Journal of Korean Academy of Nursing

Research Papers

Structural Equation Modeling of Health Promotion Behavior on Migrant Workers: A Multi-Group Analysis Based on the Period of Residence: Jeong, Hanna , Kim, Youngsuk; J Korean Acad Nurs 2024;54(1):73-92. Published online February 29, 2024; DOI: https://doi.org/10.4040/jkan.23101

Abstract PDF: Purpose
This study developed and tested a hypothetical model of health promotion behavior on migrant workers based on the Health Promotion Model and the Health Literacy Skills Framework.
Methods
Data were collected from 298 migrant workers in 9 regions across the country from December 2020 to March 2021. The exogenous variables were e-health literacy, occupational stress, acculturation, and social support. The endogenous variables were perceived benefits of action, self-efficacy, and health promotion behavior. Data were analyzed using SPSS/WIN 25.0, AMOS 20.0, and R-4.0.3 program.
Results
The model fit was appropriate. Social support had the most significant direct impact on the health promotion behavior of migrant workers. Perceived benefits of action and self-efficacy played a mediating role in the relationship among e-health literacy, social support, and health promotion behavior. Based on multi-group analysis, the migrant worker group with less than 5 years of residency had a more statistically significant effect on the relationship between perceived benefits of action and health promotion behavior than those with over 5 years.
Conclusion
Providing social support as a critical administrative strategy to enhance the health promotion behavior of migrant workers is necessary. Furthermore, when developing an intervention program utilizing the internal mechanism between social support and health promotion behavior, a self-efficacy-enhancing strategy is considered to be more effective. Additionally, educating migrant workers with short-term residence of less than 5 years about the benefits of health behaviors is essential.

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Validity and Reliability of the Korean Version of Assessment of Health Literacy in Breast and Cervical Cancer Screening: Shin, Hye Sook , Chi, Eunlim , Han, Hae-Ra; J Korean Acad Nurs 2021;51(6):769-781. Published online December 31, 2021; DOI: https://doi.org/10.4040/jkan.21108

Purpose
Health literacy is a significant determinant of health and health behaviors such as cancer screening. Despite its significance, there are limited instruments available to assess health literacy targeting Koreans. The purpose of this study was to test the psychometric properties of Korean translation of a validated health literacy instrument in cancer screening—Korean version of assessment of health literacy in breast and cervical cancer screening (K-AHL-C).
Methods
A total of 555 women aged 20~65 participated in the online survey study. Of 52 items addressing five domains included in the original version, we focused on 36 items addressing three key domains closely associated with cancer screening: familiarity, health navigation, and comprehension.
Results
During content validation, two items from the health navigation domain were removed, yielding 34 items. Using Rasch analysis and confirmatory factor analysis, we found the evidence of construct validity of K-AHL-C. The Korean version was also significantly correlated with measures of Functional Health Literacy scale, cancer prevention behaviors, and subjective health status, suggesting convergent validities respectively. Finally, K-AHL-C had acceptable reliability coefficients (α) ranging from 0.71 to 0.92 for each domain and the total scale.
Conclusion
These psychometric properties support the K-AHL-C is a valid and reliable instrument for measuring Koreans’ health literacy in cancer screening. Also it is expected to use the instrument to detect breast and cervical cancer early and improve the screening rate, and ultimately to contribute to the promotion of women's health and women's health nursing practice.

Citations

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Associations and gender differences between OHI-seeking behaviors and eHealth literacy among Chinese university students
Jie Chen, Hua Tian
Revista da Escola de Enfermagem da USP.2024;[Epub] CrossRef
Health Information Seeking Pathways and Factors Influencing Health Literacy Among Cancer Patients: Based on Data from the 2nd Korean Health Panel 2021
Yun-La Hur, Eun-Jeong Hong
Asian Oncology Nursing.2024; 24(3): 155. CrossRef
A Psychometric Validation of the Korean Version of Disaster Response Self-Efficacy Scale for Nursing Students
Sung Hae Kim
International Journal of Environmental Research and Public Health.2023; 20(4): 2804. CrossRef
Health literacy measures in South Korea: A scoping review
Heeran Chun, Su Hyun Kim, Eunja Park
Korean Journal of Health Education and Promotion.2022; 39(4): 39. CrossRef
Validity and Reliability of the Korean Version of the Climate, Health, and Nursing Tool
Da Woon Jeong, Gwang Suk Kim, Min Kyung Park
Journal of Korean Academy of Nursing.2022; 52(2): 173. CrossRef

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Original Articles

The Development and Evaluation of a Health Literacy-Adapted Self-Management Intervention for Elderly Cancer Patients Undergoing Chemotherapy: Yoon Sun Kim, Young Sook Tae, Kwuy-Im Jung; J Korean Acad Nurs 2019;49(4):472-485. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.4.472

Abstract PDF

Abstract Purpose

This study aimed to develop and evaluate the effectiveness of an adapted health literacy self-management intervention for elderly cancer patients undergoing chemotherapy.

