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16 "Health Education"
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Research Papers
Support Needs for Health Promotion of Community-Dwelling People with Disabilities: Perspectives of Operators Managing Disability Supportive Housing
Nam, Hye Jin , Lee, Haesun , Park, Han Nah , Lee, Sujin , Kim, Bohye , Yoon, Ju Young
J Korean Acad Nurs 2024;54(2):211-223.   Published online May 31, 2024
DOI: https://doi.org/10.4040/jkan.23143
AbstractAbstract PDF
Purpose
Recent studies have focused on policies aimed at supporting the independence of individuals with disabilities in communities. As part of this initiative, supportive housing, integrated care, and residential spaces offer tailored services based on individual needs and autonomy. The attitudes and knowledge of the administrators supporting supportive housing residents regarding health management can influence the well-being of individuals with disabilities. Therefore, this study aimed to explore the challenges faced by supporting housing workers in enhancing the self-management skills of individuals with disabilities.
Methods
In this qualitative study, focus group interviews were conducted in August 2023 with nine administrators working to support housing in Seoul. Qualitative content analysis was used to analyze the interview data.
Results
The needs and challenges in enhancing the self-management skills of individuals with disabilities were as follows: (1) the complexity of health management challenges, (2) bidirectional strategies for strengthening health management capabilities, and (3) support for systematic health management. Additionally, eight subthemes were derived.
Conclusion
By investigating the difficulties experienced and identifying the necessary support requirements for supportive housing workers, this study seeks to uncover insights and identifies areas for improvement and strategies for health management. This study acknowledges the educational and institutional support necessary to improve the health and quality of life of individuals with disabilities residing in supportive housing.
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Effects of Health Education Using Virtual Reality for Adolescents: A Systematic Review and MetaAnalysis
Park, SoMi , Chung, ChaeWeon , Kim, Gaeun
J Korean Acad Nurs 2023;53(2):177-190.   Published online April 30, 2023
DOI: https://doi.org/10.4040/jkan.23003
AbstractAbstract PDF
Purpose
This study aimed to evaluate the effects of health interventions using virtual reality (VR) on improving knowledge, attitudes, and skills; and inducing behavioral change among adolescents.
Methods
This study is a systematic review and meta-analysis following PRISMA guidelines. We searched Cochrane, MEDLINE, Embase, CINAHL, Scopus, Web of Science, and Korean databases between database inception and April 10, 2021. Based on heterogeneity, a random- or fixed-effects model was used, as appropriate, to calculate effect sizes in terms of the standardized mean difference (SMD) and odds ratio (OR). Studies were selected if they verified the effects of health education using VR on adolescents; there was an appropriate control group; and if the effects of education were reported in terms of changes in knowledge, attitudes, skills, or behaviors.
Results
This analysis included six studies (n = 1,086). The intervention groups showed greater responses in knowledge and attitudes (SMD = 0.57, 95% confidence interval (CI) [0.12 to 1.02]), skills related to health behavior (SMD = -0.45, 95% CI [-0.71 to -0.19]), and behavioral change after 12 months (OR = 2.36, 95% CI [1.03 to 5.41]).
Conclusion
The results confirm the effectiveness of health interventions using virtual reality (VR). Although the analysis include a small number of studies, a case can be made for health interventions using VR to be utilized as educational methods and strategies to prevent risky behaviors among adolescents.
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  • 1 Web of Science
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Original Articles
Effects of Spouse-Participated Health Coaching for Male Office Workers with Cardiocerebrovascular Risk Factors
So Hee Kang, Seon Young Hwang
J Korean Acad Nurs 2019;49(6):748-759.   Published online December 30, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.6.748
AbstractAbstract PDF
Purpose

This study aimed to examine the effect of spouses participating in health coaching on stage of the change, health behaviors, and physiological indicators among male office workers with cardiocerebrovascular disease (CVD) risk factors and compare the findings with trainers who provided health coaching only to workers.

Methods

A quasi-experimental pretest-posttest design was used. Convenience sampling was used to recruit participants from a manufacturing research and development company in the city of Gyeonggi province. The health coaching program for the experimental group (n=26) included individual counseling sessions according to workers' stage of change, and provision of customized health information materials on CVD prevention to workers and their spouses for 12 weeks through mobile phone and email.

