• Journal of Preventive Medicine and Public Health
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• 제19권2호
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• pp.193-202
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• 1986

공중보건 일반의사들의 업무수행 정도와 진료, 예방 및 보건증진 사업 수행에 필요한 기본적인 수기의 수행능력을 평가하고 그들의 업무 수행능력을 향상시키기 위한 교육 개선 방안을 마련하기 위하여 1982년과 1983년에 배치된 공중보건 일반의사들 가운데 남부 4개도(경북, 경남, 전북, 전남)에서 출신학교별로 비슷한 비율로 120명을 무작위로 뽑아 1984년 1월 9일에서 2월 10일 사이에 설문지를 이용한 집단면담을 하였다. 면담에 응한 97명 가운데 본 조사에 필요한 자료를 제시할 수 있었는 86명으로 부터 얻은 자료를 분석하였다. 보건지소의 진료실적은 2종 보험실시 지역이 1일 평균 $30{\sim}40$명으로 환자가 많으나 그외 지역은 $3{\sim}4$명으로 매우 저조하였다. 또한 예방 및 보건증진사업을 적극적으로 추진한다고 답한 사람은 조사대상자의 2%에 불과했다. 63가지 기본적인 임상수기 가운데서 자신있게 할 수 있다고 한 사람이 50%이상인 것은 근육주사, 정맥주사, 외상치료와 같이 간단한 것으로 12가지에 불과했고 임산부관리, 응급환자처치, 예방 및 보건증진 사업등에 필요한 수기에 자신이 있는 사람은 10%도 못 되었다. 국립보건원에서 실시하고 있는 공중보건 일반의사들의 실무교육이 현지 사정과 맞지 않는것이 많아 실무에 큰 도움이 안 된다고 했으며, 도립병원이나 지방 종합병원에서 받은 임상수련이 실무에 많은 도움이 된다고 한 사람은 38.8%였으며, 별도움이 안된 이유 가운데 전문의가 없거나 있어도 무관심하여 수련지도가 부족한 탓이라고 한 사람이 48.4%로 가장 많았다. 공중보건일반의 실무교육은 교육내용을 실무종사자들의 의견을 수렴하여 현지 사정에 맞도록 개선해야할 것이며, 실무종사자들 가운데 유능한 사람을 강사로 활용하고, 국립보건원에 모아 교육시키는 것보다 전국을 몇개의 지역으로 나누어 지방에서 교육을 시키는것이 효과적일 것이다. 임상실습은 4개월이 적당할 것으로 생각되며, 수련기간 동안에 필수적으로 익혀야 할 수기를 수첩으로 만들어 실습사실을 지도전문의에게 확인 받게하며, 보건사회부에서는 수련지도에 관한 지침을 마련하여 수련병원에 배부하고 수련상황을 평가하도록 한다. 최소한 기본 4과에 전문의를 갖춘 병원을 수련병원으로 선정하여야 할 것이다. 공중보건 일반의사들이 현지에서 당면하는 문제해결을 도우고 사업추진을 위한 동기를 유발하기 위해 보수교육이 필요하며 이를 위해 보건사회부는 재정 및 행정적 지원을 하는 것이 좋겠다. 도를 몇개지역으로 나누어 지역마다 지도위원회를 구성하여 공중보건 일반의사들을 순회지도 하고 자문에 응하도록 하는 것이 좋을 것으로 생각된다.

• 보건교육건강증진학회지
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• 제17권2호
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• pp.207-218
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• 2000

National health promotion services are any planned combination of comprehensive and specific services to help people to achieve and maintain health. The purpose of the service activities is to identify health needs, to obtain information and resources and to achieve change of individuals, families, groups, or entire communities. It also includes environmental support of social, political, economic, and organizational policy and regulatory arrangements bearing on behavior or more directly on health. To be most effective, the service must be planned and delivered by health professional. Therefore, the aim of this study has been to develop a health professional training program for national health promotion. The specific aims of this study were: 1) to clarify the roles, responsibilities and competencies of health promotion practitioners; 2) to help health promotion practitioners to get the knowledge, skills, and abilities for any heath promotion project or program that seeks to improve health; 3) to help health promotion practitioners to acquire the skills and abilities to encourage people to participate in the health promotion project, to access the health needs and available community resources, and develop community-wide health promotion program strategies. The health professional training program developed in this study included factors affecting education, the demands of training program and roles and responsibilities of health promotion practitioners. This study also developed the curriculum for health promotion practitioners. The curriculum had six topics: 1) government's health promotion policies and projects or programs; 2) health management and plan; 3) recent health issues and future perspectives; 4) data on various health status indices; 5) strategies to implement health promotion projects or programs; and 6) introduction of some effective and comprehensive health promotion projects or programs.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제25권4호
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• pp.196-202
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• 2014

