• Title/Summary/Keyword: Pender's Health Promotion Model

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Analysis of Relationships between the Factors of Personal Characteristics, Experiences, the Factors of Cognition and Affect Relating to Smoking Cessation Behavior (금연행위와 관련된 개인적 특성 및 경험과 인지 및 감정 사이의 상호관련성 분석)

  • Oh, Hyun-Soo
    • Korean Journal of Adult Nursing
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    • v.13 no.3
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    • pp.463-475
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    • 2001
  • The purpose of the study was to examine if individual characteristics and experiences related to smoking behavior identified from the literature were significantly associated with behavior-specific cognitions and affect in the same way as presented in Pender's Revised Health Promotion Model(Pender, 1996). The subjects selected for this study were 400 college students enrolled in more than 10 colleges located in Seoul and Kyunggi-Inchon province. According to the study results, personal factors (i.e., perceived health status, the past history of disease, and symptoms related to smoking) and related behavior (i.e., the degree of alcohol consumption, and exercise) are significantly associated with behavior-specific cognitions and affect (i.e., perceived barriers to smoking cessation, perceived self-efficacy, and perceived benefits of smoking cessation). The canonical correlation between two groups of variables was .59, and it turned out to be statistically significant. Thirty-four percent of variance of the relationship between two group of variables was explained by two canonical variates which turned out to be significant in the study results. The result could be interpreted from the view of psycho-social area as follows: overall, this study includes important variables which explain the association between two groups of variables.

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A Model for Health Promoting Behaviors in Late-middle Aged Woman (중년후기 여성의 건강증진행위 모형구축)

  • Park, Chai-Soon
    • Women's Health Nursing
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    • v.2 no.2
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    • pp.298-331
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    • 1996
  • Recent improvements in living standard and development in medical care led to an increased interest in life expectancy and personal health, and also led to a more demand for higher quality of life. Thus, the problem of women's health draw a fresh interest nowadays. Since late-middle aged women experience various physical and socio-psychological changes and tend to have chronic illnesses, these women have to take initiatives for their health control by realizing their own responsibility. The basic elements for a healthy life of these women are understanding of their physical and psychological changes and acceptance of these changes. Health promoting behaviors of an individual or a group are actions toward increasing the level of well-being and self-actualization, and are affected by various variables. In Pender's health promoting model, variables are categorized into cognitive factors(individual perceptions), modifying factors, and variables affecting the likelihood for actions, and the model assumes the health promoting behaviors are affected by cognitive factors which are again affected by demographic factors. Since Pender's model was proposed based on a tool broad conceptual frame, many studies done afterwards have included only a limited number of variables of Pender's model. Furthermore, Pender's model did not precisely explain the possibilities of direct and indirect paths effects. The objectives of this study are to evaluate Pender's model and thus propose a model that explains health promoting behaviors among late-middle aged women in order to facilitate nursing intervention for this group of population. The hypothetical model was developed based on the Pender's health promoting model and the findings from past studies on women's health. Data were collected by self-reported questionnaires from 417 women living in Seoul, between July and November 1994. Questionnaires were developed based on instruments of Walker and others' health promotion lifestyle profile, Wallston and others' multidimensional health locus of control, Maoz's menopausal symptom check list and Speake and others' health self-rating scale. IN addition, items measuring self-efficacy were made by the present author based on past studies. In a pretest, the questionnaire items were reliable with Cronbach's alpha ranging from .786 to .934. The models for health promoting behaviors were tested by using structural equation modelling technique with LISREL 7.20. The results were summarized as follows : 1. The overall fit of the hypothetical model to the data was good (chi-square=4.42, df=5, p=.490, GFI=.995, AGFI=.962, RMSR=.024). 2. Paths of the model were modified by considering both its theoretical implication and statistical significance of the parameter estimates. Compared to the hypothetical model, the revised model has become parsimonious and had a better fit to the data (chi-square =4.55, df=6, p=.602, GFI=.995, AGFI=.967, RMSR=.024). 3. The results of statistical testing were as follows : 1) Family function internal health locus of control, self-efficacy, and education level exerted significant effects on health promoting behaviors(${\gamma}_{43}$=.272, T=3.714; ${\beta}_[41}$=.211, T=2.797; ${\beta}_{42}$=.199, T=2.717; ${\gamma}_{41}$=.136, T=1.986). The effect of economic status, physical menopausal symptoms, and perceived health status on health promoting behavior were insignificant(${\gamma}_{42}$=.095, T=1.456; ${\gamma}_{44}$=.101, T=1.143; ${\gamma}_{43}$=.082, T=.967). 2) Family function had a significance direct effect on internal health locus of control (${\gamma}_{13}$=.307, T=3.784). The direct effect of education level on internal health locus of control was insignificant(${\gamma}_{11}$=-.006, T=-.081). 3) The directs effects of family functions & internal health locus of control on self-efficacy were significant(${\gamma}_{23}$=.208, T=2.607; ${\beta}_{21}$=.191, T=2.2693). But education level and economic status did not exert a significant effect on self-efficacy(${\gamma}_{21}$=.137, T=1.814; ${\beta}_{22}$=.137, T=1.814; ${\gamma}_{22}$=.112, T=1.499). 4) Education level had a direct and positive effect on perceived health status, but physical menopausal symptoms had a negative effect on perceived health status and these effects were all significant(${\gamma}_{31}$=.171, T=2.496; ${\gamma}_{34}$=.524, T=-7.120). Internal health locus and self-efficacy had an insignificant direct effect on perceived health status(${\beta}_{31}$=.028, T=.363; ${\beta}_{32}$=.041, T=.557). 5) All predictive variables of health promoting behaviors explained 51.8% of the total variance in the model. The above findings show that health promoting behaviors are explained by personal, environmental and perceptual factors : family function, internal health locus of control, self-efficacy, and education level had stronger effects on health promoting behaviors than predictors in the model. A significant effect of family function on health promoting behaviors reflects an important role of the Korean late-middle aged women in family relationships. Therefore, health professionals first need to have a proper evaluation of family function in order to reflect the family function style into nursing interventions and development of strategies. These interventions and strategies will enhance internal health locus of control and self-efficacy for promoting health behaviors. Possible strategies include management of health promoting programs, use of a health information booklets, and individual health counseling, which will enhance internal health locus of control and self-efficacy of the late-middle aged women by making them aware of health responsibilities and value for oneself. In this study, an insignificant effect of physical menopausal symptoms and perceived health status on health promoting behaviors implies that they are not motive factors for health promoting behaviors. Further analytic researches are required to clarify the influence of physical menopausal symptoms and perceived health status on health promoting behaviors with-middle aged women.

