• Nutrition Research and Practice
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• 제17권4호
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• pp.717-734
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• 2023

BACKGROUND/OBJECTIVES: This study aimed to identify preschool children's eating behaviors associated with early childhood obesity and its multi-level, socio-ecological determinants. SUBJECTS/METHODS: In a cross-sectional study of 364 mothers of preschool children aged 3-5 years, these children's healthy eating behaviors were assessed using a validated preschool nutrition quotient (NQ-P) questionnaire. The children's overweight or obesity statuses were determined based on body mass index percentiles from the 2017 Korean National Growth Chart. The associations between the NQ-P score and risk of overweight or obesity were examined using multivariable logistic regression. The associations of individual, maternal, physical, and media environmental factors with the NQ-P score were also examined using multivariable linear regression. RESULTS: Preschool children with greater NQ-P scores were at a significantly lower risk of overweight or obesity (P < 0.01). The NQ-P score had a significantly positive association with maternal body mass index and an inverse association with household income (all P < 0.05). Maternal parenting and feeding practices exhibited associations with the NQ-P score. Positive associations were observed with "warm," "structured," and "autonomy-supportive" parenting as well as monitoring feeding practices (all P < 0.05). In addition, the NQ-P score had a significantly positive association with the childcare center's anti-obesogenic environment, such as the provision of nutritional and physical-activity support and vicinity of the built food environment to the home, including access to good-quality food, fruits and vegetables, and low-fat foods (all P < 0.05). Regarding media environments, the NQ-P score demonstrated more significant associations with viewing and eating and/or cooking content displayed on online video platforms (all P < 0.05) than with that on television. CONCLUSIONS: Our findings confirm the significance of healthy eating behaviors in early-childhood-obesity prevention and underscore the importance of multilevel maternal, physical, and media environmental interventions that effectively guide eating behaviors in preschool children.

• 인간행동과 음악연구
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• 제20권2호
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• pp.89-113
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• 2023

본 연구에서는 ASD 아동 부모가 자녀와 함께 가정에서 음악 프로그램을 직접 실행하는 것이 양육효능감과 부모-아동 관계 증진에 도움이 되는지 탐색하고자 하였다. 대상자는 만 3세-9세 사이의 ASD 아동의 부모 10명이 참여하였고, 각 부모는 주 1회, 30분씩 개별로 이루어진 사전 교육에 참여한 후 총 5주간 가정 기반 음악 프로그램을 실행하였다. 가정 기반 음악 프로그램은 부모가 가정에서 활용할 수 있는 음악을 적용한 활동을 구성하고, 아동과의 상호작용이나 부모가 활동에 관하여 결정하거나 조정할 수 있는 수준을 수용적인 수준에서부터 능동적, 자율적 수준까지 총 3단계로 구성하였다. 본 연구 결과, ASD 아동 부모가 한 주간 음악 활동을 실행한 평균 횟수는 2.5회, 평균 진행 시간 9.2분으로 나타났으며, 부모가 지각하는 '편안함'과 '자녀와의 상호작용에 도움이 된 정도'의 인식이 점차 증가하는 것으로 확인되었다. 또한 부모의 양육효능감, 부모-아동의 '친밀감' 영역에서도 유의한 수준의 긍정적 변화가 나타났으며, 대상자들은 프로그램의 적용 가능성을 긍정적으로 평가하였다. 이러한 결과는 ASD 아동의 가족을 지원할 때, 가족의 고유한 특성과 필요를 고려하는 중요성과 다양한 음악 활용 방안을 지원하는 전략의 필요성을 시사한다. 본 연구에서 도출된 결과 및 부모의 보고 내용을 통해 수집된 자료는 추후 가정 기반 음악 활동 및 프로그램에서 실행 가능한 수준과 범위, 고려 사항을 제안하는 데 유용한 기초자료로 활용될 수 있을 것이다.

• 가정간호학회지
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• 제8권1호
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• pp.5-24
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• 2001

