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The purpose of this study was to identify the degree of self efficacy, self regulation, situational barriers and self care behavior in patients with diabetes and to identify the relationships among those variables. Ninety five non insulin dependent diabetic patients participated. Data were collected by a self report questionnaire. The results are as follows: 1) Mean scores for self care behavior were 4.64 (diet) and 6.60(medication) on a 7 point scale. 2) Mean scores for self efficacy were 65.12(diet) and 88.46(medication) on a 100 point scale. 3) Mean score for self regulation was 0.42 on a 0-1 point scale. 4) Mean score for situational barriers was 1.48 on a 4 point scale. 5) Self efficacy was significantly highly correlated with self care behavior(r=0.72, P<0.01). 6) Self regulation(r=0.28, P<0.01), situational barriers(r=-0.32, P<0.01) were significantly correlated with self care behavior. 7) Self efficacy was significantly correlated with self regulation(r=0.25, P<0.01), situational barriers(r=-0.22, P<0.05). These results suggest that for improvement in self care behavior nurses should increase the level of self efficacy and self regulation in patients with diabetes and help these patients to cope with situational barriers.

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This article reviewed and analyzed 39 studies on self efficacy theory applied to health related behavior. The following analysis was done: 1) study subjects 2) measurement tools 3) analysis according to the type of research design(intervention research, explanatory research). Some findings are summarized as follows: The study subjects were both healthy people in various developmental stages and patients with various illnesses. The health related behaviors examined in the studies were also various including exercise, smoking cessation, self care behaviors, etc. The measurement of self efficacy was done with specific tools in most studies. In the tools, activities that measured the health behavior domain were listed according to increasing difficulty or contexual arrangement or in combination of both of them. The analysis of 17 intervention research studies showed that generally the intervention program increased the self efficacy level of subjects and then the increased strongly self efficacy influenced behavioral changes. Most studies used more than one intervention method for increasing the self efficacy level. These were derived from sources of self efficacy suggested by Bandura. The analysis of 21 explanatory research studies showed that self efficacy strongly influenced behavior change and persistence. The major independent variable to affect the self efficacy was performance accomplishment in the past. Self efficacy explained more of the variance in health related behavior when it was applied with the variables in the health belief model, health promotion model, and reasoned action theory. On the basis of the above findings, the following suggestions are made: 1. For a desirable research design, self efficacy should be the intervening variable. That is, desirable designs would include intervention-self efficacy-behavior in intervention research studies and antecedent-self efficacy-behavior in explanatory research studies. 2. More prospective, longitudinal studies are needed to test the effect of self efficacy on persistence in health related behavior. 3. Studies comparing the effects of intervention methods are needed for each health related behavior, subject group, and context. 4. It is necessary to develop a reliable, valid measurement tool for self efficacy for each health related behavior. 5. Studies to differenciate the effect of self efficacy from that of outcome expectation on the health related behavior are necessary. 6. The antecedents of self efficacy should he investigated further.

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• The association between electronic wearable devices and self-efficacy for managing health: a cross sectional study using 2019 HINTS data
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Resourcefulness was analyzed by Walker and Avant's method to make a theoretical framework for nursing. Also, the appropriate Korean terminology was identified. "Resourcefulness" means the ability to use internal and external resources to eliminate or to control stress. 'Resourcefulness' is chosen to be the most appropriate term to reflect the concept of resourcefulness. Upon the concept analysis availability, controllability, confidence, and self-instruction were identified as the defining characteristics of resourcefulness. Contrary to other work, "availability" means the ability to use the social resources as well as the internal cognitive-behavioral resources. "Controllability" means the ability to delay or control immediate gratification of one's needs or to divert one's own mood in order to solve problem. "Confidence" is the self-efficacy belief in one's control ability. "Self-instruction" is the cognitive ability to instruct oneself positively. Resourcefulness is learned by active experience, vicarious experience, and formal or informal instruction or a need for change. As a result of the use of resourcefulness, the target behavior performed immediately and ultimately improve the quality of life or adaptation. Therefore, it is necessary to develop the instrument including the defining attributes identified in this study. Also, it is necessary to simultaneously analyze the related concepts of self-efficacy, self-control, and self-regulation for appropriate use.

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• Concept analysis of end-of-life care competency of long-term-care-hospital nurses: Using a hybrid model
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This study was conducted to test the effect of a self regulation education program as a nursing intervention with chronically ill patients. A quasi experimental research (non equivalent control group pretest-posttest design) was used in this study. The subjects were 30 non insulin dependent diabetic patients (experimental group: 14 patients, control group: 16 patients). The study was carried out from May, 1995 to February, 1996. Data were collected before the education program, immediately after and 2 months later and were analyzed with repeated measure ANCOVA, paired t-test and t-test. The results are as follows: 1. There was a significant difference in self efficacy between the two groups(F=27.61, P=0.000). There was a significant difference according to experimental stages(F=33.09, P=0.000) and interaction between education and experimental stages(F=30.21, P=0.000), 2. There was a significant difference in self care behavior between the two groups (F=27.05, P=0. 000). There was a significant difference according to experimental stages(F=31.14, P=0.000) and interaction between education and experimental stages(F=28.88, P=0.000), 3. There was a significant difference in glycemic control between before the education program and 2 months later in the experimental group (t=2.88, P=0.013). But there was no significant difference between before the education program and 2 months later in the control group. These results suggest that a self regulation education program is effective in promoting and maintaining self care behavior and in improving glycemic control. Thus this program can be recommended as an effective nursing intervention for chronically ill patients including diabetic patients.

