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Research Papers
Development of a communication self-efficacy scale for nurses: a psychometric validation study
Kuem Sun Han, Jihye Shin, Soo Yeon Lee
J Korean Acad Nurs 2025;55(2):269-284.   Published online May 27, 2025
DOI: https://doi.org/10.4040/jkan.24129
AbstractAbstract PDFePub
Purpose
This methodological study was conducted to develop a scale to measure communication self-efficacy in nurses and examine its validity and reliability.
Methods
We selected 54 initial items from literature reviews and interviews with 10 clinical nurses. Thirty-two preliminary items were derived from consultations with 10 experts. To verify the scale’s factor structure, we conducted exploratory factor analysis (EFA), and confirmatory factor analysis (CFA) among 469 nurses. Data were analyzed using item analysis, EFA, CFA, discriminant validity, convergent validity, and internal consistency using IBM SPSS Statistics ver. 29.0 (IBM Corp.) and IBM SPSS AMOS ver. 20.0 (IBM Corp.).
Results
The scale consisted of 18 items with three factors (ability to apply therapeutic communication skills, crisis management capabilities, and communication competence), which explained 46.1% of the total variance. Convergent validity and discriminant validity were confirmed for the factors. CFA supported the fit of the measurement model comprising three factors (standardized root mean square residual=.04, root mean square error of approximation=.03, goodness of fit index=.92, Tucker-Lewis index=.97, comparative fit index=.98, normed fit index=.89, critical N=216). Internal consistency was confirmed by a Cronbach’s α coefficient of .91.
Conclusion
The communication self-efficacy scale for nurses is expected to measure communication self-efficacy among nurses. It will be useful for improving nurses’ professional communication abilities.
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Validity and Reliability of the Korean Version of the Occupational Coping Self-Efficacy Scale for Nurses
Youngrye Park, Sunah Park, Hee Ran Kang
J Korean Acad Nurs 2024;54(4):633-644.   Published online November 30, 2024
DOI: https://doi.org/10.4040/jkan.24094
AbstractAbstract PDFePub
Purpose

This study aimed to evaluate the validity and reliability of the Korean version of the occupational coping self-efficacy for nurses (K-OCSE-N) scale.

 Methods

The English version of the OCSE-N scale was translated into Korean using a translation and back-translation process. Data were gathered from 213 nurses employed in a general hospital in South Korea. The content validity was assessed using the content validity index. The construct validity was verified through exploratory and confirmatory factor analyses. Criterion validity was assessed using Pearson’s correlation coefficients with the job stress coping and general self-efficacy scales. Reliability was examined using item-total score correlation and Cronbach’s α coefficient for internal consistency.

 Results

The exploratory factor analysis identified two factors that explained 61.8% of the cumulative variance: occupational burden and relational difficulty. In confirmatory factor analysis, the model exhibited adequate fit (χ2/df = 2.07, GFI = .95, SRMR = .04, RMSEA = .07, CFI = .97, and TLI = .95), with both convergent and discriminant validity deemed acceptable. The criterion validity presented a positive correlation of the K-OCSE-N with both job stress coping (r = .72, p < .001) and general self-efficacy (r = .72, p < .001). The internal consistency of the scale using Cronbach’s α for the total items was .89.

 Conclusion

The K-OCSE-N scale is a valid and reliable tool for measuring nurses’ occupational coping self-efficacy. This study suggests that various intervention studies can use the scale to assess and strengthen nurses’ occupational coping self-efficacy in nursing practice.

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The Effects of a Self-Efficacy Theory-Based Exercise Program for Patients Undergoing with Total Knee Arthroplasty
Kyung-Hye Park, Hee-Young Kang
J Korean Acad Nurs 2024;54(4):547-562.   Published online October 22, 2024
DOI: https://doi.org/10.4040/jkan.24027
AbstractAbstract PDFSupplementary MaterialePub
Purpose

This study was performed to develop a self-efficacy theory-based exercise program for total knee arthroplasty (TKA) and to test the program’s efficacy in ameliorating knee pain and restoring function as measured by lower extremity muscle strength, 3 meter walking time, Korean Western Ontario McMaster Index (WOMAC), exercise self-efficacy, and length of hospital stay for TKA patients.

 Methods

This quasi-experimental study incorporating a non-equivalent control group and pretest-posttest non-synchronized design non-synchronous design was applied to assess self-efficacy reinforcement strategies based on self-efficacy theory. The exercise program consisted of the following steps: TKA, education to prevent postoperative complications, and muscle strength exercises. Respective exercise and control groups included 29 and 27 participants. The experimental group received eight sessions of the program from three weeks before TKA to four weeks after TKA. Collected data were analyzed using the chi-square test, Mann–Whitney U test, and ranked ANCOVA and t-tests using IBM SPSS Statistics 23.

 Results

Experimental group showed significant improvement in lower extremity muscle strength (F = 8.63, p = .005), 3 meter walking time (z = - 5.02, p < .001), WOMAC index (z = - 2.22, p = .027), self-efficacy for exercise (z = - 3.29, p = .001), and length of hospital stay (t = - 2.11, p = .040) compared to the control group. No significant differences in knee pain and range of motion were observed.

 Conclusion

These findings indicate that a self-efficacy theory-based exercise program can be an effective exercise strategy that patients undergoing TKA can easily follow at home without assistance. It is thus recommended as an exercise intervention for TKA patients.

Citations

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  • Self-efficacy and implementation intentions in home rehabilitation of stroke patients: the parallel mediating role of recurrence risk perception and outcome expectations
    Xiaowen Jiang, Qiuxue Sun, Rong Tang, Shuxian Liu, Xi Chen, Yumei Lv
    Frontiers in Psychology.2025;[Epub]     CrossRef
  • Factors Influencing Decision-Making and Rehabilitation Among Older Women Who Underwent Total Knee Replacement: A Qualitative Study in Taiwan
    Ching Han Huang, Yun Yee Chen, Shu Wen Chen, Chen Ti Wang, Mei Hsiang Lin
    Patient Preference and Adherence.2025; Volume 19: 3931.     CrossRef
  • 3,014 View
  • 264 Download
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Effects of a Pre-Conception Care Program in Women with Inflammatory Bowel Disease: A Mixed-Methods Study Including a Randomized Controlled Trial
Young Jin Lee, Hae Won Kim, Yeon Hee Kim, Suk-Kyun Yang, Ji-Yeon Kim
J Korean Acad Nurs 2024;54(3):386-402.   Published online August 31, 2024
DOI: https://doi.org/10.4040/jkan.24010
AbstractAbstract PDF
Purpose
The purpose of this study was to conduct a pre-conception care program for women of childbearing age with inflammatory bowel disease (IBD) in Korea and verify its effects on self-efficacy for IBD management, IBD-related pregnancy knowledge, and IBD-related pregnancy anxiety. It also aimed to explore the changes in participants through the program.
Methods
A convergent mixed-methods study design was adopted. In the quantitative phase, 35 women (17 and 18 in the intervention and control group, respectively) participated. The intervention group attended a program that included small-group sessions and individual tele-coaching. To confirm the effects, data were collected before and one and four weeks after the intervention. In the qualitative stage, focus group interviews and tele-coaching were conducted with the intervention group.
Results
After the program ended, significant differences were observed over time between the intervention and control groups for self-efficacy for IBD management (Wald χ2 = 4.41, p = .036), IBD-related pregnancy knowledge (Wald χ2 = 13.80, p < .001) and IBD-related pregnancy anxiety (Wald χ2 = 8.61, p = .003). Qualitative data analysis revealed the following themes: (1) improving confidence in IBD management and awareness for planned pregnancy; (2) improving IBD awareness related to pregnancy and childbirth; and (3) relieving anxiety about and actively facing pregnancy.
Conclusion
This study is meaningful in that, to the best of our knowledge, it is the first to develop a pre-conception care program for women diagnosed with IBD and confirm its effectiveness. Furthermore, this program is expected to be suitable for patient counseling and education in clinical practice.

Citations

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  • The experiences of fertility concerns in women with inflammatory bowel disease of childbearing age: a descriptive qualitative study
    Lewei Tu, Qiaoyu Wu, Mengxiao Jiang, Meihao Wei, Ying Wang, Ying Xiao
    BMC Gastroenterology.2025;[Epub]     CrossRef
  • Health Literacy in Inflammatory Bowel Disease: A Systematic Review of Health Outcomes, Predictors and Barriers
    Caterina Mercuri, Rita Nocerino, Vincenzo Bosco, Teresa Rea, Vincenza Giordano, Michele Virgolesi, Patrizia Doldo, Silvio Simeone
    Journal of Clinical Medicine.2025; 14(23): 8577.     CrossRef
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Moderating Effect of General Self-Efficacy on the Relationship between Pregnancy Stress, Daily Hassles Stress, and Preterm Birth Risk in Women Experiencing Preterm Labor: A Cross-Sectional Study
Hyun-Jeong Cho, Jeung-Im Kim
J Korean Acad Nurs 2024;54(3):329-339.   Published online August 31, 2024
DOI: https://doi.org/10.4040/jkan.24008
AbstractAbstract PDF
Purpose
This study investigated the moderating role of general self-efficacy (GSE) on how stress caused by pregnancy and daily hassle affect the risk of preterm birth (PTB) in women experiencing preterm labor.
Methods
This cross-sectional study included 196 pregnant women experiencing preterm labor before 37 weeks of gestation. We used IBM SPSS Statistics 27 and employed Hayes process macro version 4 (model 1) and hierarchical regression to analyze the moderating effect of GSE on the relationship between pregnancy stress, daily hassle stress, and PTB risk.
Results
Stress caused by pregnancy and daily hassle was positively correlated to PTB risk (r = .54, p < .001; r = .25, p < .001, respectively). While GSE did not significantly correlate with pregnancy stress, it negatively correlated with daily hassle stress (r = - .19, p = .009). GSE significantly moderated the relationship between combined stressors and PTB risk. As GSE levels increased, escalation in PTB risk in response to increasing stress levels was a more pronounced, highlighting a complex interaction between higher GSE levels and response to escalating stress levels. This model accounted for 39.5% of the variance in the PTB risk.
Conclusion
Higher GSE may amplify the impact of stress on PTB risk, rather than mitigate it, which suggests a more nuanced role of GSE in the stress response of pregnant women at risk of preterm labor. GSE should be considered in care strategies, and managing its impact on stress perception and responses in pregnant women is crucial.

Citations

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  • Pregnancy stress in women at high risk of preeclampsia with their anxiety, depression, self-management capacity: a cross-sectional study
    Xing Cong, Jinmei Wang, Liu Yang, Lingling Cui, Yurong Hua, Ping Gong
    Frontiers in Psychology.2025;[Epub]     CrossRef
  • Anxiety, Coping, and Self-Efficacy as a Psychological Adjustment in Mothers Who Have Experienced a Preterm Birth
    Agata Białas, Karolina Kamecka, Paweł Rasmus, Dariusz Timler, Remigiusz Kozłowski, Anna Lipert
    Journal of Clinical Medicine.2025; 14(12): 4174.     CrossRef
  • Associations Among Pregnancy Stress, Childbirth Confidence, and COVID-19 Infection Experience in Pregnant Women in the Early Third Trimester (28–32 Weeks)
    Yun-Sun Yang, Jeung-Im Kim
    Journal of Korean Maternal and Child Health.2025; 29(3): 147.     CrossRef
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Development and Effectiveness Evaluation of Comprehensive Mobile-Based, Breastfeeding Promotion Program for Mothers with Gestational Diabetes
Eunju Kwak, Seungmi Park
J Korean Acad Nurs 2024;54(2):224-236.   Published online May 31, 2024
DOI: https://doi.org/10.4040/jkan.23098
AbstractAbstract PDF
Purpose
This study aimed to evaluate the effects of a mobile-based breastfeeding promotion program (M-BFGDM) that helps mothers with gestational diabetes.
Methods
Forty-seven mothers participated in the study, of whom 22 were in the experimental group and 25 in the control group. To verify the effects, a lag design before and after the non-equivalence control group was used. The data collection for the experimental group was done before and after the intervention.
Results
In the results, breastfeeding knowledge showed a significant difference in the interaction between measurement period and group (χ2 = 8.14, p = .017), whereas breastfeeding intention did not show a significant difference in the interaction (χ2 = 4.73, p = .094). There was no difference in self-efficacy interaction (F = 0.13, p = .856). The breastfeeding method showed no difference in interaction (F = 0.04, p = .952), whereas cross-analysis showed a significant difference in breastfeeding practice rate between the experimental group and the control group at 1 month postpartum (χ2 = 7.59, p = .006).
Conclusion
A mobile-based breastfeeding promotion program was developed and applied for gestational diabetic mothers, resulting in an increase in breastfeeding knowledge and an improvement in breastfeeding practice rate one month after childbirth. In addition, M-BFGDM managed to create a breastfeeding practice environment with fewer time and place restrictions. A program study that complements motivation is needed to improve breastfeeding in pregnant diabetic mothers in the future.

Citations

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  • Breastfeeding and education in the puerperium
    Elena Alfonso
    Community and Interculturality in Dialogue.2025; 5: 129.     CrossRef
  • The Effect of Immediate Skin‐to‐Skin Contact on Exclusive Breastfeeding: An Instrumental Variable Approach
    Sangyun Lee, Yongnam Kim
    Acta Paediatrica.2025; 114(9): 2367.     CrossRef
  • 2,832 View
  • 179 Download
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Structural Equation Modeling of Health Promotion Behavior on Migrant Workers: A Multi-Group Analysis Based on the Period of Residence
Hanna Jeong, Youngsuk Kim
J Korean Acad Nurs 2024;54(1):73-92.   Published online February 29, 2024
DOI: https://doi.org/10.4040/jkan.23101
AbstractAbstract 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.

