Journal of Korean Academy of Nursing

Research Papers

Development and Evaluation of an App-Based Self-Management Program for Exercise Practice of Breast Cancer Survivors: A Non-Randomized Controlled Trial: Maeng, Suyoun , Yu, Jungok; J Korean Acad Nurs 2024;54(2):250-265. Published online May 31, 2024; DOI: https://doi.org/10.4040/jkan.23119

Purpose
This study aimed to develop an app-based self-management program based on the transtheoretical model (TTM) for breast cancer survivors’ exercise practice, as well as to investigate the program’s effects on the stage of change for exercise, exercise self-efficacy, exercise decisional balance, exercise amount, and body composition.
Methods
This non-randomized controlled study included 52 participants (26 in each of the experimental and control groups, respectively). An app-based self-management program based on the TTM was conducted with the experimental group for a 12-week period. The program comprised three components: individual coaching for each stage of change for exercise based on TTM, amount of exercise and body composition monitoring, and online self-help meetings.
Results
Compared with the control group, the experimental group had significantly higher stages of change for exercise (p < .001), exercise self-efficacy (p < .001), exercise decisional balance (p = .002), exercise amount (p < .001), and body composition (body weight [p = .006], body mass index [p = .005], and body fat percentage [p = .010]) immediately and four weeks after the intervention.
Conclusion
An appbased self-management program based on the TTM improves exercise behaviors in breast cancer survivors and provides physical benefits.

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Effects of a mobile health coaching intervention on symptom experience, self-management, and quality of life in breast cancer survivors: A quasi-experimental study
Jin-Hee Park, Sun Hyoung Bae, Yong Sik Jung, Min Hee Hur, Ji Young Kim, Su Jin Jung
Medicine.2025; 104(12): e41894. CrossRef

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The Development of Automated Personalized Self-Care (APSC) Program for Patients with Type 2 Diabetes Mellitus: Park, Gaeun , Lee, Haejung , Khang, Ah Reum; J Korean Acad Nurs 2022;52(5):535-549. Published online October 31, 2022; DOI: https://doi.org/10.4040/jkan.22046

Abstract PDF

Purpose
The study aimed to design and develop an automated personalized self-care (APSC) program for patients with type 2 diabetes mellitus. The secondary aim was to present a clinical protocol as a mixed-method research to test the program effects.
Methods
The APSC program was developed in the order of analysis, design, implementation, and evaluation according to the software development life cycle, and was guided by the self-regulatory theory. The content validity, heuristics, and usability of the program were verified by experts and patients with type 2 diabetes mellitus.
Results
The APSC program was developed based on goal setting, education, monitoring, and feedback components corresponding to the phases of forethought, performance/volitional control, and self-reflection of self-regulatory theory. Using the mobile application, the participants are able to learn from educational materials, monitor their health behaviors, receive weekly-automated personalized goals and feedback messages, and use an automated conversation system to solve the problems related to self-care. The ongoing two-year study utilizes a mixed method design, with 180 patients having type 2 diabetes mellitus randomized to receive either the intervention or usual care. The participants will be reviewed for self-care self-efficacy, health behaviors, and health outcomes at 6, 12, 18, and 24 months. Participants in the intervention group will be interviewed about their experiences.
Conclusion
The APSC program can serve as an effective tool for facilitating diabetes health behaviors by improving patients’ self-care self-efficacy and self-regulation for self-care. However, the clinical effectiveness of this program requires further investigation.

