• 제목/요약/키워드: stages of change model

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제 2형 당뇨 환자의 운동행위 변화단계에 따른 변화과정, 의사결정균형 및 자기 효능감에 관한 연구 (Process of Change, Decisional Balance and Self-Efficacy Corresponding to the Stage of Exercise Behavior in Patients with Type 2 Diabetes Mellitus)

  • 김춘자
    • 성인간호학회지
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    • 제14권1호
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    • pp.83-92
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    • 2002
  • Purpose: This study was performed to identify the process of change, decisional balance and self-efficacy corresponding to the stage of exercise behavior using Transtheoretical Model in patients with type 2 diabetes mellitus. Method: The study method was a survey in 100 type 2 DM patients at out-patients clinic of Y medical center from March 19, 2000 to October 30, 2000. Result: The results were as follows: The subjects were divided into five stages of exercise behavior ; 15.0% in pre-contemplation stage, 33.0% in contemplation stage, 17.0% in preparation stage, 16.0% in action stage and 19.0% in maintenance stage. The subjects in pre-contemplation stage used all processes of change in the least. "Dramatic relief(DR)", "Environmental reevaluation(ER)" and "Self reevaluation(SR)" were identified as main processes of change in contemplation stage. "Consciousness raising(CR)", "DR" were used higher than average in preparation stage. Helping relationships(HR)", "CR", "ER", "SR", "Social liberation(SL)", "Counter conditioning (CC)", "Reinforcement management(RM)", "Self iberation(SEL)" and "Stimulus control(SC)" were used higher than average in action stage. The subjects in maintenance stage used all process of change the highest except "DR"and "HR". "Cons" score of decisional balance was the highest in pre-contemplation stage, "Pros" score was the highest in action stage and "Self-efficacy" score was the highest in maintenance stage. Conclusion: This study can provide the basis of staged matching exercise program using TTM for more effective and useful intervention.

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Development of tailored nutrition information messages based on the transtheoretical model for smartphone application of an obesity prevention and management program for elementary-school students

  • Lee, Ji Eun;Lee, Da Eun;Kim, Kirang;Shim, Jae Eun;Sung, Eunju;Kang, Jae-Heon;Hwang, Ji-Yun
    • Nutrition Research and Practice
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    • 제11권3호
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    • pp.247-256
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    • 2017
  • BACKGROUND/OBJECTIVES: Easy access to intervention and support for certain behaviors is important for obesity prevention and management. The available technology such as smartphone applications can be used for intervention regarding healthy food choices for obesity prevention and management in elementary-school students. The transtheoretical model (TTM) is comprised of stages and processes of change and can be adopted to tailored education for behavioral change. This study aims to develop TTM-based nutrition contents for mobile applications intended to change eating behaviors related to weight gain in young children. SUBJECTS/METHODS: A synthesized algorithm for tailored nutrition messages was developed according to the intake status of six food groups (vegetables, fruits, sugar-sweetened beverages, fast food and instant food, snacks, and late-night snacks), decision to make dietary behavioral changes, and self-confidence in dietary behavioral changes. The messages in this study were developed from December 2014 to April 2015. After the validity evaluation of the contents through expert consultation, tailored nutrition information messages and educational contents were developed based on the TTM. RESULTS: Based on the TTM, stages of subjects are determined by their current intake status, decision to make dietary behavioral changes, and self-confidence in dietary behavioral changes. Three versions of tailored nutrition messages at each TTM stage were developed so as to not send the same messages for three weeks at most, and visual materials such as figures and tables were developed to provide additional nutritional information. Finally, 3,276 tailored nutrition messages and 60 nutrition contents for applications were developed. CONCLUSIONS: Smartphone applications may be an innovative medium to deliver interventions for eating behavior changes directly to individuals with favorable cost-effectiveness. In addition, using the TTM for tailored nutrition education for healthy eating is an effective approach.