Results

After 12 weeks of intervention, the total score for health behavior, and scores on the sub-areas of exercise and health checkups significantly improved in the experimental group, but there were no significant differences in the scores of stage of the change and physical indicators. The results of a paired t-test showed a significant decrease in the body mass index, abdominal circumference, systolic blood pressure, diastolic blood pressure, total cholesterol and triglyceride values, and a significant increase in the high-density lipoprotein cholesterol value in the experimental group after the intervention.

Conclusion

To improve the health of male workers with CVD risk factors in the workplace, sharing health information with their spouses has proven to be more effective than health coaching for only workers. Therefore, it is important to develop strategies to encourage spousal participation when planning workplace health education for changing health-related behaviors.

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Development and Effects of Social Learning Theory Based Eye-Health Program for Preschoolers
Sunghwa Lee, Haejung Lee, Hyungsik Seo, Jaeho Jung
J Korean Acad Nurs 2018;48(4):407-418.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.4.407
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to develop an eye-health program based on social learning theory (EPST) of preschoolers and evaluate its effectiveness.

Methods

A nonequivalent control group pre-post test design was utilized and 141 six-year-old preschoolers and their parents participated (experimental group=69, control group=72) in the study. The EPST in this study included eye-health education and eye exercises. Attention, memory, replay, motivation, reinforcement, and self-efficacy were used as interventional strategies. To examine the effectiveness of EPST, proficiency in eye-health activities, refractive power, and visual acuity were measured before and after the intervention. Data were analyzed with SPSS WIN 21.0 using the Shapiro-Wilk test, χ 2-test, Mann-Whitney U test and Wilcoxon signed rank test.

Results

Following the intervention, eye-health activities, refractive power, and visual acuity significantly improved in the experimental group compared to the control group.

Conclusion

The results of this study suggest that EPST is effective in improving eye-health activities, refractive power, and visual acuity in preschoolers, and its wider implementation in educational institutions will promise improved eye-health among preschoolers.

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The Effect of Health Education on the Performance of Health Promoting Behavior in College Students
Jeong Sook Park, Chung Ja Park, Young Sook Kwon
Journal of Nurses Academic Society 1996;26(2):359-371.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1996.26.2.359
AbstractAbstract PDF

This study has been done for the purpose of testing the effect of health education on the performance of health promoting behavior in college students, and identifying the factors affecting health promoting behaviors. A Nonequivalent control group posttest research design was used. Two hundred thirty college students at K College in T city were studied, Of them, 114 who attended a systematic health education session for three hours a week during one semester were the experimental group. And 116 college students who were chosen of matched sampling of grade, class and sex were the control group. This study was conducted from March 1 to July 2, 1995. The instruments used for this study included a survey of general characteristics, perceived health status, self-esteem, health promoting behavior and health locus of control. Analysis of data was done by use of mean, t-test, Pearson correlation coefficient and multiple regression. The results of this study are summerized as follows; 1) The average item score for the health promoting behavior was low at 2.52. In the sub-categories, the highest degree of performance was 'harmonious relationships', following 'sanitary life', 'self-esteem', 'rest and sleep', and 'emotional support' and the lowest degree was 'professional health management'. 2) Hypothesis 1 that the college students who get health education will have a higher degree of health promoting behavior than the college students who do not get health education was accepted. There was a statistically significant difference between the average of the experimental group, 2.60, and the average of the control group, 2.45.(t=11.30, p=0.0009). 3) Hypothesis 2 that the college students who get health education will have a higher score of perceived health status than college students who do not get the health education was rejected. (t=1.13, p=0.289) 4) Performance of health promoting behavior was positively correlated with self-esteem and grade and negatively correlated with perceived health status. 5) The most important factor affecting performance of health promoting behavior was self-esteem. The following suggestions are made based on the above results; 1) Replication of the research is needed to confirm effects of health education. 2) More effective health education programs need to be deveolped through by modification of teaching methods and content analysis of health education. 3) Other factors affecting health promoting behavior should be identified. 4) Nursing colleges or departments of nursing should make an effort to develop and carry out various health education programs for the health promotion of all college students.

