• Journal of Family Relations
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• v.22 no.4
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• pp.181-204
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• 2018

Objectives: The aim of this study is to integrate the results of the previous studies from 1900 to 2016 according to the types of dependent variables individually and statistically to obtain the results of the overall level of the marital education program I need to figure it out. In other words, the general and valid study on the overall effectiveness of the marriage education program will lead to more concluded conclusions and draw up an integrated and holistic conclusion about the effectiveness of the marriage education program. Method: The purpose of this study was to investigate the effect of married couples' education program on married couples' education program. The results of this study are as follows. First, Comprehensive Meta-Analysis. In other words, funnel plot, forest plot, and trim & fill were used to analyze all the variables related to the education of the couple, and homogeneity test After choosing an analytical model for the analysis, we calculated the 'standardized mean difference' effect size (d) that can compare different individual studies through the analytical model. The results of this study are as follows. Results: The purpose of this study was to investigate the overall effect size of domestic couples education programs after 1990, and to investigate the effect sizes of dependent variable types and program - related variables. First, the total effect size of the domestic marriage education program was close to the level of the large effect size and had a substantial and preventive effect. Self-esteem, communication, marital adjustment, emotion, and self control have a substantial and prophylactically significant change depending on the type of subordinate variables related to the marital education program But there was no change in origin family and life satisfaction. Third, as a result of the categorization of the dependent variable categorization of the Korean couple education program, it was found that the marital relations of the participant in the individual inner and the marital relations The effect was significant enough to change. Fourth, Korean couple education program was most effective when mixed age couples were participated in various family life cycle. Conclusions: Based on the results of this study, it is necessary to study more deeply about marital education program effect of marriage education for various special groups such as married couples who are in a crisis of divorce, . It also means that the results of the research for the last 30 years from 1900 to 2016 were comprehensively and systematically summarized through meta - analysis. The results of this study provide information on how to provide the most effective couples education programs for practitioners in the field. The result of this study will be the data of judgment about how to organize the marital education program for people of any ages and characteristics in the future.

• Journal of Korean Medicine for Obesity Research
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• v.20 no.2
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• pp.178-192
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• 2020

Objectives: The present study aimed to compare the impacts of cognitive behavioral therapy (CBT) and behavioral treatment (BT) on weight loss and psychological outcomes among patients with three different subtypes of obesity: simple obesity, obesity with binge eating disorder, and obesity with depression. Methods: Embase, PubMed, the Cochrane Central Register of Controlled Trials, Research Information Sharing Service, and Korean Studies Information Service System were systematically searched for randomized controlled trials conducted on or before May 2020, that used CBT to treat obesity. Methodological quality was assessed using Cochrane's risk of bias tool 2 and publication bias was evaluated through the funnel plot using the trim and fill method, Egger's test, and Begg and Mazumdar rank correlation test. A meta-analysis was conducted using a random-effects model and the standardized mean difference with 95% confidence interval (CI) was used to determine effect size. Results: Twenty-one randomized controlled trials with a total of 22 intervention arms and 2,590 patients were included. Our study results revealed that the effects of CBT, compared with BT, on weight loss distinctly differed across all patient subgroups. In the simple obesity group, CBT was more effective than BT (Hedges' g=0.138, CI=0.012~0.264); however, in the obesity with binge eating disorder group, BT was more effective than CBT (Hedges' g=-0.228, CI=-0.418~-0.038); in the obesity with depression group, the effect of CBT was not statistically different from that of BT (Hedges' g=0.276, CI=-0.307~0.859). Further studies with larger sample sizes are required to confirm the outcomes observed in this study. Conclusions: Our results indicated that the effects of CBT on obesity treatment vary based on patient subtype. Therefore, our findings suggest that CBT or BT should be selectively recommended as a treatment strategy for different obesity subtypes.

• Journal of The Korean Society of Integrative Medicine
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• v.9 no.1
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• pp.203-217
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• 2021

Purpose: The purpose of this meta-analysis was to examine the high-level evidence of the effects of manual therapy on musculoskeletal diseases. Methods: Domestic databases were searched for studies that conducted clinical trials associated with manual therapy on chronic musculoskeletal diseases. A total of 591 studies published between 2005 and 2018 were identified, with 18 studies satisfying the inclusion data. The studies were classified according to patient, intervention, comparison, and outcome (PICO). The search outcomes were items associated with pain and physical function. The 18 studies included in the study were evaluated by using the R meta-analysis (version 4.0). The quality of 18 randomized control trials was evaluated by using the Cochrane risk of bias (ROB). The effect sizes were computed as the corrected standardized mean difference (SMD). Subgroup and meta-regression analyses were also used. Egger's regression test was carried out in order to analyze the publication bias. Cumulative meta-analysis and sensitivity analysis were also conducted in order to analyze the data error. Results: The following factors showed the large effect size of manual therapy on chronic musculoskeletal diseases: pain (Hedges's g = 2.66; 95% CI = 1.47 ~ 3.85), and physical function (Hedges's g = 2.15; 95% CI: 1.22 ~ 3.08). The subgroup analysis only showed a statistical difference in the type of manual therapy (pain) and outcome (physical function). No statistically significant difference was found in the meta-regression analysis. Publication bias was found in the data, but the results of the trim-and-fill method showed that such bias did not largely affect the obtained data. Furthermore, there were no data errors in the cumulative meta-analysis and sensitivity analysis. Conclusion: This study provides evidence for the effectiveness of manual therapy on chronic musculoskeletal diseases in pain and physical function. Subgroup analysis suggests that only the type of manual therapy for pain and the type of outcome for physical function differed in effect size.