• 제목/요약/키워드: intervention analysis

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임상영양서비스의 효과성 평가 : 체계적 검토와 메타분석을 통하여 (Effectiveness of Nutrition Intervention : Systematic Review & Meta-Analysis)

  • 이해영;김현아;양일선;남정모;박은철
    • 대한지역사회영양학회지
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    • 제9권1호
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    • pp.81-89
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    • 2004
  • A systematic review and meta-analysis of the literatures was conducted to evaluate the effectiveness of nutrition intervention by dietitian. The 31 studies that were all randomized controlled trials, were identified from computerized search of published researches on MEDLINE, Embase database until January, 2003 and review of reference lists. The main search terms were the combination “dietitian”, “dietary intervention”, “nutrition intervention” or “nutritional intervention” and “effectiveness”. The subgroup analysis was performed by the publication year, quality score, type of disease, content of intervention, intervention provider, type of intervention (nutritional counseling and education/nutrilion counseling and education + diet modification), method of intervention (individual/group/individual + group) and follow-up period. Two reviewers independently selected trials for inclusion, assessed the quality and extracted the data. The meta-analysis of 31 studies based on the random effect model showed that the medical nutrition therapy was significantly effective in treating the diseases (effect size 0.1715 : 95% confidence interval 0.0938-0.2491). This study showed the clear evidence of the effectiveness of nutrition intervention through the meta-analysis. So the nutrition intervention by dietitian should be recommended and recognized as the effective therapy of treating the diseases. Also the nutrition intervention should be conducted regularly to maintain the effectiveness of the nutrition intervention. The nutrition intervention was significantly effective in treating the diseases on the random effect model (effect size 0.1715 : 95% confidence interval 0.0938-0.2491).

가정폭력 가해자 개입 프로그램 실태분석 (Analysis on the Current State of Batterer Intervention Programs)

  • 김경신;김정란
    • 대한가정학회지
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    • 제38권10호
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    • pp.117-132
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    • 2000
  • The purpose of this study was to analysis on the current state of batterer intervention programs in South Korea. This study was composed of two parts. First, intervention programs for domestic violence batterer in foreign countries were reviewed. Second, bitterer programs in South Korea were explored. In order to expand these bitterer programs in South Korea, culturally appropriate intervention, more innovative research on comparison analysis of diverse intervention approaches, program impact, type of curriculum, and intervention protocol, evaluation criteria, requirements pertaining to program facilitators, political assistance, and coordinated community response and community service are strongly needed.

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간호학에서 치료적 중재(therapeutic intervention)에 대한 개념분석 (A Concept Analysis of Therapeutic Intervention in Nursing)

  • 진혜경;김문자;이은남
    • 근관절건강학회지
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    • 제26권1호
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    • pp.1-14
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    • 2019
  • Purpose: This concept analysis was done to clarify therapeutic intervention in nursing. Methods: For this study the process of Walker & Avant's concept analysis was used. Twenty-nine studies from electronic data bases met criteria for selection. Results: Therapeutic intervention can be defined by the following attributes: 1) goal-oriented, 2) forming a therapeutic relationship, 3) reinforcement of coping ability, 4) patient-centered, 5) a holistic integrated approach. The consequences of therapeutic intervention were improvement of quality of life, coping skills, self-care. Conclusion: Attributes of therapeutic intervention identified in this study can be applied to develop tools for measuring therapeutic nursing behaviors or to develop therapeutic nursing intervention programs for patient or family.

소방공무원의 외상 후 스트레스 장애 중재 프로그램 효과에 관한 메타분석 (A meta-analysis of the effects of post-traumatic stress disorder intervention programs on firefighters)

  • 강민주
    • 한국응급구조학회지
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    • 제23권2호
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    • pp.33-42
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    • 2019
  • Purpose: This study aimed to identify the effects of post-traumatic stress disorder intervention programs on firefighters through a meta-analysis. Methods: Seven studies were selected for meta-analysis. The overall average effect size, effect sizes for each intervention variables, and publication bias were analyzed using Comprehensive Meta-Analysis(CMA) version 2.0 (Biostat, Englewood, NJ, USA). Results: Post-traumatic stress disorder intervention programs were found to have a very low, not statistically significant effect (effect size=-.171, confidence interval=-0.361~0.019, Z=-1.768, p>.05). However, these programs was less than 50 (effect size=-.622). Conclusion: The results of this study suggest that further research on the effects of post-traumatic stress disorder intervention among firefighters is needed in order to develop more effective programs.