The purpose of this study was to develop a parenting intervention program and determine the efficacy of the program with low-birth weight infants and their mothers. Nine dyads for the experimental group and twelve dyads for the control group discharged from the Neonatal Intensive Care Unit of a University Hospital in Seoul were recruited for the study. For the intervention group, programmed education and support which focused on the maternal sensitivity of the infant's behavior. rearing environment. motherinfant interaction and infant care were given to each subject. Individual counseling and home visits were provided at discharge, one week after discharge. and one and three months of corrected age in every infant. Structured questionaires were administered and feeding interactions were videotaped and coded by a blinded certified observer. A Quasi-experimental design was conducted for this study. Postpartum depression, maternal self esteem. infant care burden, HOME. mother-infant interaction, and infant development were measured. Results were in favor of the intervention versus the control group. On the Beck depression inventory, intervention mothers showed decreasing trends in depressive symptom vs control mothers although, there were statistically no significant differences between the two groups at each time. The mean score of experimental group was 11.55(mild depression state) at discharge and became 8,6(normal state) at 1 month of corrected age. On the other hand, the mean score of the control group was 13.92(mild depression state) at discharge and became 14.0. Maternal self esteem in both groups improved over time. Infant care burden in both groups was also shown to increase over time. There was a significant difference between the two groups in HOME(p=.0340) at 3 months of corrected age. HOME scores of the experimental group and the control's were 31.10 and 25.58, respectively. Mothers' emotional and language responses were significantly high in the intervention group compared with the control group(p=.0155). Intervention group (53.33) showed a significantly high quality of motherinfant interaction compared with the in control group (42.80)(p =.0340). Intervention group mothers appeared have a better quality of mother-infant interaction behaviors. On the other hand, there was no statistical difference in the infant part between groups. Intervention group infants had higher trends in a general developmental quotient: although, there was no statistical difference between groups. The general developmental quotient of intervention infants was 102.56 and control's was 91.28. However, the developmental quotient of the domain of 'individuality-sociality' was higher in the intervention group infants compared with the control's(p=.0155). The concerns identified by parents revealed two domains of an infants' health management -knowledge and skills in caregiving of lowbirthweight-infants, characteristics of lowbirthweight infants, identifying a developmental milestone, coping with emergency situations and relaxation strategies of mothers from the infant care burden. Interview data with the mothers of low-birth weight infants can be used to develop intervention program contents. Limited intervention time and frequency due to time and cost limitations of this study should be modified. The intervention should be continuously implemented when low-birth weight infants become three years old. An NNNS demonstration appeared to be a very effective intervention for the mothers to improve the quality of mother-infant interactions. Therefore intervening in the mothers of low-birth weight infants as early after delivery as possible is desirable. This study has shown that home visit interventions are worthwhile for mothers only beyond the approach as an essential factor in ability of facilitating a growth fostering environment. In conclusion. the intervention program of this study was very effective in enhancing the parenting for the mothers of low-birth weight infants, resulting in health promotion of low-birth weight infants. The home-visit outreach intervention program of this study will contribute to the health delivery system in this country where there is a lack of continuous follow-up programs for low-birth weight infants after discharge from NICU, if it is activated as part of the home visit programs in community health systems.

• 한국비블리아학회지
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• 제28권1호
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• pp.209-228
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• 2017

선행연구들은 어머니들의 적극적인 건강정보 탐색자로서의 역할, 가족들의 건강을 돌보는 매니저로서의 역할에 주목해왔다. 그러나 미국 내에 거주하는 한인 이민자 어머니들의 건강정보 필요성이나 탐색 행동에 관한 연구는 미비하다. 본 연구는 커뮤니티를 기반으로 한 설문 연구로서, 한인 이민자 어머니들의 건강정보 필요성과 탐색에 대한 행동을 알아보고자 하였다. 만0세부터 10세의 한인 어머니들 사이에서 가장 중요하다고 여겨지는 건강 주제들은 예방접종, 치아건강, 육아, 영양/식단, 그리고 운동 등으로 밝혀졌다. 또한 특정 주제들에 한하여 아이들의 성별과 나이에 따라 어머니들의 건강 정보 필요성이 다르다는 것을 알 수 있었다. 마지막으로, 미국뿐만 아니라 한국의 정보 전문가들이 건강 정보 서비스를 개발하는데 있어서 염두에 둬야 할 점들을 제시하고 있다.

• Asian Pacific Journal of Cancer Prevention
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• 제17권7호
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• pp.3533-3540
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• 2016

