• Research in Community and Public Health Nursing
• /
• v.33 no.1
• /
• pp.53-62
• /
• 2022

Purpose: This study explored the effects of the elderly group's digital literacy and health empowerment on communication with doctors, considering moderating effect of health beliefs about chronic diseases. Methods: A one-on-one interview survey was conducted with 500 older adults in South Korea. The main variables were digital literacy, health empowerment, communication with doctors, and health belief of chronic diseases. Results: The interaction effect between health empowerment and susceptibility, and health empowerment and perceived barrier were significant. Conclusion: Communication with doctors greatly increased when the elders had high levels of health empowerment and low levels of susceptibility. Also, communication with doctors greatly increased when the elders had high levels of health empowerment and low levels of perceived barriers.

• Journal of Korean Public Health Nursing
• /
• v.26 no.3
• /
• pp.491-503
• /
• 2012

Purpose: The purpose of this study was to measure empowerment and to identify factors influencing empowerment. Method: Subjects included 767 clients registered with the customized home visiting health services in Daegu. Data collection was performed from June 3 to July 30, 2011. Descriptive statistics, ${\chi}^2$ test, ANOVA, and stepwise multiple regression were used in this study. Results: The mean score for total empowerment was 3.01(${\pm}0.28$). In subscales of total empowerment, the score for individual empowerment was 2.97(${\pm}0.36$), the score for interpersonal relationship empowerment was 3.09(${\pm}0.34$), and the score for political-social empowerment was 2.96(${\pm}0.48$). Job, education, economic status, living arrangement, and client classification were significant factors related to total empowerment in these clients. Job, education, economic status, types of health insurance, living arrangement, age, and client classification were significant factors related to individual empowerment, interpersonal relationship empowerment and political-social empowerment. 4.4 percent of the variance in total empowerment can be explained by education and living arrangement (Cum $R^2=0.044$, F=13.207, p<.001). Individual empowerment, interpersonal relationship empowerment, and political-social empowerment can be explained by education, job, economic status, and living arrangement. Conclusion: An empowerment intervention that includes general characteristics of clients is essential to improving empowerment of customized home visiting health care services beneficiaries.

• Research in Community and Public Health Nursing
• /
• v.28 no.4
• /
• pp.410-420
• /
• 2017

Purpose: This study was to identify factors explaining health empowerment of older adults with high-risk of cardio-cerebrovascular diseases. Methods: Using a structured questionnaire, data were collected from 148 older adults residing in two areas who have one or more of the following diseases; hypertension, diabetes mellitus, hyperlipidemia, and atherosclerosis. Data were analyzed using descriptive statistics, independent t-test, analysis of variance (ANOVA), Pearson correlation analysis, and hierarchical multiple regression. Results: Health empowerment had a positive correlation with health literacy and social support. Perceived health status and social activity participation showed significant contribution in explaining health empowerment. Conclusion: This study showed that enhancing perceived health status and social activity participation are vital in an effort to improve health empowerment of the population. Main findings of this study can contribute to developing health empowerment interventions to improve health behavior practices of the older adults.

• Research in Community and Public Health Nursing
• /
• v.29 no.3
• /
• pp.335-348
• /
• 2018

Purpose: This study has been conducted to develop and examine a health promotion empowerment program using a lay health leader for frail elderly. Methods: The research was organized in a nonequivalent control group pre-post test design. Data collection was performed from August 18 to October 8, 2015. The subjects included 76 frail elders aged over 65 registered in home visiting services (Experimental group=39, Control group=37). A health promotion empowerment program using a resident volunteer as a lay health leader was run for 8 weeks. Health factors (health promotion behavior, perceived health status and frailty) and empowerment factors (empowerment, social participation) were assessed. The data were analyzed by using the SPSS/WIN 18.0 program. Results: After the program, health promotion behavior, perceived health status and social participation increased in the experimental group more significantly than in the control group, but frailty decreased in the experimental group greater than in the control group. Conclusion: The health promotion empowerment program using a resident volunteer as a lay health leader was effective. Therefore, the health promotion empowerment program needs to be expanded to other frail elders. Also, a health leader should be recommended as a public health resource and systematically managed.

• Journal of the Korean Society of School Health
• /
• v.18 no.2
• /
• pp.105-119
• /
• 2005

Purposes： This study was to examine the effects of empowerment education programs on empowerment and mental health in high school students. Methods： This study involved a nonequivalent control group pre-test and post-test design. The subjects for this study consisted of 421 high school students who attended two general high schools in Busan. The 211 students in the experimental group received empowerment education training, while the 210 students in the control group did not. The data were collected from March 2, 2004 to July 20, 2004. The empowerment education program consisted of 17 separate 50-minute sessions. The questionnire was developedby authors and revised it based on experts' advice. SPSS 11.0 program was used to analyze the data. Chi-square test and t-test were used to test the homogeneity of general characteristics and dependent variables. Student's t-test was used to evaluate the differences between the experimental group and control group after the treatment. Results： Just as we hypothesized, the experimental group exhibited higher empowerment scores than the control group. For subcategory, Score of self-efficacy and self-esteem increased significantly in the experimental group compared to the control group. However, the score of decision-making ability did not increase significantly. The data failed to support our second hypothesis that the experimental group would have higher mental health scores than the control group. Although the score of self-scale increased significantly in the experimental group compared to the control group, the score of social-support and psychopathology did not. Conclusions： Empowerment education programs are effective for empowerment of high school students. However, such training is effective only for promoting the self scale but not overall mental health. Thus, we suggest the application of the empowerment education program to make high school students aware of their abilities. Furthermore, we suggest the implementation of mental health programs to supplement such empowerment education programs.

