• Title, Summary, Keyword: intervention level

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Effects of Metaphon Intervention on a Phonological Ability of Preschool Children with Articulation-Phonological Disorders (상위음운 중재가 취학 전 조음음운장애 아동의 음운 능력에 미치는 효과)

  • Shin, Ju-Young;Seok, Dong-Il;Park, Hee-Jung
    • Speech Sciences
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    • v.13 no.3
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    • pp.169-183
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    • 2006
  • The purpose of this study was to find an effect of Metaphon Intervention on the improvement of speech intelligibility of preschool children with articulation-phonological disorders. Subjects were 4 preschool children with articulation-phonological disorders. A multiple baseline design across subjects was used to examine the effect of the program. The program consisted of 2 steps. The first step was composed of concept level, sound level, phoneme level, and word level. The second step was on sentence level. Results were as follows: First, metaphon ability of all subjects was improved after the Metaphon Intervention. Second, speech intelligibility of all subjects was improved after Metaphon Intervention. From the results above, Metaphon Intervention can be effective to improve not only phonological awareness and metaphon but also overall speech intelligibility of preschool children with articulation-phonological disorders.

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Impact of Patients' Level of Participation in Rehabilitation on Functional Outcome in Patients With Stroke (뇌졸중 환자의 재활참여가 기능회복에 미치는 영향)

  • Won, Jong-im
    • Physical Therapy Korea
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    • v.27 no.1
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    • pp.63-69
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    • 2020
  • Background: Stroke recovery is a long and complex process. Successful stroke recovery seems to be strongly associated with patients' high motivation and committed participation. Patients' motivation is a key determinant of successful rehabilitation outcomes, but it is difficult in defining and measuring. Patients' participation is defined as the degree or extent to which subjects take part in rehabilitation activities and can be measured by observable behavior. Objects: The purpose of this study was to investigate the impact of patients' level of participation in rehabilitation on functional outcomes in patients with stroke. Methods: Forty post-stroke inpatients participated in this study. The level of rehabilitation participation was measured by the Hopkins Rehabilitation Engagement Rating Scale (HRERS). Other measures used for the evaluation were the Rivermead Mobility Index (RMI) and Korean version of the Modified Barthel Index (K-MBI). Overall measurements were made at early intervention and late intervention. Spearman correlation and multiple regression were used to measure the relationships between HRERS, RMI, and K-MBI. Results: The correlation found between HRERS total scores at early intervention and RMI total scores of late intervention was above moderate (r = 0.607, p < 0.01). RMI total scores at early intervention (p < 0.000), HRERS total scores at early intervention (p < 0.001), and disease duration (p < 0.003) were significant predictors of RMI total scores at late intervention. Conclusion: The level of participation at early intervention was associated with improvement in mobility. The level of mobility at early intervention, disease duration, and patients' participation at early intervention were important determinants of functional outcome. These findings suggest that patients' participation should be encouraged in order to achieve successful stroke recovery.

Rethinking Disaster Prevention Design: Educating the Public Using Narrative-Based Simulation

  • Kang, Sunwoo;Han, Myeong Ah
    • Proceedings of the Korea Contents Association Conference
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    • pp.251-252
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    • 2016
  • The vast majority of the disaster prevention design research in Korea has focused on the macro-level interventions such as examining the existing systems and approaches, instituting revised policies, systematically establishing intervention programs, and evaluating the effectiveness of the interventions. However, little has focused on systematically challenging individuals' awareness using micro-level intervention. The present paper introduces approaches to micro-level intervention by infusing narrative-based simulation, and further suggests the implications on balancing the approaches of both micro-level and macro-level interventions.

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Effects of a Bereavement Intervention Program on Depression and Life Satisfaction in Middle Aged Widows in Korea

  • Yoo, Yang-Sook;Kang, Hee-Young
    • Journal of Korean Academy of Nursing
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    • v.36 no.8
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    • pp.1367-1373
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    • 2006
  • Purpose. This study was designed to examine the effects of a bereavement intervention program on levels of depression and life satisfaction in middle aged widows in Korea. Methods. A quasi-experimental design with non-equivalent control-group pretest-posttest was used. The subjects (control group, n = 10; intervention group, n = 17) were bereaved less than 6 months in G City and J Province, Korea. The bereavement intervention program consisted of Dan-jeon breathing, self-help group activities and a health examination. The experimental group attended 10 sessions of a bereavement intervention program. The control group had a health examination without the intervention program. For both groups, the level of depression and life satisfaction levels were measured before and after the experiment. Results. The decrement of depression level in the experimental group was significantly greater than in the control group (p <.001). The increment in life satisfaction in the experimental group was significantly greater than in the control group (p <.001). Conclusion. The results suggested that the bereavement intervention program was effective in decreasing level of depression and in increasing the life satisfaction of widows. Accordingly, a bereavement intervention program can be applied as an intervention to help widows.