Factors Associated with the Stage of Change of Smoking Cessation Behavior in Adolescents

  • Park, Nam-Hee;Kim, Jung-Soon;Lee, Yun-Mi
    • 대한간호학회지
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    • 제33권8호
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    • pp.1101-1110
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    • 2003
  • Purpose. The purpose of this study was to identify the stage of change of smoking cessation behavior and investigate factors associated with the stage of smoking cessation behavior according to the transtheoretical model. Methods. The participants, 297 smokers & quitters were selected by a stratified random sampling from 127 high school sophomore students in B city. Data were collected from April 6th to 16th, in 2002 using the structured self-report questionnaire. Results. The subjects were distributed in each stage of change of smoking cessation behavior: there were 46 subjects (15.5%) in precontemplation, 73 subjects (24.6%) in contemplation, 67 subjects(22.3%) in preparation, 56 subjects (18.5%) in action, 55 subjects (18.5%) in maintenance. Compared to the precontemplation and contemplation, people in preparation tended to smoke daily more and smoked for a shorter time, and as precontemplation progressed to the maintenance, past 1 year smoking cessation frequency increased and friends smoking decreased. Smoking onset age was the earliest in preparation, and the latest in maintenance. Helping relationships and self relationships are used a lot in precontemplation and also in contemplation. In preparation, self liberation and helping relationships are used a lot, in action, self liberation and helping relationships, and in maintenance, self liberation and environmental reevaluation. At each stage, the score of negative affect situation was the highest, but the one of negative affect situation, positive social situation, habitual strength, weight control decreased as precontemplation progressed to the maintenance. While the score of social pros and coping pros decreased with increasing stage, the one of cons tended to increase. Through stepwise discriminant analysis, it was found that social pros, smoking onset age, delf-libration were the most influencing powers among factors associated with the stages of smoking cessation behavior. Conclusions. This study suggested that, in developing an effective smoking cessation intervention for adolescents, all the stage of a client's cessation had to be assessed prior to applying intervention programs. In addition, the results of this study will become a pillar of smoking cessation program planning and application.

Modeling the long-term vegetation dynamics of a backbarrier salt marsh in the Danish Wadden Sea

  • Daehyun Kim
    • Journal of Ecology and Environment
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    • 제47권2호
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    • pp.49-62
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    • 2023
  • Background: Over the past three decades, gradual eustatic sea-level rise has been considered a primary exogenous factor in the increased frequency of flooding and biological changes in several salt marshes. Under this paradigm, the potential importance of short-term events, such as ocean storminess, in coastal hydrology and ecology is underrepresented in the literature. In this study, a simulation was developed to evaluate the influence of wind waves driven by atmospheric oscillations on sedimentary and vegetation dynamics at the Skallingen salt marsh in southwestern Denmark. The model was built based on long-term data of mean sea level, sediment accretion, and plant species composition collected at the Skallingen salt marsh from 1933-2006. In the model, the submergence frequency (number yr-1) was estimated as a combined function of wind-driven high water level (HWL) events (> 80 cm Danish Ordnance Datum) affected by the North Atlantic Oscillation (NAO) and changes in surface elevation (cm yr-1). Vegetation dynamics were represented as transitions between successional stages controlled by flooding effects. Two types of simulations were performed: (1) baseline modeling, which assumed no effect of wind-driven sea-level change, and (2) experimental modeling, which considered both normal tidal activity and wind-driven sea-level change. Results: Experimental modeling successfully represented the patterns of vegetation change observed in the field. It realistically simulated a retarded or retrogressive successional state dominated by early- to mid-successional species, despite a continuous increase in surface elevation at Skallingen. This situation is believed to be caused by an increase in extreme HWL events that cannot occur without meteorological ocean storms. In contrast, baseline modeling showed progressive succession towards the predominance of late-successional species, which was not the then-current state in the marsh. Conclusions: These findings support the hypothesis that variations in the NAO index toward its positive phase have increased storminess and wind tides on the North Sea surface (especially since the 1980s). This led to an increased frequency and duration of submergence and delayed ecological succession. Researchers should therefore employ a multitemporal perspective, recognizing the importance of short-term sea-level changes nested within long-term gradual trends.

지역사회 여성 주민을 대상으로 한 대상중심형 위암 조기검진 교육 프로그램의 개발 및 효과평가 (Effectiveness of a Community-based Program Using Tailored Stage-matched Messages to Promote Screening for Stomach Cancer)