Citations

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  • Factors influencing cardiovascular health behaviors among Korean-Chinese migrant workers with metabolic syndrome using mixed methods
    Yu Zhu Zhang, Seon Young Hwang
    Scientific Reports.2025;[Epub]     CrossRef
  • Factors Associated With Physical Activity in Home‐Based Rehabilitation Patients With Ankylosing Spondylitis: A Prospective Longitudinal Study
    Heng‐Ying Fang, Ying‐Hua Pan, Yi‐Heng Zhang, Yu‐Hua Deng, Xiao‐Wen Li, Lei Huang, Hui‐Ting Gu, Yue Ding, Xin‐Xin Hu, Mu Liu, Rui‐Chong Wang, MeiFen Zhang
    Musculoskeletal Care.2025;[Epub]     CrossRef
  • 2,615 View
  • 100 Download
  • 3 Web of Science
  • 2 Crossref
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Psychometric Properties of the Korean Version of Self-Efficacy for HIV Disease Management Skills
Gwang Suk Kim, Layoung Kim, Mi-So Shim, Seoyoung Baek, Namhee Kim, Min Kyung Park, Youngjin Lee
J Korean Acad Nurs 2023;53(3):295-308.   Published online June 30, 2023
DOI: https://doi.org/10.4040/jkan.23016
AbstractAbstract PDF
Purpose
This study evaluated the validity and reliability of Shively and colleagues’ self-efficacy for HIV disease management skills (HIVSE) among Korean participants.
Methods
The original HIV-SE questionnaire, comprising 34 items, was translated into Korean using a translation and back-translation process. To enhance clarity and eliminate redundancy, the author and expert committee engaged in multiple discussions and integrated two items with similar meanings into a single item. Further, four HIV nurse experts tested content validity. Survey data were collected from 227 individuals diagnosed with HIV from five Korean hospitals. Construct validity was verified through confirmatory factor analysis. Criterion validity was evaluated using Pearson’s correlation coefficients with the new general self-efficacy scale. Internal consistency reliability and test-retest were examined for reliability.
Results
The Korean version of HIV-SE (K-HIV-SE) comprises 33 items across six domains: “managing depression/mood,” “managing medications,” “managing symptoms,” “communicating with a healthcare provider,” “getting support/help,” and “managing fatigue.” The fitness of the modified model was acceptable (minimum value of the discrepancy function/degree of freedom = 2.49, root mean square error of approximation = .08, goodnessof-fit index = .76, adjusted goodness-of-fit index = .71, Tucker-Lewis index = .84, and comparative fit index = .86). The internal consistency reliability (Cronbach’s α = .91) and test-retest reliability (intraclass correlation coefficient = .73) were good. The criterion validity of the K-HIV-SE was .59 (p < .001).
Conclusion
This study suggests that the K-HIV-SE is useful for efficiently assessing self-efficacy for HIV disease management.

Citations

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  • Providing 2 Types of mHealth Interventions to Support Self-Management Among People Living With HIV: Randomized Clinical Trial
    Gwang Suk Kim, Layoung Kim, Seoyoung Baek, Sooyoung Kwon, Ji Min Kim, Jun Yong Choi, Jae-Phil Choi
    JMIR mHealth and uHealth.2025; 13: e60905.     CrossRef
  • Factors associated with health-related quality of life among people living with HIV in South Korea: Tobit regression analysis
    Gwang Suk Kim, Layoung Kim, SangA Lee, Mi-So Shim, Youngjin Lee, Seoyoung Baek, Claus Kadelka
    PLOS ONE.2024; 19(5): e0303568.     CrossRef
  • Three cycles of mobile app design to improve HIV self-management: A development and evaluation study
    Gwang Suk Kim, Layoung Kim, Seoyoung Baek, Mi-So Shim, SangA Lee, Ji Min Kim, Jong Yae Yoon, Jin Kim, JunYong Choi, Jae-Phil Choi
    DIGITAL HEALTH.2024;[Epub]     CrossRef
  • 2,813 View
  • 63 Download
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Factors Related to Clinical Competence among Graduating Nursing Students during the COVID-19 Pandemic: A Cross-Sectional Study
Su Kyoung Chung, Jinsook Kim, Pratibha Bhandari
J Korean Acad Nurs 2023;53(2):145-154.   Published online April 30, 2023
DOI: https://doi.org/10.4040/jkan.22087
AbstractAbstract PDF
Purpose
This study investigated clinical competency, COVID-19-related anxiety, coping strategies, self-efficacy, and perceived stress among graduating nursing students during the COVID-19 pandemic.
Methods
We conducted a cross-sectional survey. Participants were recruited from universities located in four major cities in South Korea. General demographic information, clinical competency, self-efficacy, perceived stress, COVID-19-related anxiety, and coping strategies were assessed using reliable questionnaires. Descriptive statistics, correlations, and multiple regression tests were used to analyze the data.
Results
The mean clinical competency, self-efficacy, perceived stress, adaptive coping, and maladaptive coping were 138.16 ± 18.34, 83.85 ±14.02, 21.37 ± 5.79, 53.15 ± 4.64, and 30.98 ± 6.73, respectively. COVID-19-related anxiety was reported by 4.3% of participants. Clinical competency was significantly positively correlated with self-efficacy (r = .44, p < .001) and adaptive coping (r = .20, p = .035) and was significantly negatively correlated with maladaptive coping (r = .20, p = .035). The predictors of clinical competency were self-efficacy (β = .434, p < .001) and adaptive coping (β = .173, p < .039), which explained 23% of the variance in clinical competency.
Conclusion
Self-efficacy and adaptive coping strategies are significant predictors of clinical competence during the pandemic. Planning and implementing various curricular and non-curricular activities to increase senior students' self-efficacy and adaptive coping strategies will help prepare competent nursing graduates for the pandemic when they enter the nursing workforce.

Citations

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  • Exploring Educational Stress and Competence of Intern Nurses' Following Two Years of Online Education: A Cross-Sectional Study
    Fatma Dursun Ergezen, Ayşe Yacan Kök, Emine Kol
    Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi.2026; 9(1): 83.     CrossRef
  • The Effect of Internship Length on Self‐Efficacy and Clinical Competence: Accelerating Entry Into the Nursing Workforce in Saudi Arabia
    Sitah S. Alshutwi, Majed Alamri
    Journal of Nursing Management.2025;[Epub]     CrossRef
  • 2,802 View
  • 62 Download
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Effects of Clinical Nurses’ Job Crafting on Organizational Effectiveness Based on Job DemandsResource Model
Eun Young Lee, Eungyung Kim
J Korean Acad Nurs 2023;53(1):129-143.   Published online February 28, 2023
DOI: https://doi.org/10.4040/jkan.22138
AbstractAbstract PDF
Purpose
This study aimed to examine the mediating effects of clinical nurses’ job crafting on organizational effectiveness based on the job demands-resources model proposed by Bakker and Demerouti (2017).
Methods
The participants consisted of 393 nurses working in nursing units of a tertiary general hospital located in Cheongju region. The data, collected using questionnaire from August 9 to August 20, 2021, were analyzed using SPSS 23.0 and AMOS 27.0.
Results
The goodness-of-fit (GoF) test results on the modified model (χ 2 = 2.7, GFI = .94, SRMR = .03, RMSEA = .06, NFI = .92, CFI = .94, TLI = .92, AGFI = .90), indicated that the GoF index satisfied the recommended level. Regarding the effects of each variable on organizational effectiveness, job crafting showed statistically significant direct (β = .48, p < .001), indirect (β = .23, p < .001), and total effects (β = .71, p < .001). Burnout showed statistically significant direct effect (β = - .17, p < .001). Work engagement showed statistically significant direct (β = .41, p < .001) and total effects (β = .41, p < .001). The factors explaining organizational effectiveness were job crafting, burnout, and work engagement, which had an explanatory power of 76.7%.
Conclusion
Nurses’ job crafting is an important mediating factor for enhancing the organizational effectiveness of nursing organizations. Hospitals should develop job-crafting success cases and related education and training programs as a strategy for enhancing the job crafting of nurses and, consequently organizational effectiveness.

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  • Hospital Nurses’ Professional Quality of Life Model: A Cross‐Sectional Study Based on the Expanded Job Demands‐Resources Model
    Younghee Kim, Mi Yu, Jacopo Fiorini
    Journal of Nursing Management.2025;[Epub]     CrossRef
  • The impact of grit and job crafting on organizational commitment and job satisfaction among hospital nurses in Korea
    Mi-Suk Hyun
    Medicine.2025; 104(45): e45890.     CrossRef
  • Effects of Attitude Toward Interdepartmental Transfer, Career Growth Opportunity, and Role Breadth Self-Efficacy on Job Crafting among Nurses with Transfer Experience
    Yu Jin Lee, Chung Hee Woo
    Journal of Korean Academy of Fundamentals of Nursing.2025; 32(4): 497.     CrossRef
  • Job Crafting as the Missing Link: Understanding Its Role in Nurses’ Work Engagement
    Kyungjin Lee, Ja Kyung Seo, Seung Eun Lee, Yunhong Liu
    Journal of Nursing Management.2025;[Epub]     CrossRef
  • Commitment to Organizational Change in Clinical Nurses: A Structural Model Applying Lewin's Change Theory
    Mihwa Hong, Sujeong Han
    Journal of Korean Academy of Fundamentals of Nursing.2024; 31(1): 38.     CrossRef
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Validity and Reliability of Korean Version of Self-Care Chronic Obstructive Pulmonary Disease Inventory (SC-COPD) and Self-Care Self-Efficacy Scale (SCES-COPD)
Ja Yun Choi, So Young Yun
J Korean Acad Nurs 2022;52(5):522-534.   Published online October 31, 2022
DOI: https://doi.org/10.4040/jkan.22062
AbstractAbstract PDF
Purpose
This study examined the validity and reliability of the Korean version of the Self-Care in Chronic Obstructive Pulmonary Disease Inventory (SC-COPDI) and the Chronic Obstructive Pulmonary Disease Self-Care Self-Efficacy Scale (SCES-COPD). The SC-COPDI consists of the Self-Care Maintenance Scale (SCMES), Self-Care Monitoring Scale (SCMOS), and Self-Care Management Scale (SCMAS).
Methods
The original tool was translated using a back-translation process. Participants were 241 patients with COPD at the Chonnam National University Hospital in Korea. The construct validity was verified through confirmatory factor analysis, and reliability was verified using Cronbach’s α.
Results
The SCMES consisted of 10 items of three factors―one of four factors was deleted from the original tool. In the SC-MOS, there were six items of two factors after two items were deleted from the original tool. The SCMAS consisted of the original 10 items of three factors. The SCES-COPD consisted of six items of two factors, with one item removed from the original tool. The model fit indices of all tools were good, and the construct validity was confirmed. Cronbach’s α of SCMES was .72, SCMOS was .90, SCMAS was .81, and SCES-COPD was .85.
Conclusion
The Korean version of SC-COPDI and SCES-COPD are valid and reliable instruments for measuring selfcare in people with COPD. These instruments can be used in self-care studies of COPD patients in Korea.

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  • Impact of Ruminative Thinking on Breathlessness Catastrophizing With Elderly COPD Patients: The Mediating Role of Self‐Efficacy
    Yuye Zhang, Qiufang Li, Xiaokai Wang, Tianci Xiao, Chenmeng Wei, Na Song, Lamei Liu
    Journal of Clinical Nursing.2025; 34(11): 4854.     CrossRef
  • The influence of depression, social support, and uncertainty on self-management compliance in patients with chronic obstructive pulmonary diseases: A descriptive survey study
    Han-na Jang, Jeong-soo Kim
    Journal of Korean Gerontological Nursing.2025; 27(3): 318.     CrossRef
  • Enhancing deep learning models for predicting smoking Status using clinical data in patients with chronic obstructive pulmonary disease
    Sehyun Cho, Hyeonseok Jin, Kyungbaek Kim, Sola Cho, Ja Yun Choi
    DIGITAL HEALTH.2025;[Epub]     CrossRef
  • The Influences of Illness Uncertainty, Health Literacy, and Self-Care on Quality of Life in Patients with Chronic Obstructive Pulmonary Disease
    Min Jin Chu, Hyojung Park
    Journal of Korean Academy of Fundamentals of Nursing.2025; 32(4): 530.     CrossRef
  • E-health literacy and attitudes toward internet health information in relation to self-care adherence among Korean patients with chronic obstructive pulmonary disease: a cross-sectional study
    Na Yeong Park, Insook Lee
    BMC Public Health.2025;[Epub]     CrossRef
  • Psychometric testing of the cross-culturally adapted Thai version of the Self-Care Self-Efficacy Scale version 3.0 in individuals with chronic illnesses
    Chennet Phonphet, Jom Suwanno, Chonchanok Bunsuk, Wanna Kumanjan, Ladda Thiamwong
    International Journal of Nursing Sciences.2024; 11(4): 473.     CrossRef
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Validity and Reliability of Korean Version of the Self-Efficacy for Managing Chronic Disease 6-Item Scale
Sook-Nam Kim, Hyun-Ju Lee, So-Young Kim, Nayoon Lee
J Korean Acad Nurs 2021;51(5):617-629.   Published online October 31, 2021
DOI: https://doi.org/10.4040/jkan.21069
AbstractAbstract PDF
Purpose
The aim of this study was to examine the validity and reliability of the Korean version of the self-efficacy for managing chronic disease 6-item scale (SECD-6-K).
Methods
The English version of the Self-Efficacy for Managing Chronic Disease 6-item Scale first underwent forward and backward translation procedures. The SECD-6-K was then used to collect data from 350 adults diagnosed with chronic diseases. Content, construct, convergent, discriminant, and criterion validity were all evaluated. Reliability was assessed using Cronbach’s α. SPSS 25.0 and the data were analyzed using AMOS 26.0 software.
Results
The SECD-6-K consists of six items in two domains: disease management and health behavior. The results for construct, convergent, and discriminant validity were good. Exploratory factor analysis produced eigen values between 2.27 and 3.28, with factors total explained cumulative variance of 91.1%. Confirmatory factor analysis supported goodness of fit and reliability for the modified SECD-6-K model. The criterion validity also showed significant correlation with both the Patient Health Questionnaire and 12-item Short-Form Health Survey version 2. Finally, reliability was found to be excellent.
Conclusion
This study identified the high reliability and validity of SECD-6-K. The SECD-6-K is an appropriate tool for determining Korean patients’ self-efficacy in managing their chronic conditions. Therefore, this scale may be used in clinical settings as well as in educational and research settings.

