• Title/Summary/Keyword: major barriers

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Measuring Stages of Change, Perceived Barriers and Self efficacy for Physical Activity in Saudi Arabia

  • Al-Otaibi, Hala Hazam
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권2호
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    • pp.1009-1016
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    • 2013
  • Background: The benefits of physical activity are well established and recognized to prevent adults from many chronic diseases and particularly some forms of cancers. Objectives: The present study was conducted to investigate the present status of physical activity among Saudi adults in Al-Ahsa, and to examine the association between the stages of change for physical activity and perceived barriers, and self efficacy. Methods: A cross-sectional study of 242 subjects (118 males and 124 females) attending health centers aged between 20-56 years, were personally interviewed for demographic data, anthropometric measurement, physical activity level, stages of change for physical activity, self efficacy and perceived barriers. Results: Forty eight percent of the females were overweight and 16.9% of the males were obese with no significant difference between the genders for BMI categories. More than half of the females were inactive and 39% of the males were physically active with a significant difference (P=0.007). Twenty percent of the males were in maintenance stage, while similar percentage of the females were in contemplation stage. However the majority of the subjects were in pre-contemplation stage with a significant difference across the stages. Males had a higher mean score of self efficacy and less external barriers of physical activity. The major barrier among the females was lack of time ($7.2{\pm}1.4$) and in the males, lack of motivation ($7.7{\pm}1.4$). The females had less internal ($21.2{\pm}3.8$) barriers comparable to the males ($23.08{\pm}4.7$). Both genders had a significant relationship between stages of changes of physical activity and perceived barriers (internal and external), but in the females no significant difference across the stages was observed for self efficacy unlike the males who had a significant difference for self efficacy and self efficacy categories. Conclusion: The present study provided useful data on stages of change for physical activity and some psychosocial factors (self efficacy and perceived barriers) that can help to tailor strategies aiming at increasing physical activity level according to self efficacy and to the barriers detected, to prevent many chronic diseases including certain types of cancer in Saudi Arabia.

Self-efficacy to Engage in Physical Activity and Overcome Barriers, Sedentary Behavior, and Their Relation to Body Mass Index Among Elderly Indonesians With Diabetes

  • Rachmah, Qonita;Setyaningtyas, Stefania Widya;Rifqi, Mahmud Aditya;Indriani, Diah;Nindya, Triska Susila;Megatsari, Hario;Mahmudiono, Trias;Kriengsinyos, Wantanee
    • Journal of Preventive Medicine and Public Health
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    • 제52권4호
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    • pp.242-249
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    • 2019
  • Objectives: Elderly individuals with diabetes should maintain a normal body mass index (BMI) to help control their blood glucose levels. This study investigated barriers to physical activity (PA), self-efficacy to overcome those barriers, and PA self-efficacy among elderly individuals with diabetes in relation to BMI. Methods: This cross-sectional study included 56 participants. Data were collected by a questionnaire interview and direct measurements for anthropometric data. PA self-efficacy was measured using 8 questions describing different levels of PA, where participants rated the strength of their belief that they could engage in that activity. Self-efficacy to overcome barriers was measured using 10 questions capturing participants' confidence in their ability to engage in PA despite different possible barriers. Mean scores for these parameters were analyzed using the chi-square test and the independent t-test. Results: In total, 89.3% of participants had a low PA level and 58.9% had more than 3 hours of sedentary activity per day. Furthermore, 55.4% were obese and 14.3% were overweight. The mean scores for PA self-efficacy and self-efficacy to overcome barriers were $59.1{\pm}26.4$ and $52.5{\pm}13.8$, respectively. PA level was related to BMI (p<0.001; r=0.116) and sedentary activity (p<0.05; r=0.274). PA self-efficacy and age were not related to BMI. Barriers to PA were associated with PA levels (p<0.05). Conclusions: Physical inactivity was a major problem in elderly individuals with diabetes, and was correlated with higher BMI. Lower levels of PA might be mediated by sedentary activity.

민간 CM사업 시공이전단계 CM성과 저해요인 분석 (Barriers of CM Performance during Pre-Construction Stages in Private CM Projects)

  • 한재훈;김한수
    • 한국건설관리학회논문집
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    • 제18권4호
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    • pp.17-26
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    • 2017
  • CM시장의 지속적인 발전은 CM성과에 대한 발주자의 수용을 전제로 하고 있으며, 이는 CM성과 향상을 위한 CM기업의 역량과 노력을 요구한다. 이를 위해서는 CM성과 향상을 저해하는 요인을 이해하고 이를 극복하기 위한 노력이 전제되어야 한다. 본 연구의 목적은 FMEA(Failure Mode and Effect Analysis)기법을 활용하여 민간 CM사업의 시공이전단계를 중심으로 CM성과 저해요인을 발굴하여 주요 특징을 분석하고 시사점을 제시하는데 있다. 본 연구를 통해 도출된 주요 결과는 CM성과 저해요인 해소를 통한 CM성과 향상을 위해서는 발주자와 CM사업자의 개별적인 노력과 협력적인 노력이 함께 경주되어야 한다는 것을 시사하고 있다.

