Journal of Korean Academy of Nursing

Original Article

Development of a Scale for Alcohol Drinking Prevention Behavior in Early Elementary School Based on Ajzen’s Theory of Planned Behavior: Kim, Younkyoung , Lee, Chong Mi , Kang, Seo Young; J Korean Acad Nurs 2020;50(2):210-227. Published online April 30, 2020; DOI: https://doi.org/10.4040/jkan.2020.50.2.210

Purpose
This study aimed to develop a scale to measure variables related to alcohol drinking prevention behavior in early elementary school, based on the theory of planned behavior.
Methods
A scale was developed to measure variables related to alcohol drinking prevention behavior. Initial items for direct evaluation were constructed through a literature review, and those for belief-based indirect measure were generated through interviews with 30 second- and third-grade elementary school students. The collected data from 286 third-grade elementary school students were then subjected to item analysis, exploratory and confirmative factor analysis, criterion-related validity testing, and internal consistency assessment.
Results
The final scale consisted of 35 items. Intention, attitudes, subjective norms, and perceived behavioral control explained 82.7% of the variance; behavioral beliefs, normative beliefs, and control beliefs explained 65.6% of the variance; and evaluation of outcome, motivation to comply, and power of control beliefs explained 72.8% of the variance. The confirmatory factor analysis indicated that the theoretical models had a satisfactory goodness of fit. Criterion-related validity was confirmed between the direct evaluation variables and the indirect measure variables (attitudes r=.64, p <.001; subjective norms r=.39, p <.001; perceived behavioral control r=.62, p <.001). Cronbach’s a was .89 for the direct evaluation variables and .93 for the indirect measure variables.
Conclusion
The scale developed in this study is valid and reliable. It could be used to measure and explain variables related to alcohol drinking prevention behavior in early elementary school.

Citations

Citations to this article as recorded by

Development of a Web-Based Alcohol Prevention Program Linking School-Child-Family for Intermediate Elementary Students
Younkyoung Kim, Chong Mi Lee, Seo Young Kang, Hyunju Yang
Journal of Health Communication.2023; 28(2): 102. CrossRef
Effects of a web‐based alcohol drinking prevention program linking school‐to‐home in elementary students
Younkyoung Kim, Chong Mi Lee, Seo Young Kang
Public Health Nursing.2022; 39(2): 472. CrossRef
Factors influencing nursing students’ care intentions toward emerging infectious diseases patients: A descriptive-predictive study
Seungmi Park, Insun Jang, Soo-Young Yu
The Journal of Korean Academic Society of Nursing Education.2022; 28(4): 421. CrossRef

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Review Article

Effects of Nursing Interventions for Fall Prevention in Hospitalized Patients: A Meta-analysis: Yoon Lee Kim, Seok Hee Jeong; J Korean Acad Nurs 2015;45(4):469-482. Published online August 31, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.4.469

Abstract PDF

Purpose

The purpose of this study was to identify which nursing interventions are the most effective in fall prevention for hospitalized patients.

Methods

From 3,675 papers searched, 34 were selected for inclusion in the meta-analysis. Number of fallers, falls, falls per 1,000 hospital-days, and injurious falls, fall protection activity, knowledge related to falls, and self-efficacy about falls were evaluated as outcome variables. Data were analyzed using the Comprehensive Meta Analysis (CMA) 2.2 Version program and the effect sizes were shown as the Odd Ratio (OR) and Hedges's g.

Results

Overall effect size of nursing interventions for fall prevention was OR=0.64 (95% CI: 0.57~0.73, p <.05) and Hedges's g= - 0.24. The effect sizes (OR) of each intervention ranged from 0.34 to 0.93, and the most effective nursing intervention was the education & environment intervention (OR=0.34, 95% CI: 0.28~0.42, p <.001), followed by education intervention (OR=0.57, 95% CI: 0.50~0.67, p =.001). Subgroup analyses showed that multifaceted interventions (OR=0.76, 95% CI: 0.73~0.79, p <.001) were more effective than unifactorial interventions, and that activities for prevention of falls (OR=0.08, 95% CI: 0.05~0.15, p <.001) showed the largest effect size among outcome variables.

