Journal of Korean Academy of Nursing

Research Paper

Factors influencing smartphone overdependence in university students: an ecological model: a descriptive study: Jeong Soon Yu, Myung Soon Kwon; J Korean Acad Nurs 2025;55(1):64-80. Published online February 20, 2025; DOI: https://doi.org/10.4040/jkan.24092

Abstract PDF ePub: Purpose
This study investigated the factors influencing smartphone overdependence in university students using an ecological model and descriptive research.
Methods
Data were collected from 482 students at 13 universities in the six regions in South Korea from October 20, 2020, to March 25, 2021. Data analysis involved descriptive statistics, the chi-square test, the independent samples t-test, analysis of variance, and hierarchical multiple regression.
Results
The significant ecological factors influencing smartphone overdependence included self-awareness of smartphone overdependence (β=.33, p<.001), autonomy (β=–.25, p<.001), average daily smartphone usage time (β=.18, p<.001), gender (β=.15, p=.001), college year (β=.15, p=.020), forming relationships with others as a motivation for smartphone use (β=–.15, p=.008), friend support (β=.14, p=.006), and age (β=–.12, p=.047). The model explained 34.9% of the variance.
Conclusion
The study emphasized the role of personal and interpersonal factors, in smartphone overdependence among university students. Tailored intervention strategies are necessary to address smartphone overdependence, considering the unique characteristics of students’ environments. A significant aspect of this study is that it provides an explanation of the multidimensional factors contributing to smartphone overdependence among university students, including intrapersonal, interpersonal, and environmental influences.

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Original Articles

Development and Effect of a Smartphone Overdependence Prevention Program for University Students Based on Self-Determination Theory: Myung Soon Kwon, Jeong Soon Yu; J Korean Acad Nurs 2020;50(1):116-131. Published online January 31, 2020; DOI: https://doi.org/10.4040/jkan.2020.50.1.116

Abstract PDF

Abstract Purpose:

This study aimed to develop a smartphone overdependence prevention program for college students based on the self-determination theory (SDT) and evaluate its effectiveness.

Methods:

A non-equivalent control group repeated measures design was used for the study. Participants were 64 university freshmen (experimental group: 29, control group: 35). The developed program consists of eight sessions conducted twice a week. The program was designed to promote autonomy, competence, and relatedness the three elements of the basic psychological needs of self-determination theory. The participants were assessed before the program, immediately after, and 1 and 3 months after the program. Data were collected from April 23 to September 14, 2018 and analyzed by performing a Chi-square test, Fisher’s exact test, independent t-test, and repeated measures ANOVA using SPSS/WIN 23.0.

Results:

This study showed improvement in the basic psychological needs (F=3.90, p=.010) in the experimental group compared to the control group. Specifically, competence (F=2.93, p=.035), relatedness (F=2.89, p=.045), and self-regulatory ability (F=3.11, p=.028) improved significantly.

Conclusion

Study findings indicate that the smartphone overdependence prevention program based on the Self-determination theory could be an effective intervention for improving basic psychological needs and self-regulation ability. Therefore, this program could be an efficient strategy for smartphone overdependence prevention in university students.

Citations

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Factors influencing smartphone overdependence in university students: an ecological model: a descriptive study
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Journal of Korean Academy of Nursing.2025; 55(1): 64. CrossRef
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Concept Analysis of Professional Nurse Autonomy: Sung Ai Chi, Hyung Sook Yoo; Journal of Korean Academy of Nursing 2001;31(5):781-792. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2001.31.5.781