The Effects of Hope Intervention on Hope and Depression of Cancer Patients Staying at Home (희망중재가 재가 암환자의 희망과 우울에 미치는 효과)

  • Shin, A-Mi;Park, Jeong-Sook
    • Journal of Korean Academy of Nursing
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    • v.37 no.6
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    • pp.994-1002
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    • 2007
  • Purpose: This study was to identify the effects of hope intervention on hope and depression of cancer patients staying at home. Methods: The study design was a randomized control group design. The subjects consisted of forty cancer patients randomly selected who were registered at S-Gu Public Health Center. Hope intervention, which was composed of hope assessment, hope objective setting, positive self identity formation, therapeutic relationships, spiritual & transcendental process improvement, positive environmental formation and hope evaluation, was provided from November 20, 2006 to January 26, 2007. Results: The 1-1 hypothesis, "The experimental group which received hope intervention will have a higher score of hope than the control group", was supported(t=-3.253, p= .003). The 1-2 hypothesis, "The experimental group which received hope intervention will have a higher level of hope index than the control group", was supported (t=-4.001, p= .000). Therefore the 1st hypothesis, "The experimental group which received hope intervention will have a higher level of hope than the control group" was supported. The 2nd hypothesis, "The experimental group which received hope intervention will have a lower level of depression than the control group", was not supported (t=1.872, p= .070). Conclusion: Hope intervention is an effective nursing intervention to enhance hope for patient with cancer.

Is Work Group Social Capital Associated With Sickness Absence? A Study of Workplace Registered Sickness Absence at the Work Group Level

  • Clausen, Thomas;Meng, Annette;Borg, Vilhem
    • Safety and Health at Work
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    • v.11 no.2
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    • pp.228-234
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    • 2020
  • Background: The concept of social capital has its focus on cooperative relations in the workplace. This study investigates the association between social capital and sickness absence among workers in 41 work groups in the Danish dairy industry and examines the possible effects of an intervention on social capital in the workplace on sickness absence. Methods: A sample of 791 dairy workers working in 41 work groups that participated in an intervention study on social capital filled in a questionnaire on four subtypes of social capital, and social capital scores from individual participants were aggregated to the level of work groups. Sickness absence was measured at the level of work groups in company registers as the two-year average percentage of working time lost to sickness absence. Group-level associations between social capital and sickness absence were analyzed using multilevel linear regression analysis. Analyses were adjusted for age, gender, group size, and random effects at the workplace level. Results: We found statistically significant associations between social capital within work groups, social capital in relation to the immediate manager, and social capital toward the workplace as a whole on the one side and sickness absence on the other side. We found no support for any effects of the intervention on sickness absence. Conclusion: The work group level of social capital is associated with the work group level of sickness absence. However, the intervention to enhance group-level social capital had no effect on reducing sickness absence in the intervention group.

Educational Intervention on Breast Cancer Early Detection: Effectiveness among Target Group Women in the District of Gampaha, Sri Lanka

  • Vithana, PVS Chiranthika;Ariyaratne, MAY;Jayawardana, PL
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.6
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    • pp.2547-2553
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    • 2015
  • Purpose: The present study concerns the effectiveness of an educational intervention for improving knowledge, attitudes and practices (KAP) of breast cancer early detection among target group women (TGW) in the district of Gampaha, Sri Lanka. Materials and Methods: The study was a community-based intervention. Two medical officer of health areas in Gampaha district were selected using random sampling as intervention (IA) and control (CA). Public health midwives (PHMs) in the IA were exposed to the educational intervention first, conducted the same among the TGW through PHMs. KAP was assessed using an interviewer- administrated questionnaire among 260 TGW from each area selected using cluster sampling before and six months after the intervention. Results: The overall median scores for KAP among TGW in IG increased significantly from pre intervention level of 54% (IQR: 46-59%), 50% (IQR: 41-59%), and 0% (IQR: 0-20%) to post intervention level of 77% (IQR: 72-82%), 68% (IQR: 59- 76 %) and 40% (IQR: 20-60%) respectively. In CG, overall median scores for KAP remained almost the same at pre intervention 54% (IQR:44-59%), 50% (IQR:36-59%) and 0% (IQR: 0-20%) and post intervention 54% (IQR:46-59%), 50% (IQR:36-64%) and 0% (IQR: 0-20%) respectively. Conclusions: The educational intervention was found to be effective.

The Effect of Supportive Nursing Education Program on Burden and Quality of Life in Mothers of Children with Nephrotic Syndrom (지지적 간호교육이 신증후군 환아어머니의 부담감과 삶의 질에 미치는 효과)

  • 백승남;성미혜;조결자;변창자
    • Journal of Korean Academy of Nursing
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    • v.29 no.3
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    • pp.721-731
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    • 1999
  • The purpose of this study was to identify the effect of the supportive nursing intervention program on Burden and Quality of Life in Mothers of Children with Nephrotic Syndrom. The data were collected from a group of 67 mothers of nephrotic syndrom patients (34 in the intervention group, 33 in the control group) from July 1, 1998 to Dec, 30, 1998. Measurements were burden and quality of life from both groups at pre and post intervention. The supportive nursing educational program consists of individual lectures and discussion at the individual level. Listed are the summarized results : 1. The intervention group had a lower level of burden (p<0.05) than the control group at post intervention. 2. The level of quality of life was not significant during the intervention. According to this study a developed supportive nursing intervention program is effective for reduction of the burden. For future research, it is necessary that experiments concerning quality of life in mothers of children with nephrotic syndrome, be conducted.