Background: Cigarette smoking is one of the leading global causes of premature and preventable death. In Brunei Darussalam, smoking-related diseases have been a primary cause of mortality for the past three decades. Despite the increasing efforts that have been made in recent years to reduce the consumption of tobacco products in Brunei, the prevalence of adolescent smoking cigarette, however has risen alarmingly, from 8.9% in 2013 to 11.4% in 2014, with a higher prevalence found in males (17.8%) than in females (4.8%). In response to the need for more effective smoking prevention programmes in Brunei, this study sought to explore factors that influence Bruneian male adolescents to start and continue smoking. Materials and Methods: A qualitative study using focus group discussions (FGDs) as the data collection method was conducted from October to November 2015. A total of 43 studentss, comprising 31 smokers and 12 non-smokers, aged 13-17 years, from two government secondary schools in Bandar Seri Begawan, participated in six FGDs. Discussions were recorded and translated. Transcripts were entered into NVivo10, before thematic analysis was conducted. Results: We identified three themes under the core construct of 'factors influencing smoking initiation' ('family as teachers', 'overt pressure from peers' and 'perceived smoking has many advantages') and three themes under the core construct of 'factors influencing smoking continuation' ('craving and addiction', 'smoking as a 'social activity' and 'easy accessibility of cigarettes'). Conclusions: Based on the findings, it is recommended that future prevention activities should be embedded in a comprehensive approach, involving all stakeholders within a community, and should be focused towards bringing a change in smoking and parenting behavior of parents, social norms within the culture towards all population levels, and at strengthening the existing non-smoking policies in schools and other public places where young people congregate.

• 한국가정과학회지
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• 제5권1호
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• pp.1-13
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• 2002

The purpose of this study was to verify the effectiveness of the parent education program through play to improve the relationships between mothers and children. The subject of this study consisted of 30 mothers with 4-7 aged child attending S-day-care center located in Ik-San. In order to examine the effectiveness of the parent education program through play, two groups were divided into 15 participants each. The experimental group participated in the parent education program for total 8 sessions(2 sessions per week over the 4 weeks) while the control group didn't. The instrument were 'Maternal Affection & Control Resources Scale developed by Cho, Bok Hee(1991) and 'Teacher-Child relationship Scale' by Pinata & Steinberg. Teacher-Child relationship Scale was modified to be appropriate for use with this program. Parental acceptance level was measured by modified Parental Acceptance Scale (P.P.A.S.) by porter(1954). The data were analyzed by SPSSWIN program. The statistical methods for data analysis were frequency, t-test. paired t-test. The main results of this study were as follows : First, the mothers who participated in the parent education program through play showed improvement in affectionate attitudes than before. Second, the mothers who participated in the parent education program through play have been improved in familiarity and have been decreased in conflict of relationships of mother-child than those who did not participated in. Third, the mothers who participated in parent education program through play improve the recognition on respect to children's emotion, emotional expression right, uniqueness of children's temperament and needs to children's independency and autonomy.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제16권1호
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• pp.47-53
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• 2005

이 연구는 주양육자의 불안정형 애착유형이 초등학교 고학년 아동의 행동문제와 정신과 질환의 발병에 기여하는지를 증명하기 위해 실시되었다. 경기도 김포시에 위치한 2개의 초등학교 4, 5, 6학년 학생 504명과 부모를 대상으로 연구를 실시하였다. 부모의 애착 유형을 평가하기 위해 자기보고형 관계 질문지 (Relationship Questionnaire) , 아동의 우울 증상을 평가를 위해 한국형 소아우울척도, 불안 증상의 평가를 위해 Spielberger의 상태-특성 불안 평가척도, 그리고 부모에 의한 아동의 행동 평가를 위해 한국어판 K-CBCL을 사용되었다. 연구 결과, 몰입형 애착 유형의 부모의 초등학교 자녀들이 안정형 애착 유형 부모의 자녀보다 사회성, 불안, 우울, 주의집중력, 문제 행동, 공격성 등 상당히 다양하고 포괄적인 영역의 정신과적 문제를 더 많이 보이는 것으로 나타났다. 아동의 내재화 증상은 부모가 몰입형일 때 가장 높았고, 회피형, 안정형 순이었다. 또한 부모의 애착 유형이 불안정형일 때, 안정형에 비해 임상적으로 의미 있는 심각한 수준의 문제행동을 보이는 아동이 더 많았다.

• Child Health Nursing Research
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• 제20권1호
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• pp.1-10
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• 2014

