• Title/Summary/Keyword: internal health locus of control

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A Study on the Industrial Workers' Health Promoting Behavior (산업장 근로자의 건강증진 행위)

  • Kim Hyun-Li;Jeong Hyun-Sook;Cho Young-Chae
    • Journal of Korean Public Health Nursing
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    • v.11 no.2
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    • pp.171-179
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    • 1997
  • The purpose of this study was to identify the major factors affecting performance of health promoting behavior and Pender's health promotion model was examined. The subjects were 508 workers employed in 4 manufacturing industries, data was collected from May 19th to 24th, 1997 using questionaires and it was used convenient sampling method. Data were analyzed by SPSS Win 6.1 program. The results of this study were as follows 1. The average score of health promoting behavior was 2.47. 2. The Health promoting behavior in the relationships between health promoting behavior and demographic factors, there is statistically significant difference in age(F=2.56, P=.0378), religion(F=6.34, P=.0001), working type(F=4.56, P=.0036)variables. 3. The performance score of health promoting behavior was statistically positively correlated with Definition of health(r=.2471. P=.000), Self-efficacy(r=.1385, P=.002), Internal health locus of control(r=.126, P=.000), External health locus of control(r=.2550, P=.000), Chance health locus of control(r=.3023, P=.000), but negatively with Perceived health status(r=-.2076, P=.000). 4. The major factors were Chance health locus of control. Definition of health, working hours, self-efficacy, External health locus of control. and explained for $39.58\%$ of Health promoting behavior performance score.

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A Study on the Relationship Between Health Protective Behavior and Health Locus of Control (예방적 건강행위와 건강통제위 성격 성향과의 관계에 대한 연구)

  • 김정희
    • Journal of Korean Academy of Nursing
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    • v.15 no.2
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    • pp.49-61
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    • 1985
  • It is assumed that the more society advances in its complexity and development, the more people pay attention to their health and accordingly the more people tend to practice health protective behavior. Most of human behavior is based on social inter-actions. The concept in Locus of Control has been developed from social learning theory to help better understanding the social phenomena affecting human behavior. Multidimensional Health Locus of Control is consisted of three dimensions: Internal, Powerful Others and Chance. This study was conducted to find out the health protective behavior patterns of the people and its relationship with Health Locus of Control as an influencing factor to their behavior. All the subjects in this study were the ones of the bank employees in Seoul, Among the total of 1,430 bank employees, 761 were chosen as a sampled subjects. Questionnair survey was conducted from March 4 to March 13, 1985. Research instruments used in this study were two kinds, one was the Health Locus of Control Scale developed by Wallston & Wallston and the other was the Measuring Scale for Health Protective Behavior developed by the investigator. Analysis of data was done by using Descriptive Statistics, X²-test, t-test, ANOVA, Pearson's correlation coefficient. The results of this study are summarized as follows: The mean score of Internal was 24.1, Powerful others was 19.7 and Chance was 15.3 out of maximum range of 6-30 respectively. The mean score of Health Protective Behavior Scale fell as 53.2 out of a maximum range of 18-90. Internals were more likely closely related with sex, educational levels and religion, Powerful others were related with age, educational levels and the number of family members. Chances were related with edu cational levels. The older the subjects were, the more concerned about their health. They tended to practice more favorable health protective behaviors. Furthermore, married people tended to fay more attention to their health than single individuals. Also, the number of family members and religion affected their attitudes in the health protective behavior patterns. Internals and Powerful Others were related with health protective behaviors. If one believes he can do something about his health and others play a significant role on his health, he is more apt protective patterns more suitable for health and actually shows that he is better off.

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Health Locus of Control and Compliance of Treatment in Acute Coronary Syndrome Patients after Percutaneous Coronary Intervention (관상동맥중재술을 받은 급성관동맥증후군 환자의 건강통제위 및 치료지시이행)

  • Shin, Su-Jin
    • Korean Journal of Adult Nursing
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    • v.20 no.6
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    • pp.829-838
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    • 2008
  • Purpose: The purpose of this study was to explore the differences of health locus of control and treatment compliance according to general characteristics and severity in acute coronary syndrome(ACS) patients after percutaneous coronary intervention. Methods: This descriptive study was conducted with a convenient sample of 103 ACS patients. The dependent variables were measured by the scales for the Multidimensional Health Locus of Control and the Treatment Compliance. The collected data were analyzed by the Fisher's exact test, Chi-square and t-tests, and ANOVA using the SPSS program. Results: Pre-interventional severity was significantly different between men and women. In terms of internal health locus of control, there was a significant difference according to gender, educational status, economic status, and severity. The level of medication compliance was the lowest among the sub-scales of treatment compliance. Conclusion: These findings suggest that clinical nurses should evaluate the general characteristics and severity of the patients with ACS for providing tailored nursing interventions.