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Participation experience in self-care program for type 2 diabetes: A mixed-methods study
Mihwan Kim, Haejung Lee, Gaeun Park, Ah Reum Khang
Journal of Korean Gerontological Nursing.2024; 26(1): 31. CrossRef
Long‐Term Effects of an Automated Personalized Self‐Care Program for Patients With Type 2 Diabetes
Haejung Lee, Gaeun Park, DaeEun Lee, Ah Reum Khang, Min Jin Lee
Nursing & Health Sciences.2024;[Epub] CrossRef
Automated Personalized Self-care Program for Patients With Type 2 Diabetes Mellitus: A Pilot Trial
Gaeun Park, Haejung Lee, Yoonju Lee, Myoung Soo Kim, Sunyoung Jung, Ah Reum Khang, Dongwon Yi
Asian Nursing Research.2024; 18(2): 114. CrossRef
Healthcare coaching program for youth with type 1 diabetes in South Korea: a pilot study
Dae Eun Lee, Haejung Lee, Chong Kun Cheon, Ju Young Yoon
Child Health Nursing Research.2024; 30(1): 17. CrossRef
The Association between the Low-density Lipoprotein-Cholesterol to High-density Lipoprotein-Cholesterol Ratio and the Incidence of Type 2 Diabetes Mellitus in Korean Adults: A Secondary Data Analysis Using a Community-based Cohort Study in Korea
Bo-Kyoung Cha
Journal of Korean Academy of Fundamentals of Nursing.2023; 30(1): 66. CrossRef

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Untact Visit Service Development Based on an Application Reflecting the Circumstances during COVID-19: Focusing on Utilization in the Pediatric Intensive Care Units: Woo, Dahae , Yu, Hanui , Kim, Hyo Jin , Choi, Minyoung , Kim, Dong Hee; J Korean Acad Nurs 2021;51(5):573-584. Published online October 31, 2021; DOI: https://doi.org/10.4040/jkan.21143

Abstract PDF

Purpose
This study aimed to develop an untact visit service based on an application that can be utilized in the pediatric intensive care unit (PICU) during COVID-19.
Methods
This study adopted the double diamond process of service design comprising the discovery, defining, and development stages.
Results
We developed an untact visit service based on an application that considered the child’s status, schedule, photo, and video messages, and so on. Moreover, we derived a service flow regarding the required roles and the type of flow shown between each stakeholder.
Conclusion
Considering the ongoing pandemic, the untact visit service is designed to increase rapport and participation of parents, share the child’s information in real-time, and provide one-stop service without increasing healthcare providers’ work. It will be a useful visit service that can be applied and evaluated in various hospital settings and the PICU.

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Factors affecting pediatric nurses’ development of partnerships with parents of hospitalized children: An evaluation based on the stress-coping adaptation model
In Young Cho, So Hyoung Hong, Ji Yeong Yun
Journal of Child Health Care.2025; 29(1): 53. CrossRef
Experiences of Family Members With Visitation Prohibition for Critically Ill Patients
Sunjung Kim, Sunghee H. Tak
Western Journal of Nursing Research.2024; 46(11): 854. CrossRef
Factors influencing neonatal intensive care unit nurses' parent partnership development
Eun Kyoung Kim, In Young Cho, Ji Yeong Yun, Bobae Park
Journal of Pediatric Nursing.2023; 68: e27. CrossRef
National Petition Analysis Related to Nursing: Text Network Analysis and Topic Modeling
HyunJung Ko, Seok Hee Jeong, Eun Jee Lee, Hee Sun Kim
Journal of Korean Academy of Nursing.2023; 53(6): 635. CrossRef
Relationship between parental stress and post‐traumatic stress disorder: The moderating effect of visitation restrictions in paediatric intensive care units during COVID‐19
Young Il Cho, Hyo Jin Kim, Dong Hee Kim
Nursing in Critical Care.2023; 28(5): 808. CrossRef
Need for Information and Communication Technology during COVID-19: An Exploratory Study Using Nurses’ Activity Diaries
Hyeongsuk Lee, Dongmin Lee, Seungmin Lee
Healthcare Informatics Research.2023; 29(3): 256. CrossRef
Effects of a Noncontact Visit Program in the NICU for the Prevention of COVID-19
Hye Young Ahn, Hee Jee Jo, Hyun Jeong Ko
Healthcare.2023; 11(15): 2152. CrossRef
The Development of Automated Personalized Self-Care (APSC) Program for Patients with Type 2 Diabetes Mellitus
Gaeun Park, Haejung Lee, Ah Reum Khang
Journal of Korean Academy of Nursing.2022; 52(5): 535. CrossRef

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Original Articles

Development and Effects of Smartphone App-Based Walking Exercise Program for Taxi Drivers: Based on Bandura’s Self Efficacy Theory: Choi, Yun Ha , Chae, Min-Jeong; J Korean Acad Nurs 2020;50(2):242-254. Published online April 30, 2020; DOI: https://doi.org/10.4040/jkan.2020.50.2.242