• Journal of Korean Clinical Health Science
• /
• v.4 no.1
• /
• pp.532-541
• /
• 2016

Purpose. The purpose of this study was to investigate the relationship between nursing professionalism, self-leadership, and empowerment in nursing students. Methods. The participants were 226 nursing students. Data collected from November to December 2015 were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients. Results. The mean scores for nursing professionalism ($3.03{\pm}0.41$), self-leadership($3.04{\pm}0.35$), and empowerment($3.13{\pm}0.46$) were above average. nursing professionalism was significantly different according to health concern motivating for nursing. self leadership was significantly different according to grade, religion. empowerment was significantly different according to grade, health concern motivating for nursing. Significant correlations were found between nursing professionalism and self-leadership, nursing professionalism and Empowerment. Conclusions. The results indicate that there is a need to improve nursing professionlism, self leadership, and Empowerment. The above mentioned results should be reflected in the development of effective teaching methods for nursing education program.

• The Korean Journal of Emergency Medical Services
• /
• v.20 no.1
• /
• pp.17-30
• /
• 2016

Purpose: This study investigated factors related to empowerment of paramedic students. Methods: A total of 208 students in the department of emergency medical services who experienced clinical practice at 5 universities were selected by convenience sampling methods. Differences in empowerment by general and major-related characteristics were evaluated using a t-test and analysis of variance. The association between satisfaction with clinical practice and empowerment was tested using correlation coefficients. Multiple linear regression analysis was performed to investigate the factors associated with empowerment. Results: The levels of overall satisfaction with clinical practice and empowerment were 107.48 and 99.46, respectively. In simple analysis, empowerment level was associated with general characteristics, major-related characteristics, characteristics of clinical practice, and satisfaction with clinical practice. Empowerment level was significantly higher in older subjects (${\beta}=5.282$, p = .023), subjects with very good (${\beta}=8.487$, p = .002) or fair (${\beta}=4.879$, p = .010) subjective health status, and high subjective school record (${\beta}=5.837$, p = .008) in multiple linear regression analysis. Satisfaction with clinical practice was positively associated with empowerment (${\beta}=0.250$, p < .001). Conclusion: Empowerment was associated with major-related factors and satisfaction with clinical practice. Increased satisfaction with clinical practice could positively influence empowerment for paramedic students.

• Journal of Preventive Medicine and Public Health
• /
• v.55 no.2
• /
• pp.193-204
• /
• 2022

Objectives: The primary objective of this study was to examine the effect of women's empowerment on the immunization of Indonesian children. The secondary objective was to examine the effect of wealth as a factor modifying this association. Methods: We utilized data from the 2017 Indonesian Demographic and Health Survey (IDHS). The subjects were married women with children aged 12-23 months (n=3532). Complete immunization was defined using the 2017 IDHS definition. Multiple components of women's empowerment were measured: enabling resources, decision-making involvement, and attitude toward intimate partner violence. The primary analysis was conducted using binomial logistic regression. Model 1 represented only the indicators of women's empowerment and model 2 controlled for socio-demographic variables. Subgroup analyses were conducted for each wealth group. Results: The primary analysis using model 1 identified several empowerment indicators that facilitated complete immunization. The analysis using model 2 found that maternal education and involvement in decision-making processes facilitated complete immunization in children. Subgroup analyses identified that wealth had a modifying effect. The indicators of women's empowerment were strong determinants of complete immunization in lower wealth quintiles but insignificant in middle-income and higher-income quintiles. Conclusions: To our knowledge, this study is the first to explore women's empowerment as a determinant of child immunization in Indonesia. The results indicate that women's empowerment must be considered in Indonesia's child immunization program. Women's empowerment was not found to be a determinant in higher wealth quintiles, which led us to rethink the conceptual framework of the effect of women's empowerment on health outcomes.

• Journal of Korean Clinical Nursing Research
• /
• v.24 no.3
• /
• pp.293-302
• /
• 2018

Purpose: The purpose of this descriptive study was to identify the influence of health literacy and health empowerment on health behavior practice in elderly patients with coronary artery disease. Methods: 239 elderly outpatients older than 65 years of age were included. The data were analyzed with descriptive statistics including independent t-test, ANOVA, and hierarchical regression. Results: Major factors having a significant impact on health behavior practice were health literacy (${\beta}=.26$, p<.001) and health empowerment (${\beta}=.32$, p<.001). Health literacy was increased by 4.7% after controlling for general and health-related characteristics. Health empowerment increased by 5.9% after controlling for general and health-related characteristics, and health literacy. The two variables explained 35% of the variance in health behavior practice (F=7.74, p<.001). Conclusion: The main findings of this study can be utilized as the foundation for developing programs to promote health empowerment and health behavior practice of the elderly population. Furthermore, the results of the study can also be used to establish health-related strategies.

• Journal of Korean Academy of Nursing
• /
• v.52 no.1
• /
• pp.80-91
• /
• 2022

Purpose: This study developed an instrument to evaluate the health empowerment of North Korean women refugees and examined its validity and reliability. Methods: Through literature review and focused group interviews, 66 preliminary items with three constructs, including perceived control, perceived competence, and goal internalization were selected based on Menon's psychological health empowerment model. A questionnaire survey was conducted with 239 North Korean women refugees in the community from August 31 to September 4, 2020. Content, construct, convergent, and discriminative validity were evaluated. Cronbach's α was used to evaluate the reliability of scale. Results: The final instrument consisted of 31 items with three factors that were identified through confirmatory factor analysis. The convergent validity showed that the correlation coefficient was .52 (p < .001), which confirmed the validity of the developed measurement tool. Cronbach's α for all the items was .94, and Cronbach's α for the factors was .76~.91. Conclusion: This health empowerment scale has been developed to include aspects of health empowerment, provide a conceptual framework, and offer objective indicators to evaluate the effectiveness of a health education program.