• Journal of Society of Preventive Korean Medicine
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• v.22 no.2
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• pp.1-12
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• 2018

Objectives : Recently, the interest on medical education in flipped learning has been growing. Competency-based curriculum is also required through changes in teaching methods within the Korean medicine education. In this study, flipped learning method was applied to 'medical ethics' class to examine the perception and experience of flipped learning from the Korean medical student's perspectives. Methods : The study was conducted on 15 preparatory course freshmen students who took the 'medical ethics' course, in the second semester of the year 2017 at 'A' University. The study was proceded in two steps; 1) fill-in the questionnaire twice (before and after the class), and 2) in-depth interview with semi-structured questionnaire. The $1^{st}$ questionnaire in the first step was consisted of 'Experience on flipped learning before the class', 'Which section of the flipped learning class do participants have expectation', 'Interest and expectation on flipped learning'. In the $2^{nd}$ questionnare, the participants were asked 'Which section of the flipped learning section that the learning effect was maximized', 'Association between 'flipped learning' method and 'Medical ethics' course' with 5-point Likert scale and frequency. Results : The results showed that flipped learning method works very effectively in the 'medical ethics' course (63.6%). After the flipped learning class, the participants showed positive change in a attitude of the class (72.7%). However, this teaching method might be inappropriate for participants who had difficulties in pre-learning or a passive attitude and lecture-centered instruction (LCI) classes. Conclusions : Though applying flipped learning method to the 'Medical Ethics' was effective, to make pre-learning better, the instructors should prepare countermeasures for passive participants, help interact well among the participants, and plan a lesson thoroughly for changing LCI classes to student-centerd instruction(SCI).

• Korean Journal of Health Education and Promotion
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• v.25 no.3
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• pp.45-57
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• 2008

Objective: The aim of this study was to find out the factors associated with the health status and life satisfaction in the elderly who participated in an exercise program practiced by the National Health Insurance Corporation and the elderly who did not. Methods: The subjects of this study included 105 elderly people in K-city who participated in the elderly exercise program of the National Health Insurance Corporation and 103 elderly who did not. Results: The elderly group that participated in the exercise program showed slightly better physical health than non-participants but the difference was significant only in the item of bowel control. The elderly group that participated in the exercise program displayed slightly better mental health status than non-participants but the difference was significant only in the item of memory and cognitive ability. The elderly group that participated in the exercise program showed significantly higher life satisfaction than non-participants. The factors affecting the satisfaction of life were participation of exercise program, higher level of education, and perception of health, and the attributable rate was 24.6%. Conclusions: In conclusion, this study suggested that the people who participated in elderly exercise program showed higher level of physical and mental health status and life satisfaction than non-participants. Therefore, various National Exercise Program for elderly tailored by characteristics should be implemented.

• Women's Health Nursing
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• v.28 no.3
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• pp.250-263
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• 2022

Purpose: The purpose of this study was to develop a webtoon education program on preventive self-management related to premature labor (PSM-PL) for women of childbearing age, to evaluate its effects, and to assess the usability of webtoon education for women of childbearing age. Methods: The study design was a stratified randomized trial with repeated measures. The participants were Korean women of childbearing age (between the ages of 19 and 49 years), with 49 participants each. The preventive health management self-efficacy related to premature labor (PHMSE-PL) scale, the preventive self-management knowledge related to premature labor (PSMK-PL) scale, and usability of webtoon education were assessed. The intervention group read six episodes of the PSM-PL webtoon within 2 days after clicking an online link. The control group did not receive anything but was given the webtoon after the last measurement. To test the effect of the repeatedly measured variables, a generalized estimating equation model was used. Results: The experimental group had statistically significantly greater increases in PHMSE-PL and PSMK-PL scores from baseline to immediately after and 2 weeks later than the control group. The average score for usability of webtoon education was high (4.52; standard deviation, 0.62) on a scale of 1-5. Conclusion: This webtoon education program on PSM-PL was a feasible and acceptable program that increased self-efficacy and knowledge of preventive health management of premature labor in women of childbearing age. Future studies that adopt a webtoon format can be beneficial for childbearing women with other risk factors.