Citations

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  • Path Analysis of Factors Influencing Health-Related Quality of Life for Community-Dwelling Vulnerable Older Adults with Chronic Diseases in Korea
    Hyun-Ju Lee
    Research in Community and Public Health Nursing.2025; 36: 315.     CrossRef
  • Development of a self-care scale for women with polycystic ovary syndrome: a methodological approach
    Miok Kim
    Frontiers in Public Health.2025;[Epub]     CrossRef
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    Sung Hae Kim, Seyong Lee, Sang Hee Kim, Jung Ok Choi, Gie Ok Noh
    Asian Oncology Nursing.2024; 24(4): 184.     CrossRef
  • Factors influencing self-management behaviors in older people with multiple chronic conditions based on the individual and family self-management theory: A cross-sectional study
    Youngji Seo, Sunyoung Jung
    Journal of Korean Gerontological Nursing.2024; 26(3): 332.     CrossRef
  • Psychometric property of the Japanese version of self-efficacy for managing chronic disease scale in individuals with chronic diseases
    Megumi Hazumi, Mayumi Kataoka, Ayako Nakashita, Kentaro Usuda, Michi Miyake, Chiaki Kamikawa, Daisuke Nishi, Naoaki Kuroda
    Heliyon.2024; 10(22): e40218.     CrossRef
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    Lorena Cudris-Torres, Stefano Vinaccia Alpi, Álvaro Barrios-Núñez, Natali Gaviria Arrieta, Martha Luz Gómez Campuzano, Giselle Olivella-López, Juan Hernández-Lalinde, Valmore Bermúdez, Olaiza Lobato Pérez, Jorge Armando Niño-Vega, Jorge Navarro-Obeid, Rom
    BMC Psychology.2023;[Epub]     CrossRef
  • Effect of Ambulatory Chemotherapy (Portable Infusion Pump Use) Video Education on Knowledge, Self-efficacy and Anxiety of Colorectal Cancer Patients
    Eun Hee Choi, Eun Young Park, Young A Park, You Hee Son, Myung Jin Jang
    Asian Oncology Nursing.2022; 22(3): 193.     CrossRef
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Effectiveness of Drinking Reduction Program Focused on Self-Determination Enhancement for College Students with Problematic Drinking
Jin-Kyoung Ma, Moon-Sook Yoo
J Korean Acad Nurs 2021;51(3):265-279.   Published online June 30, 2021
DOI: https://doi.org/10.4040/jkan.20247
AbstractAbstract PDF
Purpose
This study examined the impact of a drinking reduction program on drinking motivation, drinking refusal self-efficacy, and problematic drinking behaviors in college students with problematic drinking habits.
Methods
This study incorporated a non-equivalent control group prepost-test design. Study participants included 58 college students who scored 12 or more in the AUDIT-K test (Alcohol Use Disorders Identification Test-Korean version) (experimental group: 30; control group: 28). The intervention consisted of eight sessions and was conducted once a week. It was designed to promote autonomy, competence, and relatedness-the three elements of basic psychological needs in self-determination theory. The participants were assessed before the intervention, immediately after, and four weeks post intervention. Data were collected from October 12 to December 31, 2017. The analysis employed the chi-square test, Fisher’s exact test, independent t-test, and repeated measures ANOVA using SPSS/WIN 22.0.
Results
The mean age of participants was 21.8 years. There were 30 men (51.7%) and 28 women (48.3%). The differences in drinking motivation, drinking refusal self-efficacy, and problematic drinking behaviors were statistically significant for the group by time interaction (F = 42.56, p < .001; F = 54.96, p < .001; F = 39.90, p < .001, respectively). Conclusion: The findings indicate that the intervention effectively decreases drinking motivation, increases drinking refusal self-efficacy, and decreases problematic drinking behaviors. It can be an efficient strategy for college students with problematic drinking habits to enhance their self-determination ability.

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  • Effects of an intervention based on self-determination theory on self-health management capabilities of middle-aged women in rural areas through the concept of leisure cafeteria
    Yang Jun Park, Heui Sug Jo, Hyang Hee Hwang, Yukyung Park
    Korean Journal of Health Education and Promotion.2022; 39(1): 59.     CrossRef
  • Development and Effects of a Self-Determination Improvement Program for Preventing Non-Suicidal Self-Injury in Adolescents: A Pilot Study
    Jae Woon Lee, In Sook Kim, Ji Won Kim
    Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 506.     CrossRef
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Effect of Direct Breastfeeding Program for Premature Infants in Neonatal Intensive Care Unit
Ji Hyun Kang, Hyunmi Son, Shin Yun Byun, Gyumin Han
J Korean Acad Nurs 2021;51(1):119-132.   Published online February 28, 2021
DOI: https://doi.org/10.4040/jkan.20240
AbstractAbstract PDF
Purpose
This study aimed to identify the effects of a direct breastfeeding program for premature infants in neonatal intensive care units (NICUs).
Methods
This quasi-experimental study was conducted during August 2016 to April 2017. Sixty mothers of premature infants were assigned to the experimental (n = 31) or control groups (n = 29). The program was comprised of breastfeeding education and direct breastfeeding support. The experimental and control groups were provided with education and counseling on breastfeeding at the time of admission and discharge. In the experimental group, the mothers initiated oral feeding with direct breastfeeding and engaged in breastfeeding at least seven times during the NICU stay. The collected data were analyzed by the χ2 -test and repeated measures ANOVA using an SPSS program.
Results
The experimental group showed a higher direct breastfeeding practice rate (χ2 = 19.29, p < .001), breastfeeding continuation rate (χ2 = 3.76, p < .001), and self-efficacy (F = 25.37, p < .001) than the control group except for maternal attachment.
Conclusion
The direct breastfeeding program in the NICU has significant effects on the practice and continuation rate of breastfeeding and breastfeeding self-efficacy. Therefore, this program can be applied in the NICU settings where direct breastfeeding is limited.

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  • Exploration of Family-Centered Care in NICUs: A Grounded Theory Methodology
    Young Ah Park, YeoJin Im
    Qualitative Health Research.2025; 35(10-11): 1231.     CrossRef
  • Fresh Parent’s Own Milk for Preterm Infants: Barriers and Future Opportunities
    Carrie-Ellen Briere, Jessica Gomez
    Nutrients.2024; 16(3): 362.     CrossRef
  • Development and Effectiveness Evaluation of Comprehensive Mobile-Based, Breastfeeding Promotion Program for Mothers with Gestational Diabetes
    Eunju Kwak, Seungmi Park
    Journal of Korean Academy of Nursing.2024; 54(2): 224.     CrossRef
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  • 3 Web of Science
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Factors Influencing Health Behavior Compliance in Adult Moyamoya Patients
Bo Eun Kim, Ju-Eun Song
J Korean Acad Nurs 2021;51(1):80-91.   Published online February 28, 2021
DOI: https://doi.org/10.4040/jkan.20222
AbstractAbstract PDF
Purpose
The purpose of this study was to identify factors influencing health behavior compliance in adult patients with moyamoya.
Methods
A descriptive correlation study was conducted to investigate the factors influencing health behavior compliance. Participants were 142 adult patients diagnosed with moyamoya disease who were hospitalized or visited an outpatient clinic in the Gyeonggi province. Data were collected from December 16, 2019 to April 14, 2020 using self-report questionnaires and analyzed using the IBM SPSS 26.0 Win software.
Results
The hierarchical multiple regression analysis demonstrated that self-efficacy (β = .60, p < .001), social support (β = .13, p = .032), and age (β = .21, p = .005) affected the health behavior of adults with moyamoya disease. These 3 variables explained 62.0% of the variance of health behavior compliance, and the most influential factor was self-efficacy.
Conclusion
Based on the results of this study, it concludes that nursing interventions should be focused on self-efficacy and social support to improve health behavior compliance with adult patients diagnosed with moyamoya disease. For that, various strategies to enhance self-efficacy and social support should be developed and actively applied in the clinical setting for adult moyamoya patients.

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  • Predictors of self-care performance in patients with unruptured intracranial aneurysms
    Hae-Na Woo, Yong-Cheol Lim, Joo Hee Lee, Sun Hyoung Bae
    Scientific Reports.2024;[Epub]     CrossRef
  • 1,370 View
  • 27 Download
  • 1 Web of Science
  • 1 Crossref
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Original Articles
Effect of Emotional Coaching Program for Clinical Nurses on Resilience, Emotional Labor, and Self-efficacy
Kyung Ryu, Jong Kyung Kim
J Korean Acad Nurs 2020;50(3):419-430.   Published online June 30, 2020
DOI: https://doi.org/10.4040/jkan.19194
AbstractAbstract PDF
Purpose
This study aimed to assess the effect of the emotional coaching program for hospital nurses.
Methods
The study used anon-equivalent control group pretest-posttest design, and participants included 60 nurses (30 in the experimental group and 30 in thecontrol group) who worked at a general hospital. The experimental group attended four sessions, one per week, with each session lastingtwo and a half hours. Collected data were analyzed using descriptive statistics, Fisher’s exact test, x2 test, t-test, paired t-test, and repeatedmeasures ANOVA using SPSS WIN 23.0 program.
Results
Significant differences were shown between the experimental and the controlgroups regarding emotional labor (F=68.40, p<.001), resilience (F=48.77, p<.001), and self-efficacy (F=15.31, p<.001).
Conclusion
Theemotional coaching program for nurses is useful for enhancing nurses’ emotional labor management, resilience, and self-efficacy. In addition,this program may serve as a basis for providing emotional coaching to nurses in the future.

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  • The Relationship Between Perceived Self-Efficacy and Resilience Among Pediatric Nurses in Eastern Province of Saudi Arabia
    Bushra Bawazier, Hebah Almulla, Mansour Mansour, Sama Hammad, Rana Alameri, Latifa Aldossary, Tahani AlShammari
    Risk Management and Healthcare Policy.2025; Volume 18: 739.     CrossRef
  • Analysis of the correlation between work stress and emotional labor in college counselors: the moderating effect of psychological resilience
    Tianlin Chen, Shijian Sun, Lan Luo, Yongfei Chen
    BMC Psychology.2025;[Epub]     CrossRef
  • The Moderating Effect of Nursing Organizational Culture on the Relationship between Resilience and Clinical Competence of New Graduate Nurses
    Hanna Lee, Eun-Jun Park
    Journal of Korean Academy of Nursing Administration.2024; 30(5): 483.     CrossRef
  • Impact of Emotional Labor and Positive Psychological Capital on the Turnover Intention of Nurses Caring for Patients with COVID-19: A Descriptive Survey Study
    Mira Kwon, Yeoungsuk Song, Majd T. Mrayyan
    Journal of Nursing Management.2024; 2024: 1.     CrossRef
  • Mentorship in nursing: A review of approaches to defining the concept in international and Russian publications
    K. V. Kuzmin, L. E. Petrova, V. S. Kharchenko
    Kuban Scientific Medical Bulletin.2024; 31(4): 89.     CrossRef
  • Effects of grit, calling, and resilience on the retention intention of general hospital nurses
    Gi Ran Lee, Imsun Lee, Mihee Chung, Jiyeon Ha
    International Nursing Review.2024; 71(4): 766.     CrossRef
  • Effect of Transition Shock on Intention to Stay in Newly Graduated Nurses : The Mediating Effect of Positive Psychological Capital
    Hyuna Kam, Chanhee Kim, Yeonok Yoon, Heeyoung Shin, Junghwa Lee, Myoungohk Kim
    Journal of Korean Critical Care Nursing.2024; 17(3): 25.     CrossRef
  • Psychological Intervention to Promote Resilience in Nurses: A Systematic Review and Meta-Analysis
    Suk-Jung Han, Young-Ran Yeun
    Healthcare.2023; 12(1): 73.     CrossRef
  • The relationship between secondary traumatic stress and burnout in critical care nurses: The mediating effect of resilience
    Yun Jeong Jeong, Sujin Shin
    Intensive and Critical Care Nursing.2023; 74: 103327.     CrossRef
  • Effects of the Resilience of Nurses in Long-Term Care Hospitals during on Job Stress COVID-19 Pandemic: Mediating Effects of Nursing Professionalism
    Bom-Mi Park, Jiyeon Jung
    International Journal of Environmental Research and Public Health.2021; 18(19): 10327.     CrossRef
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Development and Effects of Smartphone App-Based Walking Exercise Program for Taxi Drivers: Based on Bandura’s Self Efficacy Theory
Yun Ha Choi, Min-Jeong Chae
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
AbstractAbstract 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.

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  • 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.2025; 47(8): 2065.     CrossRef
  • Intervención educativa en la actividad física de médicos residentes durante la pandemia COVID-19. Estudio cuasiexperimental
    Paola María Moreno-Pesquera, Clara Lilia Varela-Tapia, Hermelinda Hernández-Amaro, Daniel Martínez-Barro
    Revista Mexicana de Medicina Física y Rehabilitación.2025; 37(1-2): 21.     CrossRef
  • 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; 42(4): 289.     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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Applying Extended Theory of Planned Behavior for Lung Cancer Patients Undergone Pulmonary Resection: Effects on Self-Efficacy for Exercise, Physical Activities, Physical Function, and Quality of Life
Yeonjung Lim, Haejung Lee, Do Hyung Kim, Yeong Dae Kim
J Korean Acad Nurs 2020;50(1):66-80.   Published online January 31, 2020
DOI: https://doi.org/10.4040/jkan.2020.50.1.66
AbstractAbstract PDF
Abstract Purpose:

This study aims to examine the effects of nursing interventions based on the Extended Theory of Planned Behavior (ETPB) regarding self-efficacy for exercise (SEE), physical activity (PA), physical function (PF), and quality of life (QOL) in patients with lung cancer who have undergone pulmonary resection.

