The Journal of Korean Society for School & Community Health Education
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v.5
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pp.43-70
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2004
This research was conducted to provide basic document on efficient health promotion behavior program that elementary school students can use from elementary school course to enhance health promotion behavior for healthy life by checking out the degree of the most influential factor for health promotion behavior about elementary school students who establish lifelong health habit, and by checking out the relation between the degree of self-efficacy and health promotion behavior. The number of subjects of this research was 598. They were all elementary school students from the sixth grade students of the 5 cities of the Kyeong Nam province. We conducted questionnaires and did statistical analyses by using 592 papers which were suitable for date analyses with SPSS. The conclusions were as follows; A. The degree of self-efficacy The degree of self-efficacy of elementary school students was more than average. The degree of self-efficacy on physical activity was the highest and the degree of self-efficacy on self-fulfillment was the lowest. The degree of self-efficacy of girl students was comparatively higher than that of boy students. When their parents got higher education, made a lot of money and kept harmony with their children, the degree of self-efficacy became high. Furthermore, when their parents or themselves have a lot of interest in health, they feel that they are healthy, and they feel that they are satisfied with their bodies, the degree of self-efficacy was high too. B. The degree of health promotion behavior Although the degree of health promotion behavior of elementary school students was a bit lower than the degree of self-efficacy, it was higher than average. The degree of health promotion behavior on physical activity was the highest. But the degree of health promotion behavior on health of their own was the lowest. The degree of health promotion behavior between girl students and boy students was the same. When their parents got higher education, made a lot of money and kept harmony with their children, the degree of self-efficacy became high. Furthermore, when their parents or themselves have a lot of interest In health, they feel that they are healthy, and they feel that they are satisfied with their bodies, the degree of self-efficacy was high too. C. The relation between self-efficacy and health promotion behavior When the degree of self-efficacy was high, the degree of health promotion behavior was high too. So there was high positive relationship between self-efficacy and health promotion behavior. Physical activity showed the highest relationship. The order of strong relationship run as follows. Relationship with others, self-fulfillment, management of stress. The higher self-efficacy which was a recognizable factor on health behavior, the higher the degree of health promotion behavior. It is being revealed that many modem chronic diseases are cause by accumulated careless attitude on harmful health habit and lack of self-control. The behavior of keeping healthy and enhancing health is more firm when they have high self-efficacy which is believing their own conviction. So, When we teach elementary school students health promotion education at school, we should try to enhance their own self-efficacy rather than just instill simple information about health. By doing so, we can help them change their attitude on health. Then, they could enjoy life-long healthy life.
This study was undertaken in order to determine the relationship among a health locus of control. self-esteem. perceived health status. and health promoting behavior in order to determine factors affecting health promoting lifestyle in college students. The subject were 137 students of one university in Kyungsan. The analysis of data was done with a mean. percentage. Pearson correlation coefficient. and Stepwise multiple regression with an SAS program. The result of this study ware as follows: 1. Performance in health-promoting behavior was significantly correlated with self-efficacy and self-esteem 2. Performance in self-achievement was significantly correlated with self-efficacy, self-esteem, and perceived health status. Performance in health responsibility was significantly correlated with self-efficacy and self-esteem Performance in exercise was significantly correlated with self-efficacy and perceived health status. Performance in nutrition was significantly correlated with self-efficacy. self-esteem. and perceived health status. Performance in interpersonal support was significantly correlated with self-efficacy. internal locus of control. and self-esteem Performance in stress management was significantly correlated with self-efficacy, self-esteem. and perceived health status. 3. Self-efficacy was the highest factor predicting health promoting lifestyles. 4. Self-efficacy was the highest factor predicting self-achievement. health responsibility. exercise. nutrition. and stress management. Self-esteem was the highest factor predicting interpersonal support. From this research findings, we need to develop health promoting program and health education focusing on exercise, health responsibility for college students.
