone mineral density (BMD) in Korean women aged 20 to 39 years. Methods: A secondary analysis of the 5th Korean National Health and Nutrition Examination Survey was conducted. Asian-Pacific criteria of BMI (Body Mass Index) and BMD were calculated for 1,026 women selected. The effects of body weight control behaviors were assessed using binary multiple logistic regression analysis while controlling for BMI. Results: Osteopenia and osteoporosis rates were 32.8% and 2.0%, respectively. About 69% of women performed weight control behaviors, and a combination of diet/exercise (22.7%) and drug added methods (10.9%) for weight control. Women who performed both diet control and exercise had a lower possibility to have abnormal BMD than those who did not try weight control (OR=0.67, CI=0.45~0.98, p=.039). Further weight control behaviors did not influence abnormal BMD. Conclusion: Body weight control should include proper diet and exercise in accordance with each woman's BMI level.

• Korean Journal of Adult Nursing
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• v.14 no.3
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• pp.348-358
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• 2002

Purpose: The purpose of this study was to identify the factors influencing regular exercise of the elderly in discriminating regular exercise and non - regular exercise groups. Method: The subjects of this study were 167 elderly over the age of 60, living in a rural city in Korea. The data was collected by interview and self report questionnaire in 1999. The Cronbach 's alpha of scales used this study were .66 ~.97. Result: 1. There were significant differences in doing regular exercise between the perceived importance of the health(p=021), the perceived health status(p=.050), the perceived need of the exercise(p=000), the perceived importance of the exercise(p=.000), the intent of participation in the exercise program(p=.000), IADL score(p=.022), the perceived benefits of exercise (p=.000), the emotion of exercise(p=.000), HPLP(p=.000), the self efficacy(p=.001), the perceived benefits of health promoting behaviors(p= .011), the perceived barriers of the health promoting behaviors(p=.002), and the Internal locus of control(p=.021) of the elderly. 2. Variables which showed significance for discriminating regular exercise of the elderly in this study were the perceived need of the exercise(p=.000) and the perceived benefits of the exercise(p=.000). By using the combination of these variables, the possibility of proper prediction for predicting regular exercise group was 84.8 %, non - regular exercise group was 93.9%, and total Hit ratio was 89.4%. Conclusion: To improve exercise behavior in older adults, health care providers should focus of developing interventions to strengthen the perceived benefits, the perceived needs of the exercise.

• Journal of Korean society of Dental Hygiene
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• v.13 no.5
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• pp.863-871
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• 2013

Objectives : The purpose of this study is to investigate factors influencing on health promotion behaviors in public health course of college students. Methods : Subjects were 325 dental hygiene students and they completed self-reported questionnaires including health promotion behaviors, self efficacy, self esteem, and general characteristics from May 13 to 24, 2013. Students were recruited by sample convenience extraction. Data were analyzed using SPSS version 18.0 for descriptive statistics, t-test, one way ANOVA and multiple regression analysis. Results : Health promotion behaviors were closely related to concern for health care (p<0.001) and concern for health related goods (p<0.01). High self-efficacy and high self-esteem showed concern for health care (p<0.001). 2. Health promotion behaviors had significantly positive correlation with self efficacy, self esteem, and perceived health condition. 3. The most powerful predictor in health promotion behaviors was self efficacy. Self efficacy, self esteem, and major, concern for health-related goods, perceived health condition accounted for 40.8% of the total variance in health promotion behaviors. Conclusions : The result revealed that undergraduate students should take exercise and diet control for their health. Self-efficacy is the most important predictor of health promotion behaviors. Health promotion behavior programs should put emphasis on exercise and diet control and can be improved by behavioral change.