 Methods:

This quasi-experimental study was conducted between July 2015 and June 2018 in two university-affiliated hospitals. The intervention included pre-operative patient education, goal setting (action and coping planning), and feedback (behavior intention and perceived behavioral control). The intervention group (IG) (n=51) received nursing interventions from the day before surgery to 12 months after lung resection, while the comparison group (CG) (n=36) received usual care. SEE, PA, PF (dyspnea, functional status, and 6-minute walking distance [6MWD]), and QOL were measured before surgery and at one, three, six, and 12 months after surgery. Data were analyzed using the χ2 test, Fisher’s exact test, Mann-Whitney U test, t-test, and generalized estimation equations (GEE).

 Results:

There were significant differences between the two groups regarding SEE (χ2=13.53, p=.009), PA (χ2=9.51, p=.049), functional status (χ2=10.55, p=.032), and 6MWD (χ2=15.62, p=.004). Although there were no time or group effects, the QOL mental component (Z=-2.78, p=.005) of the IG was higher than that of the CG one month after surgery. Interventions did not affect dyspnea or the QOL physical component.

 Conclusion

The intervention of this study was effective in improving SEE, PA, functional status, and 6MWD of lung cancer patients after lung resection. Further extended investigations that utilize ETPB are warranted to confirm these results.

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  • [Retracted] Dynamic Changes and Influencing Factors for the Quality of Life in Nursing Care after Lung Cancer Resection
    Shuzhen Hu, Aihong Fang, Mohammad Farukh Hashmi
    Contrast Media & Molecular Imaging.2022;[Epub]     CrossRef
  • Study on influence factors of public participation willingness in substation project based on integrated TPB-NAM model
    Xin Ma, Junpeng Li, Fuli Guo, Caocao Cui, Tengfei Chen, Fan Xv, Wenbin Wang
    Frontiers in Psychology.2022;[Epub]     CrossRef
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Development and Effects of Smartphone App-Based Exercise Program for Hemodialysis Patients
Eun Jeong Ki, Hyang Sook So
J Korean Acad Nurs 2020;50(1):52-65.   Published online January 31, 2020
DOI: https://doi.org/10.4040/jkan.2020.50.1.52
AbstractAbstract PDF
Abstract Purpose:

To examine the effects of a smartphone application-based exercise program on self-efficacy expectations (SEE) and outcome expectations regarding exercise (OEE), physical fitness, activity level, physiological indices, and health-related quality of life in a sample of hemodialysis patients.

 Methods:

A quasi-experimental control group pre-test post-test design was used. Subjects were recruited from two university hospitals in G city. The subjects were assigned randomly by coin toss: 33 participants to the experimental group and 30 to the control group. A literature review and the self-efficacy theory were used to develop the smartphone program. Experts designed and verified the program to be userfriendly and in consideration of user interaction. Data were collected through a self-report pre-test post-test questionnaire and online medical records.

 Results:

In the experimental group, the levels of physical fitness and physical activity were significantly improved post-test, but the scores on health-related quality of life and the physical indices did not improve. In the experimental group, the SEE and OEE post-test scores were also significantly higher than the pre-test scores, but the control group’s scores did not change.

 Conclusion

The smartphone application-based exercise program based on self-efficacy theory significantly improved the level of physical fitness and activity, SEE, and OEE for hemodialysis patients. The use of this application-based exercise program for hemodialysis patients might be an effective nursing intervention tool for improving SEE, OEE, level of physical fitness, and physical activity.

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  • The effect of digital health interventions in older adults with frailty: a systematic review and meta-analysis
    Meng-Yao Liang, Jin-Rui Cui, Xin Fan, Jun-Jie Zhang, Xiao-Ling Liu, Dong-Gui Liu
    International Journal of Nursing Studies Advances.2026; 10: 100470.     CrossRef
  • The impacts of a mHealth platform-enabled lifestyle-integrated multicomponent exercise program on reversing pre-frailty in community-dwelling older adults: A randomized controlled trial
    Na Li, Nan Wang, Yuqing Xu, Siyang Lin, Yin Yuan, Feng Huang, Pengli Zhu
    International Journal of Nursing Studies.2025; 167: 105072.     CrossRef
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    Yaki Yang
    Healthcare.2024; 12(17): 1779.     CrossRef
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    Na Li, Feng Huang, Nan Wang, Siyang Lin, Yin Yuan, Pengli Zhu
    Frontiers in Public Health.2024;[Epub]     CrossRef
  • Digital Physical Activity and Exercise Interventions for People Living with Chronic Kidney Disease: A Systematic Review of Health Outcomes and Feasibility
    Meg E. Letton, Thái Bình Trần, Shanae Flower, Michael A. Wewege, Amanda Ying Wang, Carolina X Sandler, Shaundeep Sen, Ria Arnold
    Journal of Medical Systems.2024;[Epub]     CrossRef
  • Lifestyle interventions delivered by eHealth in chronic kidney disease: A scoping review
    Ffion Curtis, James O. Burton, Ayesha Butt, Harsimran K. Dhaliwal, Matthew M.P. Graham-Brown, Courtney J. Lightfoot, Rishika Rawat, Alice C. Smith, Thomas J. Wilkinson, Daniel S. March, Henry H.L. Wu
    PLOS ONE.2024; 19(1): e0297107.     CrossRef
  • The effect of an educational app on hemodialysis patients’ self-efficacy and self-care: A quasi-experimental longitudinal study
    Amin Hosseini, Alun C Jackson, Najmeh Chegini, Mohsen Fooladzadeh Dehghan, Danyal Mazloum, Shima Haghani, Fatemeh Bahramnezhad
    Chronic Illness.2023; 19(2): 383.     CrossRef
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    Haegyeong Lee, Gyuli Baek, Eunju Lee
    Osong Public Health and Research Perspectives.2023; 14(4): 279.     CrossRef
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    Young Ran Chae, Jeong-Joo Choi, Min Sub Kim
    Journal of Korean Biological Nursing Science.2023; 25(3): 143.     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
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    Qingli Ren, Suhua Shi, Chen Yan, Yang Liu, Wei Han, Min Lin, Honggu He, Qu Shen
    Clinical Nursing Research.2022; 31(6): 1148.     CrossRef
  • Mobile health platform based on user-centered design to promote exercise for patients with peripheral artery disease
    Mihui Kim, Yesol Kim, Mona Choi
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Effects of a Web-Based Korean Triage and Acuity Scale Learning Program on Triage Self-Efficacy and Triage Performance Ability for Nurses in Emergency Department
Hyo-Jin Kim, Hee-Young Kang
J Korean Acad Nurs 2019;49(2):171-180.   Published online April 30, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.2.171
AbstractAbstract PDF
Purpose

The Korean Triage and Acuity Scale (KTAS) is a tool used to classify the severity and urgency of emergency department (ED) patients, focusing on their symptoms. In consideration of the importance of the KTAS, a web-based learning program has emerged as a new mode of education; it enables ED triage nurses to access it anytime and anywhere, and according to their own learning abilities. This study aimed to develop a web-based KTAS learning program and evaluate its effects on self-efficacy and triage performance ability in ED nurses.

 Methods

A quasi-experimental design with a non-equivalent control group pretest-posttest was used. The conceptual framework was Bandura's self-efficacy theory. There were 30 participants in the experimental group and 29 in the control group. The experimental group attended an orientation and 4 sessions of a web-based KTAS learning program. The learning program lasted 280 minutes over five weeks, consisting of 40 minutes of orientation and four 60-minute sessions.

 Results

The scores of self-efficacy, triage performance ability in KTAS level, and chief complaints significantly increased in the experimental group compared to the control group. In addition, the numbers of under-triage in KTAS significantly decreased in the experimental group in comparison to the control group.

 Conclusion

The results suggest that the learning program was effective in improving ED nurses' level of self-efficacy and triage performance ability (KTAS level and KTAS chief complaint). Accordingly, the web-based KTAS learning program can be applied as an education intervention to improve ED nurses' triage skill.

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    Hui Ju Shin, Subin Park, Hyun Joo Lee
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    Simon Ouellet, Maria Cécilia Gallani, Guillaume Fontaine, Éric Mercier, Alexandra Lapierre, Fabian Severino, Céline Gélinas, Mélanie Bérubé
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    Linyuan Zhang, Bo Gao, Fang He, Chao Wu, Juan Du, Li Zhang, Juan Liang, Hongjuan Lang
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    Su Jin Kim, Su Ol Kim
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    Sun-Hee Moon, In-Young Cho
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    Keun Hee Park, Min Yoon, Myoung Soo Kim
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    Boo Young Oh, Kisook Kim
    International Emergency Nursing.2021; 54: 100933.     CrossRef
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    Sun-Hee Moon, Mi-Kyeong Jeon, Deok Ju
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    Kyeongmin Jang, Eunmi Jo, Kyoung Jun Song
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    Military Caring Sciences.2021; 8(2): 127.     CrossRef
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Effects of a Daily Life-Based Physical Activity Enhancement Program for Middle-Aged Women at Risk for Cardiovascular Disease
Kyung Ae Kim, Seon Young Hwang
J Korean Acad Nurs 2019;49(2):113-125.   Published online April 30, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.2.113
AbstractAbstract PDF
Purpose

The purpose of this study was to examine the effects of a daily life-based physical activity enhancement program performed by middle-aged women at risk for cardiovascular disease.

 Methods

This study used a randomized control group pretest-posttest design. Middle-aged women aged 45 to 64 were recruited from two outpatient cardiology departments, and randomly assigned to an experimental group (n=28) and a control group (n=30). For the experimental group, after providing one-on-one counseling and education, we provided customized text messages to motivate them in daily life. To monitor the practice of physical activity, they also used an exercise diary and mobile pedometer for 12 weeks. Subjects' physical activities (MET-min/week) were measured using the International Physical Activity Questionnaire (IPAQ). Their physiological data were obtained by blood tests using a portable analyzer, and the data were analyzed using the SPSS 21.0/WIN program.

 Results

There were significant differences in exercise self-efficacy, health behavior, IPAQ score, body fat, body muscle, and fasting blood sugar between the two groups. However, there were no significant differences in total cholesterol, hemoglobin A1c, high-density lipoprotein cholesterol, and waist-to-hip ratio.

 Conclusion

Strengthening physical activity in daily life without being limited by cost burden and time and space constraints. Therefore, it is essential to motivate middle-aged women at risk for cardiovascular disease to practice activities that are easily performed in their daily lives.

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Effectiveness of Health Promotion Program Using Action Planning Strategy for Young Adults
Su Hyun Kim, Min Ji Kim, Sang Hee Kim, So Yeon Kim, Chae Yeon Park, Jee Yun Bang
J Korean Acad Nurs 2019;49(4):461-471.   Published online January 15, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.4.461
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to evaluate the effectiveness of a health promotion program utilizing action planning strategy for young adults.

 Methods

A non-equivalent control group pre-post-test design was used. One hundred three university students participated in the study. Participants in the experimental group (n=51) were provided the health promotion program utilizing action planning strategy for five weeks. The program consisted of weekly sessions that included action planning and group feedback. The control group (n=52) was provided with health information every week for 5 weeks. Program outcomes, including self-efficacy, physical activity health behaviors, total exercise time per week, daily cigarette consumption, frequency of alcohol drinking per month, nutritional health behaviors, and subjective health status, were assessed at baseline and at follow-up after 5 weeks.

 Results

The participants in the experimental group demonstrated significant increases in self-efficacy, physical activity health behaviors, weekly exercise time, and nutritional health behaviors and significant decreases in daily cigarette consumption than those in the control group.

 Conclusion

The health promotion program utilizing action planning strategy is a brief and effective intervention to promote health behaviors among young adults. Further investigation is warranted to assess the program's effectiveness among other age groups and populations at high risk for chronic illness.

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    Sanying Peng, Ahmad Tajuddin Othman, Ahmad Zamri Khairani, Zhuang Zhou, Xiaogang Zhou, Fang Yuan, Jinghong Liang
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    Sang Ye Shin, Eun Suk Lee
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    Jane Biscaia Hartmann, Amanda Tribulato Rego, Julia Vieira Khoury, Marcelo Picinin Bernuci, Mirian Ueda Yamaguchi
    Global Health Action.2023;[Epub]     CrossRef
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Mediation Effect of Self-Efficacy on the Relationship between Perceived Self-Management Support and Health-Related Quality of Life among Cancer Survivors
Bo Gyeong Lee, Tae Sook Lee, Soo Hyun Kim
J Korean Acad Nurs 2019;49(3):298-306.   Published online January 15, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.3.298
AbstractAbstract PDF
Abstract Purpose

This study aimed to examine the levels of perceived self-management support, self-efficacy for self-management, and health-related quality of life (HRQoL) in cancer survivors, and to identify the mediating effect of self-efficacy in the relationship between perceived self-management support and HRQoL.

 Methods

This study used a descriptive correlational design. Two hundred and four cancer survivors who had completed treatment participated in the study. Measurements included the Patient Assessment of Chronic Illness Care Scale, the Korean version of the Cancer Survivors’ Self-Efficacy Scale, and the Medical Outcomes Study Short Form-36. Data were analyzed using descriptive statistics, Pearson's correlation coefficient analysis, and multiple regression analysis using Baron and Kenny's method for mediation.

 Results

The mean score for perceived self-management support was 3.35 out of 5 points, self-efficacy was 7.26 out of 10 points, and HRQoL was 65.90 out of 100 points. Perceived self-management support was significantly positively correlated with self-efficacy (r=.29, p<.001) and HRQoL (r=.27, p<.001). Self-efficacy was also significantly correlated with HRQoL (r=.59, p<.001). Furthermore, self-efficacy (β=.55, p<.001) had a complete mediating effect on the relationship between perceived self-management support and HRQoL (Z=3.88, p<.001).

 Conclusion

The impact of perceived self-management support on HRQoL in cancer survivors was mediated by self-efficacy for self-management. This suggests that strategies for enhancing self-efficacy in cancer survivors should be considered when developing self-management interventions for improving their HRQoL.

