• Title/Summary/Keyword: Self-help Group

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Development and Effect of East-West Self-Help Group Program for Rehabilitation of Post-Stroke Clients : A Preliminary Study (뇌졸중 후 대상자의 동서재활자조관리 프로그램 개발 및 운영 효과)

  • Kang, Hyun-Sook;Kim, Won-Ock;Kim, Jeong-Wha;Wang, Myoung-Ja;Cho, Joung-Hee
    • Korean Journal of Adult Nursing
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    • v.16 no.1
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    • pp.37-48
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    • 2004
  • Purpose: The purpose of this preliminary study was to develop and evaluate the effects of East-West Self-help program for Rehabilitation of post-stroke clients. Method: This program is developed through literature review, survey and seminar. The program is consisted of six sessions twice a week for 6 weeks. This program is composed of health education on stroke, exercise, oriental nursing interventions, and therapeutic recreation. The outcomes have been evaluated on the basis of perceived health status, self-efficacy, U/E function, ADLs and subjective response. Result: 1) After the 6 week program, the perceived health status had improved and the score of rehabilitation self-efficacy increased significantly. 2) After the 6 week program, the score of BADL increased significantly, but, the score of IADL was not statistically significant. 3) After the 6 week program, the amount of use and quality of movement of the affected U/E were increased significantly. 4) All of the participants showed satisfaction with this program. Conclusion: Considering these research results, the program is effective in improving functional abilities and self-management ability. Therefore this program could be continuously developed and implemented as a community based self-helf group program for post-stroke clients.

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A Grounded Theory Approach to the Experience of Leaders in Self-help Group for Parents of Children with Cancer. (소아암 부모모임 리더들의 자조집단 참여 경험)

  • Kim, Jin-Sook
    • Korean Journal of Social Welfare
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    • v.57 no.2
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    • pp.405-434
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    • 2005
  • This study has been performed to analyze the experience of parents who had led a parents-group of children with cancer. For this study, fifteen participants were selected for an in-depth interview and the personal experiences of each participant had been interviewed in person until data were saturated. This study employed the grounded theory approach of Strauss and Corbin(1998). With the qualitative constant comparative analysis, ninty four concepts, twenty six subcategories, and seventeen categories were generated. In the axial coding, a paradigm model was proposed as follows: The central phenomenon of the leaders' experiences was that they had been 'Pushed Back' to lead the groups. The causal conditions were 'A Sense of Solidarity', 'Regaining Self-possession', and 'Feeling a Necessity of Parents Group'. The contextual conditions were 'Want to Help', 'A Sense of Mission', and 'Discontent with the Cure Environment'. The intervening conditions were 'Self-reflection of Leadership', 'Reaction of Their Own Family', 'Hope to Have an Expanded Group'. The action/interaction strategies were 'Assuming All Field Work', 'Accumulation of Experiences', 'Recognition of a Role Scope'. The consequences were 'Being Comforted', 'Positive Self-awareness', 'a Sense of Worthiness', and 'Desire to Quit'. In the selective coding, the core category was 'Pushed to Lead a Group'. Based on the core category, four types and five stages in the leaders' experiences were identified. The types include 'a Devoted Family Type', 'a Volunteer Type', 'a Role Model Type', and 'a Activist Type': the stages consist of 'Stage of Maintain Identity as a parent of a child with cancer', 'Stage of Questioning', 'Stage of Active Participation', 'Stage of Experience Accumulation', and 'Stage of Progressive Change'. The result of this study presents some implications and suggestions for social work services and theories with respect to the self-help group of pediatric cancer by attempting to understand more about the experiences of leaders' in such groups.

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A Qualitative Case Study on the Low-Income Divorced Single Parents Self-help Group: Focusing on the Case of 'Jinggomdari' at Wolgye Social Welfare Center (저소득 이혼 한부모 자조집단에 관한 질적 사례연구 - 월계종합사회복지관 '징검다리' 사례를 중심으로 -)