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A Study of Factors Influencing Health Perception in the Elderly (노인의 건강지각에 영향을 미치는 요인에 관한 연구)

  • Lee, Young-Hee;Choi, Soo-Jeong
    • Journal of Korean Academy of Nursing
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    • v.30 no.4
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    • pp.880-892
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    • 2000
  • The purpose of this study was to investigate the factors influencing health perception in the elderly, to provide the basic data for health behavior program and nursing intervention. The subjects of this study were 240 elderly person over the age 60, living in Seoul and Kangnung. They were conveniently sampled for this study and the data was collected from June 1999 to September 1999. The instruments for this study were the Health Perception Questionaire developed by Ware(1979), the OARS Functional Assessment Questionaire (Duke University 1978), and Multidimensional Health Locus of Control by Wallston, Wallston, and De Vills(1978). The data were analyzed by using SPSS Win computer Program. The results are as follows; 1. The total mean score of the health perception was 52.02(S.D=${\pm}$7.07) in a range of 33 to 69, and the mean score of the functional status was 27.02 (SD=${\pm}$2.75) in a range of zero to 28 and the mean score of the health locus of control was 65.66(S.D=${\pm}$8.68) in a range of 43 to 90. And The mean scores on the HLOC subscales were HLOC-I: 23.73${\pm}$4.56 (range: 6-30), HLOC-P: 23.07${\pm}$4.74 (range: 6-30), HLOC-C: 18.55${\pm}$4.03 (range: 11-30). 2. There was a significant positive correlation between health perception and functional status(r=.216, p=.001), and health perception and the health locus of control(HLOC) were not correlated at the level of statistical significance. However, the HLOC-I and health perception were correlated positively(r=.328, p=.000), and the HLOC-P were correlated negatively (r=-.129, p=.046). 3. There was a significant difference statistically in the degree of health perception according to the age(F=3.351, p=.002), spouse(t=2.232, p=.021), education level(F=7.373, p=.001), disease(t=3.639, p=.000), group activity (t=2.458, p=.015). drink(t=2.327, p=.021). 4. Stepwise multiple regression analysis revealed that the most powerful predictor of health perception was internal health locus of control. A combination of HOLC-I, functional status, HLOC-P, group activity explained 17.9% of the variance for health perception in the elderly. In conclusion, the results of this study show that internal health locus of control factor is very important in explaining the health perception for the elderly. Therefore, it will be considered internal health locus of control factor in nursing intervention and program in order to enforce the health behavior for elderly people .

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A Structural Model for Health Promotion on $6^{th}$ Grade Elementary School Students in Korea (초등학교 고학년 아동의 건강증진행위 구조모형)

  • Hong, Yeon-Ran
    • Research in Community and Public Health Nursing
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    • v.17 no.1
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    • pp.102-111
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    • 2006
  • Purpose: This study was designed to test and develop a structural model that explains health promotion behaviors of elementary school students in Korea. Method: Data were collected using questionnaires from 329 6th-grade elementary school students in a city. The data were analyzed using LISREL 8.0 program. Result: Health promoting behaviors were directly affected by some of predictive factors particularly self-efficacy, self-esteem, perceived health status, importance of health and internal locus of control. These predictive variables of health promotion behaviors explained 67% of the total variance in the model. Life satisfaction was directly affected by self-efficacy, health promotion behaviors, self-esteem, importance of health, internal locus of control and perceived health status. Powerful other locus of control was identified as an important variable that contributed indirectly to the improvement of life satisfaction through enhancing health promoting behaviors. These predictive variables of life satisfaction explained 46% of the total variance in the model. Conclusion: The derived model in this study is considered appropriate in predicting health promotion behaviors and life satisfaction in elementary school students in Korea. Also it can be used effectively as a reference model for further study, and it is suggest that this study be used to set the direction of health promoting education.