Abstract PDF

Professional nurse Autonomy is an essential attribute of a discipline striving for full professional status. PURPOSE: This study was to clarify the concept of professional nurse autonomy to provide basic data needed for development of professional autonomy enhancing strategies. METHOD: This study use the process of Walker & Avante's concept analysis based on Wade's research (1999), and field data of 21 nurses. RESULTS: Professional nurse autonomy is defined as competency and creative performance of the professional nurse in practice, to decide independently or interdependently nursing activities and to be had accountable for results of decisions, that reflect advocacy and caring. It was identified that critical attributes include responsible discretionary decision making, collegial interdependence, initiative, creativity, and caring, advocacy, cooperative relationship with clients, receptive capacity to others, activeness, self confidence, and devotion and responsibility to their profession. Antecedents include personal characteristics, educational background, experience and structural characteristics that enhance professional nurse autonomy. Consequences of professional nurse autonomy are feelings of self-efficacy, empowerment, job satisfaction, reduction of intention to leave their job. CONCLUSION: According to these results, it is recommended that the curriculum provides an environment for learning professional nurse autonomy, and that is used as basic data to develope strategies to enhance professional autonomy of nurse in practice and it's effects.

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The Effects of a Sex Education Program on Knowledge Related to Sexually Transmitted Diseases and Sexual Autonomy among University Students: Yun Hee Shin, Young Kyung Chun, Sung Mi Cho, Ye Ryung Cho; Journal of Korean Academy of Nursing 2005;35(7):1304-1313. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.7.1304

Abstract PDF

Purpose

The purpose of this study was to evaluate the effects of a sex education program, which was based on the Health Belief Model, on knowledge related to sexually transmitted diseases and sexual autonomy among university students.

Methods

A non-equivalent control group, pretest-posttest design was used. The four session program was delivered to 18 students during 4 weeks; the control group consisted of 23 students. The theme of the first session was “sex, gender, and sexuality: all our concern”, “dangerous sex” for the second session, “safe sex” for the third session, and “right sex for you and me” for the fourth session.

Results

At follow-up, the knowledge related to sexually transmitted diseases and sexual autonomy were significantly greater in the intervention group than in the control group.

Conclusion

A sex education program with several sessions within the theoretical frame of HBM was effective to improve knowledge related to sexually transmitted diseases and sexual autonomy. The results suggest the potential of a systematic sexual education program to teach healthy sex and to extend the program for other various populations.

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Mijeong Park
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A Comparative Study of Consistent and Inconsistent Contraceptive Users on Partner Communication, Perceived Contraceptive Control, and Sexual Autonomy: Mi Jong Kim, Hee Sun Kang; Journal of Korean Academy of Nursing 2003;33(6):784-791. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.6.784

Abstract PDF

Purpose

This study is to investigate the influencing factors in the consistent use of contraception methods by comparing consistent and inconsistent users on partner communication, contraceptive control perception, and sexual autonomy among married Korean women.

Method

This study consists of 243 married women living in Korea. A convenient sampling technique was used and data were collected by self report questionnaires from September 14, 2000 to October 20, 2000.

Result

Only 41.6% of women were using contraception methods consistently and the rest of them were using contraception methods inconsistently. Between the two groups, statistical significances were noted in sexual communication(t=-2.5, p=.01), perceived contraceptive control(t=-7.5, p=.00) and sexual autonomy(t=-3.1, p=.00). As for general communication, it was not statistically significant(t=-1.0, p=.31).

Conclusion

Family planning program advisors should recognize that intervention programs for the promotion of consistent contraceptive behavior should focus on the sexual communication, perceived contraceptive control, and sexual autonomy.

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Factors affecting reproductive health promotion behavior among late-adolescent girls in South Korea: A cross-sectional descriptive study
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Sexual Autonomy in College Students: Soon Bok Chang, Mi Kyeong Lee; Journal of Korean Academy of Nursing 2003;33(3):339-346. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.3.339

Abstract PDF

Purpose

This study was to add to the understanding of sexual autonomy in college students in Korea. A descriptive survey design was used.

Method

The participants in this study were 1,865 college students from 13 colleges, The questionnaire consisted of 15 items on general characteristics and 13 items measuring sexual autonomy. The SPSS 10.0 program was used for data analysis.

Result

The global score for sexual autonomy was relatively high at 55.24 with a possible range of 13~65. The item on sexual autonomy with the highest score were, ‘ I can prevent repeated STD infections’ and the item with the lowest sexual autonomy score was ‘ I can speak clearly about having intercourse’. Factors related to sexual autonomy were identified as gender, parents' attitude, year in university, experience with STD prevention and experience with pregnancy prevention. The score for sexual autonomy was lower in male college students (p= .000), students whose parents' attitudes to sex were vague, first year students (p=.000), students who had little experience with prevention of STDs (p= .002), students who had little experience with prevention of pregnancy (p=.001).

