Purpose: This study described female college students' knowledge, self-efficacy and health behaviors related to bone health. Methods: A descriptive cross-sectional survey design was used. A total of 214 students were conveniently recruited from a school of nursing in Korea. Participants (mean age=21.2, SD=1.9 years) bone mineral density (BMD) was measured using dual energy x-ray absorptionmetry. Participants also completed a questionnaire consisting of knowledge test, self-efficacy scale and health behaviors related to bone health. Data were analyzed using SPSS/WIN 17.0 program. Results: The mean BMD at left femoral neck site was $0.86g/cm^2$ and 6.1~12.6%. Results showed that participants were below the expected range of BMD. Level of knowledge (correct rate=54%) and self-efficacy were moderate (mean 54.8 out of 84). More than 84% of subjects drank alcohol more than once a month and 58.4% did participate in regular exercise. Only 7.9% participants took calcium and vitamin-D rich foods every day. There were significant positive correlations between knowledge and self-efficacy (r=.17), health behaviors (r=.14) and self-efficacy and health behaviors (r=.28, all p<.05). Conclusion: These results suggest that health care professionals need to provide effective interventions for young women in order to enhance knowledge, self-efficacy and health behaviors related to bone health.
Purpose: The purpose of this study was to examine the relationships between self-efficacy and health promotion lifestyle in middle and high school teachers. Methods: This study used survey data from 26 middle and high schools The study included 181 teachers who completed questionnaires. The questionnaires were consisted of demographic and occupational characteristics, self-efficacy on health behaviors, and Health Promotion Lifestyle Profile (HPLP). Analyses were done using frequency, percentage, correlation, and multiple regression analysis with dummy variables. SAS 8.2 was used. Results: Mean self-efficacy score on health behaviors was 4.1${\pm}$0.5. Mean health promotion lifestyle scores were healthy diet (2.4${\pm}$0.5), physical activity (2.0${\pm}$0.8), stress management (2.3${\pm}$0.5), self-fulfillment (2.9${\pm}$0.5), responsibility of health (2.3${\pm}$0.6), and personal relationship (2.7${\pm}$0.6). Self-efficacy was significantly related to all health promotion lifestyle scores (healthy diet, physical activity, stress management, self-fulfillment, responsibility of health, and personal relationship). Among demographic and occupational characteristics, sex and school level was significantly related to healthy diet. Sex was significantly associated with physical activity. Marital status was significantly related to responsibility of health. Conclusions: The results showed that intervention programs for middle and high school teachers targeting health promotion lifestyle are needed. These intervention programs would be effective when sex, age, marital status, and school level are considered. In addition, given that higher self-efficacy was related to higher health promotion lifestyle scores, it strengthens the need for further investigations aimed at how to change self-efficacy in teachers.
Objectives: This study was carried out to investigate the effects of improvement in health promotion behavior of nursing college students by the difference of self esteem. The students was divided two groups one is low level self esteem the other is high depending on median point of self esteem. The specific objectives were first, to find out the differences of health promotion behavior, self efficacy, health perception, fatigue level, depression, psychosocial wellbeing, second, to establish which factors determine their health promotion behavior between two groups. Methods: Self-administered questionnaires were given to 262 students enrolled in a nursing college. between may and June 2008. The questionnaire items included age, sex, education level, self esteem, self efficacy, health perception, fatigue, depression,, psychosocial well being and health promotion behavior. For statistical analysis, frequency, t-test, regression used for determining the factors effecting health promotion behavior. Results: The influencing factors were self efficacy among low level and self efficacy, fatigue and stress among high level. Self efficacy strong positive impact on health promotion behavior among both groups. Stress and fatigue was only effective among high level group. Conclusion: Based on the study results, improvement of health promotion behavior among nursing students requires the development and application of programs to manage self efficacy and stress as a precondition for depending on self esteem level.
Purpose: The purpose of this study was to investigate the effects of self-efficacy and social support on health promotion behaviors of patients with stroke. Methods: A sample of 123 patients with stroke was recruited from outpatient department of a hospital. Data were collected between September and October in 2015 using Health Promoting Lifestyle Profile II (HPLP-II), the Homebound Stroke Patients' Self-efficacy, and the Multidimensional Scale of Perceived Social Support (MSPSS). Results: The mean score of HPLP-II, self-efficacy, MSPSS were 2.71 out of 4, 63.87 out of 75 and 37.91 out of 60, respectively. Multiple regression analysis demonstrated that self-efficacy and family support explained 40% of the health promotion behaviors among the stroke patients. Conclusion: The results of the study revealed that self-efficacy and family support have significantly positively correlated with health promotion behaviors. These correlates should be taken into account in the development of interventions to support patients with stoke in health behavior change.
Purpose: The purpose of this study was to develop an obesity management program for obese children and examine its effects on body composition, self-efficacy, and health promotion. The obesity management program was based on a KAP & HBM mixed model and consisted of health education and group playing exercises. Method: This study was implemented at one elementary school in K city for a total of 12 weeks. The study subjects were a single group, and their body composition, self-efficacy, and health promotion were assessed at both pre-treatment and post-treatment. Data were analyzed by Wilcoxon Signed Rank Test using SPSS WIN 20.0. Result: After the program, the average height of subjects increased by 0.9cm (p=.001), whereas BMI decreased by $0.64kg/m^2$ (p=.003), obesity index decreased by 3.79% (p=.003), and body fat decreased by 1.34% (p=.002). There were significant effects on diet self-efficacy (p=.027), exercise self-efficacy (p<.001), and health promotion (p=.001). Conclusion: This obesity management program reduced the degree of obesity and improved self-efficacy and health promotion. Therefore, the obesity management program is an effective intervention method for elementary-aged obese children.