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Hospital Breastfeeding Policies and Practices in South Korea: A Comparison with the WHO/UNICEF Ten Steps
Andrea Crivelli Kovach, Heasook Kim
Journal of Korean Academy of Nursing 2000;30(7):1752-1767.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.7.1752
AbstractAbstract PDF

BACKGROUND: The purpose of this study was to describe breastfeeding policies and practices among hospitals in South Korea and the degree to which the hospitals are implementing the WHO/UNICEF Baby Friendly Hospital Initiative.
METHODS
A cross-sectional survey of 34 hospitals was used to collect data. Quantitative and qualitative information and insights into current breastfeeding policies and practices were derived from responses of maternal and child health personnel at each hospital. One questionnaire per hospital was completed with personnel from all sections of maternity services, labor and delivery, nursery, and postpartum, contributing information needed to create a composite picture of the hospital's breastfeeding policies and practices.
RESULTS
Most hospitals were classified as either high or moderately high implementers on four of the Ten Steps: printed information distributed to breastfeeding mothers, oral breastfeeding instruction given to mothers, infant supplementation, and infant feeding schedules. The remaining steps, including key practices like staff instruction, breastfeeding initiation, rooming-in, and hospital postpartum support are being partially implemented by the majority of hospitals in this study.
CONCLUSIONS
Areas identified as needing the greatest attention by hospitals were health care staff training, breastfeeding initiation, supplementation, rooming-in, breastfeeding policy, and postpartum support for the breastfeeding mother.

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Preliminary Analysis for Predicting Changes in Pain and Depression after Implementing the Rheumatoid Health Promotion Program
Hyun Soo Oh, Wha Sook Seo
Journal of Korean Academy of Nursing 2000;30(7):1615-1626.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.7.1615
AbstractAbstract PDF

This study was performed to evaluate the effect of 7-week comprehensive health promotion program for RA patients (CHPPRA) on changes in pain and depression. In addition, it was also examined that this effect was generated by changes in patients' health promoting strategies (positive self-image, positive thinking, problem solving, communication, pain management, stress management, exercise, and knowledge about RA) learned through CHPPRA. Twenty-eight out-patients of RA clinic in a university hospital participated for this study. The results are as followers. Changes in exercise, self-concept, positive thinking, problem solving, depression, and pain management were significant predictors to explain relieving pain level. Since all of these variables had positive standardized beta weights (betas), it can be interpreted that increasing level of these health promoting strategies may induce pain improvement. Changes in positive thinking, communication skill, exercise, self-concept, pain management, and knowledge about the disease were significant predictors to explain positive change in depression. Since all of the significant variables except the change in knowledge about the disease had positive standardized beta weights (betas), it can be interpreted that increasing level of these health promoting strategies may induce improving depression level. However, our results showed that the higher level of the knowledge about the disease was, the worse depression was.

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Effects of Telephone Intervention as Supportive Nursing on Self-Care Practices and Qualify of Life for Gynecological Cancer Patients under Chemotherapy
Ae Sook Kim, Eun Sook Lee, Sung Hyo Kim
Journal of Korean Academy of Nursing 2007;37(5):744-753.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.5.744
AbstractAbstract PDF
Purpose

The effects of telephone intervention on self-care practices and quality of life for gynecological cancer patients under chemotherapy was investigated.

Methods

A non-equivalent control group pre-test post-test quasi-experimental design was used. The subjects were women cancer patients who had received less than two chemotherapy sessions at C university hospital of Chonnam province(26 in the experimental group: 25 in the control group). The patient's self-care practices(Na & Lee, 1999; Jang, 2004) and quality of life(Lee & Jo, 1997) were measured three times. using a questionnaire. The data was analyzed by Repeated Measures ANOVA, the Friedman test, and the Mann-Whitney test using the SPSS window version 12.0 program.

Results

This study showed that the score of self-care practices and quality of life for the experimental group under telephone counseling were higher than those of the control group.

Conclusion

This study revealed that a telephone intervention as supportive nursing care for women cancer patients under going chemotherapy was effective for self-care practices and qualify of life during the recovery period. Futhermore, this study also suggests that telephone counseling can serve as a continuing nursing supportive intervention for women cancer patients for the upcoming stages of further chemotherapy.

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A Nationwide Survey on Current Conditions of School Health Education
Eun Sook Park, Young Joo Park, Ho Shin Ryu, Keum Sun Han, Rah Il Hwang, Yeo Jin Im, Hye Sang Im, So Hyun Moon
Journal of Korean Academy of Nursing 2006;36(2):381-388.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2006.36.2.381
AbstractAbstract PDF
Purpose

The purpose of this study was to analyze and assess the current situation of Korea's school health education program and to establish measures to efficiently carry out school health education in Korea.

Method

The survey was conducted through the internet with the health educators of elementary, middle, and high schools nationwide to assess the current condition of school health education programs, and 2,459 samples were collected which accounted for 23.4% of the total respondents.