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Determinants of Health-Promoting Behavior in the Elderly (노인의 건강증진행위와 관련된 변인에 관한 연구)

  • Kim Hyo-Jung;Park Young-Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.4 no.2
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    • pp.283-300
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    • 1997
  • This study was undertaken to grasp health-promoting behavior of the elderly and to identify variables related to them in order to facilitate nursing intervention for health promotion of this population. The subjects for this study were 291 old persons obtained by cluster sampling from twenty general social welfare centers located in Tague. Data were collected by self-reported questionnaires from August 13 to September 13, 1996. Questionnaires were developed based on Sherer and others' Self-Efficacy scale, Rosenberg's Self-Esteem scale, Wallston and other's Multidimensional Health Locus of Control scale, Northern illinois University's Helath Self Rating Scale, Walker and others' Health Promotion Lifestyles Profile. Analysis of the data was done by use of descriptive statistics, stepwise multiple regression, Pearson Correlation Coefficient, MANOVA, t-test, and ANOVA. The results were summarized as follows : 1. For the practice of health-promoting behavior, the mean score was 2.89 and range was 3.59 to 2.09. The factor of the highest mean score was regular diet(M=3.42) and factor of the lowest mean score as stress management(M=2.27). 2. The combination of self-efficacy, internal health locus of control, family number, and average monthly pocket money explained 30.0% of the variance of health-promoting behavior. 3. With regard to the relationship between health-promoting behavior and cognitive perceptual factor, self-efficacy correlated positively with health-promoting behavior(r=.4951, P=.0001), self-esteem correlated positively(r=.3263, P=.0001), internal health locus of control correlated positively(r=.3244, P=.0001), perceived health status correlated positively(r=.1355, P=.0274). 4. According to age(F=2.50, P=.0431), sex(t=2.14, P=.0332), marital status(F=7.85, P=.0005), education(F=5.44, P=.0003), family number(F=11.18, P=.0001), people living together(F=7.21, P=.0009), previous occupation(F=5.83, P=.0001), average monthly pocket money(F=7.27, P=.0001), there were differences of health-promoting behavior. The above findings show that health-promoting behavior are related to demographic characteristics, four cognitive perceptual factors(self-efficacy, self-esteem, internal health locus of control, perceived health status). On the basis of the above findings the following recommendations are made ; 1. Nursing interventions enhancing exercise or activity, accountability for health, stress management of the elderly must be provided. 2. Nursing strategies enhancing self-efficacy which is most significant effect on health-promoting behavior must be developed.

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Related Factors in Health Promotion Behavior by Gender among College Students (성별에 따른 일부 대학생의 건강증진 행위 관련요인)

  • Chung, Young-Hae;Seo, Nam-Sook;Moon, So-Hyun
    • The Journal of Korean Society for School & Community Health Education
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    • v.12 no.2
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    • pp.29-42
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    • 2011
  • Objectives: This is an explanatory correlational study to assess the level of and the relationship of the related factors of health promotion behavior by gender among college students. Methods: Subjects were 950 of the freshmen of the year 2010 at a university in a city adjacent to a metropolis, in S. Korea. Data were collected from the freshmen who understood the purpose of the study and agreed to participate during a freshmen core course using a structured questionnaire. Related factors include active- and passive-self efficacy, internal health locus of control, and social support. Related factors were compared between male and female using t-test and the relationship between the related factors and the health promotion behavior was analyzed separately for each sex, by multiple regression analysis using SPSS 12.0. Results: There were differences in the related factors of BMI between male and female students. They were alcohol behavior and perceived health status among female students while smoking status, alcohol behavior, perceived health status, and BMI among male students. Result from the multiple regression analysis revealed difference in the related factors and in the magnitude of the relationship evaluated by the standardized beta coefficients. Significant factors, listed by the magnitude of beta coefficients, among female were social support, active self efficacy, passive self efficacy, internal health locus of control, and alcohol behavior. Significant factors among male students were social support, active self efficacy, smoking, internal health locus of control, passive self efficacy, and perceived health status. Conclusions: There are gender difference in health promotion behavior and the related factors. The results suggest that the gender differences need to be considered when planning health promotion programs in college. Further research is necessary in order to draw consensus on roles of the related factors of health promotion behavior.