This article reviewed and analyzed 39 studies on self efficacy theory applied to health related behavior. The following analysis was done : 1) study subjects 2) measurement tools 3) analysis according to the type of research design(intervention re-search, explanatory research). Some findings are summarized as follows : The study subjects were both healthy people in various developmental stages and patients with various illnesses. The health related behaviors examined in the studies were also various including exercise, smoking cessation, self care behaviors, etc. The measurement of self efficacy was done with specific tools in most studies. In the tools, activities that measured the health behavior domain were listed according to increasing difficulty or contexual arrangement or in combination of both of them The analysis of 17 intervention research studies showed that generally the intervention program increased the self efficacy level of subjects and then the increased strongly self efficacy influenced behavioral changes. Most studies used more than one intervention method for increasing the self efficacy level. these were derived from sources of self efficacy suggested by Bandura. The analysis of 21 explanatory research studies showed that self efficacy strongly influenced behavior change and persistence. The major independent variable to affect the self efficacy was performance accomplishment in the past. Self efficacy explained more of the variance in health related behavior when it was applied with the variables in the health belief model, health promotion model, and reasoned action theory. On the basis of the above findings, the following suggestions are made : 1. For a desirable research design, self efficacy should be the intervening variable. That is, desirable designs would include intervention-self efficacy-behavior in intervention research studies and antecedent-self efficacy-behavior in explanatory research studies. 2. More prospective, longitudinal studies are needed to test the effect of self efficacy on persistence in health related behavior. 3. Studies comparing the effects of intervention methods are needed for each health related behavior, subject group, and context. 4. It is necessary to develop a reliable, valid measurement tool for self efficacy for each health related behavior. 5. Studies to differenciate the effect of self efficacy from that of outcome expectation on the health related behavior are necessary. 6. The antecedents of self efficacy should be investigated further.
In order to investigate the effects of subjective oral health status and health practice behavior on oral health-related self-efficacy in adults, a survey was conducted in adults living in Busan and analyzed using the SPSS 21.0 program. The better the subjective oral health status, brushing-related self-efficacy and oral health management self-efficacy were significantly higher. The better the health practice behavior, brushing-related self-efficacy and oral health management self-efficacy were significantly higher. The better the subjective oral health status, the more positively it affected oral health-related self-efficacy. The implementation of health practice behavior in order of exercise, health responsibility implementation, and smoking showed a positive effect on oral health-related self-efficacy. Therefore, we hope that the results of this study are used as fundamental data for development of continued oral health programs converging systemic and oral health and contribute to the promotion of comprehensive and oral health in adults.
Purpose: Self-efficacy encompass one's belief in one's ability to organize and achieve goals. Previous studies have not adequately examined the mediating role of self-efficacy between social support and health promotion behavior. Therefore, this study explored the mediating role of self-efficacy in the relationship between social support and health promotion behavior among older women living alone. Methods: Participants were 145 older women living alone attending a local welfare center for seniors. They completed the Self-efficacy Scale, Medical Outcome Study Social Support Survey Scale, and Health Promoting Lifestyle Profile II. Data were analyzed using Descriptive statistics, Pearson correlation coefficients, Baron and Kenny's regression analysis and the Sobel test with the SPSS program. Results: The average social support, health promotion behavior, and self-efficacy were not high. Self-efficacy was a partial mediating role in the relationship between social support and health promotion behavior. Social support was positively correlated with self-efficacy (r=.31, p<.001) and with health promotion behavior (r=.43, p<.001), and self-efficacy was positively related with health promotion behavior (r=.39, p<.001). Conclusion: To enhance health promotion behavior in older women who live alone, intervention strategies to increase social support and self-efficacy for these women should be developed.
Purpose: This study aimed to develop the following scales on women's environmental health and to examine their validity and reliability: severity, susceptibility, response efficacy, self-efficacy, benefit, barrier, personal health behavior, and community health behavior scales. Methods: The item pool was generated based on related scales, a wide literature review, and indepth interviews on women's environmental health according to the revised Rogers' protection motivation theory model. Content validity was verified by three nursing professionals. Exploratory factor analysis, convergent validity, and internal consistency reliability were examined. Results: The scales included 10 items on severity, 11 on susceptibility, 10 on response efficacy, 14 on self-efficacy, 8 on benefits, 10 on barriers, 17 on personal health behavior, and 16 on community health behavior. Convergent validity with the environmental behavior scale for female adolescents was supported. The Cronbach's α values for internal consistency were good for all scales: severity, . 84; susceptibility, .92; response efficacy, .88; self-efficacy, .90; benefits, .91; barriers, .85; personal health behavior, .90; and community health behavior, .91. Conclusion: The evaluation of the psychometric properties shows that these scales are valid and reliable measures of women's environmental health awareness and behaviors. These scales may be helpful for assessing women's environmental health behaviors, thereby contributing to efforts to promote environmental health.