Results

According to school health educators on the enforcement of health education, the higher the education became, the less the health education was enforced. The enforcement rate was 96.9% in elementary schools, 76.7% in middle schools, and 67.3% in high schools. The major reasons were found as difficulty in securing class time (54.5%) and other excessive workloads (20.9%). As a result of the health education awareness survey, over 99% answered that health education is needed, over 80% answered that the education requires independent health textbooks, and over 95% answered that health educators are suitable for the person in charge of the education.

Conclusion

This study will be a useful in establishing a detailed policy on enhancing school health education in the future.

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Health Education Program Development for Infants, Toddlers and Preschool Children
Ja Hyung Lee, Il Ok Kim
Journal of Korean Academy of Nursing 2005;35(2):262-269.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.2.262
AbstractAbstract PDF
Purpose

The purpose of this study was to develop a health education program for child care workers of infants, toddlers and preschoolers to improve their care ability. The program provided child care teachers and children with information on how to take care of their health.

Method

This program development was based on a systematic design of instruction by Dick & Carey(1996). The process included a review of literature, setting an instructional goal, getting advice from various experts, designing instruction and instructional medias, designing formative evaluation, revising the program and making a summative evaluations.

Result

The products of this program were the ‘ Teachers Guide Book & CD-ROM.” The guide book included health education programs for infants, toddlers and preschoolers. The infant program included a basic baby care program for teachers. The toddlers and preschoolers program included basic health promotion, dental health, nutrition management, communicable disease prevention, substance abuse prevention and a safety program.

Conclusion

These programs provided a systematic content of health education for children andtheir teachers, and useful data which can be applied to child care centers.

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Screening for High Risk Population of Dementia and Development of the Preventive Program Using Web
Jung Soon Kim, Ihn Sook Jeong, Yoon Jin Kim, Sun Kyung Hwang, Byung Chul Choi
Journal of Korean Academy of Nursing 2003;33(2):236-245.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.2.236
AbstractAbstract PDF
Purpose

This study was to develop a screening model for identifying a high risk group of dementia and to develop and evaluate the web-based prevention program.

Method

It was conducted in 5 phases. 1) Data were collected from dementia patients and non-dementia patients in a community. 2) A screening model of the high risk population was constructed. 3) The validity test was performed and the model was confirmed. 4) Four weeks-prevention program was developed. 5) The program was administered, and evaluated the effects.

Result

The model consisted of age, illiteracy, history of stroke and hypercholesterolemia. The program was designed with 12 sessions, group health education using web-based individual instruction program, and 12 sessions of low-intensity physical exercise program. After the completion, their self-efficacy, and health behaviors in experimental group were significantly improved over those in the control group. The perceived barrier in the treatment group is significantly decreased.

Conclusion

The screening model developed is very simple and can be utilized in diverse community settings. And the web based prevention program will encourage individual learning and timely feedback, therefore it can facilitate their active participation and promote health management behaviors at home.

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The Effect of Health Coaching Programs on Self-Efficacy, Health Behaviors, and Quality of Life in Hypertensive People Living in Poverty
Sun Ok Eom, Insook Lee
J Korean Acad Nurs 2017;47(3):380-391.   Published online January 15, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.3.380
AbstractAbstract PDF
Abstract Purpose

This study was designed to determine the effects of health coaching and mediating variables on quantitative aspect of health in low-income hypertensive people.

Methods

The experimental group for the current study consisted of 21 clients who received health coaching services, and the control group consisted of 22 clients who received home-visiting nursing services. Two groups received health coaching or home-visiting nursing services once a week for 8 weeks. The evaluation variables were self-efficacy, nutrition management, health behaviors, self-rated health, and quality of life.

Results

The results revealed that the level of nutrition management was significantly higher in the experimental group than the control group (F=10.33, p=.005).

Conclusion

These results confirm that health coaching is a useful strategy that encourages clients to continuously maintain their own health behaviors. Thus, the findings of the current study provide useful data for establishing measures for the health management of those afflicted with chronic disease, such as hypertension. Furthermore, health coaching may be developed into useful intervention strategies for dealing with chronic diseases and improving home-visiting nursing.

