• Title/Summary/Keyword: Intervention process evaluation

Search Result 132, Processing Time 0.024 seconds

A Qualitative Evaluation of Short-Term Intensive Home-Based Rehabilitation Program for Disabilities Through In-Depth Interview: Community-Based Participatory Research Approach (지역사회기반 참여연구 방법에 입각한 단기집중 방문재활프로그램 질적 평가: 치료사와 대상자 심층면담을 중심으로)

  • Lee, Min-young;Kim, Eun-seung;Yoon, Bum-chul
    • Physical Therapy Korea
    • /
    • v.23 no.2
    • /
    • pp.44-56
    • /
    • 2016
  • Background: The Community-Based Participatory Research (CBPR) approach is recognized in the field of health promotion as a way to optimize intervention for promoting health by taking into account specific social, economical, and institutional situations of the community. However, the CBPR approach has not been applied in the field of community-based rehabilitation. Objects: This study was conducted to explore the self-perceived satisfaction of therapists and disabilities on the Short-term Intensive Home-based Rehabilitation (SIHR) program developed using the CBPR approach as well as determine the points that need improvement. Methods: This research was conducted through in-depth interviews. The SIHR program was developed, applied, and evaluated by both the researchers and four therapists on the basis of the CBPR approach. The SIHR program was administered to four disability for 1 hour a day, 2 or 3 times a week, for 8 weeks, and their self-rehabilitation was monitored once a week for 4 weeks. After all intervention periods, in-depth interviews were conducted by using a semi-structured questionnaire for the therapists and disability. Results: The therapists were satisfied with the contents of the SIHR program, such as behavioral change technique and goal-directed training. They were also satisfied with the process of developing the program through a community network. Disabilities were satisfied with the therapists' persuasive and emotionally interactive way of delivering the SIHR program as well as the individually customized rehabilitation training and physical improvement. The short period (8 weeks) of the SIHR program was noted by both therapists and disabilities as the part that needs improvement. Conclusion: The SIHR program developed using the CBPR approach was feasible and satisfying to therapists and disabilities. However, a longer SIHR program should be developed. Community networks could help therapists effectively utilize community resources and thereby provide more rehabilitation program for persons with disability.

Systematic review on the Randomized Controlled Clinical Trials of Qigong in the Korean Journals (국내 기공관련 무작위 임상연구에 대한 현황 검토)

  • Han, Chang-Hyun;Lee, Sang-Nam;Park, Ji-Ha;Ahn, Sang-Woo
    • Korean Journal of Acupuncture
    • /
    • v.26 no.1
    • /
    • pp.27-40
    • /
    • 2009
  • Background : Qigong is an energy-healing intervention used to prevent and cure ailments and to improve health through regular practice. Although qigong-neither itself nor its postulated mechanism of action-are within the paradigm of modern Western medical science, its effects on the human body could be possible. Objectives : This study aims to review the bibliography, biological responses and therapeutic effects of Qigong. In the process, this review will grasp trends in this field of studies and will direct further researches into the right direction. Method : The computerized Korean databases were searched from their respective inceptions up to January 2008. The search terms used were 'qi', 'qigong', 'doin', 'training', 'bioenergy', 'life nurturing' and random or Korean language terms related to qigong. Several specialized journals were also manually searched for relevant articles. Result : Since the 1990s, Qigong papers in the Korean Literature are increased. The articles on Korean traditional medicine had been published more than those on physical education or nursing etc. However, since the majority of the trials determine questionnaire, it was difficult to determine the efficacy of a specific intervention. The methodological quality of the trials was generally low (Jadad score: mean, 1.3; range, 1 to 4), questioning their reliability. Conclusions : More profound studies for Qigong are needed. Further rigorous clinical trials with more objective outcome measures that include sham procedures should be performed. Specifically, we think it should be clinical studies and qualitative research methods for evaluation are needed.