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    Enhee Jo, Ju-Young Park, Young Jun Jang
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    Jin-Hee Park, Yong Sik Jung, Ji Young Kim, Sun Hyoung Bae
    BMC Women's Health.2023;[Epub]     CrossRef
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    Eun Sil Lee, Mi Young Kim
    Journal of Korean Gerontological Nursing.2023; 25(1): 76.     CrossRef
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    Min-Kyung Hwang, Hee-Kyung Kim, Ki-Hyeong Lee
    Medicina.2023; 59(6): 1051.     CrossRef
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    Jeong Won Yeom, Yeon Ok Suh
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Development and Effects of Combined Exercise Program for Older Adults with Sarcopenia Based on Transtheoretical Model
Seoyoun Park, Mee Ock Gu
J Korean Acad Nurs 2018;48(6):656-668.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.6.656
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to develop and examine the effects of combined exercise program for older adults with sarcopenia based on transtheoretical model (TTM).

 Methods

A non-equivalent control group with a pretest-posttest design was used. The subjects consisted of 43 older adults with sarcopenia in precontemplation stage, contemplation stage and preparation stage of TTM (experimental group: 22, control group: 21). The developed program consisted of 36 sessions for 12 weeks including combined exercise (60 minutes) and TTM based strategies for enhancing exercise behavior (10 minutes) per session. Data were collected before, immediately after the program between July 31 to October 27, 2017. The data were analyzed using independent t-test, Mann-Whitney U test with SPSS/WIN 18.0.

 Results

Compared with their counterparts in the control groups, older adults with sarcopenia in the experimental group showed a significantly greater improvement in process of exercise behavior change, pros and cons of decisional balance for exercise behavior, exercise self-efficacy, parameters of muscle, and the level of physical performance.

 Conclusion

The study findings indicate that this combined exercise program for older adults with sarcopenia based on TTM model was effective and can be recommended as a nursing intervention for older adults with sarcopenia.

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  • Current status of nutrition education media and its utilization in providing customized nutrition information for older adults in Korea: a scoping review based on the transtheoretical model and food literacy
    Seojin Yun, Jiwon An, Kirang Kim
    Korean Journal of Community Nutrition.2025; 30(3): 175.     CrossRef
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    鹏霞 张
    Advances in Clinical Medicine.2022; 12(08): 7181.     CrossRef
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    Moon Joo Cheong, Yeonseok Kang, Sungchul Kim, Hyung Won Kang
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    Myung Nam Ha, Gyoo Yeong Cho
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    Ziqi Ren, Hanfei Zhu, Tianzi Zhang, Hongxia Hua, Kang Zhao, Ningli Yang, Hui Liang, Qin Xu
    Obesity Surgery.2021; 31(10): 4436.     CrossRef
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    Se In Ryu, Aekyung Kim
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    Sun-Sook Moon, Chang Hee Kim
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The Effects of an Acceptance-Commitment Therapy Based Stress Management Program on Hospitalization Stress, Self-Efficacy and Psychological Well-Being of Inpatients with Schizophrenia
Jae Woon Lee, Jae Hyun Ha
J Korean Acad Nurs 2018;48(4):443-453.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.4.443
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to construct an acceptance-commitment therapy (ACT)-based stress management program for inpatients with schizophrenia and to examine its effects on hospitalization stress, self-efficacy, and psychological well-being.

 Methods

A non-equivalent control group pretest-posttest design was used. Participants were 44 inpatients with a diagnosis of schizophrenia. The experimental group (n=22) received the ACT-based stress management program twice a week for a total of four weeks. The control group (n=22) received the usual care from their primary health care providers. The study was carried out from August 7 to September 1, 2017, and data were analyzed using IBM SPSS/WIN 22.0 with a Chi-square test, Fisher's exact test, and an independent t-test.

 Results

The experimental group showed a significant decrease in hospitalization stress (t=5.09, p<.001) and an increase in self-efficacy (t=2.44, p=.019). However, there was no significant difference in psychological well-being between the two groups (t=0.13, p=.894).

 Conclusion

The results of this study suggest that the ACT-based stress management program can be used as an effective mental health nursing intervention for hospitalization stress and self-efficacy for inpatients with schizophrenia.

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    Sumin Chai, Goun Kim
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    Catarina Nogueira, Emanuel Dias Pereira, Joana Catarina Ferreira Coelho, Antonio Rafael Moreno-Poyato, Carlos Alberto Cruz Sequeira
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    Sul Hwan Kim, ChongNak Son
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    V Aghaei, R Kazemi, S Taklovi, V Nazari
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    farzaneh Dehestani, Bahram mirzaian, ramazan hassanzadeh, payam saadat
    Scientific Journal of Kurdistan University of Medical Sciences.2023; 27(6): 97.     CrossRef
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    Narae Jeong, Hyesu Jeon, Dowon You, Yu Sang Lee
    Korean Journal of Schizophrenia Research.2022; 25(2): 32.     CrossRef
  • The Effectiveness of Acceptance and Commitment Therapy (ACT) on Sexual Self-Efficacy and Sexual Quality of Life in Reproductive-Age Women: A Randomized Controlled Trial
    Behnaz Enjezab, Marzieh Rejaezadeh, Mahshid Bokaie, Hajar Salimi
    Journal of Sex & Marital Therapy.2021; 47(8): 764.     CrossRef
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    Débora Godoy Izquierdo, María Luisa Vázquez Pérez, Raquel Lara Moreno, Juan F Godoy García
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    Myung Soon Kwon, Jeong Soon Yu
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Actor and Partner Effects of Health Status, Marital Satisfaction and Self Efficacy on Retirement Preparation of Middle Aged Couples: Actor-Partner Interdependence Model Analysis
Eun Hee Jung, Sung Hee Shin
J Korean Acad Nurs 2018;48(2):154-166.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.2.154
AbstractAbstract PDF
Abstract Purpose

This study aimed to identify the actor and partner effects of health status, marital satisfaction, and self efficacy on retirement preparation in middle aged couples using the Actor-Partner Interdependence Model.

 Methods

Participants were 121 middle aged couples living in Seoul, Gyeonggi-do and Daegu City, Korea. All measures were self-administered. The collected data were analyzed using SPSS 20.0 and AMOS 20.0.

 Results

1) Wife's self efficacy and marital satisfaction showed direct actor and partner effects on retirement preparation in middle aged couples. Wife's health status showed an indirect actor effect through wife's self efficacy and marital satisfaction on wife's retirement preparation, and showed an indirect partner effect through husband's self efficacy on husband's retirement preparation. 2) Husband's self efficacy and marital satisfaction showed only direct actor effect on retirement preparation. Health status among the husbands showed an indirect actor effect on husband's retirement preparation through their self efficacy and marital satisfaction, and an indirect partner effect through wife's marital satisfaction on wife's retirement preparation. 3) The actor effect size of health status on self efficacy and marital satisfaction was larger among husband's than wife's. Additionally, the partner effect size of health status on self efficacy and marital satisfaction was different between the two groups; however, the actor and partner effect size of self efficacy and marital satisfaction on retirement preparation was the same for husband and wife.

 Conclusion

The results of this study indicate that nursing intervention strategies for improving self efficacy and marital satisfaction are strongly needed to enhance retirement preparation of middle aged couples in Korean community.

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  • Dyadic Research of Patients and Their Family Caregivers in the Context of Chronic Illness: Current Status and Challenges
    Youn-Jung Son
    Korean Journal of Adult Nursing.2021; 33(5): 415.     CrossRef
  • The Effects of Climacteric Symptom Cognition, Self-efficacy on Aging Anxiety in Middle-Aged Couples: Actor and Partner Interdependence Mediation Model
    Yeon-Suk Kim, Myung-Haeng Hur
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    Su Kyung Won, Kyoung Ok Seol
    Journal of Korean Academy of Nursing.2020; 50(6): 813.     CrossRef
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Development and Effects of a Children's Sex Education Program for the Parents of Lower Elementary Grade Students
Eun Mi Lee, Hyunlye Kim
J Korean Acad Nurs 2017;47(2):222-232.   Published online April 28, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.2.222
AbstractAbstract PDF
Purpose

This study was done to develop a children's sex education program for the parents of lower elementary grade students and to evaluate its effects on sexual knowledge, gender role attitude, parent efficacy for child's sex education, and marital consistency.

 Methods

A quasi-experimental with a non-equivalent control group pretest-posttest design was used. The participants were 29 couples (58 parents, experimental group=28, control group=30) from G city. The 5-week (5-session) program was developed based on ‘A theory of protection: parents as sex educators’ and used the case-based small group learning method. Data were collected during July and August 2015. The characteristics of the program developed in the present study were a theoretical-based, client-centered, multi-method.

 Results

After the intervention, the experimental group showed a significant improvement in sexual knowledge, gender role attitudes, parent efficacy for child's sex education, and marital consistency, compared to the control group. The effect sizes of the program were .64 (knowledge), .65 (gender role attitudes), and .68 (parent efficacy).

 Conclusion

The results of this study provided implications for the parents as effective sex educator and the role expansion of school health nurses.

Citations

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  • Parental Attitude Towards Sex Education: A Study of Demographic and Socio-Cultural Determinants in Rural Nigeria
    Abdullateef Raji, Lanre Abdul-Rasheed Sulaiman, Moshood Issa, Abubakar Yunusa Muhammed, Ridwan Olabisi Yusuff, Salihu Zakariyyah Abdulbaqi, Sunday Joseph Akor
    Sexuality Research and Social Policy.2025;[Epub]     CrossRef
  • A study on the reliability and validity of the Korean version of the parenting outcome expectancy scale for parents of elementary school students
    Yoonjung Kim, Jungmin Lee, Ratchneewan Ross
    Frontiers in Psychology.2023;[Epub]     CrossRef
  • Role of parents in hygienic and sexual education of children and adolescents
    NO Demchenkov, ED Krasilnikova, NI Sheina, VV Korolik
    Российский вестник гигиены.2023;[Epub]     CrossRef
  • The Effect of Children’s Sexual Health Education Program on Knowledge and Attitude of Primary School Health Care Providers
    Zahra Barimani Aboksari, Jila Ganji, Nouraddin Mousavinasab, Soghra Khani
    Journal of Child Sexual Abuse.2021; 30(5): 563.     CrossRef
  • Comparison of the Effects of Sex Education with Two Methods of Educational Pack and Group Discussion on Awareness in Mothers of Pre-school Children
    F Alaee karahroudy, Z Aryaeefar, S Maleki
    Journal of Health and Care.2021; 22(4): 339.     CrossRef
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    Nguyen Thi Lan, Nguyen Huy Huong
    International Journal of Research Studies in Education.2021;[Epub]     CrossRef
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Effects of a Strength Based I-Change Smoking Cessation Program for Smoking Middle School Boys
Jung Hee Kim, Yeon Hee Choi
J Korean Acad Nurs 2017;47(2):164-177.   Published online April 28, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.2.164
AbstractAbstract PDF
Purpose

This study was done to develop a strength based I-change smoking cessation program for middle school boys and identified its effects.

 Methods

The study design was a nonequivalent control group pre-post test design. The participants were 97 middle school students from D city, who were in school from April 6 to September 25, 2015. The experimental group participated in the strength based I-change smoking cessation program, while the comparative group participated in a general smoking cessation program. The control group did not participate in any program. Data analyses involved χ2-test, Fishers' exact test, Bonferroni test, and Repeated measures ANOVA, with the IBM SPSS for Windows (version 20.0) program.

 Results

Compared to the comparison and control groups, the experimental group showed significant improvement in knowledge, attitude, self-efficacy, behavior change. Also cotinine in urine and modeling of social influence in the experimental group significantly decreased after the strength based I-change smoking cessation program.

 Conclusion

These findings indicate that the strength based I-change smoking cessation program is an effective intervention for middle school boys who smoke. The findings suggest that such programs can be used at public health centers or through school health education to decrease smoking in adolescents.

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    Song Hwa Chae, Bu Kyung Park
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    Public Health Nursing.2024; 41(3): 525.     CrossRef
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A Study on the Relationship of Perceived Self-efficacy and Sick-role behavioral Compliance in Diabetic children
Yeon Hee Choi
Journal of Nurses Academic Society 1996;26(1):127-137.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1996.26.1.127
AbstractAbstract PDF

This study was designed to identify the relationship of perceived self-efficacy and sick-role behavioral compliance in diabetic children. The forty-two diabetic children participating in this study were selected from outpatients. The period of data collection was August 8 to December 9, 1994. Collected data were analyzed by means of chi-square test, t-test, Pearson correlation using SPSS/PC+. The result are summarized as follows: 1. The mean score of perceived self-efficacy was 3. 21 that of sick-role behavioral compliance 3.17. 2. Perceived self-efficacy and sick-role behavioral compliance had a positive correlation which was statistically significant (r=0.77, P<0.001). 3. There were statistically significant difference in perceived self-efficacy according to age(p<0. 01) and acknowledgment of prescribed calories in the diabetic diet (p<0.001). 4. There were statistically significant difference in sick-role behavioral compliance according to age(p<0.01) and acknowledgment of prescribed calories in the diabetic diet (p<0.001). These results suggest that perceived self-efficacy is an important variable in the compliance of diabetic children. Nursing intervention needs to be directed at promoting perceived self-efficacy to maintain sick ?role behavioral compliance for diabetic children. Therefore programs of nursing intervention should be revised in order to promote perceived self ?efficacy in diabetic children.

