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Research Paper
- Development and Evaluation of an App-Based Self-Management Program for Exercise Practice of Breast Cancer Survivors: A Non-Randomized Controlled Trial
- Maeng, Suyoun , Yu, Jungok
- J Korean Acad Nurs 2024;54(2):250-265. Published online May 31, 2024
- DOI: https://doi.org/10.4040/jkan.23119
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Abstract
PDF - Purpose
This study aimed to develop an app-based self-management program based on the transtheoretical model (TTM) for breast cancer survivors’ exercise practice, as well as to investigate the program’s effects on the stage of change for exercise, exercise self-efficacy, exercise decisional balance, exercise amount, and body composition.
Methods
This non-randomized controlled study included 52 participants (26 in each of the experimental and control groups, respectively). An app-based self-management program based on the TTM was conducted with the experimental group for a 12-week period. The program comprised three components: individual coaching for each stage of change for exercise based on TTM, amount of exercise and body composition monitoring, and online self-help meetings.
Results
Compared with the control group, the experimental group had significantly higher stages of change for exercise (p < .001), exercise self-efficacy (p < .001), exercise decisional balance (p = .002), exercise amount (p < .001), and body composition (body weight [p = .006], body mass index [p = .005], and body fat percentage [p = .010]) immediately and four weeks after the intervention.
Conclusion
An appbased self-management program based on the TTM improves exercise behaviors in breast cancer survivors and provides physical benefits. -
Citations
Citations to this article as recorded by
- Effects of a mobile health coaching intervention on symptom experience, self-management, and quality of life in breast cancer survivors: A quasi-experimental study
Jin-Hee Park, Sun Hyoung Bae, Yong Sik Jung, Min Hee Hur, Ji Young Kim, Su Jin Jung
Medicine.2025; 104(12): e41894. CrossRef
- Effects of a mobile health coaching intervention on symptom experience, self-management, and quality of life in breast cancer survivors: A quasi-experimental study
- 712 View
- 55 Download
- 2 Web of Science
- 1 Crossref
Original Articles
- Assessing Decisional Balance toward Mammography Screening in Korean Women
- Young Joo Park, Sung Ok Chang, Hyun Cheol Kang
- Journal of Korean Academy of Nursing 2001;31(7):1174-1180. Published online March 29, 2017
- DOI: https://doi.org/10.4040/jkan.2001.31.7.1174
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Abstract
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This cross-sectional survey was carried out to assess the decisional balance of Korean women toward mammography screening. A sample of 1, 903 naturally postmenopausal women was selected from the community-based social groups in town or city hall auxiliaries in seven metropolitan areas and six provinces in Korea. The classification of women according to the stage of adoption of mammography was 54.9% in pre-contemplation, 31.9% in contemplation, 7.8% in action, and 5.5% in maintenance. The mean differences of pros, cons, and the decisional balance by the stage of mammography adoption were statistically significant. There were significant mean differences between the stages of adoption according to a woman's experience with and intention for mammography and the pros score, the cons score, and the decisional balance score. Results provide the empirical evidence for the Transtheoretical model. An association between stages of mammography adoption and decisional balance exists.
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Citations
Citations to this article as recorded by- Analyzing paths from online health information seeking to colorectal cancer screening using health literacy skills frame and cognitive mediation model
Seok Won Jin, Yeonggeul Lee, David A. Dia
Patient Education and Counseling.2019; 102(3): 416. CrossRef
- Analyzing paths from online health information seeking to colorectal cancer screening using health literacy skills frame and cognitive mediation model
- 80 View
- 0 Download
- 1 Crossref
- The Study on the Effect of Stage Based Exercise Motivational Intervention Program for the Elderly
- Pyoung Sook Lee, Sung Ok Chang
- Journal of Korean Academy of Nursing 2001;31(5):818-834. Published online March 29, 2017
- DOI: https://doi.org/10.4040/jkan.2001.31.5.818
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Abstract
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PURPOSE: This study aims at confirming exercise effects on obesity, mobility, self-efficacy, process of change, and decisional component by stage based exercise motivational intervention program for the elderly. The stage based exercise intervention program was constructed based on Transtheoretical Model.