Abstract PDF

Purpose
The purpose of this study was to examine the effects of smart-phone app-based walking exercise programs for taxi drivers on self-efficacy and outcome expectations for exercise, health-related quality of life, walking as an exercise, and physiological indexes.
Methods
A nonequivalent control group with a pre-post-test design was used. The subjects were recruited in G metropolitan city. Subjects were assigned to the experimental (n=31) or control groups (n=30). The smart phone app-based walking exercise program consisted of educations via the app, twelve short message services, and one individual telephone counseling session, which was spread over 12 weeks.
Results
Self-efficacy, outcome expectations, and health-related quality of life had significantly higher pre-post test differences in scores in the experimental group. Additionally, blood pressure, body mass index, and waist circumference had significantly decreased prepost- test difference levels in the experimental group. Walking as an exercise (which consisted of days walked, number of steps walked, and amount of time walked) had significantly increased in the experimental group after 7~12 weeks in the period following the intervention program rather than 1~6 weeks after the program.
Conclusion
The smart phone app-based walking exercise program based on the self-efficacy theory demonstrates a significant effect on improving self-efficacy, outcome expectations physical activities, and health-related quality of life for taxi drivers. Therefore, it is recommended to actively use the program as a tool to promote self-efficacy, physical activities, and health behaviors in taxi drivers.

Citations

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A Mobile App for Comprehensive Symptom Management in People With Parkinson’s Disease
JuHee Lee, Yujin Suh, Eunyoung Kim, Subin Yoo, Yielin Kim
CIN: Computers, Informatics, Nursing.2024;[Epub] CrossRef
Exploring physical therapists’ approach to addressing home exercise program-related low self-efficacy: knowledge, strategies, and barriers
Mariana Wingood, Patricia M. Bamonti, Justin B. Moore, Kelsey J. Picha
Disability and Rehabilitation.2024; : 1. CrossRef
Development and Evaluation of a Mobile Application to Prevent Recurrent Stroke by Enhancing Self-management on Health Outcomes for Stroke Survivors
Young Ju Jeong, Hee Sun Kim, Hyun Goo Kang
CIN: Computers, Informatics, Nursing.2024; 42(1): 53. CrossRef
mHealth Interventions to Promote Physical Activity of Adults in Korea: Health Equity-Focused Systematic Review
Hana Kim, Jisan Lee
Journal of Health Informatics and Statistics.2023; 48(Suppl 1): S1. CrossRef
The Effectiveness of a mHealth Program Using Wearable Devices and Health Coaching among Bus Drivers for Promoting Physical Activity
Yeongmi Ha, Sang-Ho Lee, Suyeon Lee, Yeojoo Chae
Journal of Korean Academy of Community Health Nursing.2022; 33(3): 332. CrossRef
Effect of the SNS-Based Physical Activity-Related Psychological Intervention on Physical Activity and Psychological Constructs among Inactive University Students
Youngho Kim, Jonghwa Lee
International Journal of Clinical and Health Psychology.2022; 22(2): 100299. CrossRef
PERFORMANCE OF PHYSICAL EXERCISE IN SEDENTARY PEOPLE’S AUTONOMY
Zaiyong Shou
Revista Brasileira de Medicina do Esporte.2022; 28(6): 785. CrossRef
An eHealth intervention (ManGuard) to reduce cardiovascular disease risk in male taxi drivers: protocol for a feasibility randomised controlled trial
James McMahon, David R. Thompson, Kevin Brazil, Chantal F. Ski
Pilot and Feasibility Studies.2022;[Epub] CrossRef
Effectiveness of a Mobile Wellness Program for Nurses with Rotating Shifts during COVID-19 Pandemic: A Pilot Cluster-Randomized Trial
Yeongmi Ha, Sang-Ho Lee, Dong-Ha Lee, Young-Hun Kang, Woonjoo Choi, Jinung An
International Journal of Environmental Research and Public Health.2022; 19(2): 1014. CrossRef
Co-Design of an eHealth Intervention to Reduce Cardiovascular Disease Risk in Male Taxi Drivers: ManGuard
James McMahon, David R. Thompson, Kevin Brazil, Chantal F. Ski
International Journal of Environmental Research and Public Health.2022; 19(22): 15278. CrossRef