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A Predictive Model Comparison by Sex for Alcohol Consumption Behavior among Korea University Students
Myung Sook Choi, Mee Young Im, Young Mi Yoon
Journal of Korean Academy of Nursing 2002;32(1):77-88.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.1.77
AbstractAbstract PDF

The purpose of this study was designed to develope and test the structural model that explains alcohol consumption behaviors among university students in Republic of Korea. The hypothetical model was constructed on the basis of the literature review and Pender's Health promotion model. Data was collected from questionnaires from 512 university students in Republic of Korea, from August to September, 2000. The reliability of instruments was adequate (Cronbach's alpha= .69-.90). Data analysis was done with SAS 6.12 for descriptive statistics and LISREL 8.13 program for covariance structural analysis. The results are as follows;1. The overall fit of the hypothetical model to the data was moderate. Thus it was modified by male and female models.2. The revised model has become parsimonious and had a better fit to the empirical data (male: x2=87.21 p=.00, GFI=.97, AGFI= .94, NFI=.99, NNFI=1.0, CN=619.17, female: x2=49.29 p=.31, GFI=.45, AGFI= .95, NFI=.99, NNFI=1.0, CN=370.02).3. Self-efficacy was most significant factor and personality of novelty seeking, reward compensation, alcohol expectancy and drinking attitude have significant effects on male alcohol consumption behavior. 4. Personality of novelty seeking was most significant factor and personality of harm avoidance, friend influence, self-efficacies, alcohol expectancy and drinking attitude have significant effects on female alcohol consumption behavior.

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  • Structural Equation Model for the Analysis of Alcohol-related Problem of Alcohol Use Disorders
    Hee Jung Son, Won Kee Lee, Young Shin Park, Hae Sook Hong
    Journal of Health Informatics and Statistics.2017; 42(2): 192.     CrossRef
  • Affecting factors of the Drinking Behavior of Liver Cirrhosis Patients The Aspects of Convergence of Drinking Behavior and Disease-related of factors
    Young-Sook Seo, Eun-Su Do
    Journal of Digital Convergence.2015; 13(7): 249.     CrossRef
  • The Reliability and Validity of a Drinking Refusal Self-Efficacy Questionnaire-Revised (DRSEQ-R) in Korean College Students
    Young-Ran Tak, Ji-Yeon An, Hae-Young Woo
    Journal of Korean Academy of Nursing.2008; 38(2): 344.     CrossRef
  • The Reliability and Validity of a Drinking Refusal Self-Efficacy Questionnaire-Revised (DRSEQ-R) in Korean College Students
    Young-Ran Tak, Ji-Yeon An, Hae-Young Woo
    Journal of Korean Academy of Nursing.2008; 38(2): 344.     CrossRef
  • Challenges in Coming of Age in Korea
    Mihyoung Lee, Miok Lee, Steven L. Baumann
    Nursing Science Quarterly.2005; 18(1): 71.     CrossRef
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The Effect of the Self Efficacy Promotion and Exercise Training Program of Kidney Transplant Recipients
Jae Hyun Ahn
Journal of Korean Academy of Nursing 2000;30(5):1181-1194.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.5.1181
AbstractAbstract PDF

This study was attempted to evaluate how the self efficacy promotion and exercise training program effect on the postoperative general conditions of transplant recipients after kidney transplantations. The subjects were selected randomly among the patients who underwent renal trans- plantations at three major transplantation hospitals in Seoul, Korea. This study was carried out between November 1999 and March 2000. The observed subjects in this study consisted of 56 patients. The exercise training group(n=16) received the self efficacy promotion and exercise training program for 12 weeks which contained general knowledge for compliance instruction, exercise training and self efficacy promotion education. The self efficacy group(n=18) received general knowledge for compliance instruction and self efficacy promotion education but no exercise training was given. The control group(n=22) were not offered any education. The knowledge for compliance, self efficacy, physical conditions(weight, muscle strength, muscle endurance, flexibility), lab studies (hemoglobin, creatinine, cholesterol), activities of daily living and quality of life were evaluated 3 times, before the experiment, at 8 weeks and at 12 weeks. The data were analyzed with mean, standard deviation, Chi-square test, ANOVA and Scheff test. The results were as follows: 1. The knowledge and self efficacy score of the exercise training group and self efficacy group were significantly increased than those of the control group(p=.0001). 2. The weight of the exercise training group was significantly decreased compared to those of the self efficacy group and the control group(p=.0001). Muscle strength (grip strength, back lift strength), and flexibility of all 3 groups were significantly changed(p=.0001). However, muscle endurance in all 3 groups showed no significant differences. 3. The hemoglobin level of the exercise training group and the self efficacy group were significantly increased compared to that of the control group(p=.0001) and the cholesterol levels of the exercise training group and the self efficacy group were significantly decreased compared to that of the control group(p=,0001). However, the creatinine levels in all 3 groups showed no significant differences. 4. The activities of daily living scores of the exercise training group was significantly increased than that of the control group (p=.0003), and the quality of life scores of the exercise training group and the self efficacy group were significantly better than that of the control group(p=.0001). It would be expected that this self efficacy promotion and exercise training program could be applied widely as an effective nursing intervention for kidney transplant recipients.

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  • Effects of Self-efficacy and Transplant-related Knowledge on Compliance with a Therapeutic Regimen for Recipients of Liver Transplant
    So Jung Moon, Hyun-Ju Kim
    Journal of Korean Academy of Fundamentals of Nursing.2019; 26(3): 166.     CrossRef
  • A Study on Self-efficacy, Coping, and Compliance in Patients with Kidney Transplantation
    Jeong Lan Lee, Hyojung Park
    Korean Journal of Adult Nursing.2015; 27(1): 11.     CrossRef
  • Development of a Comprehensive Self-Management Program Promoting Self Efficacy for Type 2 Diabetic Patients
    Ju-Young Park, Il-Sun Ko
    Journal of Korean Academy of Fundamentals of Nursing.2012; 19(1): 74.     CrossRef
  • Exercise training for adults with chronic kidney disease
    Susanne Heiwe, Stefan H Jacobson
    Cochrane Database of Systematic Reviews.2011;[Epub]     CrossRef
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Effects of a Memory Training Program Using Efficacy Sources on Memory Improvement in Elderly People
Jeong Hwa Kim
Journal of Korean Academy of Nursing 2000;30(5):1170-1180.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.5.1170
AbstractAbstract PDF

This study was a quasi-experimental study to confirm the effects of a memory training program using efficacy sources. The purpose was to develop an effective memory training program for elderly people and to identify the effects of the memory training program. This study was carried out between February 24 and July 18, 1999 and the subjects of the study were 102 elderly people who were participants at a welfare institute in Seoul. The experimental group (51) and the control group (51) were assigned by means of participation order. The control group was matched to the experimental group and was selected considering age, sex, and religion. The experimental group participated in the memory training program. The memory training program was based on the literature of Fogler & Stern (1994), Wang & Lee (1990), Lee (1991) and Lee (1993). The memory training program was given twice a week for two weeks with each program lasting two hours. Task centered memory self-efficacy was measured using the Memory Self-Efficacy Scale developed by Berry & Dennehey (1989) and Meta Memory was measured by the MIA developed by Dixon et al. (1988) Memory performance was measured by the Data were analyzed by SPSS PC and the results are described below. 1. The experimental group which participated in the Memory Training Program showed higher task centered memory self-efficacy scores as compared to the control group (t=4.354, P=.0001). 2. The experimental group which participated in the Memory Training Program showed higher metamemory scores as compared to the control group (t=4.733, P=.0001). 3. The experimental group which participated in the Memory Training Program showed higher memory performance scores as compared to the control group (t=7.500, P=.0001). The memory performance involved an immediate word recall task, a delayed word recall task, a word recognition task, and the face recognition task. 4. In the experimental group, there was significant correlation between the task centered memory self-efficacy scores and the metamemory scores (r=.382, P=.006), but the correlation between the task centered memory self-efficacy scores and the memory performance scores and between the metamemory scores and the memory performance scores were not significant. The results showed that task centered memory self-efficacy, meta memory and memory performance improved following the Memory Training Program including the memory process, changes in memory with aging, and appropriate use of memory strategies. Memory Training Program is an effective nursing intervention for improving memory in elderly people and, also, in people with complaints of memory loss. word list developed by Cho Sung Won (1995) and the face recognition task (Face Recognition Task developed for this study).

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    Jung Mi Sook, Chung Eunyoung
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    Mi Kyeong Kim, Ji-Hyuk Park, Dae-Sung Han, Hae Yean Park
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  • A Comparison of Memory Beliefs, Cognitive Activity, and Depression Among Healthy Older Adults, Amnestic Mild Cognitive Impairment, and Patient with Alzheimer’s Disease
    JongSik Park, Jooyeon Jamie Im, In-Uk Song, Yeonwook Kang
    Annals of Geriatric Medicine and Research.2019; 23(1): 16.     CrossRef
  • Effects of a Memory and Visual-Motor Integration Program for Older Adults Based on Self-Efficacy Theory
    Eun-Hwi Kim, Soon-Rim Suh
    Journal of Korean Academy of Nursing.2017; 47(3): 431.     CrossRef
  • The Effects of a Cognitive Enhancement Group Training Program for Community-dwelling Elders
    Young Ran Han, Mi Sook Song, Ji Young Lim
    Journal of Korean Academy of Nursing.2010; 40(5): 724.     CrossRef
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The Relationship of Self Efficacy and Social Support to the Psychosocial Adjustment in People with Epilepsy
Seong Mi Moon
Journal of Korean Academy of Nursing 2000;30(3):694-708.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.3.694
AbstractAbstract PDF

The main purpose of this study was to identify the relationship of self efficacy and social support to the psychosocial adjustment in people with epilepsy. Data were collected from October 1 to October 15, 1999 from 101 people with epilepsy who were being treated regularly at one of the university hospitals located in Seoul. The research instruments were a questionnaire to gather demographic and disease-specific data, the Epilepsy Psycho- Social Effects Scale developed by Chaplin et al(1990), the Epilepsy Self Efficacy Scale developed by DiIorio et al(1992a) and translated by Park(1999), the Norbeck Social Support Questionnaire developed by Norbeck et al(1981) and translated by Oh(1985). Data were analyzed using the SPSS program. The results are as follow : 1. Of the 14 psychosocial adjustment areas, 75 of 101 subjects experienced problems in ten or more areas and 28 in all 14 areas. The severity of the psychosocial adjustment problem was moderate or more in six areas. 2. The score for self efficacy was an average of 1103.86 out of a possible 1800, for social support 117.57 for total functional out of a possible 720, and 48.21 for total network out of a possible 264. There were an average of five people on the network. The main network people were parents, brothers and sisters, spouse, friends. 3. Of the 14 psychosocial adjustment areas, six areas correlated with self efficacy and 'problems with taking medication' area had a negative correlation with social support. In conclusion, people with epilepsy have various problems in psychosocial adjustment. Nursing interventions using self efficacy should be developed to improve psychosocial adjustment in people with epilepsy. Also, instruments and interventions for regimen-specific supports which are suitable for epilepsy should be developed.

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  • Structural Equation Modeling on Health-Related Quality of Life in Adults with Epilepsy
    Jeong Ok Ko, Myung Ha Lee
    Journal of Korean Academy of Nursing.2017; 47(5): 624.     CrossRef
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A Prediction Model for Stage of Change of Exercise In the Korean Elderly: Based on the Transtheoretical Model
Soon Yong Kim, So In Kim, Young Ja Chun, Pyoung Sook Lee, Sook Ja Lee, Eun Sook Park, Sung Ok Chang
Journal of Korean Academy of Nursing 2000;30(2):366-379.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.2.366
AbstractAbstract PDF

The purpose of this study was to identify causal relationships among variables of transtheoretical model for exercise in the elderly. A predictivel model explaining the stage of change was constructed based on a transtheoretical model. Empirical data for testing the hypothetical model was collected from 198 old adults over 60 years old in a community setting in Seoul, Korea in April and May,1999. Data were analyzed by descriptive statistics and correlational analysis using pc-SAS program. The Linear Structural Modeling (LISREL) 8.0 program was used to find the best fit model which predicts causal relationship of variables. The fit of the hypothetical model to the data was X2=132.85. (df=22, p=.000). GFI=.88, NNFI=.35, NFI=.77, AGFI=.59 which was not favorable but the fit of modified model to the data was X2=46.90. (df=27, p=.01).GFI= .95, NNFI=.91, NFI=.92, AGFI=.87) which was more than moderate. The predictable variables of stage of change for exercise of the Korean elderly were helping relationship, self cognitive determination, conversion of negative condition in process of change and efficacy for exercise . These variables explained 68% of stage of change for exercise of the Korean elderly.

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  • Factors Associated with Stages of Exercise Behavior Change of Residents in a Community
    Kyung-Shin Paek
    Journal of Korean Academy of Community Health Nursing.2012; 23(3): 316.     CrossRef
  • Mediating Effects of Self-Efficacy in the Transtheoretical Model Among Adolescent Male Smokers in Korea
    Ok Kyung Ham, Jae Bok Yoo
    Asian Nursing Research.2009; 3(1): 15.     CrossRef
  • Korean adolescents' exercise behavior and its relationship with psychological variables based on stages of change model
    Y KIM
    Journal of Adolescent Health.2004; 34(6): 523.     CrossRef
  • Korean adolescents' exercise behavior and its relationship with psychological variables based on stages of change model
    Young-ho Kim
    Journal of Adolescent Health.2004; 34(6): 523.     CrossRef
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The Effects of a Epilepsy Education Program on Self Efficacy and Self Management in Patients with Epilepsy
Yeong Sook Park
Journal of Korean Academy of Nursing 1999;29(2):405-417.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.2.405
AbstractAbstract PDF

The purpose of this study was to test the effects of a epilepsy education program as a nursing intervention for patients with epilepsy. A quasi treatment research (non equivalent control group pretest-posttest design) was used in this study. The subjects were 40 epilepsy patients visiting an outpatient department of a general hospital in Daegu city(treatment group : 20 patients, control group : 20 patients). The study was carried out from June, 19998 to September, 1998. Data was collected before the education program(pretest), immediately after(posttest 1) and 4 weeks later(posttest 2) and were analyzed with repeated measures ANOVA, t-test, Chi-square test and Pearson correlation coefficient. The results are as follows : There was a significant difference in epilepsy self efficacy between two groups(F=26.27, p=.000). There was a significant difference according to pretest, posttest 1 and posttest 2(F=111.20, p=.000), and interaction effect between treatment and time(F=109.42, p=.000). There was a significant difference in epilepsy self management between two groups(F=78.02, p=.000). There was a significant difference according to pretest, posttest 1 and posttest 2 test(F=94.02, p=.000), and interaction effect between treatment and time(F=88.14, p=.000). There was a significant correlation(r=.76, p=.000) between epilepsy self efficacy and epilepsy self management. These results suggest that a epilepsy education program is effective in promoting self efficacy and self management of the patient with epilepsy. Thus this program can be recommended as an effective nursing intervention for the epilepsy patients.