Objectives : The purpose of this study is to evaluate the preliminary effects of school-based short term mental health awareness and school bullying prevention programs. Methods : From April to December 2013, the Child and Adolescent Mental Health Promotion team of Seoul National Hospital conducted school-based short term social skill training (N=56, 4 sessions), mental health awareness (N=84, 4 sessions) and school bullying prevention programs (N=171, 1 session) in elementary and junior high schools located in Seoul. The changes in the subjects before and after the program were assessed. Results : The social skills training program improved the 'helping' behaviors in boys (t=-2.355, p<.05) and 'sharing' (t=-3.223, p<.01), 'cooperation' (t=-2.235, p<.05), and 'comforting' (t=-2.830, p<.01) behaviors in girls, assessed using the Prosocial Behavior Questionnaire. The mental health awareness program improved 'general health awareness' (t=2.620, p<.05), measured using the Korean General Health Questionnaire. The school bullying prevention program resulted in decreased 'self esteem' (t=3.769, p<.01), measured using the Self Esteem Scale and decreased 'anger' (t=4.198, p<.01), assessed using the Novaco Anger Scale. Conclusion : The results of our preliminary analysis suggest that school-based mental health awareness and school bullying prevention programs may be effective even when conducted for a short term. Future investigation is necessary in order to validate the long term effects of these programs.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제6권1호
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• pp.100-108
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• 1995

본 연구에서는 아동들의 적응을 향상시키기 위해 개발된 Spivack와 Shure(1982)의 국민학생용 대인관계 인지 문제해결 기술훈련 프로그램을 정신지체 학생들의 능력 및 특성에 맞도록 수정, 압축하여, 이를 교육가능 정신지체 청소년들에게 8주간 총 32회(1회 $30{\sim}35$분)에 걸쳐 훈련을 실시하였다. 연구 결과, 인지 문제해결 기술훈련을 받은 실험집단의 정신지체 학생은 훈련을 받지 않은 통제집단의 정신지체 학생보다 훈련 전에 비해 대안적 사고 능력과 결과적 사고 능력이 유의미하게 향상되었다. 그러나 부모에 의한 행동평가(CBCL) 및 교사에 의한 행동 평가에서는 실험집단과 통제집단간에 유의미한 차이가 나타나지 않았다. 이상의 결과에서 대인관계 인지 문제해결 기술훈련이 실제 문제해결 기술능력 가운데 중요한 인지기제의 향상에 유의미한 효과를 나타내었다고 결론 내릴 수 있으나, 이러한 인지기제의 유의미한 향상이 짧은 훈련 기간 등의 문제로 인하여 행동상의 적응으로는 연결되지 않았다. 앞으로의 연구에서는 훈련기간을 길게 하여 과잉학습을 충분히 시키고, 부모 훈련을 함께 실시하며, 행동적 접근을 병행한다면 대인관계 기술훈련의 효과가 확실히 나타나고, 그 효과가 지속되며 실제 생활 장면에서 일반화될 수 있으리라고 생각한다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권2호
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• pp.501-506
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• 2015