BIM and 4D planning: a holistic study of the barriers and drivers to widespread adoption

  • Kassem, Mohamad;Brogden, Trevor;Dawood, Nashwan
    • Journal of Construction Engineering and Project Management
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    • 제2권4호
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    • pp.1-10
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    • 2012
  • Building Information Modeling (BIM) and its different work streams, such as 4D planning (4D), are among the major drivers for change in the construction industry. The primary aim of this research is to create a holistic map of both the barriers and drivers affecting the industrial uptake of BIM and 4D through the use of an extensive literature review and a survey of contractors and consultants from the UK AEC (Architectural, Engineering and Construction) industry. This research demonstrates that while non-technical barriers such as the inefficiency in the evaluation of the business value of BIM and 4D; the shortage of experience within the workforce, and the lack of awareness by stakeholders are recognized by professionals as main barriers to BIM and 4D adoption, current research is still largely concerned with technical advancement of BIM and 4D technologies. A holistic map of the driving and restraining forces affecting BIM and 4D widespread adoption was provided. The tackling of the non-technical barriers identified will help bridge the gap between technology, end-users and their processes.

대체의학전공 대학생의 전공만족도와 진로선택 (Major Satisfaction and Career Decision in College Students Majoring in Alternative Medicine)

  • 이갑님;장혜인;김재희
    • 대한예방한의학회지
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    • 제17권3호
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    • pp.63-73
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    • 2013
  • Objectives : The aim of the study was to investigate major satisfaction, career choices and perceived career barriers in college students majoring in alternative medicine. Methods : A total of 315 college students majoring in alternative medicine in 5 universities in K city and J province completed survey questionnaires. Results : The highest proportions of students (38.4%) chose alternative medicine major because of their aptitude and interest. Students (59.0%) were satisfied in general with their majors. Regarding career direction after graduation, the highest proportions 1st of and 2nd year students answered that they haven't decided yet (33.7%). In addition, they wanted to get a job in hospitals (24.6%) and have more education (21.9%). The highest proportions of 3rd and 4th year students wanted to get a job in hospitals (31.3%) and 27.3% of them wanted to have more education. The most important criterion for choosing a career was a career aptitude (38.7%) followed by professionalism, vision, pay, and social status in both groups. Regarding perceived career barriers, the highest proportions of 1st and 2nd year students (31.6%) answered the lack of social recognition about alternative medicine while the highest proportions of 3rd and 4th year students (55.5%) answered the lack of national certifications (P<0.001). Conclusions : In general, students majoring in alternative medicine were satisfied with their majors. They wanted to get a job at a hospital and have more education. They thought that the lack of social recognition and national certification of alternative medicine would be career barriers.

Critical Barriers to the Practice of Effective Cost Planning in the Ghanaian Construction Industry

  • Kissi, Ernest;Adjei-Kumi, Theophilus;Badu, Edward
    • Journal of Construction Engineering and Project Management
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    • 제6권2호
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    • pp.8-15
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    • 2016
  • Cost planning practices in the construction industry worldwide has gained much popularity in recent times due to economic recession and stringent measures that various procurement laws prescribe in most developed and developing countries. Nevertheless, these practices in developing countries such as Ghana are constrained with the existence of critical barriers that render them non-effective and hence, accounting for the numerous abandonment of both private and public projects. Consequently, this study was enunciated with the aim to examine the critical barriers to the practice of effective cost planning in the Ghanaian construction industry. Through an in-depth literature review and a pilot survey, questionnaires were designed and administered to quantity surveyors. Data generated from the field survey was subjected to principal component analysis. The findings of the study revealed weak cost planning knowledge base, poor cost databases and understanding, inadequate designs and planning and external conditions are the major barriers to cost planning practices in the Ghanaian construction industry. The need for this study cannot be doubted since it provides an insight for experts in the construction industry on the barriers of the practice of cost planning in the industry. The awareness of these barriers will therefore facilitate efficient and effective efforts to resolve them. A future study is thereby proposed by this study to explore effective cost planning practices in the Ghanaian construction industry that will ensure private and public stakeholders get value for their money invested.