  • PDF

Fragility reduction using passive response modification in a Consequence-Based Engineering (CBE) framework

  • Duenas-Osorio, Leonardo;Park, Joonam;Towashiraporn, Peeranan;Goodno, Barry J.;Frost, David;Craig, James I.;Bostrom, Ann
    • Structural Engineering and Mechanics
    • /
    • v.17 no.3_4
    • /
    • pp.527-537
    • /
    • 2004
  • Consequence-Based Engineering (CBE) is a new paradigm proposed by the Mid-America Earthquake Center (MAE) to guide evaluation and rehabilitation of building structures and networks in areas of low probability - high consequence earthquakes such as the central region of the U.S. The principal objective of CBE is to minimize consequences by prescribing appropriate intervention procedures for a broad range of structures and systems, in consultation with key decision makers. One possible intervention option for rehabilitating unreinforced masonry (URM) buildings, widely used for essential facilities in Mid-America, is passive energy dissipation (PED). After the CBE process is described, its application in the rehabilitation of vulnerable URM building construction in Mid-America is illustrated through the use of PED devices attached to flexible timber floor diaphragms. It is shown that PED's can be applied to URM buildings in situations where floor diaphragm flexibility can be controlled to reduce both out-of-plane and in-plane wall responses and damage. Reductions as high as 48% in roof displacement and acceleration can be achieved as demonstrated in studies reported below.

Determinants of Smoking-Cessation Behaviors in Female University Students (여대생의 금연행위에 영향을 미치는 요인에 관한 연구)

  • 김혜원
    • Journal of Korean Academy of Nursing
    • /
    • v.29 no.1
    • /
    • pp.48-60
    • /
    • 1999
  • This study was done to determine the factors influencing smoking-cessation behavior in female university students. A total of 534 students participated in this cross sectional study by answering a questionnaire. The data collection was done between September 1 and October 31, 1997 The measurement tools used in this study were the self help change process scale (Cronbach's alpha=.9930 : developed by Oh & Kim, 1996) for smoking-cessation behaviors, the self efficacy scale(Cronbach's alpha=.8250 : developed by Sherer et al, 1982), the sex role acceptance scale (KR-20=.7757 : developed by Kim, 1991) and the social support scale(Cronbach's alpha=.9172 : developed by Park, 1985). The summarized results are follows : 1. The mean scores for smoking-cessation behaviors in smokers (N=150) was 91.72 that was considered a middle score compared to the total possible score of measurement tool (150.0). The mean score for smoking-cessation behaviors by smoking-cessation step showed significant different between the groups(F=11.71, p=.000). 2. The group with no experience in smoking(N=332) showed a high general self efficacy score (t=5.24, p=.000), and more openness to sex role acceptance(t=-2.15, p=.032) compared to the group with smoking experience (N=202). 3. General self efficacy, sex role acceptance, and social support were not different significantly between the groups according to the steps in smoking-cessation. 4. Significant factors influencing smoking-cessation behavior (total, sub concepts) were religion, sex role acceptance, social support, smoking duration, smoking attitude, time of smoking onset, amount of smoking, drinking, and perception of health status. 5. Smoking-cessation behaviors which explained 11% of the variance were smoking attitude, and smoking duration. In conclusion, this study identified factors influencing smoking-cessation behavior. Thereby it will help in the development of smoking-cessation intervention strategies. For future research, exploration other determinants of smoking cessation behaviors, evaluation of intervention efficiency, and comparative study by gender characteristics are needed.

  • PDF

Drug Use Evaluation of Vancomycin in Pediatric Patients (II) -The effect of Approval for Vancomycin Use (소아환자의 Vancomycin에 대한 약물사용 평가 (II) -제한항균제로 사용규제 강화 후의 효과)