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The Behavior Analysis of Home Injury Prevention based on the Model of Family Health Protection (가족의 건강증진-보호 모형에 입각한 사고예방 행위 분석 -학령 전기 가족을 대상으로-)

  • Lee, In-Sook
    • Research in Community and Public Health Nursing
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    • v.12 no.2
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    • pp.406-416
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    • 2001
  • This study is performed to confirm the influencing factors of family health protection behaviors using the variables included in Pender's Family Promotion Model. 1. The subjects are 110 families in preschooler family developmental stage, respondents are children's mother or father. These families are almost all nuclear types(95%), function of families is healthy as much as 8.0 the mean FAPGAR score. The prevalence rate of family members' illness was 14.7% these last 3 months, and 21.1 % of families responded suffered from injury for last 2 years. 2. The practice rate of injury prevention behavior is below a half in supervision and modifying of their home and residential environments, especially controlling through collaborative community power. The more familiar function score is the better practicing rates of injury prevention behaviors. 3. The injury prevention behaviors correlate to family size, health status of family member, and children's congenital defects with statistical significance. Families' economic condition correlates also significantly to family health status, cognition of benefits of injury prevention, cognition of the importance of community collecting power. And the recognition of the benefits of injury prevention correlates the adaptive health concept, family norms about injury prevention, economic status. 4. Considering family health promotion model. the general influencing factor is only affected to family protective behavior, and other paths don't affect to family's behaviors. In simple regression, the family protective behavior model explains 27.8%(P=0.05), significant factors are family function status, family size, chronic illness of family members', mother's education level. father's age. 5. To define of familiar preventive behavior as a unit is very important, but it has the limitation to solve the difficulties of family studies going with the operationalized difficulties of health promotion concept.

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Health-Promotion Behavior and its correlates of Individuals Seeking Comprehensive Health Check-ups (종합건강 피검진자의 건강증진 행위와 관련요인)

