• Title/Summary/Keyword: Intervention Programs

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Evaluation of diet quality and its associated factors among adolescents in Kuala Lumpur, Malaysia

  • Rezali, Fara Wahida;Chin, Yit Siew;Shariff, Zalilah Mohd;Yusof, Barakatun Nisak Mohd;Sanker, Kaartina;Woon, Fui Chee
    • Nutrition Research and Practice
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    • v.9 no.5
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    • pp.511-516
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    • 2015
  • BACKGROUND/OBJECTIVES: This study aims to determine contribution of meal frequency, self-efficacy for healthy eating, and availability of healthy foods towards diet quality of adolescents in Kuala Lumpur, Malaysia. SUBJECTS/METHODS: This study was conducted among 373 adolescents aged from 13 to 16 years old. Diet quality of the respondents was assessed using the Healthy Eating Index for Malaysians. Meal frequency, self-efficacy for healthy eating, and availability of healthy foods were assessed through the Eating Behaviours Questionnaire (EBQ), self-efficacy for healthy eating scale, and availability of healthy foods scale, respectively. RESULTS: The majority of the respondents (80.7%) were at risk of poor diet quality. Males ($mean=34.2{\pm}8.2%$) had poorer diet quality than females ($mean=39.9{\pm}9.0%$) (t = -5.941, P < 0.05). Malay respondents ($mean=36.9{\pm}8.7%$) had poorer diet quality than Indian respondents ($mean=41.3{\pm}10.0%$) (F = 2.762, P < 0.05). Age (r = 0.123, P < 0.05), self-efficacy for healthy eating (r = 0.129, P < 0.05), and availability of healthy foods (r = 0.159, P < 0.05) were positively correlated with the diet quality of the respondents. However, meal frequency was not correlated with the diet quality of the respondents. Multiple linear regression analysis showed that being a male, being a Malay, low self-efficacy for healthy eating, and low availability of healthy foods contributed significantly towards poor diet quality among respondents. CONCLUSIONS: In short, sex, ethnicity, self-efficacy for healthy eating, and availability of healthy foods were associated with diet quality among adolescents. Health practitioners should take into consideration of differences in sex and ethnicity during implementation of nutrition-related intervention programs. Self-efficacy for healthy eating and availability of healthy foods should be included as important components in improving diet quality of adolescents.

Development of Social Work Strategies for School-linked services - Based on Latent Class Growth Analysis of Delinquent Behaviors in adolescence - (학교연계 서비스를 위한 사회복지실천 전략 개발 - 청소년기 경비행행동의 차별적 발달궤적에 대한 잠재계층성장분석 -)

  • Lee, Sang-Gyun
    • Korean Journal of Social Welfare Studies
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    • v.40 no.3
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    • pp.377-406
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    • 2009
  • This study used laten class growth analysis to identify discrete developmental patterns of delinquent behaviors in adolescence. This present article also examined associations among these trajectories to determine how the development of delinquent behaviors relates to protective and risk factors, which include parental monitoring, attachment with parent, association with deviant peers, self-control, and negative stigma from others. Four-wave panel data from a Korea Youth Panel Study were used for the latent class growth model analysis. The sample consisted of 3,446 adolescents who were assessed at 4 measurement waves with approximately 1-year interval. Four trajectories of delinquent behaviors emerged: delinquency persistence, delinquency increaser, delinquency decreaser, normative group(almost no delinquent behaviors). Association with deviant peers had the most proximal strong influence on the probability of being in the delinquency increaser and delinquency persistence group compared, noed to the normative group. Parental monitoring, self-efficacy and negative stigma also differentiated the four delinquent behavior trajectories from one another after controllig for socio-demographic variables. The study suggested that there is a significant heterogeneity in the timing and change rate of delinquency progression. Adolescent delinquency prevention and intervention programs will need to consider this heterogeneity and enhance attention to protective and risk factors depending on the subpopulation.