목적 본 연구의 목적은 초등학교 고학년 아동의 문제행동에 영향을 미치는 변수를 중심으로 탐색하여 영향요인들을 설명하는 모형을 구축하는 데 있다. 방법 본 연구를 위해 일개 도시의 3개 초등학교 고학년 아동과 그의 어머니를 대상으로 설문조사를 하였으며, 총 368명의 자료를 수집하였다. 수집된 자료는 SPSS 17.0 통계 프로그램을 이용하여 서술적 통계, t-test, ${\chi}^2$-test, ANOVA를 시행하였고, 가설적 모형 검정은 AMOS 17.0 통계 프로그램을 이용하였다. 결과 가설적 모형의 적합도는 GFI: .956, AGFI: .927, CFI: .953, RMSEA: .056, SRMR: .023으로 지지되었다. 모형에서 설정된 10개의 경로 중 6개의 경로가 지지되었다. 즉, 부모 양육태도에서 자아존중감으로, 부모양육태도에서 스트레스로, 부모 양육태도에서 스트레스 대처로, 부모양육태도에서 문제행동으로, 자아존중감에서 스트레스로, 자아존중감에서 문제행동으로 가는 경로가 지지되었다. 문제행동에 통계적으로 유의한 효과를 나타낸 것은 양육태도와 자아존중감이며 양육태도는 총 효과를, 자아존중감은 직접효과와 총 효과를 나타내었다. 결론 부모 양육태도와 자아존중감이 문제행동에 영향을 미치는 중요한 변수인 것으로 확인되었다. 그러므로 문제행동의 발생을 줄이기 위해서는 긍정적인 양육태도를 고취시키고 아동의 자아존중감을 높이는 간호중재가 이루어져야 하겠다.

• 한국도서관정보학회지
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• 제52권3호
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• pp.21-48
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• 2021

오늘날, 온라인 및 오프라인 상에서 무수히 많은 건강정보가 시시각각 쏟아지면서 대중들은 다양한 방법으로 건강에 대한 정보탐색이 가능해졌다. 본 연구에서는 만 0-3세 건강한 영유아들의 건강정보를 적극적으로 탐색하는 어머니들의 건강정보 탐색행동에 초점을 맞추었다. 24명의 미국인, 한국인, 미국에 거주하는 한인 이민자 어머니들과의 심층인터뷰를 통해, 그들이 아이에 대한 건강정보를 탐색할 때 어떠한 정보원들을 순차적으로 활용하는지 탐색경로를 시각적으로 분석하였다. 연구 결과, 어머니들의 건강정보탐색 경로는 아이의 건강상태에 따라 사용하는 정보원과 탐색주제의 측면에서 눈에 띄는 차이가 나타났다. 예를 들어, 아이가 아플 때는 특정 질병이나 증상에 대한 정보를 중점적으로 먼저 탐색하지만, 아이가 아프지 않을 때는 성장, 발육, 식단, 육아 등 다양한 주제의 정보를 탐색하는 것으로 나타났다. 나아가, 활용되는 정보원과 관련하여, 아이가 아플 때보다 아프지 않을 때 더욱 다양한 건강정보원들(예컨대, 공공도서관, 정부기관, 어린이집 교사 등)이 활용되는 것으로 나타났다. 뿐만 아니라, 각 어머니들 그룹에 따라 활용되는 정보원의 차이가 나타났다. 이를 활용하여, 국내외 정보 전문가들은 어떠한 정보서비스를 기획하고 제공할 수 있을지 논의해본다.

• 가정과삶의질연구
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• 제31권5호
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• pp.125-141
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• 2013

This research aims to integrate study results through a meta-analysis of previous studies on the variables related with social support for female marriage immigrants. Based on the results, this study established the foundation of an integrated social support system for female marriage immigrants which considers both the functional perspective and structural perspective of social support, and suggested plans for an efficient support system. All social support was positively associated with female marriage immigrants marriage life, child-rearing behavior and attitude, reduction of stress and depression and psychological stability. In relation to the effect size of each variable related with all social support, the marriage variable had the biggest relationship with it, followed by the parenting variable, the psychological variable and the stress variable in that order. With reference to the relationship with related variables according to the sub-domain of social support, from the structural perspective, spousale support showed a high relationship with the marriage variable and the stress variable. It was also especially, very highly related with the marriage variable. In addition, a married woman's family support and expert support had an intermediate relationship with the marriage variable, and the husband's family support and friend support had a low relationship with it. From the functional perspective, material support had a very high relationship with the marriage variable, whereas it had a low relationship with the stress variable and the psychological variable. Emotional support was also highly related with marriage variable, but showed an intermediate or low relationship with the psychological variable and the stress variable. On the other hand, informational support displayed an intermediate relationship with the stress variable and the psychological variable, and a high relationship with the marriage variable. Lastly, evaluative support had a high relationship with the marriage variable and the psychological variable. Based on these results, this study proposed plans for an integrated social support system as follows. First, education ought to be provided for the spouses, and support for marital adjustment should be offered. Second, there plans should be made for continuous bonding with the family of origin, and support should be given to address changes in awareness of the relationship with the husband's parents. Third, it is required to revitalize the local community and self-help groups, and provide the female marriage immigrants with opportunities to participate in social activities.