Conclusion

Falls in hospitalized patients can be effectively prevented using the nursing interventions identified in this study. These findings provide scientific evidence for developing and using effective nursing interventions to improve the safety of hospitalized patients.

Citations

Citations to this article as recorded by

Characteristics and Effects of Fall Prevention Interventions among the Korean Older Adults: A Systematic Review
Jeong Ha Park, Hee Ju Kim
Journal of Korean Gerontological Nursing.2022; 24(1): 65. CrossRef
Internet-Delivered Cognitive Behavioral Therapy in Patients With Irritable Bowel Syndrome: Systematic Review and Meta-Analysis
Hyunjung Kim, Younjae Oh, Sun Ju Chang
Journal of Medical Internet Research.2022; 24(6): e35260. CrossRef
Validity and Reliability of Turkish Version of the Self- Awareness of Falls in Elderly Scale Among Elderly Inpatients
Fatma Birgili, Seda Kılınç, Nezihe Bulut Uğurlu
Cyprus Journal of Medical Sciences.2022; 7(7): 69. CrossRef
Validity of the Morse Fall Scale and the Johns Hopkins Fall Risk Assessment Tool for fall risk assessment in an acute care setting
Young Ju Kim, Kyoung‐Ok Choi, Suk Hyun Cho, Seok Jung Kim
Journal of Clinical Nursing.2022; 31(23-24): 3584. CrossRef
An Educational Intervention to Improve Staff Collaboration and Enhance Knowledge of Fall Risk Factors and Prevention Guidelines
Kimberly A. DiGerolamo, Mei Lin Chen-Lim
Journal of Pediatric Nursing.2021; 57: 43. CrossRef
Trends of Nursing Research on Accidental Falls: A Topic Modeling Analysis
Yeji Seo, Kyunghee Kim, Ji-Su Kim
International Journal of Environmental Research and Public Health.2021; 18(8): 3963. CrossRef
Analysis of Fall Incident Rate among Hospitalized Korean Children Using Big Data
Eun Joo Kim, Anna Lee
Journal of Pediatric Nursing.2021; 61: 136. CrossRef
Development and Effect of a Fall Prevention Program Based on the King's Goal Attainment Theory for Fall High-Risk Elderly Patients in Long-Term Care Hospital
Bom Mi Park, Ho Sihn Ryu, Kyeung Eun Kwon, Chun Young Lee
Journal of Korean Academy of Nursing.2019; 49(2): 203. CrossRef
Use of the Nursing Outcomes Classification for Falls and Fall Prevention by Nurses in South Korea
Eunjoo Lee
International Journal of Nursing Knowledge.2019; 30(1): 28. CrossRef
Development and Validation of the Self-Awareness of Falls in Elderly Scale Among Elderly Inpatients
Meei-Ling Shyu, Hui-Chuan Huang, Mei-Jung Wu, Hsiu-Ju Chang
Clinical Nursing Research.2018; 27(1): 105. CrossRef
The effectiveness of intervention programs for preventing patients from falls
Jana Horová, Iva Brabcová, Jitka Krocová
Kontakt.2017; 19(2): e105. CrossRef
Effect of Strength Exercise on Patient Fall Prevention Program: Focusing on the Fall High Risk Group Elderly Patients
Hyun-Ok Lee, Byung-Hwa Lee, Chang-Hee Lee
Journal of Health Informatics and Statistics.2017; 42(4): 338. CrossRef
The Effect of Pediatric Inpatient Fall Prevention Education on Caregivers' Fall-related Knowledge and Preventive Behaviors
So Yeon Park, Hyeon Ok Ju
Journal of Korean Academic Society of Nursing Education.2017; 23(4): 398. CrossRef

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