• Title/Summary/Keyword: Change stages

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Decisional balance corresponding to the Stage of Change of Smoking Cessation in Middle Aged Men (중년 흡연남성의 금연 변화단계에 따른 의사결정 균형에 대한 연구)

  • Chang Sung-Ok;Park Chang-Seung;Min In-Sun
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.7 no.2
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    • pp.164-176
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    • 2000
  • Purpose : This study was done to identify the factors of decisional balance for smoking cessation among middle aged men in Korea. This was composed of a set of variables at the level of decision making when middle aged men decide to stop smoking. It was used to classify and identify the characteristics of the stages of change for smoking cessation to which the middle aged men belong, and was used to identify the variables of decisional balance which influenced the stages of change for smoking cessation in middle aged men. Methods : A convenience sample of 169 men who had smoked and were smoking, were between age 30 and 60 and lived in Seoul(mean age=44), were selected from the community. The data was collected from December 10, 1999 to February 28, 2000. The research instrument was the Decisional Balance Measure for Smoking Cessation (Velicer et al., 1985). and Stage of Change Measure(DiClemente et al., 1991). The data were analyzed using the SAS Program. Results : 1. According to stage of change measure, the 169 subjects were distributed in each stage of change for smoking cessation: in the pre-contemplation stage 63 subjects(32.7%), contemplation stage 60 subjects (35.5%), preparation stage 17 subjects(10.1%), and maintenance stage 29 subjects(17.2%). 2. Factor analysis identified 4 factors of decisional balance as appropriate factors for smoking cessation of middle aged men. There were named by the researchers; 1)'Perceived Burden to Self', 2)'Perceived Benefit to Others' 3)'Perceived Approval to Others', and 4)'Perceived Disapproval to Self'. 3. Analysis of variance showed that the three components, 1)'Perceived Burden to Self(F=8.50, P=.0001)', 2)'Perceived Benefit to Others(F=3.19, P=.025)' and 3)'Perceived DisApproval to Self(F=2.87, P=.038)were significantly associated with stage of change. 4. Through discriminant analysis, it was found that 'Perceived Burden to self' was the most influential variable in discriminating the four stages of change(pre-contemplation, contemplation, preparation, and maintenance). Conclusion : The results are consistent with the application of the Transtheoretical model, which has been used to understand how people change health behavior. Even though this study is a cross-sectional, not a longitudinal study, the findings of this study give useful information for smoking cessation intervention for the middle aged men.

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The Growth and Change of Korean Cosmetics Market in Distribution Structure

  • YOON, Sang-Hyeon;SONG, Sang-Yeon;KANG, Myung-Soo
    • Journal of Distribution Science
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    • v.18 no.1
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    • pp.5-13
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    • 2020
  • Purpose: The purpose of this study is to examine the growth and change process of Korean cosmetic market that has grown more than three times since 2000. It also examined how the growth and decline of the cosmetics brands are related to the change of the cosmetic distribution structure. Research methodology: This study tried to classify the change of the Korean cosmetics market into four stages based on the market sales information. It analyzed the sales information of Korean cosmetic companies and the relationship with the sales of the brands by distribution channel. Results: One-brand store channel had played a leading role in the market growth, and multi-brand stores have grown and a number of brands also grew through that channel since 2013. Since 2016, multi-brand stores have continued to grow and have dominated the market beyond one-brand store channel. Conclusions: The changes in sales of domestic cosmetics companies have been classified based on the distribution channel type in four stages: the emergence of one-brand store, the growth of one-brand store channel, the growth of multi-brand store channel, and the decline of one-brand store channel. In conclusion, multi-brand store channels have recently grown in the Korean cosmetics market, and this trend is expected to continue.

The Use of Health Behavior Theory for Effective Health Counselling (효과적 건강상담을 위한 제 보건행동이론의 활용방안에 대한 연구)

  • 김혜경
    • Korean Journal of Health Education and Promotion
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    • v.19 no.1
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    • pp.149-170
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    • 2002
  • The use of health behavior theory in health counseling may improve its effectiveness. This article provides an overview of health behavior theory and guidelines on how to incorporate various theories into effective health counseling. Models that focus on behavior change at the individual level are described, including the health belief model, which focuses on individual health beliefs; social learning theory, which emphasizes interactions between individual, behavior and its environment; theory of reasoned action and theory of planned behavior, which examines factors influencing behavioral intention;. the stages of change model, which focuses on one's stage of readiness for change. Research review provides explanatory and predictive utility of four health behavior theories. Suggestions for effective health counselling are as follows: 1. Unified theoretical framework incorporating key concepts from different health behavior theories is needed. 2. Need assessment should be included in counselling process. 3. Behavior-change counselling should target changes in one or more key variables previously identified. 4. Focusing on promotional efforts into a high profile behavior(gateway behavior) can be an an adjunctive way of initiating other health promotion behaviors. 5. Counselling should be staged based, and different strategies and processes of changes should be applied at different stages.

