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Original Article
A Predictive Model of Health Promotion Behavior in Obese School-Age Children
Mi Suk Jeon, Hyeon-Ok Kim
Journal of Korean Academy of Nursing 2010;40(2):264-276.
DOI: https://doi.org/10.4040/jkan.2010.40.2.264
Published online: April 30, 2010

1Health Teacher, Gosan Elementary School, Wanju, Korea.

2Professor, College of Nursing, Research Institute of Nursing Science, Chonbuk National University, Jeonju, Korea.

Address reprint requests to: Jeon, Mi Suk. Gosan Elementary School, 148 Eupnae-ri, Gosan-myeon, Wanju 565-864, Korea. Tel: 82-63-263-4025, Fax: 82-63-263-4607, ymdje@hanmail.net
• Received: October 13, 2009   • Revised: October 19, 2009   • Accepted: April 1, 2010

Copyright © 2010 Korean Society of Nursing Science

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  • Purpose
    The purpose of this study was to propose and to test a predictive model that could explain and predict the health promotion behavior of obese school-age children in Korea.
  • Methods
    Participants for this study were 365 students from 13 elementary schools located in Jeonbuk Province, Korea. The data were analyzed using SPSS 15.0 program and Amos 7.0 program.
  • Results
    The results verified the factors that influence health promotion behavior of the participants. Important direct factors were prior health-related behavior, perceived self-efficacy, and commitment to a plan of action and indirect factors were perceived barrier and activity-related effect. These factors explained 75.3% of variance in the participants' health promotion behavior. The proposed model was concise and extensive in predicting health promotion behavior of the participants.
  • Conclusion
    Findings may provide useful assistance in developing effective nursing interventions for maintaining and promoting health promotion behavior in obese school-age children.
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Figure 1
Hypothetical model.
x1-x2=Previous health behavior; x3-x4=Self-esteem; y1-y2=Perceived benefit; y3-y4=Perceived barrier; y5-y6=Perceived self-efficacy; y7-y8=Activity-related affect; y9-y11=Social support; y12-y13=Commitment to a plan of action; y14-y19=Health promotion behavior.
jkan-40-264-g001.jpg
Figure 2
Modified model with parameter estimates.
x1-x2=Previous health behavior; x3-x4=Self-esteem; y1-y2=Perceived benefit; y3-y4=Perceived barrier; y5-y6=Perceived self-efficacy; y7-y8=Activity-related affect; y9-y11=Social support; y12-y13=Commitment to a plan of action; y14-y19=Health promotion behavior.
jkan-40-264-g002.jpg
Table 1
Descriptive Statistics of Study Variables (N=365)
jkan-40-264-i001.jpg
Table 2
Parameter Estimates for Modified Structural Model and Standardized Direct, Indirect, and Total Effects in Modified Model (N=365)
jkan-40-264-i002.jpg

*p<.05; **p<.01.

Standardized parameter; Critical ratio; §Squared multiple correlation.

Figure & Data

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        A Predictive Model of Health Promotion Behavior in Obese School-Age Children
        J Korean Acad Nurs. 2010;40(2):264-276.   Published online April 30, 2010
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      A Predictive Model of Health Promotion Behavior in Obese School-Age Children
      Image Image
      Figure 1 Hypothetical model. x1-x2=Previous health behavior; x3-x4=Self-esteem; y1-y2=Perceived benefit; y3-y4=Perceived barrier; y5-y6=Perceived self-efficacy; y7-y8=Activity-related affect; y9-y11=Social support; y12-y13=Commitment to a plan of action; y14-y19=Health promotion behavior.
      Figure 2 Modified model with parameter estimates. x1-x2=Previous health behavior; x3-x4=Self-esteem; y1-y2=Perceived benefit; y3-y4=Perceived barrier; y5-y6=Perceived self-efficacy; y7-y8=Activity-related affect; y9-y11=Social support; y12-y13=Commitment to a plan of action; y14-y19=Health promotion behavior.
      A Predictive Model of Health Promotion Behavior in Obese School-Age Children

      Descriptive Statistics of Study Variables (N=365)

      Parameter Estimates for Modified Structural Model and Standardized Direct, Indirect, and Total Effects in Modified Model (N=365)

      *p<.05; **p<.01.

      Standardized parameter; Critical ratio; §Squared multiple correlation.

      Table 1 Descriptive Statistics of Study Variables (N=365)

      Table 2 Parameter Estimates for Modified Structural Model and Standardized Direct, Indirect, and Total Effects in Modified Model (N=365)

      *p<.05; **p<.01.

      Standardized parameter; Critical ratio; §Squared multiple correlation.


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