• Journal of Preventive Medicine and Public Health
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• v.51 no.4
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• pp.188-195
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• 2018

Objectives: This study aimed to examine the level of dementia knowledge of older Korean adults living alone in rural areas and to identify related factors. Methods: A cross-sectional descriptive design was applied. The participants were 231 older adults living alone who were recruited from 12 of the 13 primary health care posts in the rural area of Chuncheon. Participants' level of dementia knowledge was assessed using the Dementia Knowledge Scale. Data were analyzed using descriptive statistics, and the t-test, analysis of variance, chi-square test, and Mann-Whitney test were applied. Results: Participants' mean age was $77.3{\pm}5.4$ years, and women comprised 79.7% of the sample. Over half of the participants (61.9%) had no formal education, and all the participants were enrolled in Medical Aid. The participants' average percentage of correct answers was 61.6%. The highest rate (94.4%) was for the item "Dementia can change one's personal character." The item with the lowest proportion of correct answers was "Dementia is not treatable" (23.4%). Dementia knowledge was significantly associated with age, education, health coverage, source of living expenses, and dementia risk. Conclusions: Dementia knowledge among Korean rural older adults living alone was relatively low. Participants' misconceptions about symptoms and treatment could hinder them from seeking early treatment. The results of this study suggest the need for active outreach and health care delivery for rural older adults living alone in South Korea.

• Journal of Korean Public Health Nursing
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• v.33 no.1
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• pp.33-46
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• 2019

Purpose: Individuals suspected Middle East Respiratory Syndrome (MERS) are continuously surfacing in Korea. study the Korean public's knowledge, attitude, and preventive behaviors related to MERS as well as the factors that affect preventive behaviors for MERS. Methods: The study used a descriptive research design, and included 196 men and women aged 20 to 65 years. Data were collected through Internet surveys and self-reported questionnaires from December 1 to 30, 2017. Results: Among the participants, 88.7 percent knew cough etiquette, 84.7 percent had education about cough etiquette, and 52.6 percent had received education on MERS. The average scores for knowledge of MERS was $73.60{\pm}18.78$; attitude of MERS, $2.22{\pm}0.92$; and preventive behaviors for MERS, $62.43{\pm}16.11$. egression analysis showed that higher knowledge of MERS (${\beta}=.34$, p<.001) and higher attitude of MERS (${\beta}=.05$, p=<.001) resulted in increased preventive behaviors, people with MERS education increased preventive behaviors (${\beta}=.21$, p=.003). Conclusion: the awareness and knowledge of MERS for promoting related preventive behaviors. Therefore, education content that considers the characteristics of the target population should be organized and expanded multiple channels.

• The Journal of Korean Society for School & Community Health Education
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• v.15 no.2
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• pp.1-12
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• 2014

Objectives: This study was conducted to identify the correlations among the knowledge, attitude and preventive infection behaviors regarding AIDS of general hospital nurses. Methods: Participants were 314 nurses who have been working for a C hospital in G city. Data were collected from December 3, 2012 to December 14, 2012 after the informed consents were obtained from the participants with the help of nursing department. Results: Knowledge based on general characteristics was not different significantly. AIDS attitudes showed significant differences by age, marital status, religion and workplace and preventive infection behaviors, by age, position, duration of clinical experience. Significant correlations were not observed among the knowledge, attitude and preventive infection behaviors regarding AIDS. Conclusions: This study showed that the knowledge of nurses regarding AIDS will need to be improved by systematic training, and, rather than preventive infection behaviors simply based on knowledge, a training program that includes physical, mental, and social aspects based on the latest information.

• Journal of Preventive Medicine and Public Health
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• v.54 no.2
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• pp.119-128
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• 2021

Objectives: Ongoing, proactive, planned, and patient-centered diabetes education is the cornerstone of care for all persons with diabetes. Thus, the aim of this study was to explore the information needs of type 2 diabetes mellitus patients receiving insulin treatment in North-East Ethiopia. Methods: The study was conducted from July 2019 to January 2020 using a qualitative enquiry (phenomenological approach) with purposive sampling. Face-to-face in-depth interviews were used to collect data until reaching theoretical saturation. The participants were type 2 diabetes patients receiving insulin treatment. They were identified from the diabetes patients' registration book at the diabetes clinic and interviewed at their appointment time, and were selected to include wide variations in terms of socio-demographic characteristics. Twenty-four participants (11 men and 13 women), with a median age of 57 years, were interviewed. The data were organized using QDA Miner Lite version 2.0.7 and analyzed thematically using narrative strategies. Results: Most participants had not heard of diabetes before their diagnosis. They had limited knowledge of diabetes, but ascribed different connotations for it in the local language (Amharic). The needs reflections of patients were categorized into diabetes education and participants' recommendations. Diabetes education was totally absent at hospitals, and patients received education primarily from the Ethiopian Diabetes Association and broadcast and digital media. Thus, the major concern of patients was the availability of diabetes education programs at health institutions. Conclusions: Patients' main concern was the absence of routine diabetes education, which necessitates urgent action to implement diabetes education programs, especially at health institutions.