This study was conducted to find out the relationship among several variables such as health status, self-efficacy, health related hardiness, family support and pain in patients with rheumatoid arthritis. The subjects were 108 patients with rheumatoid arthritis who visited the out patient department of Rheumatism at E university hospital in Teajon. Data were collected by questionnaire from November 26, 1999 to January 14, 2000. The instrument used in this study were health status developed by Bae et al(1998), self-efficacy scale developed by KRHPS, health related hardiness modified by Suh(1988), family support scale developed by Kang(1984), Pain with graphic rating scale. Data were analyzed by descriptive statistics, one-way ANOVA, Pearson Correlation Coefficient, multiple regression using the SPSS Win program. The results were as follows; 1. There were no statistically significant differences between general characteristics and variables such as health status, self-efficacy, health related hardiness and family support respectively. 2. Statistically significant differences were not found between clinical characteristic and variables such as health status, self-efficacy, health related hardiness and family support respectively. 3. Significant correlations were found between health status and self-efficacy, self-efficacy and hardiness, hardiness and family support, health status and pain, self-efficacy and pain respectively(p<0.01), and health status and hardiness, self-efficacy and family support, hardiness and pain respectively(p<0.05). 4. Self-efficacy and pain were significant affecting factors of a health status. In these results, it is suggested that nursing intervention to increase self-efficacy and to reduce pain was very important for patients with rheumatoid arthritis.
Purpose: This study was conducted to develop a teacher-efficacy scale which is adequate for heath education teachers. Method: A preliminary questionnaire was made based on the hypothetical factors. A total of 364 health education teachers answered to the preliminary test, and the potential factors of teacher-efficacy were checked out by exploratory factor analysis (EFA). In the main test 378 health education teachers answered, the factor structure was drawn by EFA, and confirmatory factor analysis (CFA) was conducted to test and the fitness of the factor model. Results: Through the preliminary test, 5 potential factors were found, which were instruction, health-service, administrative task, interpersonal relationship, and community connection. Also, 48 items were reduced to 31 items. Through the main test, from the 34 items were extracted 4 factors with 24 items, And then teacher-efficacy scale was developed, which included the subscales of instruction efficacy, health-service efficacy, task-interpersonal efficacy, and community connection efficacy. Conclusion: Different from that for other subject teachers, the factor structure for health teachers had 4 factors with 24 items. The scale developed in this study is consistent with health teachers' work areas, and for this reason, has significance as a adequate and valid scale to measure teacher-efficacy of health education teachers.
Purpose: Adolescence is viewed as a critical period in the formation of health behavior and many health behaviors developed during this era persist into adulthood. Social-cognitive theory, self-efficacy as a central construct, has been used to predict and intervene the health behavioral patterns in adolescent. Previous research demonstrated that the attachment in childhood and self-esteem as psychosocial factors are predictors of the health efficacy in adolescent and it is viewed as solely an antecedent for the lifelong health behavior. Method: To investigate the path pattern of attachment in childhood, self-esteem and health efficacy in adolescents, 381 adolescents in high school from two urban cities in Korea were recruited for cross-sectional sample. Attachment in childhood was measured using Mother-Father-Peer Scale. Self esteem was measured with Hare self esteem. Perceived self efficacy in Health was measured by the School Health Efficacy Questionnaire. The path analysis revealed a significant relationship between attachment in childhood and self-esteem, self-esteem and health efficacy in adolescents. Self esteem was the strongest contributing factor for health efficacy in adolescent. The results suggest that attachment in childhood may aid in formulating positive self -esteem in adolescents and self-esteem played a major role in predicting health efficacy in adolescents. Conclusion: Therefore, self-esteem enrichment should be incorporated with adolescent health promotion and certainly should be a component in any health education program in school health program and interventions. These results have implications of psychosocial and family related factors on health promotion and health education for the health care provider with regard to primary and secondary prevention in adolescent population.
Purpose: This study is designed to examine the effect of self-efficacy on stress-coping methods of health related and non-health related department college students. Method: A questionnaire survey was conducted on 533 students (268 health department and 265 non-health department) of health department and non-health department students at 1 university and 2 university in Gyeonggi-do, jeollabuk-do and jeollanam-do. Results: The results were statistically analyzed using SPSS 12.0, which made no statistically-significant difference among health and non-health students. The study on the effect of self-efficacy on stress-coping methods has revealed that both health and non-health department students showed statistically-significant positive correlation between self-efficacy and emotion-centered coping methods. Also, Social efficacy had negative correlation with social-supported coping methods. While non-health department students had statistically-significant positive correlation between self-efficacy and wishful coping. Conclusion: Accordingly, it has been revealed that self-efficacy is effective in stress-coping methods.
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