• Asian Pacific Journal of Cancer Prevention
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• 제14권12호
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• pp.7283-7288
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• 2013

Background: Tobacco use among adolescents is a major public health concern, and identifying predictors of smoking is necessary for planning prevention programs. The present study examined the relationship between refusal self efficacy, self esteem, smoking refusal skills and water pipe (hookah) smoking among Iranian male adolescents. Materials and Methods: A cross-sectional study was conducted with 380 Iranian male adolescents aged between 15-19 years selected by multistage sampling. The participants completed an anonymous, voluntary, self-report questionnaire. Variables independently associated with water pipe (WP) smoking were identified by multiple logistic regression analysis. Results: The mean age of the participants was $16.7{\pm}1.3$ years. The prevalence of WP smoking was 17.3%. Logistic regression analysis revealed that knowledge (OR=0.56; 95% CI: (0.37-0.79), attitude (OR=0.69; 95% CI: (0.52-0.89), self esteem (OR=0.67; 95% CI: (0.55-0.82), smoking refusal skills (OR=0.73; 95% CI: (0.55-0.87), and self efficacy (OR=.82; 95% CI: (0.61-0.93) were all signifcant prediting facotrs for adolescents WP smoking. Conclusions: The findings have implications for public health interventions. Indeed, self efficacy and smoking refusal skills should be considered when developing tailored measures for the prevention of WP smoking among adolescents.

• 한국어교육
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• 제29권3호
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• pp.255-292
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• 2018

Most grading scales of Korean language proficiency tests are based on existing grading scales that are not empirically verified. The purpose of this study is to develop an empirically verified scale descriptor. The 'Performance data-driven approach' that is suggested by Fulcher (1987) was used to develop the detailed description of characteristics for each level of performance. This study is focused on the functional phase of speech samples analysis (coding data) to create explanatory categories of discourse skills into which individual observations of speech phenomena can be scored. The speech samples that were collected through this study demonstrated stages of speech that can be a foundation of a grading scale. The data used in the study was collected from 23 native speakers of Korean. Speech samples were recorded from simulated speaking tests using the 'REFUSAL' task, and transcribed for analysis. The transcript was analyzed using discourse analysis. The result showed that the 'REFUSAL' task needs to go through four functional phases in actual communication. Furthermore, this study found specific and detailed explanatory categories of discourse competence based on the actual native speaker's speech data. Such findings are expected to contribute to the development of more valid and reliable speaking assessment.

• 한국학교보건학회지
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• 제32권2호
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• pp.116-124
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• 2019

Purpose: This study was performed to measure the influence of drinking motives, drinking refusal self-efficacy, and self-determination on the intention to control drinking among nursing students. Methods: A cross-sectional survey was done with the participation of 258 nursing students attending four universities in G city. Data collection was conducted from May to June, 2018, using a self-report questionnaire. Data were analyzed using the t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson's correlation coefficients, and Hierarchical multiple regression. Results: The average scores for drinking motives, drinking refusal self-efficacy, self-determination, and intention to control drinking were 2.29, 4.54, 3.89, and 4.29 respectively. There were significant differences in the intention to control drinking according to grade, religion, and age of alcohol initiation. The factors influencing the intention to control drinking in nursing students were identified as self-determination (${\beta}=.24$), drinking refusal self-efficacy (${\beta}=.17$) and drinking motives (${\beta}=-.17$). This factor explained 26% of the nursing students' intention to control drinking. Conclusion: Therefore, it is necessary to develop a alcohol education program to improve the drinking culture of nursing college students and to improve their self-regulation skills in order to help them form a desirable drinking habit, and it is also necessary to apply the developed intervention program and test the effect.