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Effects of Mobile Navigation Program in Colorectal Cancer Patients based on Uncertainty Theory: Kyengjin Kim, Wanju Park; J Korean Acad Nurs 2019;49(3):274-285. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.3.274

Abstract PDF

Abstract Purpose

This study aimed to examine the effects of a mobile navigation program on uncertainty, resilience, and growth through uncertainty in colorectal cancer patients.

Methods

To verify the effectiveness of the mobile navigation program, 61 participants diagnosed with colorectal cancer undergoing surgery were selected. A nonequivalent control group nonsynchronized design was used to evaluate the program. Uncertainty was measured using the Korean version of the Uncertainty in Illness Scale, resilience was measured using the Korean version of the Connor-Davidson Resilience Scale, and growth through uncertainty was measured using the Growth through Uncertainty Scale.

Results

Compared with the control group, patients in the mobile navigation program group showed significant differences in scores for uncertainty (F=7.22, p=.009) and resilience (F=4.31, p=.042), but not for growth through uncertainty (F=2.76, p=.102).

Conclusion

These results suggest that the mobile navigation program has positive effects on decreasing uncertainty and increasing resilience among colorectal cancer patients. The mobile navigation program could play a significant role in assisting colorectal cancer patients in regard to the continuity and usability of the program.

Citations

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Developing and Evaluating a Mobile Application Self-management Program for Patients with Implantable Cardioverter-Defibrillators
Eunhee Jo, Hwang Rahyeon, Jeong-Lim Ryu, Chunja Yoo
CIN: Computers, Informatics, Nursing.2025;[Epub] CrossRef
Effects of a Video-based Education Program for Cerebral Angiography on Patients’ Outcomes: A Randomized Controlled Trial
Sung-Hyun Tark, Jee-In Hwang
Quality Improvement in Health Care.2024; 30(1): 76. CrossRef
Influence of Illness Uncertainty on Health Behavior in Individuals with Coronary Artery Disease: A Path Analysis
Hyesun Jeong, Yesul Lee, Jin Sup Park, Yoonju Lee
Journal of Korean Academy of Nursing.2024; 54(2): 162. CrossRef
The Influence of Uncertainty in Illness and Coping on Quality of Life in Colorectal Cancer Patients Receiving Chemotherapy
Jin Ah Kim, Juyoun Yu
Asian Oncology Nursing.2024; 24(2): 63. CrossRef
Development of a nurse navigation program for cancer pain
Miyoung Yoo, Eunyoung E. Suh, Mi Jang, Sunsil Kang
Asia-Pacific Journal of Oncology Nursing.2024; 11(7): 100528. CrossRef
Mobile App for Gynecologic Cancer Support for Patients With Gynecologic Cancer Receiving Chemotherapy in China: Multicenter Randomized Controlled Trial
Huicong Lin, Mingzhu Ye, Yanjuan Lin, Fuhong Chen, Sally Chan, Hongxia Cai, Jiemin Zhu
Journal of Medical Internet Research.2023; 25: e49939. CrossRef
Effects of an interactive coaching intervention on quality of life and psychological factors for colorectal cancer survivors: A single group pre and posttest design
Jaehee Yoon, HyunHae Lee, Heesook Son
European Journal of Oncology Nursing.2023; 66: 102413. CrossRef
The Development of a Mobile Application for Older Adults for Rehabilitation Instructions After Hip Fracture Surgery
YoungJi Ko, Jong-Moon Hwang, Seung-Hoon Baek
Geriatric Orthopaedic Surgery & Rehabilitation.2021;[Epub] CrossRef
Essential Role of Theory in Nursing Research for Advancement of Nursing Science
Soyoung Yu, Ju-Eun Song
Journal of Korean Academy of Nursing.2021; 51(4): 391. CrossRef
A multi‐centre randomized controlled trial of mobile gynaecological cancer support program for patients with gynaecological cancer undergoing chemotherapy: Study protocol
Huicong Lin, Sally Wai‐chi Chan, Mingzhu Ye, Yanlong Wang, Hongli Liu, Min Li, Shengjie Liu, Jiemin Zhu
Journal of Advanced Nursing.2021; 77(5): 2539. CrossRef
The Relationships among Social Support, Bowel Function Symptoms and Uncertainty in Rectal Cancer Patients
Kyungmi Lee, Semi Lim
Journal of Korean Academy of Fundamentals of Nursing.2021; 28(4): 421. CrossRef