  • Lee, Jin-Hee;Suh, Soon-Rim;Park, Chai-Soon
    • Women's Health Nursing
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    • v.5 no.3
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    • pp.327-336
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    • 1999
  • The purpose of this study was to identify the health promotion behavior and its related factors of persons who wanted a comprehensive health check-up in order to provide a basis for health education to promote health enhancing behavior. Study variables were induced from Pender's Health Promotion Model. The subjects were 160 persons who had a check-up at the health promotion center in a university hospital in Tae-Gu, between September 8 and 22, 1998. The following instruments were used in the study : Lee Tae Wha's Health Promoting Life-style Profile, Park Chai soon's Self-efficacy Instrument and Moon Jeong Soon's Perceived Benefit and Barrier Instrument. Data was collected by self-reporting questionnaire. Analysis of the data was done by SAS program, t-test, ANOVA and Pearson-Correlation Coefficient. The results of this study were as follows. 1. The average score for the health-promotion behavior was 104.64. In the subcategories, self-actualization showed the highest degree of performance and physical exercise showed the lowest degree of performance. 2. In the relation of general characteristics of subjects to the level of health-promoting behavior, the male, the married, the group with several symptoms showed a high level of health-promoting behavior. 3. The relationship between the degree of performance in health-promotion behavior and its correlates were as follows: Self-efficacy was positively correlated to health promotion behavior, while the perceived barrier was correlated negatively. But the perceived benefit did not show a significant correlation with health promotion behavior. Results suggest that the development of programs with strategies to strengthen doing physical exercise and concerning health, increase self-efficacy and exclude the barriers to health promotion is recommended to individuals seeking a comprehensive health check-up.

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Analysis of Influencing Factors on Commitment to a Plan for Physical Exercise among Korean Adults with Chronic Disease (만성질환자의 운동이행계획 수립에 미치는 영향 요인 분석)

  • Jang, Hee-Jung;Shin, Yun-Hee
    • Journal of East-West Nursing Research
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    • v.14 no.1
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    • pp.87-97
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    • 2008
  • Purpose: The purpose of this study was to analyze the factors affecting those commitment to a plan for exercise among Korean with chronic diseases by Pender's health promotion model. Methods: The participants in this study were 315 Korean adults over 18 years of age with chronic diseases who were recruited in hospitals or public health centers in Korea. The instruments used in this study were individual characteristics instrument, Rosenberg's self-esteem scale, Ware's perceived health status, Profile of Mood States and Pender's commitment to a plan for exercises scale. Results: The results of analysis showed that Korean adults with chronic diseases were perceived with relatively low commitment to a plan for exercise while they were perceived with moderate self-esteem, health status, and mood. There were significant differences in the commitment to a plan for exercise according to education level and economic level. The positive relationship between self esteem, perceived health status, and commitment to a plan for exercise were significantly correlated. The experience for exercise was the most influential variable on commitment to a plan for exercise accounting for 40.3% among Korean with chronic diseases. Conclusion: For planning a targeted strategy to increase regular exercise among Korean adults with chronic diseases, nurses have to assess the prior experience of exercise of them. These nursing activities lead to improve their quality of life and encourage to control their symptoms.

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Factors Influencing Exercise Behavior of the Male Manual Worker and Office Worker based on Health Promotion Model (남성 생산직과 사무직 근로자의 운동행위에 영향을 미치는 요인: Pender의 건강증진 모형을 활용)

  • Yang, SeungKyoung;Ha, Yeongmi;Jung, Mi-Ra
    • Korean Journal of Occupational Health Nursing
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    • v.24 no.3
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    • pp.235-244
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    • 2015
  • Purpose: The purpose of this study was to identify factors influencing exercise behaviors of the male manual workers and office workers based on health promotion model by examining the relationships among them, and then to provide basic information for developing exercise program. Methods: The 97 laborers and 99 officiers were collected from two worksites. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients and multiple regression. Results: Male laborers' exercise behavior was significantly influenced by exercise self-efficacy, exercise social support and exercise experience over 3 months, and these factors explained 50.2% of the total variance. Male officiers' exercise behavior was significantly influenced by exercise self-efficacy, subjective health status, perceived exercise barriers and exercise social support, and they explained 47.3% of the total variance. Conclusions: Based on the findings that exercise self-efficacy and exercise social support commonly influence exercise behavior of male laborers and officiers, there is a need to develop an exercise program to improve exercise self-efficacy and exercise social support.

The Determinants of Health Promoting Lifestyle in High School Students (여고생의 건강증진 생활양식과 관련요인 연구)