Conclusion

The results showed that in setting priorities for sex education the following groups of students should be given first priority, male students, students whose parents' attitudes to sex were vague, first year students, students who have not had experience with prevention of STDs, and students who have not had experience with prevention of pregnancy.

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Structural Equation Modeling on Self-Care Behavior and Quality of Life in Older Adults with Diabetes Using Citizen Health Promotion Centers: Songheun Lee, Hyunli Kim; J Korean Acad Nurs 2017;47(4):514-525. Published online January 15, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.4.514

Abstract PDF

Abstract Purpose

The purpose of this study was to construct and test a structural equation model for Diabetes self-management (DSM) behavior and Quality of life (QoL) in older adults with diabetes who use Citizen Health Promotion Centers. The theory used this study was a combination of the Information-Motivation-Behavioral Model (IMB) and Self-Determination Theory (SDT) to reflect autonomous characteristics of participants.

Methods

Data were collected from April 20 to August 31, 2015 using a self-report questionnaire. The sample was 205 patients with type 2 Diabetes who regularly visited a Citizen Health Promotion Center. SPSS 22.0 and AMOS 22.0 programs were used to analyze the efficiency of the hypothesized model and calculate the direct and indirect effects of factor affecting the participants’ DSM behavior and QoL.

Results

The supported hypotheses were as follows; 1) The variable that had a direct effect on QoL was health behavior adherence (γ=.55, p=.007). 2) The variables that had a direct effect on DSM behavior were DSM information (γ=.15, p=.023), DSM confidence (γ=.25, p<.001), and autonomous motivation (γ=.13, p=.048). 3) The variable that had a direct effect on DSM confidence was autonomy support (γ=.33, p<.001).

Conclusion

The major findings of this study are that supporting patient's autonomous motivation is an influential predictor for adherence to DSM behavior, and integrative intervention strategies which include knowledge, experience and psychosocial support are essential for older adults with diabetes to continue DSM behavior and improve QoL.

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Effectiveness of the Self-determination Theory based a Motivational Interviewing YOU-TURN Program for Smoking Cessation among Adolescents: Young Sun Ha, Yeon Hee Choi; J Korean Acad Nurs 2015;45(3):347-356. Published online June 30, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.3.347

Abstract PDF

Purpose

In this study, the effectiveness of a motivational interviewing smoking cessation YOU-TURN program for adolescents was examined. The program was based on the self-determination theory.

Methods

The study was carried out with a nonequivalent control group pretest-posttest design. Participants in the present study were 136 high school students living in D city. The students were assigned to the experimental group (n=52) who participated in the motivational interviewing smoking cessation YOU-TURN program based on self-determination theory, or to the control group (n=84) who participated in a general smoking cessation program. Data were collected from September 1, 2013 through April 30, 2014. Collected data were analyzed using SPSS PC+ 21.0 with Chi-square test, Fisher's exact test, t-test, Mann-Whitney U test, Repeated Measures ANOVA, and MANOVA-Wilk's Lambda.

Results

The experimental group had a significant increase in basic psychological needs, and duration of quitting-smoking in comparison with the control group. The experimental group had a significant decrease in cigarettes smoked per day and cotinine in urine in comparison with the control group.

Conclusion

The motivational interviewing YOU-TURN program, when delivered to adolescents who smoked, was effective in discouraging smoking, and can be utilized as an effective nursing intervention for adolescents who smoke.

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Development and Effect of a Smartphone Overdependence Prevention Program for University Students Based on Self-Determination Theory
Myung Soon Kwon, Jeong Soon Yu
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Exploring the Basic Psychological Needs Necessary for the Internalized Motivation of University Students with Smartphone Overdependence: Applying a Self-Determination Theory
Myung Soon Kwon, Juhye Jin
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