월경 불편감에 적용한 보완대체 중재효과의 메타분석 (Meta-analysis of Complementary and Alternative Intervention on Menstrual Distress)

  • 김정효;박미경;오미라
    • 여성건강간호학회지
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    • 제19권1호
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    • pp.23-35
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    • 2013
  • Purpose: This study was to analyze the effect size of complementary and alternative intervention studies in reference to dysmenorrhea and menstrual distress. Methods: In order to conduct a meta-analysis, a total of 393 studies were retrieved from the database. Twenty-eight studies that were published from March 2001 to February 2011 were selected. Results: Intervention studies included seven studies on aromatherapy, five on auriculotherapy, three on each Koryo-Sooji-Chim and moxibustion, two on each heat therapy and magnetic therapy and six on other therapy. The effect size of the intervention studies on dysmenorrhea and menstrual distress was greater than 0.48 for Koryo-Sooji-Chim, moxibustion, aromatherapy, auriculotherapy and other therapy. Conclusion: This study suggests that drug free therapy can reduce the levels of menstrual distress, despite the small number of intervention studies and randomized controlled trials.

국내 암환자와 관련된 연구논문의 메타분석 - 실험연구를 중심으로 - (An Integrative Review and Meta-analysis of Oncology Nursing Research : 1985-1997.2)

  • 임선옥;홍은영
    • 대한간호학회지
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    • 제27권4호
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    • pp.857-870
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    • 1997
  • The purposes of this study were to describe 12 years of patient-related oncology nursing research in Korea, identifying various nursing interventions, and assesing the effectiveness of the interventions, through analysis and synthesis of the accumulated research papers. One hundred and seventy-nine studies were selected for this study and these were mostly descriptive in design (69.2%). Of the 179 studies, 25 met the criteria for meta-analytic treatment. Twenty-five experimental studies were found in theses and dissertations (68%), 92% used convenience sample, and the median sample size was 40. Subjects were predominantly in treatment and rehabilitation (76%). Most studies(68%) were not derived from a theory base, with only 8% reporting use of a nursing theory. Results of the meta-analysis are as follows. The effect size of the nursing intervention type was found to be significantly effective. The standardized mean difference ranged from a high positive of 2.55 to a low negative of -0.22. Direct personal nursing intervention method was more effective than indirect group method. Two nursing intervention methods were more effective than one. The greatest effect size was thyxical intervention. The greatest mean effect size was scalp hypothermia technique. Teaching was a frequent intervention after 1990, although a wide range of treatments were studied. Effect size of intervention for symptom management was largest in relieving pain. Effective intervention method for relieving anxiety was exercise.

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사회복지실천 프로그램에 대한 메타분석 : 집단프로그램의 효과크기를 중심으로 (Meta-Analysis of Intervention Research on Social Work Practice)

  • 이상균
    • 한국사회복지학
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    • 제40권
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    • pp.131-156
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    • 2000
  • Many different intervention methods have been developed to resolve the problem of clients, but research studies evaluating the effectiveness of such practices can be overwhelming to social workers because of the conflicting results of them. In this study, meta-analysis was used to make sense of this research, offering the general effect size of social work practice. Meta-analysis can answer the question, "how effective is the intervention?" beyond the question, "is the intervention effective?". It can integrate the fragmentated results of research studies and provide the guidelines for best practice. Combining the results of the 16 research studies, this study computed the general effect size of social work interventions. The mean d index was. 6636 (95 percent confidence interval of .5355, .8018). Conversion to Cohen's $U_3$ statistics allows for the inference that three-fourths (74.7%) of the clients who participated in an intervention group did better than the average clients of non-intervention group. This means that social work interventions are practically helpful to seven of every 10 clients who experience them. In conclusion, this study recommended the usefulness of meta-analysis, which can provide the intervention strategies based on empirical research and guide the best approaches.