METHODS
The design of this study is nonequivalent control group with repeated measuring by quasi-experimental study. The subjects of this study, composing of experimental group of 32 and control group of 28 were selected at one institution for the aged in Seoul.
RESULTS
1) The body fat (weight, BMI and circumference of waist), of the intervention group was significantly decreased than the control group. 2) The mobility of the intervention group was not significantly increased than control group. 3) The self-efficacy, Pros, Process of Change for exercise of the intervention group was not significantly increased than the control group. 4) The Cons for exercise of intervention group was not significantly decreased than the control group.
CONCLUSION
The above result have informed us that a stage-based exercise motivational intervention program for the elderly has the effect of decreasing old persons' body fat and has value as an effective means of nursing for the elderly.-
Citations
Citations to this article as recorded by- Can healthcare apps and smart speakers improve the health behavior and depression of older adults? A quasi-experimental study
Dasom Kim
Frontiers in Digital Health.2023;[Epub] CrossRef - The association between self-efficacy and self-care in essential hypertension: a systematic review
Felicia Clara Jun Hui Tan, Prawira Oka, Hajira Dambha-Miller, Ngiap Chuan Tan
BMC Family Practice.2021;[Epub] CrossRef - Factors affecting on stages of change in exercise behavior of local government officials based on Transtheoretical Model
Min-ju Je, Bohyun Park
Korean Journal of Health Education and Promotion.2021; 38(5): 21. CrossRef - Effects of a Physical Activity Program based on Social Cognitive Theory for Old-Old Women with Knee Osteoarthritis
Soon Rim Suh, Jeong Hwa Lee
Journal of Korean Academy of psychiatric and Mental Health Nursing.2021; 30(3): 278. CrossRef - Effect of Exercise Stage-Matched Intervention for Elderly Women with Chronic Back Pain in the Contemplation and Preparation Stage
Hyun-Ju Oh, Soon-Rim Suh, Mihan Kim
Korean Journal of Adult Nursing.2019; 31(4): 414. CrossRef - Effects of Obesity Management Program Provided by Occupational Health Nurse in Worksite
Sohyune R. Sok, Ok Sun Kim, Mi Hee Park
Western Journal of Nursing Research.2019; 41(5): 728. CrossRef - Development and Effects of Combined Exercise Program for Older Adults with Sarcopenia Based on Transtheoretical Model
Seoyoun Park, Mee Ock Gu
Journal of Korean Academy of Nursing.2018; 48(6): 656. CrossRef - Affecting Factors of Physical Activity among Elderly Patients with Type 2 Diabetes
Eun-Ju LEE
JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2017; 29(5): 1331. CrossRef - Factors Associated With Medication Adherence Among Medical-Aid Beneficiaries With Hypertension
Yang Heui Ahn, Ok Kyung Ham
Western Journal of Nursing Research.2016; 38(10): 1298. CrossRef - Sports injuries and the changes in physical activity, perceived health state and exercise self-efficacy according to the sports injuries of the elderly who participate in physical activities
Kyung Hee Seo, Young Eun, Mi Yang Jeon
Journal of Korean Biological Nursing Science.2016; 18(2): 102. CrossRef - Converged Influencing Factors on the Stages of Change of Exercise in Middle Aged Women
Hyea-Kyung Lee, Eun-Hee Shin, Yeon-Kyung Kim
Journal of the Korea Convergence Society.2015; 6(5): 187. CrossRef - Dyadic Effects of Individual and Friend on Physical Activity in College Students
Gwang Suk Kim, Chung Yul Lee, In Sook Kim, Tae Hwa Lee, Eunhee Cho, Hyeonkyeong Lee, Linda L. McCreary, Su Hee Kim
Public Health Nursing.2015; 32(5): 430. CrossRef - The Relationship between Health Belief and Exercise Compliance among Elderly Adults at Senior Centers
Kyung Im Lee, Young Eun
