• Journal of Preventive Medicine and Public Health
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• v.57 no.2
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• pp.167-175
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• 2024

Objectives: Rural housewives are integral to household management and family care, yet their sedentary lifestyles present significant health risks. This study used the transtheoretical model (TTM) to investigate strategies that encourage and maintain regular exercise habits among rural housewives. Methods: A semi-experimental study was conducted in 2021 with 114 housewives aged 30 to 59 who attended rural health centers in Gorgan, Iran. Participants were randomly assigned to 1 of 2 groups. Data collection involved a validated questionnaire that gathered demographic information and constructs of the TTM. The intervention group participated in a comprehensive educational program, which included four 60-minute sessions. Data were collected again 6 months post-intervention and analyzed using descriptive and inferential statistics in SPSS version 21. Results: The study encompassed women with an average age of 39.75±6.05 years, the majority of whom had educational levels below a diploma, and over 90% were married. We observed strong correlations between the processes of change, self-efficacy, and decisional balance. At the outset, there were no significant differences in demographics or model structures between the 2 groups. However, 6 months post-intervention, the intervention group exhibited statistically significant differences in the mean scores of model structures, stages of change, and body mass index (p<0.05). Conclusions: This study highlights the importance of physical activity training for rural housewives. The findings suggest that the educational intervention, which utilized the TTM, significantly impacted the participants' model structures and their stages of change.

• The Journal of the Korea Contents Association
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• v.20 no.5
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• pp.437-447
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• 2020

The study was performed to identify the process of change, decisional balance, self-efficacy and social support corresponding to the stage of exercise behavior change and the applicability of social support of women in nursing college based on a Transtheoretical Model. The subjects consisted of 223 women in nursing college by convenience sampling and the data were analyzed by IBM SPSS 21.0 program. The subjects were distributed in each stage of change of behaviors: 17.9% in the precontemplation stage, 54.3% in the contemplation stage, 16.6% in the preparation stage, 4.5% in the action stage and 6.7% in the maintenance stage. Analysis of variance showed that consciousness raising, dramatic relief, self reevaluation, social liberation, counter conditioning, helping relationship, reinforcement management, self liberation, stimulus control, pros, cons and self-efficacy were significantly associated with the stages of exercise behaviors. But there was no significant difference in social support. The transtheoretical model would be applicable to explain the exercise behavior of women in nursing college. This study will be useful information for developing effective exercise programs considering nursing female students' stages of change in exercise behavior.

• Journal of Korean Academy of Nursing
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• v.30 no.5
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• pp.1265-1278
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• 2000

This study was carried out to assess the perception of decisional balance of Korean subjects about 4 health behaviors and to identify the influencing factor of decisional balance for exercise acquisition, smoking cessation, mammography screening and Kegel's exercise acquisition. All are representative health behaviors nurses can intervene in Korea based on the Transtheoretical model. Convenient samples of 2,484 subjects (191; exercise, 169; smoking cessation, 1903; mammography screening and 221; Kegel's exercise) were selected from cities and counties over 9 provinces throughout Korea, and the data was collected from January 1, 1999 to February 29, 2000. The research instrument were the Decisional Balance Measure for Exercise (Marcus & Owen., 1992), Smoking Cessation (Velicer et al., 1985), Mammography Screening (Rakowski et al.,1992) and Kegel Exercise (Lim, 1999) and Stage of Change Measure for Exercise (Marcus et al, 1992), Smoking Cessation (DiClemente et al., 1991), Mammography Screening (Rakowski et al.,1992) and Kegel's Exercise (Lim, 1999). The data was analyzed by the SAS Program. The results are as follows; 1. According to the stage of change measure, 2,484 subjects were distributed in each stage of change for four health behaviors: 1,233 subjects (49.8%), 745 subjects (30.2%), 113 subjects (4.7%), 156 subjects (6.5%), and 216 (8.7%) belonged to the pre- contemplation stage, contemplation stage, preparation stage, action stage and maintenance stage. They were all series of stages of change in their efforts to do health behavior. 2. Factor analysis identified 3 factors (1 of Pros, 2 of Cons) for the exercise, 4 factors for smoking cessation (2 of Pros, 2 of Cons), 2 factors (1 of Pros, 1 of Cons) for the mammogram screening and 2 factors (1 of Pros, 1 of Cons) for Kegel's exercise of decisional balance. 3. The analysis of variance and multiple comparison analysis showed that for all 4 samples, the Cons of changing the problem behaviors outweighed the Pros for subjects who were in the pre- contemplation stage, The opposite was true for subjects in action and maintenance stage. 4. Through the discriminant analysis, it was found that one factor of Pros for exercise, one factor of Cons for smoking cessation, 1 factor of Cons for mammogram screening and one factor of Cons for Kegel's exercise were the more influencing factors, than others in discriminating the stages of change. Results are consistent with the applications of the Transtheoretical model, which have been used to understand how people change health behaviors. This results provide some evidence that subject's report of his/her health behavior corresponds to beliefs about usefulness of related health behaviors. The results of this study have implications for patients' health education and health intervention strategies. The findings of this study give useful information for nursing educators for 4 health behaviors, especially the factors relating to decision making in the different stages of change.