Background: To evaluate the effectiveness of the National Train-the-Trainers Program for Hospice and Palliative Care Experts (TTHPC) sponsored by the National Cancer Center of Korea between 2009 and 2012. This program was developed to improve the teaching skills of those in the field of hospice and palliative care (HPC). Materials and Methods: Training was offered in eight 1-day sessions between 2009 and 2012. The effect of the program was measured using Kirkpatrick's model of educational outcomes. First, levels 1 and 2 were evaluated immediately after the 1-day program (n=120). In 2012, the level-3 evaluation test was administered to trainers who offered at least one HPC training (n=78) as well as to their trainees (n=537). Results: The level-1 evaluation addressed participant reactions to and satisfaction with the program. Participants (n=120) were generally satisfied with the content, the method, and the overall course (mean range: 3.94-4.46 on a five-point Likert scale). The level-2 evaluation (learning) showed that participants gained knowledge and confidence related to teaching HPC (4.24 vs. 4.00). The level-3 evaluation (behavioral), which assessed trainers' application of teaching skills to HPC, showed that trainees rated the teaching methods of trainers (mean range: 4.03-4.08) more positively than did trainers (p<0.05). Female trainers were more likely than were male trainers to plan sessions in consideration of their trainees' characteristics (4.11 vs. 3.58; p<0.05), and nurse trainers were more likely than physician trainers to use a variety of instructional methods (4.05 vs. 3.36; p<0.05) Conclusions: We conducted systematic evaluations based on Kirkpatrick's model to assess the effectiveness of our train-the-trainers program. Our educational program was practical, effective, and followed by our HPC experts, who needed guidance to learn and improve their clinical teaching skills.

• 대한통합의학회지
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• 제6권2호
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• pp.59-68
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• 2018

Purpose : In this research, I tried to examine the effect of handwork activities through group activities on self-esteem and sympathy index. Method : In this research, for men and women enrolled in K university, we explain sufficiently the purpose and method of research and randomly assign to 20 training group and 20 control group for those who agreed with experiment we divided handwork activities twice a week from november 18, 2016 to December 6, six times in total for 30 minutes. Results : Compared with self-esteem among groups, group training exercises showed higher interpersonal relationships than control group, and self-accepted items and self-efficacy items decreased. empathy comparison that group fits according to arbitration period compared with group control training group, group of training exercise high emotional sympathy items and social skills items appear high, cognitive sympathy items are low. Conclusion : From the results of this study, it turned out that the activities of handwork by group improved interpersonal relationships, emotional sympathy and social skills. In light of the results of these studies, it can be considered that better results can be obtained when applied to children and young people who are forming self-esteem and cognitive sympathy. In future research, further studies based on age, sex and further research corresponding to each situation, student's self esteem and a broader material for developing program necessary for cognitive sympathy can be obtained.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제23권2호
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• pp.82-89
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• 2012

Objectives : Demands for comprehensive and intensive treatment programs for treatment of children with attention-deficit hyperactivity disorder (ADHD) who suffer from serious impairment in various psychosocial areas are increasing. The aim of this study was to evaluate the possibility of developing new types of camp programs focused on improving social adjustment of children and helping parents effectively manage their children's problem behaviors. Methods : Fifteen children diagnosed as ADHD according to Diagnostic and Statistical Manual of Mental Disorders-IV (mean age 9.5 years) and their parents participated in this program. Eight consecutive camps were held at two-week intervals, from Jun 2007 to Oct 2007 in an adolescent training center located at Chungtaesan, in Korea. Each camp program included social skills training in the classroom and outdoor activities in the forest for children, as well as parent training for mothers. In addition, after the sixth camp, we conducted one parental session for fathers and a three-day booster family camp three months later. Finally, eleven families adhered to the program. Results : All children, parents, and therapists rated questionnaires or checklists at baseline, intra-, and post-treatment. Parenting burden rated using the Parenting Stress Index showed a significant decrease, from 57.89 to 46.22 (p=.019). And, overprotection rated using the Parenting Bonding Instrument showed a significant decrease, from 16.56 to 12.44 (p=.046). However, no significant improvement in children's behavioral and emotional problems was observed. Conclusion : In this study, the consecutive ADHD family camp program was effective for empowerment of parental competency, but not for general improvement of children's behavioral and emotional symptoms.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제17권2호
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• pp.79-90
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• 2006

Social deficits are the most critical and core deficits of the children with Autistic Spectrum Disorder(ASD) and they are qualitatively as well as qualitatively different from typically developing children. It is proposed that the attachment between the mother and the autistic child should be promoted foremost and early as possible, to improve social deficits, just like early social developments in normal children depend largely on interactions between the mother and the child who are attached to each other we have developed an interventional program, 'Attachment Promotion Therapy', largely based on the attachment theory. The Attachment promotion Therapy mandates the participation of both the mother and the autistic child, and consists of mutually enjoying play activities, close physical contacts and parental training on intense mother-child interactions, focusing on improving maternal sensitivity, responsiveness, and nurturing behaviors during their interactions. The program was found to be effective in improving attachment behaviors, attachment security and acquiring joint attention skills. Attachment Promotion Therapy is therefore proposed here as the important earliest intervention method for children with ASD and could become the base for many other educational and therapeutic interventions.

