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Influence of Self Efficacy, Social Support and Sense of Community on Health-related Quality of Life for Middle-aged and Elderly Residents Living in a Rural Community
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Hyeonkyeong Lee, Sung Hye Cho, Jung Hee Kim, Yune Kyong Kim, Hyang Im Choo
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J Korean Acad Nurs 2014;44(6):608-616. Published online December 31, 2014
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DOI: https://doi.org/10.4040/jkan.2014.44.6.608
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 Abstract
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Purpose
The purpose of this study was to examine the relationship between self-efficacy, social support, sense of community and health-related quality of life (HRQoL), including the direct and indirect effects of the variables on HRQoL.
Methods
A cross-sectional survey was conducted with a convenience sample of 249 middle-aged and elderly residents living in a rural community in A-County, K Province. The structured questionnaire included 4 scales from the Euro Quality of life-5 Dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), and measures of General Self-Efficacy, Social Support, and Sense of Community. Data were analyzed using SPSS WIN 20.0 and AMOS 21.0 program.
Results
The mean HRQoL score for the participants was 0.87±0.13. Self-efficacy (β=.13, p=.039) and age (β= -.38, p<.001) were significantly associated with HRQoL, explaining 21% of the variance. In the path analysis, self-efficacy showed a significant direct effect on HRQoL (β=.14, p=.040) and significantly mediating relationships between both social support (β=.05, p=.030) and sense of community (β=.02, p=.025) and HRQoL.
Conclusion
Although self-efficacy was found to be the main predictor for HRQoL, the findings imply that social environmental factors such as social support and sense of community need to be considered when developing interventions to increase HRQoL in middle-aged and elderly residents in rural communities.
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Citations
Citations to this article as recorded by  - Relationship between perceived social support and disability with the mediating role of perceived stress among older adults
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Jung Shin Choi, Yoon Ji Choi, Yong Kyu Park
The Korean Journal of Community Living Science.2024; 35(4): 683. CrossRef - The Impact of Self-Management Behaviors, Self-Efficacy, and Grit on Health-related Quality of Life in Patients with Atrial Fibrillation: A Cross-Sectional Descriptive Study
Ji-Yeong Seo, Hyeon-Ok Lee
Korean Journal of Adult Nursing.2023; 35(2): 158. CrossRef - A Clinical Incivility Management Module for Nursing Students: A Quasi-Experimental Study
Younglee Kim, Sook Young Kim, Eunhee Hong, Cheryl Brandt
Healthcare.2023; 11(19): 2680. CrossRef - The Effect of Focusing Manner on Quality of Life in Patients with Chronic Pain: The Sequential Mediating Effects of Social Support and Self-efficacy
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Journal of Korean Academy of Fundamentals of Nursing.2022; 29(2): 248. CrossRef - Positive effects of citizens’ sense of community on health and quality of life in a Korean city
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Korean Journal of Health Education and Promotion.2022; 39(5): 41. CrossRef - Multilevel Analysis of Factors Affecting Health-Related Quality of Life of the Elderly
Hyunjung Moon, Sunkyung Cha
Journal of Korean Academy of psychiatric and Mental Health Nursing.2022; 31(3): 391. CrossRef - Social Frailty and Health-Related Quality of Life in Community-Dwelling Older Adults
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International Journal of Environmental Research and Public Health.2022; 19(9): 5659. CrossRef - The mediating role of interpersonal needs on attitude towards ageing and its relationship with community sense and depression among community‐dwelling older adults
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Health & Social Care in the Community.2021; 29(2): 547. CrossRef - Association of living arrangements with happiness attributes among older adults
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BMC Geriatrics.2021;[Epub] CrossRef - Relationship between Mobility-Related Activities of Daily Living and Health-Related Quality of Life among Healthy Older Adults: A Cross-Sectional Study Using Structural Equation Modeling
Hungu Jung, Shigeharu Tanaka, Yuji Iwamoto, Masahiro Yamasaki, Ryo Tanaka
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Yali Wang, Lingzhong Xu, Wenzhe Qin, Jiao Zhang, Yu Xia, Xiang Jing, Lu Lu, An’an Jiao, Yaozu Li
International Journal of Environmental Research and Public Health.2019; 16(24): 5070. CrossRef - The correlation between quality of life and social support in female nurses
