Objectives: Recent studies have shown that tailored messages for cancer screening to the beliefs and stage of cancer screening behavior of individual women increases the take-up probability. Many studies on cancer screening have used the Transtheoretical Model (TTM) to identify variables associated with cancer screening behavior. This study was carried out to identify the cognitive-behavioral factors associated with stomach cancer screening among women aged 40 years and over, and to develop and evaluate a tailored educational program for stomach cancer screening by stages of change. Methods: Building on the TTM constructs, we conducted a quasi-experimental study(N=283) to test the effectiveness of a tailored educational program for endoscopic stomach cancer screening. We carried out pre and post tests in the experimental group(N=162) and the control group(N=121), and the experimental group was subdivided into an on-line group(N=81) and an off-line group(N=81) by educational methodology using e-mail and the postal service. We used the chi-square test, trend test, and paired t-test to test the effectiveness of the program for stomach cancer using a tailored stage-matched messages. Results: To examine the effectiveness of the program for stomach cancer screening by the tailored stage-matched messages, the stage-matched materials were offered to the experimental group(N=162) four times for 4 weeks. The stage-matched materials consisted of the four types for stomach cancer. The tailored message was effective in changing the cognitive-behavioral factors, such as experience process, behavior process, con opinion for stomach cancer, self-efficacy, and the behavioral stages for stomach cancer screening. The stomach cancer screening adherence was higher for the stage-matched materials using postal mail than for those using e-mail. Conclusion: To improve the stomach cancer screening rate, the use of tailored messages for stomach cancer screening will be generated using an expert system. Therefore the implementation of tailored educational program will be supported a partnership between public and private health organizations and increasing awareness of the necessity of community-based interventions.
Sajjad S. Fazel;Shelby Fenton;Nicole Braun;Lindsay Forsman-Phillips;D. Linn Holness;Sunil Kalia;Victoria H. Arrandale;Thomas Tenkate;Cheryl E. Peters
Safety and Health at Work
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v.14
no.1
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pp.43-49
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2023
Background: Messaging surrounding skin cancer prevention has previously focused on the general public and emphasized how or when activities should be undertaken to reduce solar ultraviolet radiation (UVR) exposure. Generic messages may not be applicable to all settings, and should be tailored to protect unique and/or highly susceptible subpopulations, such as outdoor workers. The primary objective of this study was to develop a set of tailored, practical, harm-reducing sun safety messages that will better support outdoor workers and their employers in reducing the risk of solar UVR exposure and UVR-related occupational illnesses. Methods: We adapted a core set of sun safety messages previously developed for the general population to be more applicable and actionable by outdoor workers and their employers. This study used an integrated knowledge translation approach and a modified Delphi method (which uses a survey-based consensus process) to tailor the established set of sun safety messages for use for outdoor worker populations. Results: The tailored messages were created with a consideration for what is feasible for outdoor workers, and provide users with key facts, recommendations, and tips related to preventing skin cancer, eye damage, and heat stress, specifically when working outdoors. Conclusion: The resulting tailored messages are a set of evidence-based, expert- approved, and stakeholder-workshopped messages that can be used in a variety of work settings as part of an exposure control plan for employers with outdoor workers.
Lee, Ji Eun;Lee, Da Eun;Kim, Kirang;Shim, Jae Eun;Sung, Eunju;Kang, Jae-Heon;Hwang, Ji-Yun
Nutrition Research and Practice
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v.11
no.3
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pp.247-256
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2017
BACKGROUND/OBJECTIVES: Easy access to intervention and support for certain behaviors is important for obesity prevention and management. The available technology such as smartphone applications can be used for intervention regarding healthy food choices for obesity prevention and management in elementary-school students. The transtheoretical model (TTM) is comprised of stages and processes of change and can be adopted to tailored education for behavioral change. This study aims to develop TTM-based nutrition contents for mobile applications intended to change eating behaviors related to weight gain in young children. SUBJECTS/METHODS: A synthesized algorithm for tailored nutrition messages was developed according to the intake status of six food groups (vegetables, fruits, sugar-sweetened beverages, fast food and instant food, snacks, and late-night snacks), decision to make dietary behavioral changes, and self-confidence in dietary behavioral changes. The messages in this study were developed from December 2014 to April 2015. After the validity evaluation of the contents through expert consultation, tailored nutrition information messages and educational contents were developed based on the TTM. RESULTS: Based on the TTM, stages of subjects are determined by their current intake status, decision to make dietary behavioral changes, and self-confidence in dietary behavioral changes. Three versions of tailored nutrition messages at each TTM stage were developed so as to not send the same messages for three weeks at most, and visual materials such as figures and tables were developed to provide additional nutritional information. Finally, 3,276 tailored nutrition messages and 60 nutrition contents for applications were developed. CONCLUSIONS: Smartphone applications may be an innovative medium to deliver interventions for eating behavior changes directly to individuals with favorable cost-effectiveness. In addition, using the TTM for tailored nutrition education for healthy eating is an effective approach.