  • 김영복
    • 보건교육건강증진학회지
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    • 제22권2호
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    • pp.97-110
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    • 2005
  • Objectives: Recent studies have shown that tailored messages for cancer screening to the beliefs and stage of cancer screening behavior of individual women increases the take-up probability. Many studies on cancer screening have used the Transtheoretical Model (TTM) to identify variables associated with cancer screening behavior. This study was carried out to identify the cognitive-behavioral factors associated with stomach cancer screening among women aged 40 years and over, and to develop and evaluate a tailored educational program for stomach cancer screening by stages of change. Methods: Building on the TTM constructs, we conducted a quasi-experimental study(N=283) to test the effectiveness of a tailored educational program for endoscopic stomach cancer screening. We carried out pre and post tests in the experimental group(N=162) and the control group(N=121), and the experimental group was subdivided into an on-line group(N=81) and an off-line group(N=81) by educational methodology using e-mail and the postal service. We used the chi-square test, trend test, and paired t-test to test the effectiveness of the program for stomach cancer using a tailored stage-matched messages. Results: To examine the effectiveness of the program for stomach cancer screening by the tailored stage-matched messages, the stage-matched materials were offered to the experimental group(N=162) four times for 4 weeks. The stage-matched materials consisted of the four types for stomach cancer. The tailored message was effective in changing the cognitive-behavioral factors, such as experience process, behavior process, con opinion for stomach cancer, self-efficacy, and the behavioral stages for stomach cancer screening. The stomach cancer screening adherence was higher for the stage-matched materials using postal mail than for those using e-mail. Conclusion: To improve the stomach cancer screening rate, the use of tailored messages for stomach cancer screening will be generated using an expert system. Therefore the implementation of tailored educational program will be supported a partnership between public and private health organizations and increasing awareness of the necessity of community-based interventions.

Development and Verification of an AI Model for Melon Import Prediction

  • KHOEURN SAKSONITA;Jungsung Ha;Wan-Sup Cho;Phyoungjung Kim
    • 한국컴퓨터정보학회논문지
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    • 제28권7호
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    • pp.29-37
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    • 2023
  • 기후변화로 인해 농작물 생산과 유통에 관한 관심이 증대되고 있고, 빅데이터와 AI를 활용한 생산량 예측을 통해 농가의 출하량 조절과 유통단계의 조절에 활용하는 시도가 이루어지고 있다. 농산물 반입량 예측은 가격에 영향을 미칠 뿐 아니라 농가의 출하량과 유통회사의 유통량 조절을 할 수 있으므로 마케팅 전략을 수립하는데 중요한 정보이다. 본 연구에서는 농업 통계 정보 시스템에서 공개한 도매시장 참외 반입량 데이터를 기반으로 미래의 반입량을 예측하는 인공지능 예측 모델을 생성하고 정확도를 평가한다. 우리는 Neural Prophet 기법과 Ensembled Neural Prophet 모델 그리고 GRU 모델 등 세 가지 모델을 사용하여 예측 모델을 생성한다. 모델의 성능은 MAE와 RMSE라는 두 가지 주요 지표를 비교하여 평가한 결과 Ensembled Neural Prophet 모델이 가장 정확하게 예측하였으며, GRU 모델도 앙상블 모델과 유사한 성능을 보여주고 있다. 본 연구에서 개발된 모형은 웹에 publish 되어 현장에서 1년 6개월 동안 사용하고 있으며, 가까운 미래의 참외 생산량을 예측하고, 마케팅 및 유통전략을 수립하는 데 활용되고 있다.

범이론적 모형 (Transtheoretical Model)에 근거한 청소년의 금연변화단계 예측요인 (Predictors of Stage of Change for Smoking Cessation among Adolescents based on the Transtheoretical Model)

  • 김정순;정인숙;천병철;박남희
    • Journal of Preventive Medicine and Public Health
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    • 제36권4호
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    • pp.377-382
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    • 2003
  • Objectives : The purpose of this study was to investigate the predictor associated transitions with each stage of smoking cessation based on the Transtheoretical Model, and to provide basic data for smoking cessation programs for adolescents. Methods : The participants were 297 current and former smokers, obtained from stratified random sampling of 2nd graders from 127 high schools in B cities. The data were collected between April 6th and 16th 2002, using a structured self-report questionnaire, and analyzed using a multiple logistic regression, with the SPSS program for Windows (Version 10.0). Results : The predictors of transition from precontemplation to contemplation were consciousness raising (OR=1.22, 95% CI:1.07-1.40), coping pros (OR=.84, 95% CI:.70-1.00) and attitude of parents to smoking (OR=2.97,95% Cl: 94-9.24). The predictors of transition from contemplation to preparation were helping relationships (OR=.83, 95% CI:.72-.96), self-liberation (OR=1.15, 95% CI: 99-1.33) and nicotine dependence (OR=.76, 95% CI: 56-1.03). The only predictor of transition from preparation to action was the social pros (OR=.66, 95% CI:.57-.82). The predictors of transition from action to maintenance were self-reevaluation (OR=.81, 95% CI:.71-.92) and negative affective situation (OR=.85, 95% CI:.72-1.00). Conclusion : Adequate examination on the factors for predicting the transitional stages of change for smoking cessation in Koreans are presented in this study. The results of this study will become the pillar of smoking cessation Planning and application programs.