남녀 고등학생의 가출충동 원인 (Causes of Runaway Impulse by Gender in High School Students)

  • 김은주
    • 동서간호학연구지
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    • 제17권2호
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    • pp.125-131
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    • 2011
  • Purpose: In an attempt to investigate causes of runaway impulse in male and female students with runaway impulse experience in high schools, this study was carried out. Methods: The subjects were 195 high school students in Gyeonggi and Incheon area. The data were collected by using the questionnaires. Results: To both male and female students, the main causes of runaway impulse were 'conflicts with parents', 'interference and excessive expectations of parents' and 'burden of study and grades'. In cases of youth with runaway experience by runaway impulse, the major causes of runaway impulse were 'want to have fun with friends' and 'conflicts with parents'. Also shelter and economic difficulties were obstacles that prevent a runaway despite runaway impulse to both male and female students. But in female, the fear and anxiety about runaway were higher barriers than those of male. Conclusion: From the above results, major causes of runaway impulses were relationships with parents, and burden of study. And barriers to prevent a runaway were shelter, economic difficulties to both male and female students.

결혼의 질, 이혼 장애 요인, 일상생활 스트레스와 이혼 후 적응 (Marital Quality, Barriers to Divorce, Everyday Stress and Post-Divorce Adjustment : Focused on Gender Differences)

  • 손정연;한경혜
    • 가정과삶의질연구
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    • 제24권1호
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    • pp.83-102
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    • 2006
  • The purpose of this study is to examine the effects of the divorce process on post-divorce adjustment. This study specifically examines the effects of the pre-divorce marital quality, perceived barriers to divorce at the time of considering divorce, and the level of everyday stress after divorce on post-divorce adjustment of men and women focused on gender differences. Data gathered from 147 men and 208 women living in Seoul and Gyeonggi province were analyzed for this study. The major findings are as follows. First, pre-divorce marital quality, perceived barriers to divorce at the time of considering divorce, and the level of everyday stress after divorce, have both positive and negative effects on post-divorce adjustment of divorced men and women depending on the stages of divorce process. Second, the relationship between various aspects of divorce process and adjustments differ according to the sub-dimension of post-divorce adjustment. Third, divorce process functions differently for divorced men and women. The results show the importance of considering the divorce process, including both pre-divorce and post-divorce circumstances in order to have a good understanding of post-divorce adjustment of men and women.

임상진료지침 개발과정의 장애요인 - 심폐소생술을 중심으로 - (Barriers on Development of Clinical Practice Guidelines for Cardiopulmonary Resuscitation)

  • 박성희
    • 한국의료질향상학회지
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    • 제7권1호
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    • pp.46-58
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    • 2000
  • Background : Despite favorable effects of guidelines on patient care, guidelines often fail to achieve their objectives. Poorly implemented medical practice guidelines can produce only weak effects on the process of health care delivery. Therefore, we performed this study to investigate barriers related development of clinical practice guidelines. Methods : Cardiopulmonary resuscitation was selected as a target problem. Self questionnaires about management of cardiopulmonary resuscitation were developed by a researcher with advisory 8 experts. The questionnaires were designed as a unstructured methods. The data were collected from March 1 to May 31, 1999. A total 50 death case admitted inpatient to Inha University Hospital were subjected to evaluate the development and application of clinical practice guidelines for cardiopulmonary resuscitation. The data were examined by frequency, t-test with SPSS. Result : The article reviewed several common barriers that might limit successful implementation of guidelines in clinical practice, as illustrated by evaluating recommendations for cardiopulmonary resuscitation clinical practice guidelines. Some major problems with guidelines were characterized as follows (1) ethical problem : euthanasia, (2) occurrence on various emergency event and setting, (3) non-medical problems (4) unreliable of medical record etc. Conclusion : Careful analysis of guideline attributes, anticipated effect on medical care, and organizational factors revealed several barriers to successful guideline implementation that should be addressed in the design of future guideline-based interventions.

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Barriers to Derivative Accounting Disclosure: The Case of Vietnamese Firms

  • NGUYEN, Hanh Thi Hong;TRAN, Ngoc Minh;NGUYEN, Quyen Le Hoang Thuy To
    • The Journal of Asian Finance, Economics and Business
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    • 제7권10호
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    • pp.761-768
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    • 2020
  • This paper explores the barriers to derivative accounting disclosures in Vietnamese companies and ranks their relative importance for effective and efficient remedies. The Delphi technique was applied to get agreement of panel of experts on the measurement of factors hindering disclosure. Unstructured questionnaires were first sent to twelve experts who had both practical experience and academic knowledge in the field to get ideas on the obstructions to derivatives disclosure. The structured questionnaire was designed to get their agreement on barriers to derivative accounting disclosures. The data analysis with mean, median, mode, standard deviation, and quartile has been implemented to ensure the unanimity. Market-related factors, legislation, accountants' attributes, managers' attributes, information technology and communication, and on-site training were the six major obstacles agreed upon by the experts during their in-depth interviews. Then, these factors were ranked by applying the analytical hierarchy process (AHP). The findings confirmed the priority of information technology and communication, which held the greatest weight. Legislation ranked second, followed by market-related factors and on-site training, which explained the impediments to derivatives disclosure. Managers' and accountants' attributes had the least contribution to the barriers to derivative disclosures. The results have important implications for actions to enhance corporate derivative disclosures in Vietnam.