Methods

The intervention in this study was systematically developed through the six stages of Intervention Mapping Protocol and was based on Fransen et al's causal pathway model. A quasi-experimental trial was conducted on a total of 52 elderly patients (26 in an experimental group and 26 in a control group) undergoing chemotherapy in Korea. The intervention consisted of seven sessions over 5 weeks. The experimental tool for this study was an adapted health literacy self-management intervention, which was designed to promote a reduction in the symptom experience and distress of elderly cancer patients through the promotion of self-management behavior. To develop efficient educational materials, the participants’ health literacy was measured. To educate participants, clear communication and the teach-back method were used. In addition, for the improvement of self-efficacy, four sources were utilized. For the promotion of self-management behavior, five self-management skills were strengthened. Data were collected before and after the intervention from June 4 to September 14, 2018. The data were analyzed with SPSS/WIN 21.0.

Results

Following the intervention, self-management knowledge and behavior and, self-efficacy significantly improved in experimental group. Symptom experience and distress decreased in the experimental group compared to the control group.

Conclusion

The self-management intervention presented in this study was found to be effective in increasing self-management knowledge and behavior and, self-efficacy, and ultimately in reducing symptom experience and distress for elderly patients undergoing chemotherapy.

Citations

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The Effect of Group Education Reflecting Unmet Needs on Knowledge of Chemotherapy for Patients and Their Families Undergoing Chemotherapy: A One Group Pre-Post Design
Seyoung Lee, Hoyoung Kim, Nayeon Kim, Misun Yi, Ayoung Lee, Seonmi Cho, Minsun Nam, Juhee Cho
Asian Oncology Nursing.2024; 24(1): 42. CrossRef
Health Information Seeking Pathways and Factors Influencing Health Literacy Among Cancer Patients: Based on Data from the 2nd Korean Health Panel 2021
Yun-La Hur, Eun-Jeong Hong
Asian Oncology Nursing.2024; 24(3): 155. CrossRef
The Effects of Chemotherapy Education Reflecting Educational Needs on Self-Care Knowledge and Performance in Female Cancer Patients: A Non-Equivalent Control Group Pretest-Posttest Design
Jin Hee Jun, Se-Na Lee
Asian Oncology Nursing.2024; 24(3): 103. CrossRef
Effectiveness of teach‐back for chronic kidney disease patient education: A systematic review
Hemamali M. H. Jagodage, Amanda McGuire, Charrlotte Seib, Ann Bonner
Journal of Renal Care.2024; 50(2): 92. CrossRef
Effects of Telephone-based Self-care Intervention for Gynecologic Cancer Patients Receiving Chemotherapy: A Quasi-Experimental Study
Boyeon Lee, Hyojung Park
Journal of Korean Academy of Fundamentals of Nursing.2023; 30(2): 216. CrossRef
Analysis of Telephone Counseling of Patients in Chemotherapy Using Text Mining Technique
Seoyeon Kim, Jihyun Jung, Heiyoung Kang, Jeehye Bae, Kayoung Sim, Miyoung Yoo, Eunyoung, E. Suh
Asian Oncology Nursing.2022; 22(1): 46. CrossRef
Evaluating a theory-based intervention for improving eHealth literacy in older adults: a single group, pretest–posttest design
Sun Ju Chang, Kyoung-eun Lee, Eunjin Yang, Hyunju Ryu
BMC Geriatrics.2022;[Epub] CrossRef
Effects of the teach-back method among cancer patients: a systematic review of the literature
Seonhwa Choi, Jahyun Choi
Supportive Care in Cancer.2021; 29(12): 7259. CrossRef

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Association between Awareness of Nutrition Labels and Menstrual Cycle Irregularity in Korean Women: The Fifth Korea National Health and Nutrition Examination Survey (2010~2012): Hae Young Yoo, Eunjung Ryu, Ji-Su Kim, Kyung-do Han; J Korean Acad Nurs 2017;47(1):133-141. Published online February 28, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.1.133