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A Model for Health Promoting Behaviors in Late-middle Aged Woman (중년후기 여성의 건강증진행위 모형구축)

  • Park, Chai-Soon
    • Women's Health Nursing
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    • v.2 no.2
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    • pp.298-331
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    • 1996
  • Recent improvements in living standard and development in medical care led to an increased interest in life expectancy and personal health, and also led to a more demand for higher quality of life. Thus, the problem of women's health draw a fresh interest nowadays. Since late-middle aged women experience various physical and socio-psychological changes and tend to have chronic illnesses, these women have to take initiatives for their health control by realizing their own responsibility. The basic elements for a healthy life of these women are understanding of their physical and psychological changes and acceptance of these changes. Health promoting behaviors of an individual or a group are actions toward increasing the level of well-being and self-actualization, and are affected by various variables. In Pender's health promoting model, variables are categorized into cognitive factors(individual perceptions), modifying factors, and variables affecting the likelihood for actions, and the model assumes the health promoting behaviors are affected by cognitive factors which are again affected by demographic factors. Since Pender's model was proposed based on a tool broad conceptual frame, many studies done afterwards have included only a limited number of variables of Pender's model. Furthermore, Pender's model did not precisely explain the possibilities of direct and indirect paths effects. The objectives of this study are to evaluate Pender's model and thus propose a model that explains health promoting behaviors among late-middle aged women in order to facilitate nursing intervention for this group of population. The hypothetical model was developed based on the Pender's health promoting model and the findings from past studies on women's health. Data were collected by self-reported questionnaires from 417 women living in Seoul, between July and November 1994. Questionnaires were developed based on instruments of Walker and others' health promotion lifestyle profile, Wallston and others' multidimensional health locus of control, Maoz's menopausal symptom check list and Speake and others' health self-rating scale. IN addition, items measuring self-efficacy were made by the present author based on past studies. In a pretest, the questionnaire items were reliable with Cronbach's alpha ranging from .786 to .934. The models for health promoting behaviors were tested by using structural equation modelling technique with LISREL 7.20. The results were summarized as follows : 1. The overall fit of the hypothetical model to the data was good (chi-square=4.42, df=5, p=.490, GFI=.995, AGFI=.962, RMSR=.024). 2. Paths of the model were modified by considering both its theoretical implication and statistical significance of the parameter estimates. Compared to the hypothetical model, the revised model has become parsimonious and had a better fit to the data (chi-square =4.55, df=6, p=.602, GFI=.995, AGFI=.967, RMSR=.024). 3. The results of statistical testing were as follows : 1) Family function internal health locus of control, self-efficacy, and education level exerted significant effects on health promoting behaviors(${\gamma}_{43}$=.272, T=3.714; ${\beta}_[41}$=.211, T=2.797; ${\beta}_{42}$=.199, T=2.717; ${\gamma}_{41}$=.136, T=1.986). The effect of economic status, physical menopausal symptoms, and perceived health status on health promoting behavior were insignificant(${\gamma}_{42}$=.095, T=1.456; ${\gamma}_{44}$=.101, T=1.143; ${\gamma}_{43}$=.082, T=.967). 2) Family function had a significance direct effect on internal health locus of control (${\gamma}_{13}$=.307, T=3.784). The direct effect of education level on internal health locus of control was insignificant(${\gamma}_{11}$=-.006, T=-.081). 3) The directs effects of family functions & internal health locus of control on self-efficacy were significant(${\gamma}_{23}$=.208, T=2.607; ${\beta}_{21}$=.191, T=2.2693). But education level and economic status did not exert a significant effect on self-efficacy(${\gamma}_{21}$=.137, T=1.814; ${\beta}_{22}$=.137, T=1.814; ${\gamma}_{22}$=.112, T=1.499). 4) Education level had a direct and positive effect on perceived health status, but physical menopausal symptoms had a negative effect on perceived health status and these effects were all significant(${\gamma}_{31}$=.171, T=2.496; ${\gamma}_{34}$=.524, T=-7.120). Internal health locus and self-efficacy had an insignificant direct effect on perceived health status(${\beta}_{31}$=.028, T=.363; ${\beta}_{32}$=.041, T=.557). 5) All predictive variables of health promoting behaviors explained 51.8% of the total variance in the model. The above findings show that health promoting behaviors are explained by personal, environmental and perceptual factors : family function, internal health locus of control, self-efficacy, and education level had stronger effects on health promoting behaviors than predictors in the model. A significant effect of family function on health promoting behaviors reflects an important role of the Korean late-middle aged women in family relationships. Therefore, health professionals first need to have a proper evaluation of family function in order to reflect the family function style into nursing interventions and development of strategies. These interventions and strategies will enhance internal health locus of control and self-efficacy for promoting health behaviors. Possible strategies include management of health promoting programs, use of a health information booklets, and individual health counseling, which will enhance internal health locus of control and self-efficacy of the late-middle aged women by making them aware of health responsibilities and value for oneself. In this study, an insignificant effect of physical menopausal symptoms and perceived health status on health promoting behaviors implies that they are not motive factors for health promoting behaviors. Further analytic researches are required to clarify the influence of physical menopausal symptoms and perceived health status on health promoting behaviors with-middle aged women.