Purpose: This study focused on identifying health promotion behavior of older adults, and factors affecting this behavior. Method: The participants in this survey analysis were Koreans aged 65 or over who had the ability to communicate and could do cognitive thinking, and who consented to participate in the survey. The survey questionnaire included items on demographic characteristics, level of depression, social support, activities of daily living, self-efficacy, and health promotion behavior. Data were analyzed using the SPSS Windows 14.0 program. Results: There were significant differences in health promotion behavior according to religion, economy and health status. Levels of depression, social support and self-efficacy had strong correlations with health promotion behavior. The factors that had the greatest effect on health promotion behavior were social support and self-efficacy. Conclusion: As social support and self-efficacy have been found to affect health promotion behavior in older adults, programs developed to enhance health of older adults should include activities to enhance both social support and self-efficacy.
Purpose: The purpose of this study was to examine the mediating and moderating effects of fall-related efficacy and social support on the relationship between frailty and health-related quality of life among rural community-dwelling elderly. Methods: A cross-sectional survey was conducted with a convenient sampling method, and data of 438 elderly residents living in a rural community was used. The structured questionnaire included items from the Euro Quality of life-5 Dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/ depression), fall-related efficacy and social support. Results: Analysis of the mediating effect of fall-related efficacy and social support showed that there was significant mediating influence of fall-related efficacy on the relationship between frailty and health-related quality of life. There were no moderating effects of fall-related efficacy and social support. Conclusion: The findings suggest that fall-related efficacy may play a role in reducing the effect of frailty on health-related quality of life and underscore the need to consider ways of enhancing fall-related efficacy in interventions for rural community-dwelling frail elderly.
Purpose: This study was conducted among older women to (1) identify their levels of knowledge, self-efficacy, and health behavior in dealing with osteoporosis and falls and (2) explore the relationships between the study variables based on a health-beliefs model. Methods: With a cross-sectional survey design, we recruited 94 older women of ages from 65 to 74 at a community setting via convenience sampling. The study participants completed two sets of structured questionnaires (on osteoporosis and fall prevention). Results: The general characteristics of the study participants demonstrated that the women were at high risk for osteoporosis and falls. Overall, the levels of knowledge about osteoporosis and falls, their self-efficacy, and their preventive behaviors were average or slightly above. The relationships between the study variables showed that self-efficacy and healthy behavior, such as doing osteoporosis exercise, eating an osteoporosis diet, and avoiding falls, were related (r=38, p<.001; r=.33, p<.05; r=.26, p<.05). In addition, there were statistically significant relationships between osteoporosis and fall prevention knowledge (r=.37~.46, p<.001), self-efficacy (r=.50~.53, p<.001), and preventive behaviors (r=.50, p<.001). Conclusion: The women's scores on osteoporosis and fall knowledge, self-efficacy, and preventive behaviors suggest an urgent need for the implementation of educational programs for older women. A close relationship between self-efficacy and health behaviors implies a need for transformation of a traditional one-way lecture form.
Purpose: The purpose of this study is to examine the association of family support, self-efficacy, health literacy and perceived health status with health-promoting behavior (HPB) in married immigrant women. Methods: A cross-sectional based survey was conducted to collect data from married immigrant women living in Gyeongsang province. Questionnaires included Health promoting lifestyle profile II, General self - efficacy scale, Korean Health literacy assessment and perceived health status. Results: 157 subjects participated in the study (mean age, $30.47{\pm}6.83$). Their duration of living in Korea was $63.05{\pm}50.11$ months. Of the participants, 59.2% were Vietnamese. The level of HPB, perceived health status, health literacy, support of family and self-efficacy were $2.58{\pm}0.42$, $3.39{\pm}0.86$, $25.12{\pm}20.99$, $3.83{\pm}0.70$ and $3.61{\pm}0.53$ respectively. Factors affecting the HPB of the participants were support from family (${\beta}=.45$, p<.001) and self-efficacy (${\beta}=.16$, p<.05). The explanatory power of these two variables was 34.2%. Conclusion: This study suggests that the factors influencing the HPB of married immigrant women include support from family and self-efficacy. A variety of programs should be provided for families so that they can support those women to help them increase their HPB. It is recommended that more various programs be provided to increase their self- efficacy.
Purpose: The purpose of this descriptive, cross-sectional study was to examine relationships among emotional labor, self-efficacy, and burnout of employees in public health centers. Factors that influence burnout of workers were also assessed. Methods: One hundred sixty six workers in public health centers completed a pack of self-report questionnaires. Collected data were analyzed using descriptive statistics, t-test, one-way ANOVA along with $Scheff{\acute{e}}$ test, and stepwise multiple regression. Results: Employees in public health centers seemed to experience emotional labor to some extent. There were statistically significant differences in burnout depending on the age of workers. Employees' burnout had a positive relationship with emotional labor and a negative relationship with self-efficacy. Factors influencing burnout of employees in public health centers were emotional dissonance, surveillance & monitoring of organization, age, and self-efficacy. Conclusion: Considering the findings from this study, health care providers need to develop effective interventions which increase the level of self-efficacy and decrease certain types of emotional labor for employees in public health centers and to help them effectively manage burnout.
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