Journal of Korean Academy of Community Health Nursing.2015; 26(2): 79. CrossRef - Effects of the New Version of the Arthritis Self-management Program in Patients with Osteoarthritis
Eun Nam Lee, Kyung-Sook Lee, Inok Lee, Won-Sook Bak, Hee Kwon Choi, Kyung-Sook Cho, Young Eun, Mi-Kyung Choi, Hye Sook Min, Rhayun Song, Gyeyoung Shin, Minju Kim, Myung Sook Lee, Ju Sung Kim, Yeo Sook Chung
Journal of muscle and joint health.2015; 22(2): 105. CrossRef - The Level of Body Perception, Obesity, and Factors associated with Stages of Exercise and Dietary Habits Change in University Students: Application of the Transtheoretical Model
Insun Jang, Yujeong Kim
Journal of muscle and joint health.2015; 22(3): 167. CrossRef - Predictors of Maintenance of Physical Activity among Hypertensive Older Adults in Korea
Jin Yi Choi, Ae Kyung Chang, Eunju Lee
Journal of muscle and joint health.2015; 22(3): 228. CrossRef - The Effects of a Progressive Lower-extremity Exercise Program on Pain, Self-efficacy of Exercise, and Life Satisfaction among Older Women with Total Knee Replacement Arthroplasty (TKRA)
Gui Suck Yang, Young Eun, Gyung Hee Moon, Sun Kyung Lee
Journal of muscle and joint health.2014; 21(3): 215. CrossRef - Effects of a Health Promotion Program on Perception of Health Behavior, Physical Fitness and Body Composition in Child Care Helpers
Young-Ran Lee, Min Sun Chu, Sun-Nam Park, Hong-In Kim, Hee-Sook Choi
Journal of Korean Public Health Nursing.2014; 28(1): 138. CrossRef - Factors Related to Stages of Exercise Behavior Change among University Students Based on the Transtheoretical Model
Dae-Jung Jeon, Ki-Jong Kim, Myoung Heo
Journal of Physical Therapy Science.2014; 26(12): 1929. CrossRef - Factors Associated With Screen Time Among School-Age Children in Korea
Ok Kyung Ham, Kyung Mi Sung, Hee Kyung Kim
The Journal of School Nursing.2013; 29(6): 425. CrossRef - Construction of a Physical Activity Model for the Elderly
Nam-Hee Kim, Hyoung-Sook Park, Myunghan Choi
Korean Journal of Health Education and Promotion.2013; 30(1): 27. CrossRef - Assessing Correlates of Physical Activity Levels in Female University Students
Gwang Suk Kim, Chung Yul Lee, In Sook Kim, Tae Hwa Lee, Eunhee Cho, Hyeonkyeong Lee, Kyongeun Lee, Sinhye Kim, Seok Hyun Gwon, Sun Hye Moon, Sarah Lim, Su Hee Kim
Journal of Korean Public Health Nursing.2013; 27(3): 466. CrossRef - A Study on Physical Activity and Related Factors to Physical Activity for the Elderly with Diabetes Mellitus
Hye-Yeon Kang, Mee-Ock Gu
Journal of muscle and joint health.2012; 19(1): 57. CrossRef - Application of the Transtheoretical Model to Exercise Behavior Change Stages of Women in Nursing College and Factors Affecting the Stages
Phil-Won Bae
Journal of Korean Public Health Nursing.2012; 26(1): 147. CrossRef - The Effects of Muscle Strengthening Exercise for Postoperative Lumbar Spinal Surgery on Pain, Exercise Self-Efficacy, Activities of Daily Living
Hwa-Young Kim, Young Eun, Myoung-Eun Song
Journal of muscle and joint health.2011; 18(2): 238. CrossRef
- Can healthcare apps and smart speakers improve the health behavior and depression of older adults? A quasi-experimental study
- 154 View
- 7 Download
- 25 Crossref
- Process of Change, Decisional Balance and Self Efficacy Corresponding to Stages of Change in Exercise Behaviors in Middle Aged Women
- Yun Mi Lee
- Journal of Korean Academy of Nursing 2004;34(2):362-371. Published online March 28, 2017
- DOI: https://doi.org/10.4040/jkan.2004.34.2.362
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Abstract
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Purpose The study was performed to identify the process of change, decisional balance and self-efficacy corresponding to the stage of exercise behavior change based on a Transtheoretical Model in middle aged women.