1.2MW급 산업용 가스터빈 원심압축기 개발(1)- 공력설계해석 - (Development of Centrifugal Compressors in an 1.2MW Industrial Gas Turbine(I)-Aerodynamic Design and Analysis-)

  • 조규식;이헌석;손정락
    • 대한기계학회논문집B
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    • 제20권8호
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    • pp.2707-2720
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    • 1996
  • The aerodynamic design of the two-stages of centrifugal compressors in an 1.2MW industrial gas turbine is completed with the application of numerical analyses. The final shape of an intake, the axial guide vanes and a return channel is determined using several interactions between design and two-dimensional turbulent flow analysis, focused on the minimum loss of internal flows. The one-dimensional turbulent flow analysis, focused on the minimum loss of internal flows. The one-dimensional design and prediction of aerodynamic performances for the compressors are performed by two different methods; one is a method with conventional loss models, and the other a method with the two-zone model. The combination methods of the Betzier curves generate three-dimensional geometric shapes of impeller blades which are to be checked with a careful change of aerodynamic blade loadings. The impeller design is finally completed by the applications of three-dimensional compressible turbulent flow solvers, and the effect of minor change of design of the second-stage channel diffuser is also studied. All the aerodynamic design results are soon to the verified by component performance tests of prototype centrifugal compressors.

정보보안 종사자의 조직갈등과 직무이탈 의도에 관한 연구 (A Study on the Organizational Conflict and Job Withdrawal Intention of the Information Security Workers)

  • 김근혜;박규동;심미나
    • 정보보호학회논문지
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    • 제29권2호
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    • pp.451-463
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    • 2019
  • 본 연구의 목적은 정보보안 조직갈등의 단계와 유형이 정보보안 종사자의 직무이탈 의도에 미치는 영향을 파악하는데 있다. 폰디의 조직갈등이론을 적용하여 공기업 정보보안 종사자를 대상으로 한 설문자료를 분석하였으며 구조 방정식 모형을 사용하여 정보보안 종사자가 직무 활동에서 경험하는 갈등의 단계, 유형, 결과를 분석했다. 분석 결과, 정보보안 종사자가 조직갈등의 잠재요인을 감정적으로 받아들일수록 정보보안 종사자의 직무이탈의도가 높아지는 것으로 나타났다. 반면에, 인식메커니즘은 직무를 변경하여 조직을 이탈할 확률을 낮추는 조절 효과를 가진 것으로 나타났다. 조직 내 정보보안 종사자의 갈등에 관한 실증연구는 많지 않다. 본 연구의 분석 결과는 정보보호 조직의 관리자가 조직 내 갈등을 생산적인 방향으로 이끌어 가는데 활용할 수 있을 것이다.

성취평가제에 대한 중학교 교사의 관심수준 분석 (Analysis on the Middle School Teachers' Level of Interest of Achievement Standards-based Assessment)

  • 김석우
    • 수산해양교육연구
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    • 제26권1호
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    • pp.81-97
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    • 2014
  • The purpose of this study is to analyze the level of interest in the achievement evaluation system, under the assumption that the teacher is an important element of curriculum. For this study, surveys targeting the 150 middle school teachers from 6 schools in Pusan was conducted. A questionnaire based CBAM model was used as research tools. For data analysis, mean of relative strength by teacher's level of interest was calculated. And MANOVA was used to investigate the difference among level of interest according to teachers' background such as sex, age, career, job position, and the grade they taught. The results of the analysis are summarized as follows. First, the middle school teachers' overall interest for achievement evaluation system is low. Teachers showed a typical pattern appeared in the early stages of change. They have little interest in the achievement evaluation system. And they should try to fix and change the achievement evaluation system rather than cooperate it. Second, as a result of this analysis of the difference according to teachers' background, no significant differences were found in most of the variables. Significant differences were found only in age, career, and job position from step 0. In running the post hoc, teachers who have less careers, lower positions, and younger ages had less interest in achievement evaluation system.