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  • Gender differences in factors associated with resilience for health-related quality of life in persons with epilepsy
    Sang-Ahm Lee, Soo Jeong Kim, Noh Eul Han, Sun-Mi Lee, Young-Joo No
    Epilepsy & Behavior.2021; 115: 107710.     CrossRef
  • Self-efficacy in seizure management differentially correlated with quality of life in persons with epilepsy depending on seizure recurrence and felt stigma
    Sang-Ahm Lee, Soo Jeong Kim
    Seizure.2020; 81: 91.     CrossRef
  • Development and Evaluation of the Empowering A Self-Efficacy (EASE) Program for Children with Epilepsy
    Hana Yoo, Hee-Soon Kim
    Journal of Korean Academy of Nursing.2015; 45(1): 54.     CrossRef
  • Association of knowledge about epilepsy with mood and self-efficacy in Korean people with epilepsy
    Sang-Ahm Lee, Byung-In Lee
    Epilepsy & Behavior.2015; 52: 149.     CrossRef
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Determinants of Smoking-Cessation Behaviors in Female University Students
Hae Won Kim
Journal of Korean Academy of Nursing 1999;29(1):48-60.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.1.48
AbstractAbstract PDF

This study was done to determine the factors influencing smoking-cessation behavior in female university students. a total of 534 students participated in this cross sectional study by answering a questionnaire. The data collection was done between September 1 and October 31, 1997. The measurement tools used in this study were the self help change process scale(Cronbach's alpha=.9930 : developed by Oh&Kim, 1996) for smoking-cessation behaviors, the self efficacy scale(Cronbach's alpha=.8250 : developed by Sherer et al, 1982), the sex role acceptance scale(KR-20=.7757 : developed by Kim, 1991) and the social support scale(Cronbach's alpha=.9172 : developed by Park, 1985). The summarized results are follows : 1. The mean scores for smoking-cessation behaviors in smokers(N=150) was 91.72 that was considered a middle score compared to the total possible score of measurement tool(150.0). The mean score for smoking-cessation behaviors by smoking-cessation step showed significant different between the groups(F=11.71, p= .000). 2. The group with no experience in smoking(N=332) showed a high general self efficacy score(t=5.24, p= .000), and more openness to sex role acceptance(t=-2.15, p= .032) compared to the group with smoking experience(N=202). 3. General self efficacy, sex role acceptance, and social support were not different significantly between the groups according to the steps in smoking-cessation. 4. Significant factors influencing smoking-cessation behavior(total, sub concepts) were religion, sex role acceptance, social support, smoking duration, smoking attitude, time of smoking onset, amount of smoking, drinking, and perception of health status. 5. Smoking-cessation behaviors which explained 11% of the variance were smoking attitude, and smoking duration. In conclusion, this study identified factors influencing smoking-cessation behavior. Thereby it will help in the development of smoking-cessation ration other determinants of smoking cessation behaviors, evaluation of intervention efficiency, and comparative study by gender characteristics are needed.

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  • Integrative Smoking Cessation Stage Model for Chinese Students Studying in Korea
    Hyunsoo Oh, Hyesun Jeong, Whasook Seo
    Asian Nursing Research.2013; 7(4): 182.     CrossRef
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The Effect of an Internet Community on Knowledge, Self-efficacy and Self Care Behavior in Workers with Hypertension
Jung Ok Yu, Young Bok Cho
Journal of Korean Academy of Nursing 2005;35(7):1258-1267.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.7.1258
AbstractAbstract PDF
Purpose

This study was aimed to evaluate the effect of an internet community on knowledge, self-efficacy, and self-care behavior in workers with hypertension.

 Methods

The research design used was a nonequivalent control group pre-test and post-test design. Sixty hypertensive workers participated in this study(Exp.=29, Cont.=31). The data was collected from the 3rd of November 2003 to the 27th of February 2004 using an interview with questionnaires. Information related to hypertension was provided on the internet community weekly and an e-mail newsletter was sent in order to increase participation in the internet community. We used a tool developed by Park Young-Im(1994) that measured knowledge related to hypertension and self-efficacy. A tool developed by Jung Mi-Young(2001) was used for self-care behavior. The collected data was analyzed with an chi2-test and t-test using the SPSS WIN 10.0 program.

 Results

The internet community helped workers with hypertension to increase their knowledge related to hypertension, as well as increasing their self-efficacy and self-care behavior.

 Conclusion

An internet community could be applied as hypertensive nursing intervention.

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    Abdullah DALKIÇ, Zöhre KAYA
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  • Primary health institutions preference by hypertensive patients: effect of distance, trust and quality of management in the rural Heilongjiang province of China
    Jingjing Liu, Hui Yin, Tong Zheng, Bykov Ilia, Xing Wang, Ruohui Chen, Yanhua Hao, Hong Sun, Mingli Jiao, Zheng Kang, Lijun Gao, Qunhong Wu
    BMC Health Services Research.2019;[Epub]     CrossRef
  • The effects of medication adherence and health literacy on health‐related quality of life in older people with hypertension
    Nam Hee Park, Mi Sook Song, So Young Shin, Ji‐hye Jeong, Hyo Young Lee
    International Journal of Older People Nursing.2018;[Epub]     CrossRef
  • Development and Application of a Web-based Expert System using Artificial Intelligence for Management of Mental Health by Korean Emigrants
    Jeongyee Bae
    Journal of Korean Academy of Nursing.2013; 43(2): 203.     CrossRef
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    Xia Li, Ning Ning, Yanhua Hao, Hong Sun, Lijun Gao, Mingli Jiao, Qunhong Wu, Hude Quan
    International Journal of Environmental Research and Public Health.2013; 10(3): 1125.     CrossRef
  • Self-management programs based on the social cognitive theory for Koreans with chronic disease: A systematic review
    Yeonsoo Jang, Hyera Yoo
    Contemporary Nurse.2012; 40(2): 147.     CrossRef
  • Effective Intervention Strategies to Improve Health Outcomes for Cardiovascular Disease Patients with Low Health Literacy Skills: A Systematic Review
    Tae Wha Lee, Seon Heui Lee, Hye Hyun Kim, Soo Jin Kang
    Asian Nursing Research.2012; 6(4): 128.     CrossRef
  • Impact of Health Literacy on Disease-related Knowledge and Adherence to Self-care in Patients with Hypertension
    Youn-Jung Son, Eun-Kyeung Song
    Journal of Korean Academy of Fundamentals of Nursing.2012; 19(1): 6.     CrossRef
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Body Weight, Cardiovascular Risk Factors, and Self-Efficacy of Diabetic Control among Obese Type II Diabetic Patients
Hae Jung Lee, Kyung Yeon Park
Journal of Korean Academy of Nursing 2005;35(5):787-797.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.5.787
AbstractAbstract PDF
Purpose

The purpose of this study was to examine the effects of problem solving nursing counseling and walking exerciseon weight loss, cardiovascular risk factors, and self-efficacy of diabetic control among obese diabetic patients. The Polar heart rate monitor was used for walking exercise to utilize the Biofeedback mechanism.

 Method

Fifty nine diabetic patients were conveniently placed into experimental (n=35) and control groups (n=24). The experimental group participated inweekly nursing counseling for 12 weeks and was encouraged to do walking exercise using a Polar monitor. The control group remained in the same treatment as before. The data wascollected from November 2003 to August 2004 and analyzed using t-tests and ANCOVAs.

 Results

After 12 weeks, the participants in the experimental group reported significantly decreased body weight (p=.004) and total scores on theParma scale (p=.001). While the participants in the control group reported significantly increased levels of blood triglyceride (p=.046) and HDL (p=.018).

 Conclusion

Based on the findings, we concluded that problem focused nursing counseling with intensified walking exercise could reduce the risk of cardiovascular complications and body weight among obese diabetic patients. Future research to explore the long-term effects of nursing counseling on diabetic complications is warranted.

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  • Effects of e-health literacy on health-related quality of life in young adults with type 2 diabetes: Parallel mediation of diabetes self-efficacy and self-care behaviors
    Yura Jang, Youngran Yang
    Applied Nursing Research.2025; 82: 151917.     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
  • Using herbal medicine (Cheong-Yeol Sodang-decoction) for fasting blood glucose in patients with diabetes mellitus and pre-diabetes mellitus: a retrospective chart review
    Seonmi Shin, Yujin Choi, Heung Ko, Yeongmi Cho
    Integrative Medicine Research.2020; 9(4): 100413.     CrossRef
  • Study on antioxidative, antidiabetic and antiobesity activity of solvent fractions ofsmilax chinaL. leaf extract
    Yun Hwan Kang, Young-Sil Lee, Kyoung Kon Kim, Dae Jung Kim, Tae Woo Kim, Myeon Choe
    Journal of Nutrition and Health.2013; 46(5): 401.     CrossRef
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Prospective Study on the Relating Factors to the Stages of Change in Smoking Cessation and Barriers in Coronary Artery Disease Patients
Hwa Soon Kim
Journal of Korean Academy of Nursing 2005;35(1):27-36.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.1.27
AbstractAbstract PDF
Purpose

The main purpose of this study was to investigate that the stages of change in smoking cessation behavior among coronary artery disease patients for six months progressed following the stages of change suggested by the transtheoretical model.

 Method

Subjects for this descriptive survey were 59 coronary disease patients who were smoking or who had stopped smoking for less than six months.

 Result

In the baseline, the distribution of the subjects' stages of change was as follows: pre-contemplation stage 25.4%, contemplation stage 25.4%, preparation stage 22%, and action stage 27.1%. After six months, more subjects in the contemplation(33.3%) and preparation stages(30.8%) progressed to the action stage than those of the pre-contemplation stage(0%). Eighty-one percent of the subjects in the action stage at baseline progressed to the maintenance stage. The relationship between the numbers of smoking cessation attempts for six months and stages of change at baseline was significant(p=.001). However, the relationships between self-efficacy and nicotine dependence at baseline and progression in stages of change after six months were not significant.

 Conclusion

Progression in the stages of change for six months among subjects corresponded to the stages of change suggested by the transtheoretical model. Hence, future development and evaluation of intervention programs should be tailored individually considering each patient's stage of change.

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  • Personal Training Is a Great Way for Psychotherapists to Empathize With Their Clients
    Geon Ho Bahn
    Psychoanalysis.2024; 35(3): 29.     CrossRef
  • Body Fat Percentage and Natural Killer Cell Activity of Breast and Rectal Cancer Patients after Diagnosis but before Treatment
    Dal Sook Kim, Myung Hee Jun
    Journal of Korean Academy of Nursing.2008; 38(2): 321.     CrossRef
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Effects of an Empowerment Program on the Burden of Mothers Having a Child with Cerebral Palsy
Yong Sook Eo
Journal of Korean Academy of Nursing 2005;35(1):154-164.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.1.154
AbstractAbstract PDF
Purpose

The purpose of this study was to develop an empowerment program as a nursing intervention for mothers who care for a child with cerebral palsy at home and to determine the effects of the program on those mothers' self efficacy, coping behavior and burden.

 Method

An non-equivalent control group pretest-posttest design was used in this study. An Empowerment program was developed based on Dunst & Trivette's model. Using the program, the study was carried out from Dec. 13, 2003 to Jan. 17, 2004, mothers whose children, aged 1 to 6, were outpatients of the Dept. of Rehabilitation Medicine, at P University Hospital or registered at educational institutions for early disabled children. The experimental group of subjects were included in the new empowerment program which was held for two and half hours every week for 6 times.

 Results

After treatment with the Empowerment Program, the experimental group was found to be significantly increased in score for self efficacy(t=4.55, p<.01), coping behavior(t=5.54, p<.001), objective burden(t=-3.96, p<.01) and subjective burden(t=-5.05, p<.01), in comparison to the control group.

 Conclusion

The Empowerment Program is very effective in increasing self efficacy and coping behavior of mothers having a child with cerebral palsy and decreasing their burden. Finally, this study would recommend that an empowerment program should be extended to community facilities such as public health offices and welfare centers.

Citations

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Effectiveness of Self-efficacy Promoting Vestibular Rehabilitation Program for Patients with Vestibular Hypofunction
Hyun Jung Lee, Smi Choi-Kwon
J Korean Acad Nurs 2016;46(5):710-719.   Published online October 31, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.5.710
AbstractAbstract PDF
Purpose

In this study an examination was done of the effect of self-efficacy promoting vestibular rehabilitation (S-VR) on dizziness, exercise selfefficacy, adherence to vestibular rehabilitation (VR), subjective and objective vestibular function, vestibular compensation and the recurrence of dizziness in patients with vestibular hypofunction.

 Methods

This was a randomized controlled study. Data were collected 3 times at baseline, 4 and 8 weeks after beginning the intervention. Outcome measures were level of dizziness, exercise self-efficacy, and level of adherence to VR. Subjective and objective vestibular function, vestibular compensation and the recurrence of dizziness were also obtained. Data were analyzed using Windows SPSS 21.0 program.

 Results

After 4 weeks of S-VR, there was no difference between the groups for dizziness, subjective and objective vestibular functions. However, exercise self-efficacy and adherence to VR were higher in the experimental group than in the control group. After 8 weeks of S-VR, dizziness (p =.018) exercise self-efficacy (p <.001), adherence to VR (p <.001), total-dizziness handicap inventory (DHI) (p =.012), vision analysis ratio (p =.046) in the experimental group differ significantly from that of the control group. The number of patients with recurring dizziness were higher in the control group than in the experimental group (p <.001).