Method The subjects consisted of 317 women by convenience sampling residing in city B. The collected data were analyzed using one-way ANOVA, Scheffe test, and Discriminant analysis by SPSS/WIN program.
Result The subjects were distributed in each stage of change of exercise behaviors: 53 subjects (16.7%) in the precontemplation stage, 86 subjects (27.1%) in the contemplation stage, 88 subjects (27.8%) in the preparation stage, 51 subjects (16.1%) in the action stage and 39 subjects(12.3%) in the maintenance stage. Analysis of variance showed that consciousness raising (F=24.96, p=.00), environmental reevaluation (F=7.13, p=.00), self reevaluation (F=19.47, p=.00), dramatic relief (F=15.22, p=.00), social liberation (F=4.26, p=.00), counter conditioning (F=26.44, p=.00), a helping relationship (F=13.17, p=.00), reinforcement management (F=21.25, p=.00), self liberation (F=27.70, p=.00), stimulus control (F=13.49, p=.00), pros (F=14.40, p=.00) and self-efficacy (F=39.91, p=.00) were significantly associated with the stages of change of exercise behaviors. Through discriminant analysis, it was found that 'stimulus control' was the most influential variable in discriminating the five stages of change.
Conclusion This study can provide the basis of a staged matching exercise program using TTM for more effective and useful intervention.
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Citations
Citations to this article as recorded by- Changes in Exercise Behaviors with Exercise Counseling
Korean Journal of Sport Science.2024;[Epub] CrossRef - Factors affecting on stages of change in exercise behavior of local government officials based on Transtheoretical Model
Min-ju Je, Bohyun Park
Korean Journal of Health Education and Promotion.2021; 38(5): 21. CrossRef - Development of strategies for changing in physical activity behaviors on older adults with disabilities
Kyo-Man Koo, Chae-Hee Park, Chun-Jong Kim
Journal of Exercise Rehabilitation.2017; 13(6): 676. CrossRef - Influencing factors from the Transtheoretical Model on the Execution of Self-Management Behaviors among Community-Residing Older Adults with Hypertension
Yang Heui Ahn, Young Mi Lim, KiYon Kim, Ki-Kyoung Kim, Hee-Young Song
Journal of Korean Public Health Nursing.2016; 30(1): 105. CrossRef - Development and Psychometric Evaluation of Nursing Low Back Pain Predictor Questionnaire Focusing on Nurses Suffering from Chronic Low Back Pain in Iran
Leila Ghadyani, Sedigheh Sadat Tavafian, Anoshirvan Kazemnejad, Joan Wagner
Asian Spine Journal.2016; 10(4): 697. CrossRef - Influence of exercise self efficacy and perceived health status according to the stage of change for exercise behaviors in older adults
Woo-Cheol Kim
Journal of Digital Convergence.2015; 13(11): 549. CrossRef - A Study on the Stages of Change in Caregiver's Exercise Behavior
Eun-jeong Ki, Eun Joo Kim, Jeong Sun Kim
Korean Journal of Occupational Health Nursing.2014; 23(4): 262. CrossRef - Comparison of practice of dietary guidelines and health beliefs according to stage of weight loss behavior change among male workers
Su Jeong Song, HongSeok Ahn, Jinmo Khil
Journal of Nutrition and Health.2013; 46(3): 276. CrossRef - 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 - Exercise Performance and Exercise-related Factors of Korean and Korean-Chinese Nursing Students: A comparative Study
Young-Ran Lee, Sun-Nam Park, Sook-Ja Yu, Jung-Soon Moon
Journal of Korean Academy of Community Health Nursing.2011; 22(3): 234. CrossRef - Change of Stages and Related Factors for Wearing of Hearing Protection Device among Noisy Workplace-workers
Young Mi Kim, Ihn Sook Jeong
Journal of Korean Academy of Nursing.2010; 40(5): 736. CrossRef - A Study on Exercise Behavior, Exercise Environment and Social Support of Middle-Aged Women
Myoung-Ae Choe, Yang Sook Hah, Keum Soon Kim, Myungsun Yi, Jung-An Choi