• 지역사회간호학회지
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• 제13권2호
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• pp.230-238
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• 2002

Objectives: This pre-post quasi-experimental study was designed to investigate the effects of school based smoking prevention education on knowledge and attitude toward smoking, and the satisfaction of education among middle school students. Methods: The subjects included 94 middle school students in the experimental group. and 87 students in the control group. The educational content contained smoking refusal skills, which were taught through lectures and videos. Data collection was achieved using a self-reported questionnaire developed by the investigator. Data were analyzed with the SPSS 10.0 program including frequency, percentile, X2, paired t-test, and ANCOVA. Results: The results were as follows: 1. After the smoking prevention education, the smoking knowledge of the experimental group was significantly improved, whereas that of control group didn't change significantly. 2. There were no significant differences between pretest and post test attitude scores in both groups. 3. Refusal skill was the education content that provided the highest satisfaction for the subjects, and the degree of satisfaction was higher with video watching than with a lecture. Conclusion: Smoking prevention education for middle school students increased their level of smoking knowledge, but did not affect their attitudes toward smoking. Therefore, it is necessary to develop a more effective program, and to evaluate the effects of a long term education program with further studies.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제33권1호
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• pp.2-15
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• 2022

Objectives: Children with attention-deficit/hyperactivity disorder (ADHD) tend to be noisy and violate rules with their disruptive behaviors, resulting in greater difficulties with off-task behaviors and being at risk for social refusal. The visual activity schedule (VAS) intervention program is a frequently used method to teach multiple skills involving on-task, use of schedules, transition behaviors, social initiation, independent play skills, classroom skills, and academic skills. The current systematic review aimed to examine the efficacy of using VAS intervention in reducing problem behaviors in children with ADHD between 5 and 12 years of age. Methods: Systematic searches were conducted using two electronic databases (PubMed and Scopus) to identify relevant studies published in English between 2010 and 2020. Four studies met the inclusion criteria: two studies examined the effect of schedule-based tasks and the use of an iPad on classroom skills, while the other two examined randomized clinical trials (RCTs) of psychosocial treatment for ADHD inattentive type and a cross-sectional study examined the impact of the group size on task behavior and work productivity in children with ADHD. Results: The findings indicate that the interventions used in all four studies could lead to increased satisfaction among participants and parents, as well as a reduction in problem behavior. In terms of the research indicators, the RCT had low quality, while the others were of high quality. Conclusion: A larger number of studies and the ADHD clinical population would help to increase the generalizability of future reviews of treatments in this context.

• 한국학교보건학회지
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• 제9권2호
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• pp.249-266
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• 1996

AIDS and the spectrum of Human Immunodeficiency Virus(HIV) infections present a monumental challenge to the health of the Korean public. In response to this special challenge, I think public education and voluntary behavior changes are the most effective measures to fight the spread of the disease. Adolescents represent a critical risk group for prevention and intervention programming. Research indicates sexually active adolescents, homosexual contact, illicit drug use are an gradually increasing. These characteristically adolescent risk-taking behaviors suggest the need for schools and communities to mobilize intervention strategies. Schools are highly efficient ways to reach a majority of young people in Korea with HIV prevention programs. These programs include substantial attention to sexual and drug use behaviors with the long term objective of a multidimensional school health program. Information resulting from risk behavior surveillance activities and guidance on school health curricula is particularly useful. What is needed for adolescents is a revamping of education to give students the critical thinking and analytic skills that allow them to apply knowledge, make decisions, and think independently. The best HIV preventive education provides young people with opportunities to learn and practice just those skills. In the early stages of HIV education were focused solely on information. Providing information is easy but unfortunately, behavior change is not that simple to activate. Information must be combined with values exploration and skilly building, including responsible decision making, negotiation, refusal, and critical thinking skills. The same knowledge, attitudes and skills needed for effective HIV prevention also prevent or reduce other risks, including other sexually transmitted diseases, unwanted pregnancies, and alcohol or other drug use. The role of other youth serving organizations in HIV prevention is also important: parental and youth involvement is needed; it's important to presidential and governament leadership is essential to prevention education; promote integrated adolescent programs, to enhance health and education sector collaboration; and of course, we need to expand research on adolescent health and engage the media in health promotion. Among these changes, a school-based systematic health education of AIDS is certainly one of the essentials.