• Journal of Preventive Medicine and Public Health
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• v.52 no.1
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• pp.60-65
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• 2019

Objectives: This study examined cancer knowledge, beliefs, and practice among faith-based Chinese in the USA versus Taiwan to gain better understandings on how environment and culture might play a role for tailored cancer education programs. Methods: A self-administered survey included a validated 10-item Cancer Screening Belief Scale (CSBS), an 8-item Cancer Screening Knowledge Test (CSKT), and a 14-item cancer Warning Signs Test (CWST) was administered. Participants were recruited from 9 Chinese churches (5 in the USA and 4 in Taiwan). Results: A total of 372 Chinese participated, 50% lived in the USA and 50% in Taiwan. Mean age was 44.31 (standard deviation, 14.74), 60% males, and majority had college education (85%). Taiwan participants scored higher on both CSKT (6.13 vs. 5.52; p<0.001) and CWST (6.80 vs. 5.38; p<0.001). Although perceived screening benefits and barriers were similar, Taiwan participants endorsed higher on screening norms (11.67 vs. 10.82; p<0.001). Taiwan participants also indicated more doctor recommending cancer screenings (42.1% vs. 29.6%; p=0.015), USA participants were more likely to have had annual health exams (65.4% vs. 48.9%; p=0.002). Regression results showed that those resided in the USA were 2.38 times more likely to report annual health exams. Married status (odds ratio [OR], 2.85), college education (OR, 2.38), doctor's recommendation (OR, 2.87), no family cancer history (OR, 2.47), and those with lower barriers were significant factors on annual health exams. Conclusions: Taiwan participants scored higher on cancer knowledge and screening norms, while more USA participants reported annual health exams. Taiwan's universal healthcare might play a role on the different healthcare seeking patterns.

• Journal of Korean Academy of Nursing
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• v.52 no.6
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• pp.554-563
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• 2022

Purpose: This study aimed to determine how undergraduate nursing students' knowledge and health beliefs affected their COVID-19-related infection-prevention behaviors. Methods: This study used a descriptive survey. A total of 188 undergraduate nursing students from two universities in South Korea participated in this study. The data were collected from June 2020 to August 2020. Factors influencing infection-prevention behaviors were identified using multiple regression analysis. Results: The participants' mean knowledge level regarding COVID-19 was 84.05 ± 11.78 out of 100. The average health belief score was 2.80 ± 0.32 points out of 5. COVID-19-related preventive health behaviors were correlated with experiences of searching for COVID-19 information (r = .22, p < .01), perceived severity (r = .24, p < .01), perceived benefits (r = .29, p < .01), cues to action (r = .30, p < .01), knowledge (r = .27, p < .01), and perceived barriers (r = - .19, p < .05). Factors that significantly affected COVID-19-related preventive health behaviors were the participants' years of study, experiences regarding COVID-19 prevention education, perceived severity, perceived barriers, and cues to action. Conclusion: COVID-19-related preventive health behaviors are promoted by increasing awareness about the disease and promoting COVID-19 education in nursing curriculums.

• Journal of Preventive Medicine and Public Health
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• v.42 no.5
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• pp.305-314
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• 2009

Objectives : The physical activity of Korean adolescents and its distribution based on social characteristics have not yet been fully assessed. This study intends to reveal the distribution of physical activity by its subgroups and offer possible explanatory variables. Methods : The 3rd Korea Youth Risk Behavior Web-based Survey was analyzed for this study. The appropriateness of physical activity was defined by Korea s Health Plan 2010 and physical inactivity was assessed independently. Family affluence scale, parents education levels, subjective economic status, grade, and school location were considered explanatory variables. All statistical analysis was conducted using SAS ver. 9.1. Results : The proportion of participants engaging in vigorous physical activity was high in males (41.6%), at a low grade (38.5%), within the high family affluence scale group (35.5%). The distribution of participants engaging in moderate physical activity showed similar patterns, but the overall proportion was lower (9.8%). Low family affluence and students with lower subjective economic status reported a higher prevalence of physical inactivity. In multiple logistic regression analysis for physical activity, significant factors included family affluence scale (p<0.05). For physical inactivity, family affluence scale, parents education levels, and subjective economic status were included as significant factors (p<0.05). Conclusions : The results suggest that the physical activity and inactivity of adolescents may be affected by socioeconomic variables, such as family affluence scale. This implies the need to take proper measures to address these socio-economic inequalities.