Health Inequalities among the Elderly : Mediation Effect of Social Participation Between Educational Level Inequalities and Self-rated Health·Depression (노인의 건강불평등 : 교육불평등에 따른 건강불평등에 대한 사회참여의 매개효과)

  • Kim, Dongbae;Yoo, Byungsun;Lee, Jeongeun
    • Korean Journal of Social Welfare Studies
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    • v.43 no.1
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    • pp.117-142
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    • 2012
  • This research attempts to explain the influence of educational level inequalities on self-rated health and depression of the elderly. Also, we are focusing whether there is a mediating effect of social support between educational level inequalities and self-rated health depression of the elderly. The data was collected from July, 30 to August, 15, 2009. 631 persons who live in Gangnam-Gu area over 60 years of age were recruited. Frequency, percentage, mean, standard deviation and multiple regression were employed using SPSS 12.0. The result of this study shows that educational level inequalities have a influence on the self-rated health and depression. It is also verified that social participation variable has a partial mediating effect between educational level inequalities and mental health(self-rated health and depression). This study carried out a positive linear relationship between educational level and health: the higher education, the better the health. And also, the results present the importance of developing adequate intervention programs for the elderly having low educational level to improve social participation and to enhance mental health(self-rated health and depression).

A Moderating Effect of Help-Seeking in the Relationship between Violence in sports, Depression, and Intention to Sport Continuance among Female Athletes (여성선수의 운동부 내 폭력 피해경험과 우울, 운동지속의사의 관계에서 도움요청(Help-Seeking)의 완충효과)

  • Kim, Jae Yop;Lee, Jeen Suk;Choi, Sun Ah
    • Korean Journal of Social Welfare Studies
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    • v.43 no.1
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    • pp.59-87
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    • 2012
  • The purpose of this study is to understand the effect of violence in sports on intention to sport continuance among female athletes and to analysis the mediating effect of depression and the difference groups according to help-seeking. In order to accomplish these purposes, this study surveyed from September to October in 2010. The final subjects in the analysis were 345 female athletes who are belong to school athletic team, professional team, business team, and national team. The data were analyzed with SPSS 18.0 and AMOS 10.0 for conducting multiple group analysis. The main results of this study are as follows; First, those who were suffered by emotional violence were 62.4%; those who are damaged by physical violence were 28.6% among the participants in this study. In case of intention to sport continuance, when measured by a rule of five, was average 3.15. 29.9% of the female athletes scored above the standard of depression. Second, depression turned out to have a partial mediating effect within the relationship where violence in sports has effect on intention to sport continuance. Third, between experimental and non-experimental group on help-seeking among female athletes, there was a statistically significant difference in the structural relationship. This means that help-seeking has moderating effect within the path of violence in sports affecting depression. Based on the results, this study suggested that there is a strong need for intervention for the both prevention and cure of the sports violence. It is necessary to develop preventive programs and coping strategies on female athletes' depression and intention to sport continuance.

The Effects of Direct Experience with School Violence on Internet Game Addiction and School Adjustment -Focusing on the Mediating Effect of Depression- (학교폭력피해경험이 게임중독과 학교적응에 미치는 영향 -우울의 매개효과를 중심으로-)

  • Lee, Seo-Won
    • Journal of the Korean Society of Child Welfare
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    • no.40
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    • pp.109-137
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    • 2012
  • The purpose of this study is to examine the effects of direct experience with school violence on internet game addiction and school adjustment focusing on the mediating effect of depression. A survey of 559 middle school students in Seoul, Gyeonggi Province, and Pusan was conducted. The data were analyzed using AMOS 18.0. The results are as follows. First, 43.9% of the study sample experienced school violence in the previous year. In terms of internet game addiction, 45.9% were identified to be potentially addicted, and 6.6% were considered to be addicted to internet games. Second, results from the structural equation model show that school violence has positive effects on depression and internet game addiction. Third, depression has a positive effect on internet game addiction and a negative effect on school adjustment. Fourth, internet game addiction negatively affects school adjustment. Based on these research results, the findings from this study suggest need for intervention programs targeted to prevent school violence, internet game addiction, depression, and school adjustment.