  • Yang, Haewon;Kim, Heesoo;Choi, Jung Sook
    • Korean Journal of Family Social Work
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    • no.53
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    • pp.117-159
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    • 2016
  • This is a case study with the objectives of performing an in-depth investigation of the development process, outcome, and the factors related to the development process of Jinggomdari-the self-help group for divorced single parents at Wolgye social welfare center. Document review, in-depth interviews of the member/practitioner/middle manager, and participatory observations were performed and qualitatively analyzed. The results showed that the development process of Jinggomdari consisted of 4 phases including initiation, formation of basis, growth, and expansion/independence. Two categories including 'nurturing abilities and growth as an individual or within families or communities' and 'beyond Jinggomdari, into society', 6 subcategories, and 31 concepts were derived as the outcome. In terms of the factors related to the development process and outcome, 6 categories including 'members participating with sympathy despite various issues', 'outstanding and stabilized leadership', 'commitment of the practitioners showing utmost efforts despite shortcomings', 'effective functions as the hub supporting the low-income divorced single parents families based on the institution's firm determination', 'mixed group showing cautious but synergistic effects', 'dilemma of managing the low-income divorced single parents self-help group and lack of manual for management', 20 subcategories, and 61 concepts were derived. Management issues concerning low-income divorced single parents' self-help group was discussed based on these results.

Concept Analysis of Self-help Groups (자조그룹에 대한 개념 분석)

  • Lee, Eun Nam;Eom, Aeyong;Eun, Young;Cho, Kyung-Sook;Lee, Kyung-Sook;Song, Rhayun;Kim, Jong Im;Shin, Gyeyoung;Lim, Nan-Young;Lee, Myung Sook;Bak, Won-Sook;Oh, Doo Nam;Choi, Mi-Kyung;Choi, Hee Kwon
    • Journal of muscle and joint health
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    • v.21 no.1
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    • pp.1-10
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    • 2014
  • Purpose: The purpose of the study was to identify the attributes of self-help groups, their antecedents and consequences relating to self-help groups. Methods: We used the Walker and Avant (2010) method using the key word "self-help groups" the Korea Education and Research Information Service (www.riss4u.net), Pubmed, CINAHL and ProQuest for articles on this topic published between January 2000 and March 2013 were searched. Ultimately, 64 domestic and 21 foreign papers were selected for in-depth analysis. Results: The attributes of self-help groups are as follows: 1) members share common experiences and are supportive of each other; 2) members set goals for individual change; 3) groups are self-monitoring; 4) groups learn problem-solving processes through voluntary and active participation; and 5) groups are small and meet regularly. The antecedents of self-help groups are as follows: 1) an intervention by an expert; 2) a diagnosis of their illness; 3) motivation to change individuals' state; and 4) educational desire. The consequences of self-help groups are the relief of symptoms, the improvement of physiological parameters and quality of life, the decrease in depression, stress, and anxiety, the improvement of illness-related knowledge and self-help activity, and a change in beliefs. Conclusion: Self-help groups can be used as an intervention strategy to help people with chronic illness manage their own problems.

The Effects of the Self-Growth Group Counseling on Self-Esteem and Life Satisfaction of University Students (자기성장 집단상담 프로그램이 대학생의 자아존중감과 생활만족에 미치는 효과)

  • Kim, Jong-Un;Kim, Hyun-Jung
    • Journal of Fisheries and Marine Sciences Education
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    • v.22 no.1
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    • pp.123-140
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    • 2010
  • The Purpose of this study was to examine the effects of self-growth group counseling on self-esteem and life satisfaction of university students. For this study the following hypotheses were established. First, does the self-growth group counseling enhance significantly the participants' self-esteem? Second, does the self-growth group counseling enhance significantly the participants's life satisfaction? Those who participated in this study were 22 University students which are in D University in Busan. Ten participants were assigned in the experimental group and twelve in the control group. The experimental group participated in the self-growth group counseling one session a week for 12 consecutive weeks held by counseling center for D University students. The instruments used in this study were Self-Esteem Scale and life satisfaction Scale. The data was analysed by ANCOVA. The average, standard deviation, and estimated marginal means were calculated and the differences between the pre and post-tests calculated, processed by SPSS 12.0. The major findings of this study can be summarized as follows: First, the self-growth group counseling is effective to enhance significantly the level of self-esteem of University students. Second, the self-growth group counseling is also effective to enhance the level of life satisfaction of University students. Based on the results, the self-growth group counseling was suggested as a means to help University students enhance their self-esteem and life satisfaction.