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Effects of Nursing Intervention of Mutual Goal Setting on Gastrectomy Patients According to Health Locus of Control (위절제술환자의 건강통제위에 따른 상호목표설정 간호중재의 효과)

  • Jang Eun-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.5 no.1
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    • pp.107-124
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    • 1998
  • Based on King's goal attainment theory, this research deals with applying nursing intervention of mutual goal settings to gastrectomy patients. It tests the effects of nursing intervention, according to the patients' health locus of control, suggested as external boundary criteria for the theory by employing a quasi-experimental design which consists of a pretest-posttest non-equivalent control and experimental groups. The subjects of this research were 62 gastrectomy patients hospitalized at Y medical center and the experimental and control groups consisted of 31 subjects. The experimental group received nursing intervention at the mutual goal setting of 5 times from the day before the surgery to the 5th day after the surgery, while the control group received only routine nursing care. Recovery indicators of both groups were measured and compared. Measurement variables included patients' characteristics, health locus of control, forced vital capacity, forced expiratory volume in one second, peak expiratory flow, bowel movement recovery, mobility recovery, level of pain, patients' stress and patients' satisfaction. Data were analyzed using SPSS statistical package and the hypotheses were tested by ANOVA and ANCOVA. Results of the analyses are summarized as follows : 1) Internal health locus of control had higher effects of the nursing intervention of mutual goal setting than external health locus of control on pulmonary ventilatory functions of forced vital capacity, forced expiratory volume in one second, and peak expiratory flow. 2) There was no statistically significant difference in the effects of nursing intervention of mutual goal setting on the bowel movement recovery between the internal and external health locus of control. 3) There was no statistically significant difference in the effects of nursing intervention of mutual goal setting on the mobility recovery between the internal and external health locus of control. 4) There was no statistically significant difference in the effects of nursing intervention of mutual goal setting on the level of pain between the internal and external health locus of control. 5) There was no statistically significant difference in the effects of nursing intervention of mutual goal setting on the level of stress between the internal and external health locus of control. 6) There was a statistically significant difference in the effects of nursing intervention of mutual goal setting on the level of satisfaction with provision of nursing information between the internal and external health locus of control, and there was no statistically significant difference in the effects of nursing intervention of mutual goal setting on the level of satisfaction with outcome of nursing between the internal and external locus of control. On the basis of the research results, the following are recommended : 1) Repeated research on responses to health locus of control is necessary. 2) Not only the effectiveness of nursing intervention in acute recovery periods, but also the long term effects are to be investigated. 3) The development of instruments is needed to accurately measure mutual goal setting regarding postoperative deep breath, coughing, early ambulation, etc. so that the relationship among the postoperative recovery indicators may be explored. 4) It is required that an instrument be developed to measure perception which facilitates goal attainment in the interactive setting between patients and nurses.

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Intervention for Reducing Dental Fear and Anxiety of Dental Patients (치과내원 환자의 치과공포 감소를 위한 중재법 적용)

  • Shin, Sun-Jung;Shin, Bo-Mi;Koh, Boo-Il;Bae, Soo-Myoung
    • Journal of dental hygiene science
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    • v.15 no.3
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    • pp.369-376
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    • 2015
  • The purposes of this study were to assess dental fear and anxiety level of patients attending a dental clinic using the dental fear survey (DFS) scale, to apply interventions chosen by patients for reducing dental fear and anxiety and measure their effects. This study surveyed 34 patients who visited a dental clinic in Seoul about their self-rated health and their experience of dental fear, and measured the level of dental fear using DFS. Trained dental hygienists applied interventions desired by the patients for reducing dental fear and anxiety and, for each intervention, examined the patients' satisfaction (very helpful [5 point]~not helpful at all [1 point]). Collected data were analyzed using IBM SPSS Statistics ver. 21.0 through independent t-test or one-way ANOVA for difference in level of fear according to related characteristics, and through Wilcoxon signed rank test for comparison between before and after the intervention. The subjects' mean level of fear (DFS score) was 44.53, which was an average level, and the level of dental fear was relatively high for stimulus-response (2.72). The level of dental fear was higher in those who had experienced pains or indirect dental fear from dental treatment in the past, and those whose subjectively perceived health state was poor (p<0.05). With regard to the applied dental fear intervention, 'Helpful (3.57)' was the most common answer. Overall satisfaction before and after the application of dental fear intervention was generally high as 4.37 and 4.35, respectively, but it decreased slightly after the intervention. In order to lower the level of dental fear, it is considered effective to survey not only the level of dental fear but also patients' need of dental fear interventions and to apply a suitable intervention. It is also required to educate dental workers and to develop related manuals.