Effect of Parental Bring-up Attitude on Child Abuse Awareness among College Students (부모의 양육태도가 대학생의 아동학대 인식에 미치는 영향)

  • Park, Mijeong;Oh, Doonam
    • The Journal of the Korea Contents Association
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    • v.19 no.10
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    • pp.452-462
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    • 2019
  • This study is a descriptive survey research to investigate the effect of parental bring-up attitude on child abuse awareness among college students. Data were collected using structured questionnaires about parental acceptance-rejection questionnaire, child abuse awareness and child abuse knowledge tool from 272 students attending one university located in A city from April 16 to 30, 2019, and were analyzed using t-test, One-way ANOVA, Kruskal-Wallis test, $Scheff{\acute{e}}$ test, Pearson's correlation coefficient, multiple regression. The results of the study are as follows. First, child abuse awareness of the subjects were found that there was a significant difference according to gender, grade, number of siblings, level of knowledge about child abuse. Second, parental indifference/neglect attitude showed a negative correlation with child abuse awareness. Third, in relation to child abuse awareness, the explanatory power of gender, grade, number of siblings, knowledge level about child abuse, and parental bring-up attitude was 14.3%, and grade, number of siblings, knowledge level about child abuse, and parental indifference/neglect attitude were significant factors. The results of this study can be used as a major intervention strategy in the development of programs to improve child abuse awareness for college students through systematic and practical understanding.

The Influence of Smartphone Addiction on Subjective Well-being among adults : Dual Mediation Effect of Executive Function Deficit and Adaptive Cognitive Emotion Regulation Strategies (성인의 스마트폰 중독이 주관적 안녕감에 미치는 영향: 실행기능 결함과 적응적 인지적 정서조절전략의 이중매개효과)

  • Lim, Jee-young
    • Journal of Digital Convergence
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    • v.17 no.11
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    • pp.327-337
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    • 2019
  • The purpose of the current study was to examine dual mediation effect of executive function deficiencies and adaptive cognitive emotion regulation strategies in the relation of smartphone addiction and subjective well-being and to suggest implications for adult smartphone addiction intervention programs. A self-report survey was conducted to 148 adults(71 males and 77 females) and the mediation effect was evaluated by regression analyses. Key findings are as follows. First, executive function deficiencies showed mediation effect on the relationship between smartphone addiction and adaptive cognitive emotion regulation strategies. Second, significant mediation effect of adaptive cognitive emotion regulation strategies was not found on the relationship between smartphone addiction and subjective well-being. Finally, the relation of smarphone addiction and subjective well-being was mediated by executive function deficiencies and adaptive cognitive emotion regulation strategies. These results imply that it would be helpful to train executive function and foster emotion regulation strategies to the adult smartphone addiction groups. Finally, limitations of this study and suggestions for future research of the entire adult age group were discussed.

The Clinical Characteristics of Elderly Suicide Attempters Visiting Emergency Room (응급실을 내원한 노인 자살시도자들의 임상적 특징)

  • Shin, Hyun Woo;Lee, Kang Joon;Kim, Hyun
    • Korean Journal of Psychosomatic Medicine
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    • v.23 no.2
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    • pp.100-106
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    • 2015
  • Objectives : The purpose of this study was to find out the clinical and sociodemographic characteristics of elderly suicide attempters visiting emergency room, compared to non-elderly adult suicide attempters. Methods : We enrolled suicidal attempters who were treated in the emergency room of the Inje University Ilsan Paik Hospital between June 2013 and July 2015. We conducted a retrospective chart review of 336 suicidal attempters, and compared sociodemographic and clinical characteristics between elderly and non-elderly adult suicide attempters. Results : During the study period, 336 patients visited the emergency room of the medical center after suicide attempts. Among these, there were 71 elderly(21.2%) and 265 non-elderly adult(79.8%) suicide attempters. The suicidal methods among elderly were poisoning(73.3%), hanging(19.7%), cutting(5.6%), and jumping(1.4%). Those in non-elderly were poisoning(73.2%), cutting(17.0%), hanging(6.8%), and jumping(3.0%). The elderly suicide attempters had the tendency to choose more dangerous methods and showed higher lethality compared to adult suicide attempters(20.6% vs. 1.9%, ${\chi}^2=34.565$, p<0.05). On the other hand, premorbid psychiatric disorders had been more commonly diagnosed in non-elderly adults than elderly suicide attempters(49.8% vs. 26.8%, ${\chi}^2=12.024$, p<0.05). Conclusions : The results provide evidence of different sociodemographic and clinical characteristics of elderly suicide attempters compared to non-elderly ones visiting the emergency room. Through this study, it can be seen that the suicide attempt in the elderly tends to be severer than in the non-elderly, but only a small portion of them seek for help from psychiatric intervention. Further study is required to provide effective suicide prevention programs for elderly population.