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Effect of Smartphone Apps Applying BodyThink Program on Obesity in Adolescent Girls: Min-Kyung Jun, Ju-Young Ha; J Korean Acad Nurs 2016;46(3):390-399. Published online June 30, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.3.390

Abstract PDF

Purpose

The purpose of this study was to determine the effects of smartphone apps applying BodyThink program on BMI, percentage of body fat, skeletal muscle rate, body image, and self-esteem of adolescent girls.

Methods

Sixty-eight high school girls with a BMI of over 25kg/m² were recruited to participate in this study. Girls from four schools were divided into two groups: the experimental group, which used the smartphone apps applying BodyThink program, and the control group, which used smartphone apps and small group counseling. The experimental group received the BodyThink program 6 times, scheduled once a week, with each session lasting 40~50 minutes. Test measures were completed before and after the 6 week intervention period for all participants. Collected data was analyzed using Shapiro-Wilk test, descriptive statistics, χ² test, independent t-test, Mann-Whitney U test with the SPSS/WIN 18.0 program.

Results

The girls in the experimental group significantly improved their results in BMI(Z=-1.67, p=.042), percentage of body fat (Z=-3.01, p=.001), skeletal muscle rate (t=-3.50, p<.001), and self-esteem (t=2.66, p=.005) after the program, compared to the girls in the control group.

Conclusion

Mobile applications applying psychological and emotional intervention programs have the potential to be effective alternative methods to improve the body composition and self-esteem of obese adolescent girls.

Citations

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Effectiveness of a virtual reality application‐based education programme on patient safety management for nursing students: A pre‐test–post‐test study
Jae Woo Oh, Ji Eun Kim
Nursing Open.2023; 10(12): 7622. CrossRef
Effects of a novel mobile health intervention compared to a multi-component behaviour changing program on body mass index, physical capacities and stress parameters in adolescents with obesity: a randomized controlled trial
A. Stasinaki, D. Büchter, C.-H. I. Shih, K. Heldt, S. Güsewell, B. Brogle, N. Farpour-Lambert, T. Kowatsch, D. l’Allemand
BMC Pediatrics.2021;[Epub] CrossRef
A Technology-Mediated Interventional Approach to the Prevention of Metabolic Syndrome: A Systematic Review and Meta-Analysis
Gaeun Kim, Ji-Soo Lee, Soo-Kyoung Lee
International Journal of Environmental Research and Public Health.2021; 18(2): 512. CrossRef
Effects of the e-Motivate4Change Program on Metabolic Syndrome in Young Adults Using Health Apps and Wearable Devices: Quasi-Experimental Study
Ji-Soo Lee, Min-Ah Kang, Soo-Kyoung Lee
Journal of Medical Internet Research.2020; 22(7): e17031. CrossRef
Multidimensional Cognitive Behavioral Therapy for Obesity Applied by Psychologists Using a Digital Platform: Open-Label Randomized Controlled Trial
Meelim Kim, Youngin Kim, Yoonjeong Go, Seokoh Lee, Myeongjin Na, Younghee Lee, Sungwon Choi, Hyung Jin Choi
JMIR mHealth and uHealth.2020; 8(4): e14817. CrossRef
Current Barriers of Obesity Management of Children Using Community Child Care Centers and Potential Possibility of Utilizing Mobile Phones: A Qualitative Study for Children and Caregivers
Bo Young Lee, Mi-Young Park, Kirang Kim, Jea Eun Shim, Ji-Yun Hwang
Korean Journal of Community Nutrition.2020; 25(3): 189. CrossRef

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