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• Pathways linking health literacy to self-care in diabetic patients with physical disabilities: A moderated mediation model
  Hye Jin Nam, Ju Young Yoon, Wen-Jun Tu
  PLOS ONE.2024; 19(3): e0299971.     CrossRef
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  Jung Mi Ko, Jong Kyung Lee
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PURPOSE: This study was conducted to evaluate the process & outcome of a Health promotion program(Growing Younger & More Active) for the community resident older adults from March to December, 2001. METHOD: A quasi experimental research(one group pretest-posttest design) was used in this study. The subjects were 82 older adults(but 40 older adults 4 weeks after the program). Program had 5 sessions(10 hours) once a week. Data were collected before the program, immediately after & 4 weeks after the program and were analyzed with paired t-test. RESULT: The levels of Satisfaction, Interest & Understanding of the Program were high. Significant differences were found in health knowledge, health promoting behaviors, perceived health status and life satisfaction between before program and immediately after program as well as between before program and 4 weeks after program, but no significant differences in Health attitude. Self efficacy has significant difference only between before program and immediately after program , but no significant differences between before program and 4 weeks after the program. CONCLUSION: This results suggest that a Health promotion program for the community resident older adults developed this study is effective. So this program can be recommended as an effective nursing intervention for the health promotion of the older adults living in community.

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• The Effects of a Health Management Program on Health-promoting Lifestyle and Depression in Older Adults Living at Home
  Young Rye Park, Yang Gyeong Yoo
  The Korean Journal of Rehabilitation Nursing.2013; 16(1): 71.     CrossRef
• The Effects of Exercise in the Frail Elderly
  Young-Im Park, Kang-Yi Lee, Tae-Im Kim, Moung-Hee Jeon, Dong-Oak Kim, Ji-Hyun Kim
  Journal of Korean Academy of Community Health Nursing.2012; 23(1): 91.     CrossRef
• The Effects of an Aerobic Exercise Program on Mobility, Fall Efficacy, Balance, and Stress in the Elderly at Senior Centers
  Su Kyung Chu, Chung Yul Lee, Jang Hak Yoo
  Journal of Korean Academy of Community Health Nursing.2012; 23(1): 22.     CrossRef
• Effects of an Elder Health Promotion Program using the Strategy of Elder Health Leader Training in Senior Citizen Halls
  Mee Ock Gu, Young Eun, Eun Sim Kim, Hwang Ran Ahn, In Soo Kwon, Hyun Sook Oh, Young-Sil Kang, Myun Sook Jung, So Young Choi, Kyung Mi Sung, Hye Yeon Kang
  Journal of Korean Academy of Nursing.2012; 42(1): 125.     CrossRef

The purpose of this study was to suggest directions for developing a Health Promotion Program for the elderly in Korea for the future. For this, twenty previously developed & implemented health promotion programs were reviewed and analyzed in terms of target population of the program, components of the program, measurement variables for effects of program, the effects of the program. The results were as follows. 1. Most of the target populations were older adults living independently in the community. 2. Components of the program were health education, health assessment and counseling and exercise program. - Health education was done in most of programs. The topics of health education that were often included in the programs were life style changes, medical knowledge, independent living, the concept of health promotion and changes related to aging. - In health assessment and counseling, health professionals discovered their health problems through health assessment or health risk appraisal. Then they developed health recommendations on each health problem and encouraged the elderly to implement the recommendations. 3. Variables measuring the direct effects of the program were health behavior, knowledge, attitude, skill, use of medical/health reference book. Variables measuring the indirect effects, biometric outcome, health status, functional status, medical service utilization, medical cost and wellbeing. 4. The analysis showed that health education was effective for changing health behaviors, improving knowledge, skill and attitude in the elderly. Those results were suggested to be used as guidelines for developing a health promotion program for the elderly in Korea for the future.

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• Effects of a Health Promotion Program on Healthy Aging Preparation for Late Middle Aged Women
  Hee-Jung Choi, Soon-Rim Suh
  Korean Journal of Adult Nursing.2015; 27(5): 594.     CrossRef
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  Mee Young Im, Young-Hee Mun
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The purpose of this study was to identify the response patterns of Health Locus of Control(HLOC) and to analysis of the health promoting behaviors depending on the response patterns of HLOC in Korean adults. The sample was composed of 300 healthy adults ranged from twenties to seventies to seventies. In data analysis, SPSS PC+ program was utilized for descriptive statistics, person correlation, ANOVA and cluster analysis. The results of the study were as follow : 1. The average score of Hloc in Korean were HLOC-I : 24.12(range 6-30), HLOC-P : 21.72, HLOC-C : 17.46. 2. The total mean score of the health promoting behavior scale was 2.50 (range 1-4), and the mean score on the subscales were ; self actualization 2.60, health responsibility 2.14, exercise 2.28, nutrition 3.16, interpersonal support 2.74, stress management 2.15. 3. The HLOC-I and health promoting behavior were correlated positively(r=0.184, p=0.001), and the HLO-C and the health promoting behavior were correlated negatively(r=-0.102, p=0.039). The HLOC-P and the health promoting behavior weren't correlated in the level of statistical significance. 4. The response patterns of HLOC in Korean adults were identified 6 types, such as pure internal, pure chance, believers in control, yea sayer, nay sayer, and complex control. The type of believers in control and the type of yea sayer were subdivided in two different types. The believers in control was the largest group(33.67%), and yea sayer was the next large group(26.33%). The pure chance and the complex control type was the smallest groups. 5. There was a significant difference in health promoting behavior depending on the response patterns of HLOC(F=2.67, p=0.010). There were also significant differences in 4 subscales of health promoting behavior : self actualization(F=3.12, P=0.038), nutrition(F=5.08, p=0.000), and interpersonal support?(F=2.26, p=0.029). These results suggest that the response patterns of HLOC is the important factor to predict the level of health promoting behavior in Korean adults.

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