The effect of affecting Dietary Self-Efficacy and Physical Activity Self-Efficacy on Health-Promoting Lifestyle in school-age obese children (학령기 비만아동의 식이자기효능감과 운동자기효능감이 생활습관에 미치는 영향)

  • Ryu, Hyun-Sook;Cho, In-Sook
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.4
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    • pp.941-950
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    • 2021
  • This study was conducted to identify the factors affecting the health-promoting lifestyle of the school-age obese children. Method: Data Collection for this study was conducted form July 20 to August 2, 2019 using a structured questionnaire. We analyzed the collected data by frequency, percentage, ANOVA, t-test, Pearson's Correlation Coefficient, and Multiple Regression Analysis. Results: The factors affecting the health-promoting lifestyle of the subjects, multiple regression analysis results showed that Dietary Self-Efficacy(𝛽=.406, p=.001), Physical Activity Self-Efficacy(𝛽=.245, p=.038), Furthermore, the F statistics for the fitness of the estimated regression model were 6.34(p<.001), which was significant. The explanatory power was 24.2%. Conclusion: The results of this study showed that Dietary Self-Efficacy and Physical Activity Self-Efficacy of the school-age obese children was the most influential factor on health-promoting lifestyle. Consequently, the results of this study suggest that it is necessary to find ways to improve Dietary Self-Efficacy and Physical Activity Self-Efficacy in order to improve health-promoting lifestyle of nurses, and it is considered to be useful as basic data for developing intervention programs to improve health-promoting lifestyle.

Differences in Associated Factors according to the Time of Occurrence of Pressure Ulcers in Intensive Care Unit Patients (중환자실 환자의 욕창 발생 시기에 따른 관련요인의 차이)

  • Lee, Mijung;Seo, Eunjeoung;Kim, Miok;Park, Jeongok;Lee, Seonmi;Shin, Hyunkyung;Yun, Ilsim;Cho, Mina;Cho, Youngcha;Kang, Bomi;Seo, Hyunmi;Lee, Misoon;Lee, Sira;Jang, Hyejoo;Jung, Hyunsuk;Ahn, Jeong-Ah
    • Journal of Korean Critical Care Nursing
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    • v.14 no.3
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    • pp.26-36
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    • 2021
  • Purpose : This study aimed to present the incidence of pressure ulcers and identify different associated factors according to the time of occurrence of pressure ulcers in intensive care unit (ICU) patients. Methods : The participants were 313 patients who reported pressure ulcers among 2,908 patients in ICUs at a large tertiary hospital in Gyeonggi-do. Among them, 220 patients (70.3%) had a pressure ulcer before admission, and 93 patients (29.7%) reported newly developed pressure ulcers after admission to the ICU. Data were collected between August 2018 and April 2019. Along with the time of occurrence and characteristics of pressure ulcers, diverse associated factors were gathered through electronic medical records. Data were analyzed using descriptive statistics, independent t-tests, and 𝑥2-tests. Results : Different risk factors associated with pressure ulcers in ICU patients according to the time of occurrence were main diagnosis, score of acute physiology and chronic health evaluation, score of Richmond agitation sedation scale, level of consciousness, administered sedatives, use of a ventilator, insertion of a feeding tube, and the duration of fasting period. Conclusion : Based on the results of this study, healthcare providers, especially ICU nurses, should try to detect early signs and symptoms of pressure ulcers, taking into account the derived factors associated with pressure ulcers in ICU patients. Practical intervention programs and strategies considering the factors associated with pressure ulcers must be developed to prevent and alleviate such ulcers in ICU patients in the future.