  • Lee, Jeongmin;Lee, Soonsil;Kim, Youngjoo;Shin, Wan Gyoon;Lee, Byung Koo;Lee, Hoan-Jong
    • Quality Improvement in Health Care
    • /
    • v.1 no.1
    • /
    • pp.32-43
    • /
    • 1994
  • The 'Pharmacy and Therapeutic Committee' decided to restrict the use of vancomycin which was categorized into restricted antimicrobials, among general, reserved and restricted antimicrobials. The committee also established prescribing guidelines of vancomycin in Seoul National University Hospital, May, 1991. Especially, the restricted antimicrobials should be used after approval by infectious disease specialist physician. A retrospective drug use evaluation (DUE) on vancomycin has been conducted to compare with the previous vancomycin DUE study in 1990. 'Criteria for DUE on vancomycin' was modified from Am J Hosp Pharm. Total 65 charts of patients were retrospectively reviewed from July 1991 to June 1992 in Seoul National University Children's Hospital. The justification of use was improved from 56% to 75% comparing with the previous study. In analyzing process indicators, several criteria including body temperature monitoring, WBC monitoring and use of concomitant antibiotics were well documented, but serum creatinine monitoring, culture and sensitivity test and level monitoring were infrequently performed, while the accepted level has been improved. Accepted level for appropriate initial dosage and duration of therapy were decreased. In outcome analysis, blood culture after discontinuing the drug was relatively well documented compared with the previous study. As the results, the approval vancomycin use was shown to be effective and rational in antibiotic therapy. And it is suggested that the above findings should be communicated to the medical staff, and a active intervention, such as feedback control, also be necessary for rational drug use.

  • PDF

Calculation of a Threshold for Decision of Similar Features in Different Spatial Data Sets (이종의 공간 데이터 셋에서 매칭 객체 판별을 위한 임계값 산출)

  • Kim, Jiyoung;Huh, Yong;Yu, Kiyun;Kim, Jung Ok
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
    • /
    • v.31 no.1
    • /
    • pp.23-28
    • /
    • 2013
  • The process of a feature matching for two different spatial data sets is similar to the process of classification as a binary class such as matching or non-matching. In this paper, we calculated a threshold by applying an equal error rate (EER) which is widely used in biometrics that classification is a main topic into spatial data sets. In a process of discriminating what's a matching or what's not, a precision and a recall is changed and a trade-off appears between these indexes because the number of matching pairs is changed when a threshold is changed progressively. This trade-off point is EER, that is, threshold. To the result of applying this method into training data, a threshold is estimated at 0.802 of a value of shape similarity. By applying the estimated threshold into test data, F-measure that is a evaluation index of matching method is highly value, 0.940. Therefore we confirmed that an accurate threshold is calculated by EER without person intervention and this is appropriate to matching different spatial data sets.

Conceptual Model of Establishing Lifestyle (Lifestyle-DEPER [Decision, Execution, Personal Factor, Environment, Resources]) and Lifestyle Intervention Strategies (라이프스타일 형성 모델(Lifestyle-DEPER [Decision, Execution, Personal Factor, Environment, Resources])과 건강을 위한 라이프스타일 중재 전략)

  • Park, Ji-Hyuk;Park, Hae Yean;Hong, Ickpyo;Han, Dae-Sung;Lim, Young-Myoung;Kim, Ah-Ram;Nam, Sanghun;Park, Kang-Hyun;Lim, Seungju;Bae, Suyeong;Jin, Yeonju
    • Therapeutic Science for Rehabilitation
    • /
    • v.12 no.4
    • /
    • pp.9-22
    • /
    • 2023
  • The Lifestyle-DEPER (Decision, Execution, Personal Factors, Environment, Resources) model explains lifestyle formation. Lifestyles are shaped through the decision, execution, and habituation stages. Factors influencing the establishment of a lifestyle are categorized as environmental, resource, and personal. The environment encompasses our surroundings and social, physical, cultural, and virtual environments. Resources refer to what individuals possess, such as health, time, economic, and social resources. Personal factors include competencies, needs, and values. At the lifestyle establishment stage, each of these factors influences a different stage. These collective processes are referred to as events, encompassing both personal and social events. Health-related lifestyle factors include physical activity, nutrition, social relationships, and occupational participation. These are the goals of lifestyle intervention. The intervention strategy based on the Lifestyle-DEPER model, called KEEP (Knowledge, Evaluation, Experience, Plan), is a comprehensive approach to promoting a healthy lifestyle by considering lifestyle formation stages and their influencing factors. This study introduces the Lifestyle-DEPER model and presents a lifestyle intervention strategy (KEEP) to promote health. Further research is required to validate the practicality of the model after applying interventions based on the lifestyle construction model.