The Journal of the Convergence on Culture Technology
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v.10
no.4
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pp.743-750
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2024
This study analyzes the linguistic meanings of the messages displayed on the Gwanghwamun Billboard from summer 1997 to spring 2020. The Gwanghwamun Billboard, an important medium reflecting cultural and social changes in contemporary Korean society, has conveyed hope and solace to the public through various literary quotes and emotional messages. This research identifies frequently appearing themes and messages by analyzing the frequency of keywords in the postings for each season. The results reveal that spring and summer primarily feature messages emphasizing new beginnings, challenges, love, and human relationships, as well as the beauty of nature, while autumn and winter convey themes of reflection, growth, endurance, and resilience. This study demonstrates that the Gwanghwamun Billboard encourages readers to adopt a positive outlook on life through seasonally tailored messages.
International journal of advanced smart convergence
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v.13
no.3
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pp.358-366
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2024
This study investigates the effectiveness of tailored anti-smoking campaigns by examining the interplay between self-construals, cigarette types, and stages of change in smoking cessation efforts. Focusing on both combustible cigarette and electronic cigarette users, the research explores how messages framed around either independent or interdependent self-construals influence attitudes and intentions to quit smoking. The findings indicate that in the early stages of cessation, combustible cigarette users respond more positively to messages emphasizing independent self-construals, which highlight personal health risks. Conversely, in the later stages, e-cigarette users are more receptive to interdependent self-construal messages that stress the broader impacts of smoking. We emphasize the importance of aligning smoking cessation messages with the psychological profiles and cessation readiness of different smoker groups. We offer theoretical and empirical insights for enhancing the effectiveness of public health campaigns.
Background: Even though cervical cancer poses a significant global cancer burden, successful implementations for early detection offer an opportunity to prevent deaths and reduce the cancer burden. In Korea, cervical cancer is the most prevalent type of cancer among adult women, but it is one of the few cancers in which a consensus-approved screening test exists for early diagnosis, Pap test, that can be combined with highly efficacious treatment regimens for early-stage disease. Purpose: This study was carried out to identify the cognitive-behavioral factors associated with cervical cancer screening behavior among adult women, aged 40 to 59, and to develop tailored messages and to evaluate the effectiveness of stage-matched educational program. Method: A total of 283 women who aged 40 years or older was recruited in Seoul, from September, 1st to November, 14th, 2003. The intervention group (N=162) and the control group (N=121) were selected from five sub-districts in Seocho-gu, Seoul. Building on the TTM, a quasi-experimental study was conducted to test the effectiveness of stages-matched intervention addressed at the five stages of cervical cancer screening behavior. Women in the intervention group were randomly assigned to one of two conditions, internet or postal services. Results: In our results, 88.9% of participants had received a Pap test at least once in their life-time, and 65.4% had got it in the past two years. With regard to cognitive-behavioral factors, the stages-matched educational program increased attitude and process of change for cervical cancer screening. The percentage changed was the largest in maintenance stage. With regard to delivery methods for tailored messages, the print materials were more effective at increasing screening adherence than the e-mail. Whereas the postal service group showed remarkable the change of behavior stage, the internet service group did not. Also it was not shown any difference of the satisfaction with stages-matched educational program between internet and postal service groups. Conclusion: This study suggested that cervical cancer screening behavior could be changed by tailored messages which had developed with cognitive-behavioral factors. The stages-matched educational program was effective to promote the screening adherence for cervical cancer.