  • Hong Woi Hyun;Kim Chung-nam;Park Young-Sook
    • Journal of Korean Public Health Nursing
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    • v.13 no.2
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    • pp.183-201
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    • 1999
  • This descriptive correlational study was conducted to identify the variables related to health promoting lifestyle of girls in High school students. 156 high school students and 88 vocational high school students who lives in Taegu city were selected by a convenience sampling method. The data were collected by self-reported questionnaires from August 24 to September 4. 1998. Pender and others' Health Promoting Lifestyle Profile. Shere et al's. Self-Efficacy scale. Wallston et al.' s Internal Health Locus of Control scale. Wares' Health self rating scale and Cohen & Hoberman's Social support scale were used. The data were analyzed by using descriptive statistics, Pearson correlation coefficient. t-test. MANOVA. ANOVA. Tukey verification and Stepwise multiple regression with SAS progrom. The results of this study were as follows : 1. The average score of health promoting lifestyle performance was 2.34(SD=.36)points by the 4 point scale. 2. The combination of self-efficacy. internal health locus of control. mather's educational level and type of school explained $41.31\%$ of the variance of health promoting lifestyle. 3. Health promoting lifestyle showed significant positive correlations with self efficacy(r=.5173. p=.001), perceived health status(r=.254, p=.001) and internal health locus of control(r=.321. p=.001). On the basis of the above findings, self-efficacy in cognitive factors. and social support in modifying factors were identified as the variables which explained the most part of the Pender's health-promotion model. Nursing strategies enhancing self-efficacy which has the most significant effect on health promoting lifestyle should be developed. Further research is required to find out the factors influencing health pormoting lifestyle of high school students.

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Effect of HPM Factors on Adoption Attitude of u-Health System: Moderating Effects of Gender (u-Health 시스템의 수용 태도에 대한 건강증진모형의 요인 영향: 남·녀 조절효과 중심)

  • Yang, Youngbae;Kim, Mincheol
    • Journal of Digital Convergence
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    • v.13 no.7
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    • pp.213-221
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    • 2015
  • The aim of this study is to find the factors affecting attitude on u-health system using Pender's Health Promotion Model (HPM) and also, analyze the moderating effect of gender variable in research model. To assess the proposed research model based on HPM, this study adopted Partial Least Square (PLS) method using Smartpls 2.0 version for the evaluation of research model. Thus, this study used survey questionnaire in order to collect useful data to potential users of u-health system. As a result of analysis, the examined variables explain 29% of variance on attitude to use of the u-health system. According to the PLS analysis, self efficacy and perceived benefits showed significantly positive relationship on attitude to use of u-health system. In addition, on the moderating effect of gender variable, female had more interest on self efficacy for positive attitude on use of u-health system.

Factors Associated with Physical Activity among Chinese Immigrant Women (중국 이민여성의 신체활동 관련 요인)

  • Cho, Sung-Hye;Lee, Hyeonkyeong
    • Journal of Korean Academy of Nursing
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    • v.43 no.6
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    • pp.760-769
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    • 2013
  • Purpose: This study was done to assess the level of physical activity among Chinese immigrant women and to determine the relationships of physical activity with individual characteristics and behavior-specific cognition. Methods: A cross-sectional descriptive study was conducted with 161 Chinese immigrant women living in Busan. A health promotion model of physical activity adapted from Pender's Health Promotion Model was used. Self-administered questionnaires were used to collect data during the period from September 25 to November 20, 2012. Using SPSS 18.0 program, descriptive statistics, t-test, analysis of variance, correlation analysis, and multiple regression analysis were done. Results: The average level of physical activity of the Chinese immigrant women was $1,050.06{\pm}686.47$ MET-min/week and the minimum activity among types of physical activity was most dominant (59.6%). As a result of multiple regression analysis, it was confirmed that self-efficacy and acculturation were statistically significant variables in the model (p<.001), with an explanatory power of 23.7%. Conclusion: The results indicate that the development and application of intervention strategies to increase acculturation and self-efficacy for immigrant women will aid in increasing the physical activity in Chinese immigrant women.

Factors Influencing on Health Promoting Behavior of Community-dwelling Older Adults (지역사회 거주 노인의 건강증진행위에 영향을 미치는 요인)

  • Jang, Ji-Hye;Shin, Yong Soon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.2
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    • pp.460-469
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    • 2020
  • The purpose of this study was to examine the predictive factors for health promotion behaviors of older adults in rural areas. A theoretical substruction was constructed to test hypothetical models based on Pender's health promotion model. The data was collected from 199 older adults aged 65 years or older, who resided in G city, by using a structured questionnaire. The questionnaires contained items on individual characteristics, health literacy, self efficacy and health promoting behavior. The data was analyzed with a t-test, ANOVA, Pearson's correlation coefficients and hierarchical multiple regression analysis using SPSS 20.0 for Windows. The predictive factors for the health promotion behavior were the number of health information channels (β=.16, p=.031) and self efficacy (β=.53, p<.001). The total explanatory power of these factors was 30.8%. A nursing intervention plan for improving health promoting behaviors of older adults should be developed and applied, with a focus on self-efficacy and health information channels. Further longitudinal studies are needed to help confirm relevant measurement of the level of health promoting behaviors of older adults.