Abstract PDF: Purpose
The aim of this study was to identify the relationship between awareness of nutrition labeling and menstrual cycle irregularity in women from a nationally representative sample of the Korean population.
Methods
A cross-sectional analysis was performed using hierarchical multivariable logistic regression analysis models. A total of 4,324 women aged 19~54 years from the 2010~2012 Korean National Health and Nutrition Examination Survey participated in the study. The participants were classified into three groups based on self-report responses to a questionnaire about their awareness of nutrition labels: Reading, Not-Reading, and Not-Knowing Groups.
Results
The Reading, Not-Reading, and Not-Knowing Groups comprised 46.4%, 44.9%, and 8.7% of the participants, respectively, and 53.6% of the participants had never used nutrition labels. In the Not-Knowing Group, irregular menstrual cycles for more than 3 months were significantly more common than women with irregular menstrual cycles for up to 3 months and women with regular menstrual cycles. Women in the Not-Knowing Group were more likely to exhibit menstrual cycle irregularity (adjusted odds ratio: 1.63, 95% confidence interval: 1.10~2.41) compared to women in the Reading Group after adjusting for age, body mass index, smoking status, alcohol intake, exercise regularity, stress, depression, suicidal ideation, metabolic syndrome, age at menarche, parity, and use of oral contraceptives.
Conclusion
No awareness of nutrition labeling appears to be associated with a higher prevalence of menstrual cycle irregularity in a nationally representative group of Korean women.

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Psychometric Properties of the Alzheimer's Disease Knowledge Scale-Korean Version: Eun Joo Kim, Ji-young Jung; J Korean Acad Nurs 2015;45(1):107-117. Published online February 27, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.1.107

Abstract PDF

Purpose

The purpose of this study was to evaluate the psychometric properties of the Korean version of the Alzheimer's Disease Knowledge Scale (ADKS-K) to determine its applicability to Korean adults.

Methods

Cross-cultural validity was performed according to Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN). The Kuder-Richardson Formula 20 for internal consistency and Intraclass Correlation Coefficient (ICC) for test-retest reliability were conducted. Content validity, criterion related validity and construct validity were evaluated. The Classical Test Theory (CTT) model and the Item Response Theory (IRT) model were applied in performing the item analysis.

Results

The KR 20 was .71, and the ICC was .90, indicating that the ADKS-K has internal consistency and stability reliability. Thirty items of the ADKS-K had significant Content Validity Ratio (CVR) values, i.e., mean of 0.82 and range of 0.60~1.00. Mean item difficulty and discrimination indices calculated by TestAn program were 0.63 and 0.23, respectively. Mean item difficulty and discrimination indices calculated by BayesiAn program were -0.60 and 0.77, respectively. These tests indicate that ADKS-K has an acceptable level of difficulty and discriminating efficiency.

Conclusion

Results suggest that ADKS-K has the potential to be a proper instrument for assessing AD knowledge in Korean adults.