Qualitative Content Analysis for Participation in a Community-based Aquatic Exercise Program for Patients with Osteoarthritis (골관절염 환자를 위한 지역사회기반 수중운동 프로그램 참여 경험)

  • Kim, Jong Im;Son, Haeng-Mi;Kim, Sun Ae;Song, Youngshin;Kim, Sun Kyung
    • Journal of muscle and joint health
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    • v.24 no.1
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    • pp.1-13
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    • 2017
  • Purpose: This study was conducted to explore the experiences of women with osteoarthritis in the community-based aquatic exercise program. Methods: A total of 13 women who lived urban-rural complex areas participated in 8 weeks of aquatic exercise. Data were collected from two focused group interviews of those who signed informed consent. Results: Four categories emerged from the contents analysis: 1) assisting a remedial program (participant-centered education, alleviation of physical symptoms, and relieving stress), 2) Pleasure of being together (group exercise, feeling of pleasure and joy, and strong and confident supporter), 3) burden of participation (economic burden, low accessibility and unaccustomed swimming pool), 4) organizing and activating a self-help group(acquired confidence over exercise, hoping for continue exercise, and Needs of self-help meeting). Conclusion: Aquatic exercise was good for women living urban-rural area as it gave not only reliving arthritic symptoms but also improving social relationships. It is optimal to assist in making of a self-supporting group and continuing activities through it.

Effect of Self-help Tai Chi for Arthritis on the Quality of Life, Health Perception, Joint Flexibility, Grasping Power, and Balance (자조타이치 프로그램이 삶의 질, 건강지각, 관절 유연성, 악력 및 균형감에 미치는 효과)

  • Lee, Eun-Hee;Lee, Kyung-Sook;So, Ae-Young;Choi, Jung-Sook;Lee, In-Oak;Lee, Jun-Dong
    • Journal of muscle and joint health
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    • v.14 no.2
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    • pp.127-136
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    • 2007
  • Purpose: There has been a need to integrating the self-help program for arthritis with the TaiChi for arthritis patient. The purpose of this study was to develop and to examine the effect of the Self-help and Tai Chi for arthritis (SHTCA) program for arthritis. Method: This study was designed non equivalent control group pre-post test, quasi-experimental design. A total 40 participants were recruited in W-city, 29 participants(14-experimental group and 15-control group) completed post test. The experimental group participated in the SHTCA once a week for 8 weeks. SHTCA program was consisted of understanding of the arthritis, contracting of the promise, exercise for muscle strength and joint flexibility and 8 movements of Tai Chi exercise. Coloring plus program to cellular phone was used to encourage the exercise and participation by the KT-SHUT twice a week. Measures used to examine the effect of the SHTCA were EQ-5D standardized five dimensions(mobility, self-care, usual activities, pain & discomfort, and anxiety & depression), and health perception, joint flexibility, grasping power, and balance. Collected data was analyzed by SPSS WIN 14.0. Results: The experimental group had significantly increased the EQ-mobility(p=.033), health perception(p=.000), right shoulder flexibility(p=.007), and left shoulder flexibility(p=.002) compared to the control group. In addition, pain was decreased(p=.052) and right grip was increased(p=.052) after 8 weeks program in the experimental group. Conclusion: This SHTCA using coloring plus program was found partially effective and satisfactory. We recommended further research on the effect of this SHTCA effects.

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An Effect of Aquatic Exercise Program with Self-help Group Activites and Strategies for Promoting Self-efficacy on Pain, Physiological Parameters and Quality of Life in Patients having Rheumatoid Arthritis. (자조집단 활동과 자기효능성 증진법을 이용한 수중운동 프로그램이 류마티스 관절염 환자의 통증, 생리적 지수 및 삶의 질에 미치는 영향)