Background: In Jordan, a developing country with a high tobacco burden and where roughly 40% of cancers are tobacco-related, limited knowledge exists on public awareness regarding tobacco. This is a hindrance for experts seeking to strengthen anti-tobacco health promotion and counter growing tobacco use. We sought to evaluate public awareness regarding tobacco; to gauge exposure to anti-tobacco public messages; and to draw attention to the lay public's informational needs. Materials and Methods: A cross-sectional survey of lay public in the capital, Amman, capturing knowledge regarding tobacco harms and anti-tobacco laws, perceptions regarding tobacco use and control, and exposure to and recall of anti-tobacco messages, was conducted. Statistics on perceptions were generated and analyzed by smoking status and sociodemographic factors. Multivariate regression was performed to estimate independent associations of smoking and sociodemographic factors with knowledge. Results: Of 1,169 respondents, 17.8% could recall specific anti-tobacco messages. With regard to knowledge, despite high proportions of respondents exhibiting knowledge for individual statements regarding tobacco health harms, variables capturing breadth of knowledge showed that much lower proportions could correctly identify all the listed health harms of tobacco, and all listed Jordanian anti-tobacco regulations (47.5% and 36.2%, respectively). On multivariate analysis, breadth of knowledge varied by smoking status, age and educational level. Conclusions: There is need for more salient, evocative and multi-faceted anti-tobacco messages in Jordan, tailored to subgroups, given detected variability in knowledge across smoking status and sociodemographic characteristics.
Purpose - Marketing has shifted towards communicating tailored messages and brand contents to consumers with the rise of the Internet and smartphones. These technologies and the brand contents provide the e-tailers with opportunities for brand loyalty and online shopping via SNS, especially Facebook. Thus, this study attempts to scrutinize the effects of the characteristics of brand contents on consumers' engagements. As well, Facebook allows global communication, and yet, Eastern and Western people still live under different cultures. Therefore, this study attempts to compare Germans and Koreans on Facebook. Research design, data, and methodology - 225 survey data were collected from Germany and Korea. The effects of Vividness, Entertainment, Credibility, and Relevance on Engagement in brand contents and the moderating effect of nationality were examined with the hierarchical multiple regression analysis. Results - Vividness and Entertainment are the most important characteristics to engage consumers in the brand contents regardless of nationality. However, Relevance is more important to Germans while Entertaining and Vividness are to Koreans. Conclusions - To engage young Facebook users and let them shop online, entertaining and vivid brand contents will be effective. Tailored brand contents are essential for users from different cultures on Facebook.
Song, Wang-Cheol;Rehman, Shafqat Ur;Awan, Muhammad Bilal
KSII Transactions on Internet and Information Systems (TIIS)
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v.9
no.9
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pp.3377-3395
/
2015
Recently, several approaches to share road conditions and/or digital contents through VANETs have been proposed, and such approaches have generally considered the radial distance from the information source as well as the TTL to provision an ephemeral, geographically-limited information sharing service. However, they implement general MANETs and have not been tailored to the constrained movement of vehicles on roads that are mostly linear. In this paper, we propose a novel application-level mechanism that can be used to share road conditions, including accidents, detours and congestion, through a VANET. We assign probabilities to roads around each of the intersections in the neighborhood road network. We then use the graph representation of the road network to build a spanning tree of roads with the information source as the root node. Nodes below the root represent junctions, and the edges represent inter-connecting road segments. Messages propagate along the branches of the tree, and as the information propagates down the branches, the probability of replication decreases. The information is replicated until a threshold probability has been reached, and our method also ensures that messages are not delivered to irrelevant vehicles, independently of their proximity to the source. We evaluated the success rate and performance of this approach using NS-3 simulations, and we used IDM car following and MOBIL lane change models to provide realistic modeling of the vehicle mobility.
Journal of Institute of Control, Robotics and Systems
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v.16
no.2
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pp.126-133
/
2010
Due to the deployment of various wireless networks originating from CDMA, GSM, and WLAN, it became very convenient to exchange information from one place to another. As compared with the traditional environments for one-way information distribution based on fixed radio frequency bands, the convenient wireless network environments will bring about many changes in positioning technologies based on global navigation satellites. Among the many changes to come, the reconfigurable receiver network is one of the most attractive concepts since it can be tailored to a specific application area among networked robots, formation flying, bridge monitoring, and traffic monitoring. As an initial study to develop a reconfigurable receiver network, this paper deals with the design and implementation of the key elements of the reconfigurable receiver netowork; server, broadcaster, and client. In the designed receiver network, a sever receives and decodes measurements from a reference receiver installed at a known location, a broadcaster processes and transfers the messages from servers to clients and manages connections with servers and clients, a client receives the messages from the broadcaster and performs differential positioning. A real-time experiment result is demonstrated to validate the functionalities of each network element.
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