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Effects of a Mobile Web-based Pregnancy Health Care Educational Program for Mothers at an Advanced Maternal Age
Hee Jung Wang, Il Ok Kim
J Korean Acad Nurs 2015;45(3):337-346.   Published online June 30, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.3.337
AbstractAbstract PDF
Purpose

This study was conducted to develop a mobile web-based pregnancy health care educational program for mothers who were at an advanced maternal age (AMA) and to verify the effects of the program on pregnancy health care.

Methods

This program was developed using a web-based teaching-learning system design model and composed of 10 subject areas. This research was a quasi-experimental study using a non-equivalent control group pretest-posttest time serial design and data were collected from April 2 to May 3, 2014. To verify the effects of the program, it was used for 2 weeks with 30 AMA mothers (experimental group). For the control group, a classroom education booklet for pregnant women used with 31 AMA mothers.

Results

The experimental group having participated in program had statistically significantly higher scores for knowledge (t=3.76, p<.001), self-efficacy (t=8.54, p<.001), and practice behavior (t=4.88, p<.001) of pregnancy health care, compared to the control group.

Conclusion

The results of the program indicate that a Mobile web-based pregnancy health care educational program is effective in meeting the needs of AMA mothers and can be used as the prenatal educational program for AMA mothers and is appropriate as an educational media for theses mothers.

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Development and Effects of a Health Education Program for North Korean Preschool Defectors
In Sook Lee, Ho Ran Park
J Korean Acad Nurs 2013;43(4):478-485.   Published online August 30, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.4.478
AbstractAbstract PDF
Purpose

This study was conducted to develop a health education program for preschoolers who have defected from North Korea with their mothers, and to evaluate the effects on health knowledge and behavior.

Methods

A non-equivalent control group pre-post test design was used with 58 preschoolers who were assigned to either the experimental or control group (29 for each group). The program was composed of five sessions in health education and contracts. To test the effectiveness of the intervention, health knowledge and behaviors, and total bacterial colony counts on hands were measured at one pretest and two post tests (1 week and 4 weeks after the intervention ended). Data were analyzed using the SAS program.

Results

Health knowledge and behavior in the experimental group increased significantly compared to the control group. The effects of the intervention were evident even at 4 weeks after the intervention ended. Total bacterial colony counts in the experimental group decreased significantly at the 1 and 4 week posttest intervention compared to the control group.

Conclusion

Results indicate that this program is effective in improving health knowledge and behavior in these children and therefore can be utilized to ensure efficient management their health care.

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Effects of Mothers Involved in Dental Health Program for Their Children
Hye Seon Choi, Hye Young Ahn
J Korean Acad Nurs 2012;42(7):1050-1061.   Published online December 31, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.7.1050
AbstractAbstract PDF
Purpose

The purpose of this study was to identify the effects of mothers' involvement in a dental health program for their elementary school children.

Methods

This study was a non-equivalent control group pre-post test design in which knowledge and behaviors related to dental health, perceived benefits and barriers, self-efficacy and plaque control scores were compared between the experimental group (n=26) for whom the dental health program included the direct involvement of the mothers, and the control group (n=24) for whom knowledge related to dental health was provided through brochures.

Results

Scores for the experimental group in which the mothers were involved in the dental health program were significantly higher for knowledge, behaviors in dental health, self-efficacy and plaque control compared to the control group.

Conclusion

Results of this study suggest that mothers involvement in the dental health program is effective in reinforcing dental health enhancing behavior in elementary school children.

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Effects of a Problem-Based Learning Program on Health Education for Elders
Young Ju Son, Eun Young Choi, Young A Song
J Korean Acad Nurs 2009;39(2):207-216.   Published online April 28, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.2.207
AbstractAbstract PDF
Purpose

The purposes of this study was to analyze the effects of a health education program using problem-based learning on health related knowledge, behavior, and quality of life in elderly people.

Methods

The participants included 44 elders, of whom 23 took the health education program and 21 did not. All participants were over 60 yr of age and were selected from residents of nursing homes or participants in activities of social welfare facilities in Jeju Province. Elders in both groups completed pre- and post-tests. Elders in the education group participated in 5 weekly sessions, 100-120 min/session of problem-based learning on health education. Data were analyzed using SPSS WIN 12.0.

Results

Scores for health knowledge, health behavior, and quality of life for the education group were significantly higher than those of the control group.

Conclusion

A problem-based learning health education program can be recommended as a method to promote the health of the elders. Indirectly, the results seem to indicate that proper assessment and support should be provided simultaneously in the management of elders' health. Finally, future study is needed to examine whether problem-based learning is more helpful compared to traditional education.

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