• 수산해양교육연구
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• 제13권1호
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• pp.37-62
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• 2001

This study examined the qualities of an effective teacher needed to accomplish educational reform successfully and prepare for a rapidly changing knowledge-based society. To achieve the purpose of the study, the following specific questions were looked into; (1) knowledge, skills, attitude of an effective teacher. (2) a proposal for staff development programs to improve the effectiveness of teachers. (3) a proposal to support teachers' efforts to improve their effectiveness. (4) the factors inhibiting the improvement of teachers' effectiveness. In this study, 'in-depth interview' was used for data collection because the study deals with the "subjective consciousness" of teachers, and qualitative research methods are useful to such a case. The research was done on teachers from secondary schools in Pusan City. According to the teachers interviewed, an effective teacher needed in the new age has such knowledge, skills, and attitude as; (1) knowledge in their major, general culture and common sense, psychology of educational counselling, social science, and knowledge and information related to curriculum. (2) effective instruction skills, skills to guide student behavior, skills related to administrative clerical work, using the computers, extra curriculum activities, educational evaluation, using teaching materials, developing educational programs, and good communication skills. (3) attitude relevant to willingness to understand and converse with students at their cognitive level, positive expectations and concern toward students, democratic problem solving, continuous self-study and development, thoroughgoing mission and professionalism, will for educational reform and innovation, neat appearance and refined language, and successful interpersonal relationships. The teachers also said that the current staff development system, as a program to provide necessary qualities for teachers, has improved in the last 3 years through diverse curriculum and systematic programs. However, due to the problematic promotion system, the staff development program has turned into just a 'point collecting' game from the role of in-service training program; teachers take training courses as the means just collecting points for promotion purpose. Factors inhibiting the improvement of teachers are (1) overload of formal paperwork over emphasizing outcome, (2) mannerism of teachers not perceiving their lack of professionalism, (3) the general attitude in the teaching profession resisting change and reform, (4) supervisory activities lacking rigid regulation, (5) research just as the means of point-collection only for promotion, and (6) staff development programs lacking efficiency. These factors, interacting each other, inhibited the improvement of teachers.

• 한국엔터테인먼트산업학회논문지
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• 제13권4호
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• pp.385-400
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• 2019

용인 정서관리 훈련 프로그램(Yongin-Emotion Management Training: Y-EMT)에 대한 기존 연구들은 단기 연구로서 효과의 지속성 측면에서 추후 연구를 제안 하고 있다. 이에 본 연구는 Y-EMT 프로그램이 정서장애에 미치는 효과성을 검증 하고자 하였다. 이를 위해 만성 조현병 환자를 실험군과 대조군을 30명과 28명 동질성 검사 후, 반복 측정법을 통해 Y-EMT의 상호작용 효과를 검증한 결과 첫째, 사전검사와 사후(5개월 후)검사, 사전검사와 1년 후 검사, 사전검사와 2년 후 검사에서 실험집단과 통제집단간 유의한 평균 차이가 나타났다. 둘째, 실험집단인 경우 정서행동, 정서표현, 자기 효능감, 대인관계변화는 프로그램 종료 후 5개월까지는 높은 상승효과를 보였고, 이후 1년까지는 점진적인 상승효과가 있다는 것을 확인 하였다. 이와 같은 연구 결과를 토대로 만성 조현병 환자들의 치료효과 및 지속성을 유지하기 위해서는 용인 정서관리 훈련 프로그램 및 인지재활 훈련, 사회기술 훈련, 인간관계훈련 등의 효과를 동시에 비교분석한 후 가장 효과성이 높은 프로그램과 약물치료를 병행하는 것이 사회복귀에 도움될 것으로 사료된다.