A study of the Stage of Change and Decisional balance : Exercise Acquisition, Smoking Cessation, Mammography Screening and Kegel's Exercise Acquisition in Korea (건강행위시행 변화단계에 따른 의사결정의 균형: 운동, 금연, 유방조영술 검진, 질회음근 강화운동을 중심으로)

  • Jang, Seong-Ok;Park, Yeong-Ju;Park, Chang-Seung;Im, Yeo-Jin
    • Journal of Korean Academy of Nursing
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    • v.30 no.5
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    • pp.1265-1278
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    • 2000
  • This study was carried out to assess the perception of decisional balance of Korean subjects about 4 health behaviors and to identify the influencing factor of decisional balance for exercise acquisition, smoking cessation, mammography screening and Kegel's exercise acquisition. All are representative health behaviors nurses can intervene in Korea based on the Transtheoretical model. Convenient samples of 2,484 subjects (191; exercise, 169; smoking cessation, 1903; mammography screening and 221; Kegel's exercise) were selected from cities and counties over 9 provinces throughout Korea, and the data was collected from January 1, 1999 to February 29, 2000. The research instrument were the Decisional Balance Measure for Exercise (Marcus & Owen., 1992), Smoking Cessation (Velicer et al., 1985), Mammography Screening (Rakowski et al.,1992) and Kegel Exercise (Lim, 1999) and Stage of Change Measure for Exercise (Marcus et al, 1992), Smoking Cessation (DiClemente et al., 1991), Mammography Screening (Rakowski et al.,1992) and Kegel's Exercise (Lim, 1999). The data was analyzed by the SAS Program. The results are as follows; 1. According to the stage of change measure, 2,484 subjects were distributed in each stage of change for four health behaviors: 1,233 subjects (49.8%), 745 subjects (30.2%), 113 subjects (4.7%), 156 subjects (6.5%), and 216 (8.7%) belonged to the pre- contemplation stage, contemplation stage, preparation stage, action stage and maintenance stage. They were all series of stages of change in their efforts to do health behavior. 2. Factor analysis identified 3 factors (1 of Pros, 2 of Cons) for the exercise, 4 factors for smoking cessation (2 of Pros, 2 of Cons), 2 factors (1 of Pros, 1 of Cons) for the mammogram screening and 2 factors (1 of Pros, 1 of Cons) for Kegel's exercise of decisional balance. 3. The analysis of variance and multiple comparison analysis showed that for all 4 samples, the Cons of changing the problem behaviors outweighed the Pros for subjects who were in the pre- contemplation stage, The opposite was true for subjects in action and maintenance stage. 4. Through the discriminant analysis, it was found that one factor of Pros for exercise, one factor of Cons for smoking cessation, 1 factor of Cons for mammogram screening and one factor of Cons for Kegel's exercise were the more influencing factors, than others in discriminating the stages of change. Results are consistent with the applications of the Transtheoretical model, which have been used to understand how people change health behaviors. This results provide some evidence that subject's report of his/her health behavior corresponds to beliefs about usefulness of related health behaviors. The results of this study have implications for patients' health education and health intervention strategies. The findings of this study give useful information for nursing educators for 4 health behaviors, especially the factors relating to decision making in the different stages of change.

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Converged Influencing Factors on the Stages of Exercise Behavior Change of Nurses in Shift Work Using Transtheoretical Model (범이론적모델을 이용한 교대근무 간호사의 운동행위 변화단계에 미치는 융합적인 영향요인)

  • Lee, Hyea-Kyung;Chung, Young-Jin
    • Journal of Convergence for Information Technology
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    • v.7 no.6
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    • pp.35-43
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    • 2017
  • The purpose of this study was to analyze the converged influencing factors on the stages of exercise behavior changes in shift work nurses. The subjects were 120 shift work nurses working in hospitals who understood the purpose of the study and agreed to participate in the study. Data were analyzed using frequency, percentage, mean, standard deviation, t-test, $X^2$ test, and multiple logistic regression analysis. The exercise motivation factors of shift work nurses had a significant effect on stages of exercise behavior change (${\beta}=2.480$, p=.022), health status perceptions(${\beta}=1.151$, p=.013). Social support factors (${\beta}=1.819$, p=.002) and marital status (${\beta}=-1.820$, p=.004) also had significant effects on the stages of exercise behavior change of shift work nurses. In other words, subjects with change in exercise behavior had 11.9 times higher motivation and 3.1 times higher health status perception than those without change in exercise behavior, social support was 6.1 times higher, and unmarried subjects showed 16 times showed higher than that of married subjects. Therefore, it is important to develop a strategy to practice continuous and regular exercise in consideration of the exercise motivation, social support, and health status perception of the nurses in shift work.

The effect of posture on HRV (측정 자세에 따른 HRV변화)

  • Yang, Dong-In;Shim, Young-Woo;No, Hyung-Wook;Kim, Deok-Won
    • Proceedings of the IEEK Conference
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    • 2009.05a
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    • pp.399-401
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    • 2009
  • The purpose of this study is looking for deviation of change in HRV caused of posture. Total 20 adults were measured for 40 minutes(10 minutes rest section and 30 minutes analysis section) when volunteers were sitting and lying down. Other factors which can change in HRV were controlled during measurement. The analysis section were divided by total 6 stages(each by 5 minutes), and compared and analyzed between sitting and lying down groups. It was also compared and analyzed stages in each group. In the result, there was difference at stage 5($20{\sim}25$ minutes interval), but no difference in the total data. The results of each stage in the group, lying down had difference. Therefore, sitting is more stable measurement for HRV study when subjects was waking over 15 minutes.