• Research in Community and Public Health Nursing
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• v.15 no.1
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• pp.110-121
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• 2004

Purpose: This study was performed to identify factors associated with drinking behavior using Transtheoretical Model in workers. Method: The study method was a survey of 216 marine shipping metal workers in Koje city from November 11, 2002 to November 30, 2002. Result: The subjects were divided in four stages of drinking behavior: 38.9% in pre contemplation stage, 38.6% in contemplation stage, 17.6% in preparation stage and 7.9% in action & maintenance stage. The amount of drinking was significantly decreased as the workers progressed through each stage. Helping relationships(HR) and Self reevaluation(SR) were identified as the main processes of change in all stages. Self liberation(SEL), Counter conditioning(CC), Helping relationships(HR), Self reevaluation(SR), Dramatic relief (DR) and Social liberation(SL) were used higher than average. The self efficacy score increased as the workers progressed through each stage, but not significantly. The Pros score of decisional balance was the highest in the pre contemplation stage and decreased as the workers progressed through each stage. but not significantly. The Cons score of decisional balance was the highest in the preparation stage, but not significantly in as the workers progressed through each stage. Conclusion: This study can provide the basis of a staged matching alcohol reducing program using TTM for more effective and useful intervention.

• Korean Journal of Adult Nursing
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• v.18 no.4
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• pp.573-581
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• 2006

Purpose: This study was to predict the stage of exercise behavior change in undergraduate students and to identify the factors affecting exercise behavior change by using the trans theoretical Model. Method: The subjects were 193 undergraduate students at K and D university in D city. Data were collected by questionnaire surveys using convenience sampling and analyzed by SPSS 12.0 program. Results: 77.7% of 193 nursing students do not exercise or they exercise irregularly. Exercise self-efficacy score and exercise benefits score were decreased with advancing exercise stage, on the other hand exercise barriers score and the process of exercise behavior change score were increased. In addition to this, the results revealed that stage of exercise behavior was significantly correlated with the process of exercise behavior change, exercise benefits, exercise barriers and exercise self-efficacy. Conclusion: These results suggested that the process of exercise behavior change, exercise decisional balance and exercise self-efficacy can be potential affecting factors for the stages of behavior change in university students. Therefore, these findings give useful information for educating nurse to construct nursing service programs focused on the stage of behavior change.

• Proceedings of the Korean Geotechical Society Conference
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• 2008.03a
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• pp.1071-1074
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• 2008

In this study, the behavior of dredged soil was measured by repeated tide and analyzed the change of settlements and cone penetration resistance by centrifuge model about dredged soil of Kunsan-Janghang site that maximum tidal range is 7.4m. Consequently the settlements of dredged soil by repeated tide in the 2nd month was 0.489 m. After 12th month, the total settlements was 0.524 m in the model. It meaned the settlements of dredged soil by repeated tide in the 2th month was 80% of the settlements. Also, with the lapse of time, cone penetration resistance increased centrifuge model test for catching the strength change of dredged soil by repeated tide. After 10th month, there were not almost changes. cone penetration resistance in 10th month was measured more 3.5~5.6 times than that in its early stages. Also, with the lapse of time, cone penetration resistance increased almost linearly. And, when we surveyed the relation between cone penetration resistance and time, as depth increased, cone penetration resistance rose.