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국내 비만 청소년을 대상으로 실시한 운동 중재 프로그램의 혈중지질 효과에 대한 체계적 문헌고찰과 메타분석: 성별 차이 분석 (Systematic Literature Review and Meta-Analysis on the Effect of Exercise Intervention Programs on Blood Lipids in Obese Adolescents in Korea according to Sex)

  • 김주리;이미경
    • 한국학교보건학회지
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    • 제34권2호
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    • pp.87-97
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    • 2021
  • Purpose: The authors used a meta-analysis approach to investigate the effects of exercise on gender-specific triglyceride (TG) and high-density lipoprotein cholesterol (HDL-C) in obese adolescents. Methods: This study is a systematic review and meta-analysis study to confirm the effect of exercise intervention according to gender for obese adolescents. PICO were obese a adolescents, exercise intervention, comparative intervention (control and general group),TG and HDL-C. Results: The group of obese male adolescents showed a statistically significant decrease of 51.72 in TG (n=175, MD=-51.72; 95% CI -52.44 to -51.00).There was a statistically significant increase of 4.44 in HDL-C (n=175, MD=4.44; 95% CI 3.79 to 5.10) in the group of obese male adolescents. Conclusion: Triglyceride and high-density lipoprotein cholesterol were analyzed to determine the effect of exercise interventions in obese adolescents according to gender differences. The results of this study can be used as basic data for the design of future exercise intervention studies, subjects, exercise methods, and intervention periods.

불안장애 대상자에게 적용한 비약물적 중재효과 메타분석 (Meta-Analysis of the Effects of Nonpharmacological Interventions for Anxiety Disorder)

  • 김현실;김은주
    • 한국산학기술학회논문지
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    • 제16권11호
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    • pp.7273-7284
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    • 2015
  • 본 연구는 메타분석을 통해 불안장애에 적용된 비약물적 중재요법의 효과크기를 알아보고 대상자 중재에 근거기반한 객관적 자료를 제공하기 위해 수행되었다. 이를 위해 국내 주요 DB를 이용하여 불안장애에 대하여 비약물적 중재를 제공한 2,690편의 논문 중 불안과 우울을 종속변수로 하여, 선정기준에 적합한 최종 23편의 논문을 대상으로 분석을 실시하였다. 검색어는 '불안장애(anxiety disorder)', 중재(treatment or intervention)'를 이용하여 2015년 5월까지 출판된 논문을 검색하였다. 분석은 랜덤 효과모형을 이용하였으며, 불안과 우울의 효과크기를 각각 산출하였다. 본 연구에서 비약물적 중재의 불안에 대한 효과크기는 Hedges's g=1.693, 우울에 대한 효과크기는 Hedge's g=1.571로 큰 효과크기를 보였다. 본 연구는 국내에서 시행되고 있는 불안장애에 적용한 비약물적 중재효과에 대한 연구결과를 체계적으로 종합하고, 그 효과크기를 객관적으로 제시하여 간호중재에 적용할 수 있는 근거를 마련하였다는데 그 의의가 있다.

강직성 척추염 환자의 신체기능에 대한 운동치료의 효과: 체계적 고찰과 메타분석 (Effectiveness of Exercise Therapy on Physical Function in Patients With Ankylosing Spondylitis: Systemic Review and Meta-Analysis)

  • 심재훈
    • 한국전문물리치료학회지
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    • 제16권3호
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    • pp.50-59
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    • 2009
  • The aim of the study was to evaluate the effectiveness of exercise therapy on physical function of patients with anklyosing spondylitis (AS) through the systemic review and meta-analysis. The 54 studies were identified from computerized search of published researches on PubMed, Embase, CINAHL, PEDro, KISS, KERIS database until February, 2008 and review of reference lists. The main search terms were the combination "ankylosing spondylitis", "exercise", "spondyloarthropathy and exercise", "ankylosing spondylitis and physical therapy". The subgroup analysis was performed by the publication year, quality score, type of disease, content of intervention, intervention provider, type of intervention, method of intervention, intervention period and the point of outcome measured. Two reviewers independently selected trials for inclusion, assessed the quality and extracted the data. The result was as follows: The 10 trials were eligible for inclusion criteria, then the systematic review and meta-analysis was assessed on effectiveness of exercise therapy. The meta-analysis of 10 studies based on the random effect model showed that the exercise therapy was beneficial in treating the diseases (effect size .55; 95% confidence interval -.3.75~.61). The findings suggest that the exercise therapy would be appropriate to manage the physical function of AS with evidence based on Meta-analysis. Therefore, the exercise therapy supervised by physical therapist should be recognized as the essential approach to manage the AS and necessarily recommended to improve physical function.

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