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Early Stages of Preparation for Fatherhood (예비 아버지의 부성경험에 관한 일 연구)

  • Hwang, Jung-hae;Baik, Kyung-im
    • Korean Journal of Child Studies
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    • v.25 no.5
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    • pp.59-71
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    • 2004
  • Based on ethnographic methods, the present research utilized individual interviews of 1 to 2 hours each with various probe questions to discover early stages of preparation for fatherhood. Interviews of the 12 male participants took place in naturalistic settings. Most were between 28 to 32 years of age and middle SES class. Results showed that during their wife's pregnancy expectant fathers come to terms with becoming a father; they obtain a new understanding of life and make efforts to behave desirably in society; attitudes towards their own parents change; they have a different relationship with their wife; relations with close associates change, and occupational identity changes in that feelings of responsibility for a wife and child becomes more sincere.

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The Introduction of Electronic Trade System to Small and Medium Sized Company & The Analysis of its Economic Effect (중소기업의 전자무역 시스템 도입방안과 경제적 효과 분석 - 가치사슬분석과 시뮬레이션 분석 방법론을 중심으로 -)

  • Park, Bok-Jae
    • International Commerce and Information Review
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    • v.10 no.3
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    • pp.3-21
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    • 2008
  • This research investigates the strategy for application of E-Trade to SMEs to analyze the economic effect of e-trade. And the influence of the proliferation of e-business and e-trade upon the industrial business conditions, value-chain, and business activities is also analyzed. The subjects of the inquiry are the nationwide petrochemical industries in which small and medium sized companies are in mutual and intimate cooperation. The results show that the business structure of the petrochemical industries are divided into four stages, and, with the introduction of e-business, the value chain is changed by stages. And the change of value-chain explains the transition of the e-business of petrochemical industries including trade business into industrial DB and leads to a variety of the economic effect including the reduction in the trade expense, the change of the production process, and the innovation of trade structure.

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The Effects of Exercise Intervention Program Based on the Stage of Change on Obese Children in Elementary School (초등학교 비만아동을 대상으로 행위변화단계를 적용한 운동중재 프로그램의 효과)

  • Lee, Yeun-Hee;Jung, Hye-Sun
    • Journal of the Korean Society of School Health
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    • v.18 no.2
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    • pp.73-84
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    • 2005
  • Purpose : This study was designed to apply a "stage of change" exercise intervention program to obese children in elementary school and to examine its effects on their BMI. stage of change. process . and self-efficacy in exercise. Methods : The experimental group included 64 children in the fourth . fifth and sixth grades. from one elementary school. whose BMI was in the H5th percentile or more for their age groups. The control group had 6 1 students from a different one elementary school whose conditions were the same as those of the experimental group. Results: After the stage of change exercise intervention was applied, the BMI of the experimental group decreased by a significant enough degree to conclude that the program was effective in decreasing BMI. After the application of the program. the experimental group experienced a significant increase in their helping relationships. counter-conditioning . reinforcement management and stimulus control compared 10 the control group. After the program. self-efficacy in terms of exercise increased significantly in the experimental group. Conclusion: A stages of change exercise intervention program has been shown to engage individual students and encourage them 10 maintain a higher fitness level that promote s self-efficacy in exercise and therefore moves them towards healthier lifestyles. Moreover. the study proved that a significant reduction of BMI was achieved by the stages of change exercise intervention program.

Determination of a Change Point in the Age at Diagnosis of Breast Cancer Using a Survival Model

  • Abdollahi, Mahbubeh;Hajizadeh, Ebrahim;Baghestani, Ahmad Reza;Haghighat, Shahpar
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.sup3
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    • pp.5-10
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    • 2016
  • Breast cancer, the second cause of cancer-related death after lung cancer and the most common cancer in women after skin cancer, is curable if detected in early stages of clinical presentation. Knowledge as to any age cut-off points which might have significance for prognostic groups is important in screening and treatment planning. Therefore, determining a change-point could improve resource allocation. This study aimed to determine if a change point for survival might exist in the age of breast cancer diagnosis. This study included 568 cases of breast cancer that were registered in Breast Cancer Research Center, Tehran, Iran, during the period 1986-2006 and were followed up to 2012. In the presence of curable cases of breast cancer, a change point in the age of breast cancer diagnosis was estimated using a mixture survival cure model. The data were analyzed using SPSS (versions 20) and R (version 2.15.0) software. The results revealed that a change point in the age of breast cancer diagnosis was at 50 years age. Based on our estimation, 35% of the patients diagnosed with breast cancer at age less than or equal to 50 years of age were cured while the figure was 57% for those diagnosed after 50 years of age. Those in the older age group had better survival compared to their younger counterparts during 12 years of follow up. Our results suggest that it is better to estimate change points in age for cancers which are curable in early stages using survival cure models, and that the cure rate would increase with timely screening for breast cancer.