• Communications for Statistical Applications and Methods
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• v.27 no.1
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• pp.109-128
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• 2020

A climate-impact projection usually consists of several stages, and the uncertainty of the projection is known to be quite large. It is necessary to assess how much each stage contributed to the uncertainty. We call an uncertainty quantification method in which relative contribution of each stage can be evaluated as uncertainty decomposition. We propose a new Bayesian model for uncertainty decomposition in climate change impact assessments. The proposed Bayesian model can incorporate uncertainty of natural variability and utilize data in control period. We provide a simple and efficient Gibbs sampling algorithm using the auxiliary variable technique. We compare the proposed method with other existing uncertainty decomposition methods by analyzing streamflow data for Yongdam Dam basin located at Geum River in South Korea.

• Korean Journal of Health Education and Promotion
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• v.27 no.4
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• pp.165-175
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• 2010

Objectives: The purpose of this study is to evaluate the program theory of a lifestyle intervention program for the prevention and treatment of metabolic syndrome. Methods: The program evaluated is a tailored intervention for multiple health behavior associated with metabolic syndrome which is informed by theoretical constructs from the Intervention Mapping and Transtheoretical model. The program components include one-to-one health counseling, a self-management handbook, and a health diary. To evaluate program impact theory we examined the logic of program goals and objectives, intervention methods and strategies, and the theoretical constructs of program materials through document review and matrix building. Results: This evaluation has found that the intervention program applied social cognitive theory constructs to design intervention methods and strategies in addition to the Transtheoretical model: self-monitoring for goal setting and monitoring skill, outcome expectation for the benefits of health behavior change, and interaction with environment for observational learning through modeling. While the intervention addresses multiple determinants and behaviors, it is limited to an individual level and lacks social and environmental approaches. Following the Transtheoretical framework, the contents of the intervention materials were developed utilizing consciousness raising as a main strategy for earlier stages of change, and counterconditioning and stimulus control for later stages of change. Conclusion: Program theory evaluation can be a process of enhancing program validity. It would also be necessary for providing basis for efficient program implementation. When comparisons of program theory between similar programs are possible, program theory and validity will be strengthened when comparisons of program theories between similar programs are possible.

• Proceedings of the Korea Water Resources Association Conference
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• 2022.05a
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• pp.126-126
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• 2022

Climate change has continued to impact meteorological factors like rainfall in many countries including Nigeria. Thus, altering the rainfall patterns which subsequently affect the crop yield. Maize is an important cereal grown in northern Nigeria, along with sorghum, rice, and millet. Due to the challenge of water scarcity during the dry season, it has become critical to design appropriate strategies for planning, developing, and management of the limited available water resources to increase the maize yield. This study, therefore, determines the quantity of water required to produce maize from planting to harvesting and the impact of drought on maize during different growth stages in the region. Rainfall data from six rain gauge stations for a period of 36 years (1979-2014) was considered for the analysis. The standardized precipitation and evapotranspiration index (SPEI) is used to evaluate the severity of drought. Using the CROPWAT model, the evapotranspiration was calculated using the Penman-Monteith method, while the crop water requirements (CWRs) and irrigation scheduling for the maize crop was also determined. Irrigation was considered for 100% of critical soil moisture loss. At different phases of maize crop growth, the model predicted daily and monthly crop water requirements. The crop water requirement was found to be 319.0 mm and the irrigation requirement was 15.5 mm. The CROPWAT 8.0 model adequately estimated the yield reduction caused by water stress and climatic impacts, which makes this model appropriate for determining the crop water requirements, irrigation planning, and management.

• Journal of the Korean BIBLIA Society for library and Information Science
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• v.33 no.4
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• pp.49-72
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• 2022

This study based on the 8-step strategy model for change management proposed by J. P. Kotter, tried to check the perception and experience about change management of the librarians at National Library of Korea. Also this study aimed to figure out the understanding of each 8-step strategy model. To this end, the concept and process of change management were presented through literature analysis, and survey was conducted targeting 58 librarians of the National Library of Korea. This study drews five results. First, the majority of librarians at National Library of Korea do not know about change management, and they do not have experience in using change management techniques. Second, the period required for the 8-step change management process is 5 years. Third, during the change management stage, librarians' awareness of the importance of stages 4 and 3 was high. Fourth, there is no difference in the librarians' perceptions of change management by gender, education, major, and tasks. Fifth, there is a significant difference in the age and service years of the librarian in the 3rd, 4th, and 7th stages of change management. Also there is a significant difference in the position of the librarian at the 1st and 3rd stage of change management, and between librarians' department and 1st stage of change management. The findings and results of this study can not only raise awareness of change management but also suggest organizational responses to change at individual or organizational level.