Journal of Korean Academy of Nursing.2008; 38(1): 101. CrossRef
- Changes in Exercise Behaviors with Exercise Counseling
- 106 View
- 3 Download
- 12 Crossref
- Factors Associated with the Stage of Change of Smoking Cessation Behavior in Adolescents
- Nam Hee Park, Jung Soon Kim, Yun Mi Lee
- Journal of Korean Academy of Nursing 2003;33(8):1101-1110. Published online March 28, 2017
- DOI: https://doi.org/10.4040/jkan.2003.33.8.1101
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Abstract
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Purpose The purpose of this study was to identify the stage of change of smoking cessation behavior and investigate factors associated with the stage of smoking cessation behavior according to the transtheoretical model.
Methods The participants, 297 smokers & quitters were selected by a stratified random sampling from 127 high school sophomore students in B city. Data were collected from April 6th to 16th, in 2002 using the structured self-report questionnaire.
Results The subjects were distributed in each stage of change of smoking cessation behavior: there were 46 subjects (15.5%) in precontemplation, 73 subjects (24.6%) in contemplation, 67 subjects(22.3%) in preparation, 56 subjects (18.5%) in action, 55 subjects (18.5%) in maintenance. Compared to the precontemplation and contemplation, people in preparation tended to smoke daily more and smoked for a shorter time, and as precontemplation progressed to the maintenance, past 1 year smoking cessation frequency increased and friends smoking decreased. Smoking onset age was the earliest in preparation, and the latest in maintenance. Helping relationships and self relationships are used a lot in precontemplation and also in contemplation. In preparation, self liberation and helping relationships are used a lot, in action, self liberation and helping relationships, and in maintenance, self liberation and environmental reevaluation. At each stage, the score of negative affect situation was the highest, but the one of negative affect situation, positive social situation, habitual strength, weight control decreased as precontemplation progressed to the maintenance. While the score of social pros and coping pros decreased with increasing stage, the one of cons tended to increase. Through stepwise discriminant analysis, it was found that social pros, smoking onset age, delf-libration were the most influencing powers among factors associated with the stages of smoking cessation behavior.
Conclusions This study suggested that, in developing an effective smoking cessation intervention for adolescents, all the stage of a client's cessation had to be assessed prior to applying intervention programs. In addition, the results of this study will become a pillar of smoking cessation program planning and application.
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Citations
Citations to this article as recorded by- Prevalences of Stages of Change for Smoking Cessation in Adolescents and Associated Factors: Systematic Review and Meta-Analysis
Leonardo Essado Rios, Álex Moreira Herval, Raquel Conceição Ferreira, Maria do Carmo Matias Freire
Journal of Adolescent Health.2019; 64(2): 149. CrossRef - Effects of an Empowerment Program on Nicotine Dependency, Temptation, Self-esteem, Depression in Adolescents Who Smoke
Nam-Hee Park
Journal of Korean Academy of Child Health Nursing.2012; 18(1): 1. CrossRef - Factors Associated with the Preparation Stage to Quit Smoking among College Smokers
Kyung-Shin Paek, Young-Sook Kwon
Journal of Korean Academy of Community Health Nursing.2011; 22(2): 173. CrossRef
- Prevalences of Stages of Change for Smoking Cessation in Adolescents and Associated Factors: Systematic Review and Meta-Analysis
- 110 View
- 0 Download
- 3 Crossref
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