  • Kim, Jong-Im
    • Journal of muscle and joint health
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    • v.1 no.1
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    • pp.1-30
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    • 1994
  • Rheumatoid arthritis is a chronic systematic disease with unpredictable course of exacerbation and remission, characterized by pain, joint deformity and reduced activity by joint limitation. The growing public awareness of the need for health management of chronic illnesses, provides impetus for nursing to demonstrate social effectiveness by active nursing intervention in this vast area in general, and with rheumatoid condition in particular. However, nursing interventions to date have not demonstrated its active participation in the management of chronic conditions. Nursing intervention for the patients having rheumatoid arthritis is one such area that needs to be studied intensively and to demonstrate their effectiveness empirically. The purposes of this study were two fold : first, to develop a comprehensive program that was intensified with therapeutic joint exercises in water, self-help group activities and utilization of self-efficacy promoting strategies : and secondly, to determine the effect of aquatic exercise program on pain, physiological changes and quality of life in the rheumatoid arthritis patients. Thirty five female subjects participating in this study were selected from outpatients in the Rheumatism Center, Hanyang University hospital. The period of data collection was from December, 1992 to March, 1993 in seoul and Taejeon. Subjects in Taejeon were assigned to the experimental group. The comprehensive aquatic exercise program for the experimental group was carried out three times a week for 6 weeks in regular swimming pool. Subjects in Seoul did not participated in the program, and treated as the control group. Data were analyzed with repeated measure MANCOVA, t-test, ANCOVA, percentage of change, Kruskal-Wallis 1-Way ANOVA using SPSS $PC^+$ program. Results were obtained as follows : 1) Scores on Korean pain scale, Numeric pain score, and RAI score of the experimental group were significantly lower than those of the control group (t=2.11, p=0.022 ; F=4.40, p=0.044 : t=3.10, p=0.002). 2) There was significant improvement in the physiological parameters (higher joint movement parameters, F=15.64, p=0.024 ; higher lean body mass, percentage of change=+12.2, lower body weight, t=1.01, p=0.026 : lower ESR, t=1.69, p=0.001) in the experimental group compaired with subjects In the control group. 3) There was significant improvement in the specific self-efficacy score through the comprehensive aquatic exercise program(t=2.73, p=0.011), but not in the general self- efficacy score(t=0.62, p=0.113). 4) The quality of life failed to show significant improvement in the experimental group as compaired with the control group (F=3.69, p=0.064). 5) In the experimental group, findings from additional analysis showed no significant difference in the specific self-efficacy between those who continued to aquatic exercise after completing 6 week program and those who stopped (X2=0.086, p=0.690). Therefore, adherence to aquatic exercise program for 6 weeks seem to be affected mainly by self-help group activities. An indepth study to delve into articulation of mechanisms affecting the effect of aquatic exercise program be recommended. A further study is necessary to determine the difference in the effect of group and individual aquatic exercise program, to assess factors affecting adherence to exercise for an extended length of time.

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Impact of a Cryotherapy and Tai Chi Self-help Program on Women with Fibromyalgia Syndrome (섬유근통 자조관리 프로그램이 여성 섬유근통 증후군에 미치는 영향)

  • Lee, Hea-Young;Bak, Won-Sook;Choi, Jung-Hyun;Lee, Soon-Hee;Eom, Ae-Yong
    • Korean Journal of Adult Nursing
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    • v.23 no.1
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    • pp.10-19
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    • 2011
  • Purpose: The purpose of this study was to evaluate the impact of a protocol of cryotherapy and Tai Chi on women with Fibrolmyalgia Syndrome. Methods: The study design was a pretest and posttest quasi-experimental, nonrandom assignment. The subjects were 48 outpatients with a diagnosis of fibromyalgia based on the American College of Rheumatology Standards. The setting was a University Medical Center in S city. The protocol was self administered ten times a week, for a two week period resulting in twenty treatments. Results: A protocol of cryotherapy and Tai Chi self-help program showed significant improvement in the fibromyalgia impact as measured by reports of physical impairment, feeing good, number of missed work days, ability to perform work, reports of pain, fatigue, rest, stiffness, anxiety and depression as reported by the comparison group (p<.001). No significant differences between the two regarding in reports of the tender points (p=.062). Conclusion: The results suggested that a protocol of cryotherapy and Tai Chi self-help program may be a promising multidisciplinary strategy for fibromyalgia patients.

A study on the factors of convergent caring competency for promotion of caregivers' wellness of disabled children (장애자녀 돌봄제공자의 웰니스 증진을 위한 융복합 돌봄역량 요인 연구)

  • Lee, Yu-Ri;Kim, Nam-Jung
    • Journal of Digital Convergence
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    • v.14 no.2
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    • pp.479-487
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    • 2016
  • This study aimed to investigate the difference of the disabilities type of caring competency, caring appraisal(caring burden, caring satisfaction), self-help group support for parents who have children with disabilities. The data were collected by a self-reported questionnaire from 301 parents who have disabled children(180 mental disabilities & 121 physical disabilities). Given the three types of invariance satisfied, latent means analysis(LMA) is performed to test mean differences on the four factors across the two groups. According to LMA where the parents who have children with physical disabilities are used as the reference group, the parents who have children with mental disabilities showed higher latent mean values on the self-help group support and caring burden. However, the parents who have children with physical disabilities showed higher latent mean values on the caring satisfaction and caring competency.