 Conclusion

The results indicate that continuous 8 weeks of S-VR is effective in reducing dizziness, and improving exercise self-efficacy, subjective vestibular function and adherence to VR. Objective vestibular function and vestibular compensation were also improved in the experimental group at the end of 8 weeks of S-VR.

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Effects of Dietary Program based on Self-efficacy Theory on Dietary Adherence, Physical Indices and Quality of Life for Hemodialysis Patients
Kyung Soon Yun, Ja Yun Choi
J Korean Acad Nurs 2016;46(4):598-609.   Published online August 31, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.4.598
AbstractAbstract PDF
Purpose

The purpose of this study was to examine effects of a dietary program based on self-efficacy theory on dietary adherence, physical status and quality of life (QoL) in hemodialysis patients.

 Methods

A non-equivalent control group pre-post test design was used. The intervention group received the dietary program for 8 weeks from August 4 to September 26, 2014. The control group received only usual care.

 Results

ANCOVA showed that dietary adherence (F=64.75, p<.001) was significantly different between the two groups. Serum albumin (F=12.13, p =.001), interdialytic weight gain (F=56.97, p<.001), calories (F=15.80, p<.001) as physical status indices were significantly different, but serum potassium (F=2.69, p=.106) and serum phosphorus (F=1.08, p=.303) showed no significant difference between the two groups. In terms of health-related QoL, the physical component scale (F=10.05, p=.002) and the mental component scale (F=16.66, p<.001) were significantly different between the two groups. In addition, in terms of diet related QoL, diet level (F=35.33, p<.001) and satisfaction level (F=15.57, p<.001) were significantly different between the two groups, but dietary impact level (F=1.23, p =.271) was not significantly different.

 Conclusion

Findings show that the dietary program based on self-efficacy theory is an effective nursing intervention program to improve adherence to diet, and to maintain physical status and QoL for hemodialysis patients.

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Effects of Breastfeeding Empowerment Program on Breastfeeding Self-efficacy, Adaptation and Continuation in Primiparous Women
Seon Mi Song, Mi Kyung Park
J Korean Acad Nurs 2016;46(3):409-419.   Published online June 30, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.3.409
AbstractAbstract PDF
Purpose

The purpose of this study was to develop a breastfeeding empowerment program and to investigate the effects of the breastfeeding empowerment program on self-efficacy, adaptation and continuation of breastfeeding for primiparous women.

 Methods

The 5 session breastfeeding empowerment program was developed and a non-equivalent control group non-synchronized quasi-experiment design was used. Fifty-five participants were assigned to either the experimental group (n=27) or the control group (n=28). Effects were tested using repeated measures ANOVA and χ2-test.

 Results

Scores for self-efficacy, adaptation and continuation of breastfeeding of in the experimental group after program were significantly higher than 1week, 4weeks, 8weeks scores in control group.

 Conclusion

The effects of the breastfeeding empowerment program for elevating self-efficacy, adaptation and continuation of breastfeeding in primiparous women were validated. Therefore, this program can be recommended for vigorous use in clinical practice.

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Development and Psychometric Evaluation of the Transcultural Self-efficacy Scale for Nurses
Won-Oak Oh, Eun Sook Park, Min Hyun Suk, Yeo Jin Im
J Korean Acad Nurs 2016;46(2):293-304.   Published online April 29, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.2.293
AbstractAbstract PDF
Purpose

This methodological study was conducted to develop and psychometrically test the Transcultural Self-efficacy scale (TCSEscale) for nurses.

 Methods

Initial 41 items for the TCSE-scale were generated based on extensive literature reviews and in-depth interviews with 18 nurses who had experience in caring for foreign patients. Cultural Competence and Confidence model was used as a conceptual framework. Content validity was evaluated by an expert panel. Psychometric testing was performed with a convenience sample of 242 nurses recruited from four general hospitals in the Seoul metropolitan area and Gyeonggi-do province of South Korea. To evaluate the reliability of TCSE-scale, a test-retest reliability and an internal consistency reliability were analyzed. Construct validity, concurrent validity, criterion validity, convergent validity and discriminative validity were used to evaluate the validity.

 Results

The 25-item TCSE-scale was found to have three subscales-Cognitive, Practical, and Affective domain-explaining 91.5% of the total variance. TCSE-scale also demonstrated a concurrent validity with the Cultural Competence Scale. Criterion-related validity was supported by known-group comparison. Reliability analysis showed an acceptable-to-high Cronbach's alpha-.88 in total, and subscales ranged from .76 to .87. The ICC was .90, indicating that the TCSE-scale has internal consistency and stability of reliability.

 Conclusion

This preliminary evaluation of the psychometric scale properties demonstrated an acceptable validity and reliability. The TCSE-scale is able to contribute to building up empirical and evidence based on data collection regarding the transcultural self-efficacy of clinical nurses. We suggest further testing of the applicability of TCSE-scale in different settings and community contexts.

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Structural Equation Modeling on Healthy Menopausal Transition
Eunyoung Hong, Young Sil Kang
J Korean Acad Nurs 2015;45(1):64-75.   Published online February 27, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.1.64
AbstractAbstract
Purpose

This study was designed to construct and test structural equation modeling on healthy menopausal transition in middle-aged women in order to identify variables affecting healthy menopausal transition.

 Methods

Participants, 276 women, 45 to 60 years of age, with menopausal symptom score higher than 5 on the Korean version of Menopause Rating Scale, were recruited in three cities and one county of Gyeongnam Province. Research data were collected via questionnaires and analysed using SPSS version 18.0 and AMOS version 20.0.

 Results

After confirmatory factor analysis, one of the observed variables was excluded due to relatively low factor loading. The model fit indices for the hypothetical model were suitable for the recommended level: GFI=.93, CFI=.92, RMSEA=.05. Self-efficacy, self-differentiation, and menopausal symptoms explained 67.7% of variance in menopausal transition, and self-differentiation was the most influential factor for menopausal transition. Self efficacy and menopausal symptoms explained 9.6% of variance in menopausal management, although "menopausal symptoms" was not significant.

 Conclusion

These results suggest that nursing interventions to improve self-differentiation, self efficacy, menopausal management and decrease menopausal symptoms are critical for healthy menopausal transition in middle-aged women. Continued development of a variety of community-based nursing interventions to facilitate healthy menopausal transition is suggested.

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Development and Evaluation of the Empowering A Self-Efficacy (EASE) Program for Children with Epilepsy
Hana Yoo, Hee-Soon Kim
J Korean Acad Nurs 2015;45(1):54-63.   Published online February 27, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.1.54
AbstractAbstract PDF
Purpose

The purpose of this study was to verify effects of the Empowering A Self-Efficacy (EASE) program on self-efficacy, self-management, and child attitude toward illness in children with epilepsy.

 Methods

This was a quasi-experimental study with a non-equivalent control group pre-post test design. Participants were 10 to 15 year old children with epilepsy (11 in the experimental group and 10 in the control group) who were registered at one hospital in S city. The experimental group received the EASE program for 3 weeks. In the first week, a group meeting lasting 570 minutes was conducted on a single day. Over the next two weeks, telephone counselling was conducted twice a week. Data were analyzed using SPSS 18.0.

 Results

There was a significant difference of pre-post evaluation of the epilepsy self-management scores in the experimental group. However, differences between the experimental group and the control group for seizure self-efficacy and child attitude toward illness were not significant.

 Conclusion

This is the first study in Korea to develop and evaluate an intervention program for children with epilepsy. Further studies are needed to confirm the effects of the EASE program.

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    Sug Young Lee
    Journal of Korean Academy of Fundamentals of Nursing.2025; 32(1): 105.     CrossRef
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    Nigel Fleeman, Josephine Mayer, Yun Huang, Sarah J Nevitt, Mariangela Panebianco, Ruaraidh A Hill, Alison J Doherty, Neil Wilson, Paul Boland, Andrew J Clegg, Helena Bilsborough, Elsie J Williams, Elizabeth J Shaw, Michelle Maden, Rachael Kelly, Anthony G
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    Rosa Michaelis, Venus Tang, Sarah J Nevitt, Janelle L Wagner, Avani C Modi, William Curt LaFrance Jr, Laura H Goldstein, Milena Gandy, Rebecca Bresnahan, Kette Valente, Kirsten A Donald, Markus Reuber
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Relationship between Expectations Regarding Aging and Physical Activity among Middle Aged Adults in Urban Areas: Based on the Pender's Health Promotion Model
Sung-Hye Cho, MoonKi Choi, JuHee Lee, Hyewon Cho
J Korean Acad Nurs 2015;45(1):14-24.   Published online February 27, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.1.14
AbstractAbstract PDF
Purpose

The purpose of this study was to measure the level of expectations regarding aging (ERA) and identify relationship between ERA and physical activity of middle aged adults.

 Methods

Participants were middle aged adults who resided in the community in three cities in Korea. Data were collected using questionnaires that contained items on individual characteristic, International Physical Activity Questionnaires (IPAQ), and behavior-specific cognitive factors including ERA-12. Hierarchical multiple regression was conducted to examine whether ERA would predict physical activity by controlling other factors.

 Results

The mean age of the participants was 51.1±6.9 years. The mean score for ERA (possible range=0 to 100) was 40.04±14.31. More than half of the participants (62.6%) were not engaged in health promoting physical activity. Gender, employment status and exercise confidence were associated with level of physical activity (F=7.14, p<.001, R2=.36). After controlling for individual factors and behavior-specific cognitive factors, ERA was independently related to physical activity (F=7.19, p<.001, R2=.38).

 Conclusion

The results demonstrate that individuals' belief about aging has effects on physical activity in Korean middle aged adults. Thus, nursing interventions which focused on ERA could help enhance physical activity in middle aged adults.

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Influence of Self Efficacy, Social Support and Sense of Community on Health-related Quality of Life for Middle-aged and Elderly Residents Living in a Rural Community
Hyeonkyeong Lee, Sung Hye Cho, Jung Hee Kim, Yune Kyong Kim, Hyang Im Choo
J Korean Acad Nurs 2014;44(6):608-616.   Published online December 31, 2014
DOI: https://doi.org/10.4040/jkan.2014.44.6.608
AbstractAbstract PDF
Purpose

The purpose of this study was to examine the relationship between self-efficacy, social support, sense of community and health-related quality of life (HRQoL), including the direct and indirect effects of the variables on HRQoL.

 Methods

A cross-sectional survey was conducted with a convenience sample of 249 middle-aged and elderly residents living in a rural community in A-County, K Province. The structured questionnaire included 4 scales from the Euro Quality of life-5 Dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), and measures of General Self-Efficacy, Social Support, and Sense of Community. Data were analyzed using SPSS WIN 20.0 and AMOS 21.0 program.

 Results

The mean HRQoL score for the participants was 0.87±0.13. Self-efficacy (β=.13, p=.039) and age (β= -.38, p<.001) were significantly associated with HRQoL, explaining 21% of the variance. In the path analysis, self-efficacy showed a significant direct effect on HRQoL (β=.14, p=.040) and significantly mediating relationships between both social support (β=.05, p=.030) and sense of community (β=.02, p=.025) and HRQoL.

 Conclusion

Although self-efficacy was found to be the main predictor for HRQoL, the findings imply that social environmental factors such as social support and sense of community need to be considered when developing interventions to increase HRQoL in middle-aged and elderly residents in rural communities.

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Effectiveness of a Self-management Program using Goal Setting based on a G-AP for Patients after a Stroke
Min Gyeong Park, Yeongmi Ha
J Korean Acad Nurs 2014;44(5):581-591.   Published online October 31, 2014
DOI: https://doi.org/10.4040/jkan.2014.44.5.581
AbstractAbstract PDF
Purpose

This study was conducted to develop a self-management program using goal setting for patients after a stroke. The program was based on a theory-based Goal setting and Action Planning framework (G-AP), and the effectiveness of the program was examined.

 Methods

A non-equivalent control group pretest-posttest design was used. The experimental group (n=30) received the self-management program using goal setting based on the G-AP over 7 weeks. The education was delivered individually with a specifically designed stroke workbook. The control group (n=30) received only patient information leaflets about stroke.

 Results

There were significant differences between the two groups. Stroke knowledge, self-efficacy, and health behavior compliance were significantly higher (all p<.001), and hospital anxiety (p<.001) and depression (p<.001) were significantly lower in the experimental group compared to the control group.

 Conclusion

This self-management program using goal setting based on a G-AP was found to be useful and beneficial for patients in stroke rehabilitation settings.

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Effects of Interactive Pictorial Education on Community Dwelling Older Adult’s Self Efficacy and Knowledge for Safe Medication
Myonghwa Park
J Korean Acad Nurs 2011;41(6):795-804.   Published online December 12, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.6.795
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to examine the effects of interactive pictorial education on community dwelling older Korean adults’ self-efficacy and knowledge for safe medication.

 Methods

A quasi-experimental, three-group pre- and post-intervention design was used in this study. The interactive pictorial education was designed to suit the learning patterns and psychomotor skills of older adults. The education content, dealing with safe medication, was delivered over three sessions. A total of 136 older adults from local senior centers were assigned to one of the three groups: a) interactive pictorial education plus information booklet (experimental); b) education only with information booklet (conventional); or c) no intervention (control).

 Results

Participants receiving interactive pictorial education had significantly higher self-efficacy (F=24.32, p<.001) and knowledge (F=24.26, p<.001) scores than the information booklet or control group at post intervention. Post-hoc analyses indicated that both the interactive pictorial and the information booklet groups had significantly higher self-efficacy and knowledge scores than the control group at the post-test point (p<.05). Furthermore, the interactive pictorial group had higher self-efficacy and knowledge scores than the information booklet group at the post-test point (p<.05).

 Conclusion

These results suggest that the interactive pictorial education is an innovative approach that provides a means for older adults to learn appropriate medication use to improve their own health. It empowers older adults with different literacy levels to enhance their self-efficacy and knowledge for the safe use of medication.

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