Development of Multimedia Contents on Smoking Cessation Leadership Program for Health Care Professionals (보건의료인을 위한 금연지도자 교육용 멀티미디어 컨텐츠 개발)

  • Shin, Sung-Rae;Suh, Hong-Wan
    • Korean Journal of Adult Nursing
    • /
    • v.22 no.6
    • /
    • pp.582-593
    • /
    • 2010
  • Purpose: Health care professionals represent an immediately available resource to promote smoking cessation. However, the content in smoking cessation intervention courses in most institutions is insufficiently covered due to the limited number of class hours. The purpose of this study was to develop a comprehensive tobacco cessation-web-based, multimedia, educational program for a range of medical professionals. Methods: Based on Jung's Teaching and Learning Structure Plan Model, a development process was proposed comprising four stages: (1) analysis, (2) planning, (3) production, and (4) operation/evaluation. The effectiveness of the program was tested using quasi-experimental design, and the participants in experimental group were required to complete the program. Changes in the level of knowledge and attitude were measured. Results: The educational program developed includes nine topics and 26 sub-topics. A total of 180 storyboards, 15 videos, and 27 pictures were made. After the education, the level of knowledge was significantly increased in the experimental group. Conclusion: This web-based program can be recommended as a potential medium for health care professionals to use in counseling smoking cessation. The study findings also indicated that the program may be either offered as a teaching aid or utilized concurrently with lectures for students studying health care-related topics.

Trends in Nursing Research on Sexuality in Korea (국내 간호학에서 성(sexuality)에 관한 연구 경향)

  • Lee, Kyung-Hye;Kim, Sun-Hee;Lee, Sun-Hee
    • Women's Health Nursing
    • /
    • v.14 no.2
    • /
    • pp.83-92
    • /
    • 2008
  • Purpose: This study aimed to analyze the trends in nursing research on sexuality in Korea and to provide guidance to the future research in sexual health. Method: Total 163 published articles in Korea from 2000 to 2007 year were reviewed using a structured analysis form which consists of the domains of nursing journal, research designs, research purpose, research subjects, and the key words. Result: Of those articles, 25.8% was published in J. of Korean Academy of Women Health Nursing and 13.5% in J. of Korean Academy of Community Health Nursing. In terms of the research design, quantitative research methods were commonly used in 88.4% of them which only 6.1% used qualitative methods. The nursing process on purpose were classified assessment(86.3%), nursing intervention(11.3%), and nursing evaluation(2.5%); Most of subjects were early adults(35.3%), adolescents(27.9%), and adults(25.6%); The most frequently reported key words were classified into socio-psychological domain(33.5%), cognitive domain(25.6%), clinical domain(12.6%). Conclusion: Research on sexuality in nursing have been continued. The major key words were founded in socio-psychological and cognitive domains. It is recommended that more various subjects, research methodology, and various key words be investigated.

  • PDF

Research Trends on Qigong in the Korean Journal (한국 저널에 게재된 기공관련 단일군 임상연구 동향 분석)

  • Park, Sun-Hee;Han, Chang-Hyun;Kim, Ki-Jin;Shin, Mi-Suk;Choi, Sun-Mi
    • Korean Journal of Oriental Medicine
    • /
    • v.14 no.2
    • /
    • pp.75-80
    • /
    • 2008
  • Background: Qigong is one energy-healing intervention used to prevent and cure ailments and to improve health through regular practice. Although Qigong-neither itself nor its postulated mechanism of action-are within the paradigm of modern Western medical science. effects on the human body could be possible. Objectives: This study aims to review the bibliography, biological responses and therapeutic effects of Qigong. In the process, this review grasp trends in this field of studies and direct further researches into the right direction. Method: The computerized Korean databases were searched from their respective inception up to January 2008. The search terms used were 'Qi', 'Qigong', 'Doin', 'training', 'bioenergy', 'life nurturing' and random or Korean language terms related to qigong. Several specialized journals were also manually searched for relevant articles. Result: Since the 1990s, Qigong papers in the Korean Literature have been increased. Clinical research studies are among the most control design study. Research subjects are less patient than the general public. The most common treatment disease was Musculo-skeletal disorder. Conclusions: The depth study for the each Qigong is needed. Specifically, I think it should be a clinical studies and qualified research methods for evaluation are needed.

  • PDF