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Development and Validation of the Empowerment Scale for Woman with Breast Cancer
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Sun Hwa Shin, Hyojung Park
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J Korean Acad Nurs 2015;45(4):613-624. Published online August 31, 2015
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DOI: https://doi.org/10.4040/jkan.2015.45.4.613
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Abstract
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Purpose
The purpose of this study was to develop a scale to evaluate empowerment in woman with breast cancer and to examine the validity and reliability of the scale.
Methods
The development process for the initial items included a literature review, interviews, and construction of a conceptual framework. The identified items were evaluated for content validity by experts, resulting in 3 factors and 48 preliminary items. Participants were 319 women with breast cancer recruited to test reliability and validity of the preliminary scale. Data were analyzed using item analysis, confirmatory factor analysis, criterion related validity, internal consistency and test-retest reliability.
Results
The final scale consisted of 30 items and 3 factors. Factors, including 'intrapersonal factor' (14 items), 'interactional factor' (8 items), and 'behavioral factor' (8 items), were drawn up after confirmatory factor analysis. Goodness of fit of the final research model was very appropriate as shown by χ2/df=1.86, TLI=.90, CFI=.92, SRMR=.06, and RMSEA=.05. Criterion validity was evaluated by total correlation with the Cancer Empowerment Questionnaire .78. Cronbach's alpha for total items was .93 and test-retest reliability was .69.
Conclusion
Findings from this study indicate that the scale can be used in the development of nursing interventions to promote the empowerment of women having breast cancer.
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Citations
Citations to this article as recorded by 
- Effect of depression and empowerment on medication adherence in patients with breast cancer: a descriptive survey
Sookyung Jeong, Eun Jeong Kim BMC Nursing.2025;[Epub] CrossRef - Patient Empowerment in Cancer Care
Soo Hyun Kim, Yu Hyeon Choe, Da Hye Kim Cancer Nursing.2024; 47(6): 471. CrossRef - Development and Evaluation of Health Empowerment Scale for North Korean Women Defectors
Semi Lim, Younhee Kang Journal of Korean Academy of Nursing.2022; 52(1): 80. CrossRef - Reliability and Validity of the Korean Version of the Health Care Empowerment Questionnaire (K-HCEQ)
Semi Lim, Kyungmi Lee Journal of Korean Academy of Fundamentals of Nursing.2022; 29(2): 131. CrossRef - Effects of a partnership‐based, needs‐tailored self‐management support intervention for post‐treatment breast cancer survivors: A randomized controlled trial
Soo Hyun Kim, Yu Hyeon Choe, Young Up Cho, Seho Park, Moon Hee Lee Psycho-Oncology.2022; 31(3): 460. CrossRef - Concept Analysis of the Empowerment of Patients With Coronary Artery Disease Using a Hybrid Model
Jiyoung Kim, Nayeon Shin Advances in Nursing Science.2022; 45(1): E31. CrossRef - Application of empowerment education in health education for cancer patients
Yan PENG, Lin HAN, Fang-Fang AN, Li LI, Yue-Li HOU Journal of Integrative Nursing.2021; 3(1): 46. CrossRef - Development and evaluation of the Coronary Artery Disease Empowerment Scale (CADES) in Korea
Jiyoung Kim, Nayeon Shin, Kyungmi Lee Clinical Nursing Research.2021; 30(8): 1241. CrossRef - Design of a randomized controlled trial of a partnership-based, needs-tailored self-management support intervention for post-treatment breast cancer survivors
Soo Hyun Kim, Yu Hyeon Choe, Ah Reum Han, Gwui Jeong Yeon, Gyeong Hee Lee, Bo Gyeong Lee, Young Up Cho, Seho Park, Moon Hee Lee BMC Cancer.2020;[Epub] CrossRef - Reliability and Validity of the Clinical Competency Scale for Nursing Students
Bo Young Kim, Myeong Jeong Chae, Yun Ok Choi Journal of Korean Academy of Community Health Nursing.2018; 29(2): 220. CrossRef - Development and Validity Testing of an Arthritis Self-Management Assessment Tool
HyunSoo Oh, SunYoung Han, SooHyun Kim, WhaSook Seo Orthopaedic Nursing.2018; 37(1): 24. CrossRef - Patient empowerment: a systematic review of questionnaires measuring empowerment in cancer patients
Nanna Bjerg Eskildsen, Clara Ruebner Joergensen, Thora Grothe Thomsen, Lone Ross, Susanne Malchau Dietz, Mogens Groenvold, Anna Thit Johnsen Acta Oncologica.2017; 56(2): 156. CrossRef
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Effect of School-based Peer Leader Centered Smoking Prevention Program
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Sung Rae Shin, Pok Ja Oh, Hye Kyung Youn, Sun Hwa Shin
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J Korean Acad Nurs 2014;44(6):649-659. Published online December 31, 2014
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DOI: https://doi.org/10.4040/jkan.2014.44.6.649
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Abstract
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Purpose
The purpose of this study was to develop and evaluate a school-based peer leader centered smoking prevention program.
Methods
Non-equivalent control group with a pre/post-test design was used. Students (n=174) in two boys' junior high schools located in D city, Korea participated with 85 being selected for the experimental group and 89 for the control group. Five sessions were given to the experimental group and a 50 minute lecture to the control group. Knowledge, attitude, non-smoking intention, and non-smoking efficacy were measured for the both experimental and control group at two weeks before the program and one month after the program was completed. Data were analyzed using χ2-test, Fisher's exact test, independent t-test and paired t-test with the SPSS 21.0 program.
Results
The experimental group showed higher overall knowledge, negative attitude toward smoking, and higher non-smoking intention and efficacy. After receiving the school based peer leader centered smoking prevention program scores for attitude toward smoking and non-smoking efficacy increased in the experimental group were higher than in the control group.
Conclusion
The school-based peer leader centered smoking prevention program needs longitudinal evaluation, but from this study, there is an indication that this program can be used with junior high school students and effectively change students' attitude toward smoking and promote non-smoking efficacy.
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Citations
Citations to this article as recorded by 
- Adolescents encouraging healthy lifestyles through a peer‐led social marketing intervention: Training and key competencies learned by peer leaders
Elisabet Llauradó, Magaly Aceves‐Martins, Jordi Prades‐Tena, Maria Besora‐Moreno, Ignasi Papell‐Garcia, Montse Giralt, Amy Davies, Lucia Tarro, Rosa Solà Health Expectations.2022; 25(1): 455. CrossRef - The effects of smoking cessation program using breath-mindfulness meditation
Hyeon-Ah Cho Korean Journal of Health Education and Promotion.2021; 38(3): 23. CrossRef - Effects of a Strength Based I-Change Smoking Cessation Program for Smoking Middle School Boys
Jung Hee Kim, Yeon Hee Choi Journal of Korean Academy of Nursing.2017; 47(2): 164. CrossRef - Daily Smoking Girls' Tobacco Use, Health Behaviors and Family Factors : Analysis of 2015 Korean Youth Risk Behavior Web-based Survey
Youngjin Lee Journal of Digital Convergence.2016; 14(5): 377. CrossRef - The effect of Community Mapping based on Volunteered Geographic Information System on Smoking Prevention among Female Middle School Students
Hyunmi Son, Miyoung Jung, Yunkyung Hong Journal of the Korean Society of School Health.2016; 29(3): 286. CrossRef
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