Ning Sun, Dong‐Mei Lv, Jing Man, Xiao‐yu Wang, Qin Cheng, Hong‐li Fang, Zhen Fu, Shuang Liu, Qun‐hong Wu
Journal of Clinical Nursing.2017; 26(7-8): 1005. CrossRef - Health Empowerment of Older Adults with High-risk of Cardio-cerebrovascular Diseases
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Journal of Korean Academy of Community Health Nursing.2017; 28(4): 410. CrossRef - Study on Variables Affecting Rural Elderly’s Self Efficacy: Focused on Mediating Effect of Social Capital
Young Eun Oh, Jeonghwa Lee
The Korean Journal of Community Living Science.2017; 28(4): 561. CrossRef - Effects of Frailty on Health-related Quality of Life of Rural Community-dwelling Elderly: Mediating and Moderating Effects of Fall-Related Efficacy and Social Support
Kyung Won Choi, Gyeong-Suk Jeon
Journal of Korean Academy of Community Health Nursing.2016; 27(4): 380. CrossRef - A Review on the Use of Effect Size in Nursing Research
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Journal of Korean Academy of Nursing.2015; 45(5): 641. CrossRef - Health related Lifestyles, Self-efficacy and Health related Quality of Life by the Types of Hypertension Management in Community Health Posts
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Journal of Korean Public Health Nursing.2015; 29(3): 565. CrossRef
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Factors Associated with Physical Activity among Chinese Immigrant Women
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Sung-Hye Cho, Hyeonkyeong Lee
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J Korean Acad Nurs 2013;43(6):760-769. Published online December 31, 2013
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DOI: https://doi.org/10.4040/jkan.2013.43.6.760
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Abstract
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Purpose
This study was done to assess the level of physical activity among Chinese immigrant women and to determine the relationships of physical activity with individual characteristics and behavior-specific cognition.
Methods
A cross-sectional descriptive study was conducted with 161 Chinese immigrant women living in Busan. A health promotion model of physical activity adapted from Pender's Health Promotion Model was used. Self-administered questionnaires were used to collect data during the period from September 25 to November 20, 2012. Using SPSS 18.0 program, descriptive statistics, t-test, analysis of variance, correlation analysis, and multiple regression analysis were done.
Results
The average level of physical activity of the Chinese immigrant women was 1,050.06±686.47 MET-min/week and the minimum activity among types of physical activity was most dominant (59.6%). As a result of multiple regression analysis, it was confirmed that self-efficacy and acculturation were statistically significant variables in the model (p<.001), with an explanatory power of 23.7%.
Conclusion
The results indicate that the development and application of intervention strategies to increase acculturation and self-efficacy for immigrant women will aid in increasing the physical activity in Chinese immigrant women.
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Citations
Citations to this article as recorded by - Exercise health belief model mediates the relationship between physical activity and peer support among Chinese college students: A cross-sectional survey
Jiazhi Sheng, Lamei Gong, Jian Zhou
Frontiers in Psychology.2023;[Epub] CrossRef - The Current Health Belief of Exercise Conditions of Chinese College Students and Ways of Improvements: An Analysis Based on the Health Belief Model
Lamei Gong, Jiazhi Sheng
Frontiers in Psychology.2022;[Epub] CrossRef - Factors Influencing the Physical Activity of Foreign Workers: Based on a Health Promotion Model
Jeong Eui Cho, Yeongmi Ha
Journal of Korean Academy of Community Health Nursing.2021; 32(3): 344. CrossRef - Development and evaluation of the health belief model scale for exercise
Shiyan Wu, Xinglin Feng, Xinying Sun
International Journal of Nursing Sciences.2020; 7: S23. CrossRef - Effects of culturally adaptive walking intervention on cardiovascular disease risks for middle-aged Korean-Chinese female migrant workers
Hyeonkyeong Lee, Sunghye Cho, JoEllen Wilbur, Junghee Kim, Chang-gi Park, Young-Me Lee, Haryong Lee
Archives of Environmental & Occupational Health.2017; 72(6): 317. CrossRef - Relationship between Expectations Regarding Aging and Physical Activity among Middle Aged Adults in Urban Areas: Based on the Pender's Health Promotion Model
Sung-Hye Cho, MoonKi Choi, JuHee Lee, Hyewon Cho
Journal of Korean Academy of Nursing.2015; 45(1): 14. CrossRef - Acculturation, Social Network, and Health-related Quality of Life in Korean-Chinese Immigrants
Meenhye Lee, Hyeonkyeong Lee, Sue Kim, Yeonsoo Jang
Journal of Korean Academy of Community Health Nursing.2013; 24(4): 438. CrossRef
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