• Korean Journal of Health Education and Promotion
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• 제3권1호
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• pp.99-111
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• 2001

Adolescent psychosocial smoking prevention programs have been successful, but limited in the magnitude of program effects on the reduction of smoking behaviors. This is primarily due to the mixed results of independent studies with program variations. This systematic, quantitative research synthesis is designed to identify program key factors that are likely to increase program effects. The present study examined school-based psychosocial smoking prevention programs (1978-1997)among students in grades 6 to 12 in the United States. Theoretical formulations in this analysis of mediating effects posit that program impact on knowledge and/ or skills is associated with less smoking behaviors among program participants. Knowledge factors investigated in this study included health effects, social consequences, social influences, and social norms. Skill factors included affective skill, self-efficacy, assertiveness, self-control, problem solving, and refusal skill. The findings from this study highlight the importance of social consequences knowledge factor and assertive communication skill factor in decreasing adolescent smoking behaviors.

• 한국사회복지학
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• 제57권2호
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• pp.321-350
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• 2005

본 연구는 보호관찰 여성 클라이언트를 대상으로 약물남용 재발예방을 목적으로 하는 프로그램을 개발하고 운영한 결과를 제시하고 있다. 본 연구가 개발한 프로그램은 인지적 행동적 대처능력의 증진과 지지적 환경의 구축 및 활용을 강조하였다. 또한 집단구성원들이 모두 여성인 점을 고려하여 여성관련 이슈를 다루는 내용을 프로그램에 포함시켰다. 프로그램은 서울보호관찰소에서 2003년 가을부터 1년여 동안 3차례에 걸쳐 운영되었으며 그 결과는 긍정적으로 나타났다. 즉 본 프로그램을 통해 프로그램 참가자의 약물사용에 대한 태도는 부정적으로 변화되었고, 약물사용과 관련된 다양한 상황에 직면했을 때 약물사용을 거절할 수 있는 능력이 강화된 것으로 분석되었다. 국내에서는 약물남용 여성만으로 구성된 집단을 운영하고 더욱이 이를 평가한 경우가 거의 전무하기 때문에 본 연구는 국내의 약물남용 관련 연구자 및 실무자들에게 연구와 실천을 위한 새로운 자극을 제공하는 의의가 있다고 판단된다.

• 여성건강간호학회지
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• 제6권2호
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• pp.316-329
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• 2000

The purpose of this study is to identify various predictors of smoking behavior among female adolescents. Data for this study was collected from 357 students enrolled in a female high school, a coeducational high school, and a vocational high school in Seoul from 1st to 20th July 1999 and this data was analysed based on descriptive statistics and logistic regression with the SAS program. The results were as follows: 1. The proportion of current smokers was 17.9% and experienced smokers was 34.2% in girl high schools. 2. According to the factors family, school, peer, social learning, and psychological factors, the predictable variables are lack of family attachment and function in family factors, school involvement in school factors, associating with smokers among peers and modeling and differential reinforcement of smoking in social learning factors, self-assertiveness, self-esteem, and depression in psychological factors. 3. According to all the factors, the main predictors were peer association, differential reinforcement of smoking, and lack of family attachment. These variables cause 48.4% of smoking behavior. To prohibit smoking among female students, this society should develop a program to focus on peer leadership about quitting smoking, acquirement of skills of refusal for smoking, counter conditioning, reinforcement management, and support system about nonsmoking.

• Asian Pacific Journal of Cancer Prevention
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• 제17권12호
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• pp.5113-5119
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• 2016

Purpose:The present qualitative study explored adolescents' perceptions regarding effective strategies to prevent adolescents from using tobacco products (TP). Apart from the commercial TPs, there has been emerging use of alternatives such as vapes, e-cigarettes and shisha. This unfortunate phenomenon continues despite the currently available preventive strategies. Thus, understanding of the perceptions of the current generation would be valuable to provide new insights. Methods: Purposive sampling was utilized to recruit 40 adolescents between the age of 15 and 16 years old attending public daily secondary schools. Eight focus group discussions were conducted among the TP users, ex-users and non-users. Data were analyzed using a thematic content analysis procedure with NVivo. Results: Among barriers with the currently available strategies were having teachers who smoke tobacco, addiction to nicotine and self-perceptions of being healthy. The content of any program should include knowledge on negative outcomes of using tobacco products and awareness of the legislation together with ways to overcome peer and family influence including improving self-efficacy and refusal skills. Strategies were suggested to be delivered using information technology which provides interactive learning and visual effects. Conclusions: Adolescents agreed that the content and delivery of tobacco use prevention strategies need to be revised to suit the current generation to ensure sustainability.