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A Study of the Health promoting lifestyle of Industrial workers (건강증진 생활양식에 영향을 미치는 변인분석 -산업장 근로자를 대상으로-)

  • Oh, Yun-Jung
    • Research in Community and Public Health Nursing
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    • v.10 no.2
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    • pp.307-319
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    • 1999
  • The purpose of this study was to identify the major factors affecting performance in health promoting lifestyle of industrial workers. The subjects for this study 241 workers employed in S company in T city and were obtained by a convenience sample. Data were collected from March 2 to April 28. 1998. The collected data were analyzed using frequency. percent. mean. cronbach alpha. t-test. ANOVA. Person coefficients of correlation. Duncan test. stepwise multiple regression with an SPSS program. The results of this are summarized as follows. 1) The average score of performance in the health promoting lifestyle was 2.62. The variable with the highest degree of performance was harmonious relationship. whereas the one with the lowest degree was professional health maintenance. 2) Performance in the health promoting lifestyle was significantly correlated with self esteem, internal health locus of control and powerful others health locus of control. 3) Performance in the health promoting lifestyle was significantly correlated with such demographic variables as age. religion, education level. marital state. family number. types of dwelling. 4) The most important factor that affect performance in the health promoting lifestyle was powerful others health locus of control and self esteem. On the basis of this study. other factors affecting others health promoting lifestyle should be identified.

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Coping Patterns in Chronic Low Back Pain : Relationship with Locus of Control and Self-Efficacy (만성 요통 환자의 대처 유형과 건강 통제위, 자기효능감과의 관계)

  • Kim, In-Ja;Lee, Eun-Ok
    • Journal of muscle and joint health
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    • v.2 no.1
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    • pp.1-16
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    • 1995
  • Coping patterns were investigated in a sample of 126 patients with chronic low back pain by means of self-reported questionnaire. Based on the previous researches, coping pat terns were divided into the active cognitive coping, the active behavioral coping, the passive cognitive coping, and the passive behavioral coping. While all the above coping patterns were used, the passive behavioral coping was found to be used most frequently. Six subgroups were identified by cluster analytic procedure using their scores of the coping scale : active cognitive coper, general active coper, passive behavioral coper, general passive coper, multidimensional coper, and multi dimensional non-coper. Six subgroups were compared regarding locus of control, self-efficacy, pain and demographic variables. Distinct differences appeared among subgroups in internal locus of control, self-efficacy, and pain. General active coper and active cognitive coper had higher internal locus of control, higher self-efficacy, and lower pain. General passive coper and multidimensional non-coper had lower internal locus of control, lower self-efficacy, and higher pain. Passive behavioral coper had higher internal locus of control, lower self-efficacy, and higher pain. It supports the concept of learned helplessness due to prior experiences. Multi dimensional coper had higher internal, higher powerful others, and higher self-efficacy. So it corresponds to 'believer in control' group Identified by Wallston et at(1982). Unexpectedly this group also complained more pain. It could be interpreted in two ways. The more coping methods they use, the more they complain pain ; which is the result of Folkman et al (1986). Or they might be typical 'yea sayers'. These unique groups-passive behavioral coper and multidimensional coper-identified by this study supports the suggestion of Wallston et al(1982), about locus of control : individual's pattern of responses across the three scales may be more predictive than his or her scores on each of the scale seperately. The fact that passive coping was used more than active coping also suggests that self controlled active co ping is encouraged to chronic patients as well as acute patients. And it is necessary to articulate the coping scale and self-efficacy scale. It is also necessary to study the relationship of coping and adjustment by experimental design.

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