Citations

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Expanding the health belief model on dementia knowledge, fear, and preventive behaviors among older adults in Korea: a cross-sectional descriptive study
Jeong Eui Yun, Suyoung Choi
Journal of Korean Biological Nursing Science.2025; 27(1): 60. CrossRef
The Mediating Role of Attitudes Towards Dementia on the Relationship Between Dementia Knowledge and Behaviors Towards Persons with Dementia: A Cross-Sectional Study
Yang-Tzu Li, Jing-Xuan Bai, Jia-Ming He, Shao-Wei Yang, Hsiu-Li Huang
Journal of Multidisciplinary Healthcare.2023; Volume 16: 4213. CrossRef
Alzheimer’s disease (AD) knowledge in Korean Americans: identifying knowledge gaps and misconceptions and examining predictors of AD knowledge
Sang E. Lee, Michin Hong, Banghwa L. Casado
Ethnicity & Health.2023; 28(3): 431. CrossRef
Validity and Reliability of the Korean Version of Assessment of Health Literacy in Breast and Cervical Cancer Screening
Hye Sook Shin, Eunlim Chi, Hae-Ra Han
Journal of Korean Academy of Nursing.2021; 51(6): 769. CrossRef
Quantifying Knowledge of Alzheimer’s Disease: An Analysis of the Psychometric Properties of the Alzheimer’s Disease Knowledge Scale
Guillermo Garcia-Ribas, Elena García-Arcelay, Alonso Montoya, Jorge Maurino, Javier Ballesteros
Neurology and Therapy.2021; 10(1): 213. CrossRef
The Impact of Dementia Knowledge and Attitude on Caregiving Appraisal among Caregivers of Older Adults with Dementia Using Dementia Care Centers
Ji Yeon Hong, Dukyoo Jung
Journal of Korean Gerontological Nursing.2020; 22(4): 348. CrossRef
Development of Knowledge and Attitudes Survey on Pain Management for Korean Long-term Care Professionals
So-Hi Kwon, Hyunsim Kim, Seurk Park, Wooseok Jeon
Asian Nursing Research.2020; 14(2): 105. CrossRef
Reliability and Validity of the Korean version of the Pain in Older Adults Knowledge Survey (K-POAKS) among Nurses Who Have Worked in Long-term Care Hospitals
Young Seun Ryu, Jeong Sook Park
Journal of Korean Academy of Community Health Nursing.2020; 31(2): 130. CrossRef
Validation of the Spanish Version of the Dementia Knowledge Assessment Tool 2
Laura Parra-Anguita, Sara Moreno-Cámara, María Dolores López-Franco, Pedro L. Pancorbo-Hidalgo, Alden Gross
Journal of Alzheimer’s Disease.2018; 65(4): 1175. CrossRef
Knowledge and Attitudes in Alzheimer’s Disease in a Cohort of Older African Americans and Caucasians
J. Christina Howell, Oretunlewa Soyinka, Monica Parker, Thomas L. Jarrett, David L. Roberts, Cornelya D. Dorbin, William T. Hu
American Journal of Alzheimer's Disease & Other Dementias®.2016; 31(4): 361. CrossRef
Knowledge about dementia in South Korean nursing students: a cross-sectional survey
Jung Ha Shin, Hyun-Ju Seo, Kye Ha Kim, Kyoung-Hoon Kim, Youngjin Lee
BMC Nursing.2015;[Epub] CrossRef

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Health Literacy and Health Status of Korean-Chinese Elderly People Living in Yanbian, China: Chun Yu Li, Ogcheol Lee, Gi Soo Shin, Xian Wen Li; J Korean Acad Nurs 2009;39(3):386-392. Published online June 29, 2009; DOI: https://doi.org/10.4040/jkan.2009.39.3.386

Abstract PDF

Purpose

This descriptive study was done to identify the relationship between health literacy and health status and to provide basic data for developing nursing interventions for Korean-Chinese elders living in Yanbian, China.

Methods

For data collection, intentional sampling of 300 elders was used. The questionnaire was composed of 5 items based on "Ministry of Health, the People's Republic of China (2008)" to measure health literacy, 33 health status items from the "Korean Health Status Measure for Elderly People" developed by Shin (2002), revised for use in China, and 9 general characteristics. Data were analyzed using SPSS Win 13.0 program.

Results

Total level of health literacy was relatively high (68.7%). Elders had high scores for taking medicines according to doctor's instruction, but lower ones for full comprehension through communication with doctors. Health status was high for emotional, physical, and social function in that order. There were significant differences between general characteristics and health status for gender, age, marital status, education, family, smoking, and alcohol consumption in that order. Results of multiple regression analysis for factors influencing health status showed that self-report health level was the most influential, followed by health literacy, age, gender.

Conclusion

Health literacy is the main factor affecting health promotion among minority elders indicating a need to develop health promotion programs for elders who have low health literacy.

Citations

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Impact of Parents' Oral Health Literacy on Their Own and Their Children's Oral Health in Chinese Population
Yu Wang, Marita R. Inglehart, Chao Yuan
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Heeran Chun, Ju Yul Lee
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Dahyun Park, Min-Jeong Shin, Sunmi Song
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Jounghee Lee, Wenying Cui, Meixiang Jin
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Maria Izabel Penha de Oliveira Santos, Marilene Rodrigues Portella, Helenice de Moura Scortegagna, Paulo Cassiano Simor dos Santos
Revista Brasileira de Geriatria e Gerontologia.2015; 18(3): 651. CrossRef
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A cross-sectional study on oral health literacy and its influencing factors among adults: II. Functional oral health literacy
Hyun-Jeong Ju, Hyo-Won Oh, Heung-Soo Lee
Journal of Korean Academy of Oral Health.2013; 37(2): 81. CrossRef
Health Literacy: An Evolutionary Concept Analysis
Sungeun Kim, Jina Oh, Yunmi Lee
The Journal of Korean Academic Society of Nursing Education.2013; 19(4): 558. CrossRef
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