Purpose. The study was conducted to identify predictors of mammography screening for rural Korean women according to 'Stage of Change' from the Transtheoretical Model which, along with the Health Belief Model, formed the theoretical basis for this study. Methods. A cross-sectional descriptive design was utilized. Through convenience sampling 432 women were selected from 2 rural areas. Data were collected by survey. Health beliefs constructs were measured with Champion's HBM Scale-Korea version. Mammography participation was measured using the Stage of Mammography Adoption Scale developed. by Rakowski, et al.(1992). Results. The most frequent stage of mammography adoption was 'contemplation' ($40.5\%$). Predictors of stage of mammography adoption included 'mammogram recommended by health professional' (beta==0.59, t=16.12, p=.000), 'perceived benefits' (beta=0.09, t=2.21, p=.050), 'perceived susceptibility' (beta=0.09, t=1.98, p=.050), and 'perceived barriers' (beta=-0.07, t=-2.05, p=.041). 'Mammogram recommended by health professional' demonstrated the greatest association with having a mammogram. Conclusion. Health professionals play key roles in improving mammography participation and should recognize the importance of their role in cancer prevention and be more actively involved in education and counseling on prevention of breast cancer.
Journal of Korean Academy of Fundamentals of Nursing
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v.13
no.3
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pp.409-418
/
2006
Purpose: This study was done to identify the process of change, decisional balance and self-efficacy corresponding to stage of exercise behavior based on the Transtheoretical model in patients with chronic arthritis. Method: The participants were 151 patients with chronic arthritis using an out-patient pain clinic and hospital in C city. The collected data were analyzed using ANOVA, Sheffe test and discriminant analysis with SPSS/WIN. Results: The patients were distributed as follows for each stage of exercise behavior 21.8% in the precontemplation stage, 26.5% in the contemplation stage, 25.2% in the preparation stage, 7.3% in the action stage, and 19.2% in the maintenance stage. Significant effects for stage of change were found for nine of the 10 processes of change and Pros, Cons, self-efficacy. Scores on these variables were found to increase across the stage of exercise behaviors from precontemplation to maintenance. Discriminant analysis revealed that self-efficacy and stimulus control, and reinforcement management were the major correlates of the stage of exercise behaviors. Conclusion: The findings of this study give useful information for exercise intervention, by using strategies of exercise for chronic arthritis patients in different stages of exercise behavior.
Purpose: This study was to identify the stages of change in smoking cessation behavior and factors associated with the stages of smoking cessation behavior according to the trans-theoretical model. Methods: The subjects were 154 industrial workers working at H Industry in N City, Chonnam Province who were currently smoking and had smoked in the past. Data were analyzed by descriptive statistics, ANOVA, and Duncan's multiple comparison test using SAS Version 10.0. Results: The subjects were distributed among the stages of change in smoking cessation behavior: there were 28 subjects (18.2%) in the precontemplation stage, 71 (46.1%) in the contemplation stage, 21 (13.6%) in the preparation stage, 8 (5.2%) in the action stage, and 26 (16.9%) in the maintenance stage. The amount of smoking per day, self-efficacy, and advantages (pros) of smoking were significantly associated with the stage of change in smoking cessation behavior. Conclusion: This study suggested that the stage of change in smoking cessation behavior of the subject should be identified prior to the application of intervention programs, nursing intervention strategies should be considered to reduce the amount of smoking per day, and the disadvantages of smoking should be perceived.
This study was carried out to assess the perception of decisional balance of Korean women toward mammography screening. From Dec. 20, 1998 to Apr. 30, 1999, a samples of 1,903 subjects were selected from 7 metropolitan areas and 6 provinces of Korea. Data was collected using Rakowski et al's decisional balance scale to measure the decisional balance regarding a woman's adoption of mammography screening and to assess the woman's current stages of adoption of mammography. The classification of women according to the stage of adoption of mammography was 54.9 % in precontemplation, 31.9 % in contemplation, 7.8 % in action, and 5.5 % in maintenance. The mean difference of pros, cons, and the decisional balance by the stage of mammography adoption were statistically significant. There were significant mean differences between the stages of adoption according to a woman's experience with and intention for mammography and the pros score, the cons score, and the decisional balance score. The behavioral portion of stage of mammography adoption provides a further level of discrimination. Results provide the empirical evidence for the Transtheoretical model.
Journal of Fisheries and Marine Sciences Education
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v.26
no.3
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pp.567-577
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2014
The purpose of this research is to study in depth about the life, activities, and achievements of the swimming gold medalist in Asian Game, Cho O-Ryun, to make systematic correction. This research mainly used literary data to try making theoretical contemplation, and to raise objectivity and substantiality of literary research, and to be devoted to limited literary contents, it used acquaintances who are related to this research, especially his wife, Lee Sung-Lan. Cho O-Ryun's thoughts in physical education can be described as nationalistic physical educational thoughts. He did not only have pride as Korean, and tried to show superiority of our nation to the world, but he also tried very hard to prove that Dok-do Island is a Korean territory and not Japan's. He lived with water all his life, showed his everything as a proud Korean, worked as the most patriotic person of 20thcentury in Korea, and became to be a hero, dream, and hope to people in Korea. Spent all his sweat and energy to our country Korea, Cho O-Ryun, he was this era's true hero.
Purpose: The purpose of the study was to compare the characteristics between adolescents who have run away from home before and who have contemplated running away from home before, and to find risk factors that predict runaway behavior among them. Methods: The data of 「the survey on adolescents' right to adequate housing and the way to ensure their housing with the focus on social exclusion」 by the National Youth Policy Institute (2020) were analyzed. A total of 494 adolescents were included in the study. Descriptive statistics, x2 test, t-test, and simple and multiple logistic regressions were carried out using SAS 9.2. Results: Gender, depression, anxiety, self-esteem, and school level were significantly different between the two groups. From the multivariate analysis, the adjusted odds ratio for runaway behavior was significantly higher in male students (AOR: 2.14, p<.001), lower in the middle economic class than in the high economic class (AOR: 0.64, p=.051), lower in the 4th quartile group of self-esteem (AOR: 0.52, p=.041), and higher in high school students (AOR: 1.55, p=.050). Conclusion: Considering that male students, students from wealthier families, students with low self-esteem, and high school students are high-risk groups for runaway behavior, among adolescents who have contemplated running away before, interventions targeting these groups are needed.
This paper delves into the symbiotic integration of coding and mathematics education, aimed at cultivating computational thinking and enriching mathematical problem-solving proficiencies. We have identified a corpus of scholarly articles (n=38) disseminated within the preceding two decades, subsequently culling a portion thereof, ultimately engendering a contemplative analysis of the extant remnants. In a swiftly evolving society driven by the Fourth Industrial Revolution and the ascendancy of Artificial Intelligence (AI), understanding the synergy between these domains has become paramount. Mathematics education stands at the crossroads of this transformation, witnessing a profound influence of AI. This paper explores the evolving landscape of mathematical cognition propelled by AI, accentuating how AI empowers advanced analytical and problem-solving capabilities, particularly in the realm of big data-driven scenarios. Given this shifting paradigm, it becomes imperative to investigate and assess AI's impact on mathematics education, a pivotal endeavor in forging an education system aligned with the future. The symbiosis of AI and human cognition doesn't merely amplify AI-centric thinking but also fosters personalized cognitive processes by facilitating interaction with AI and encouraging critical contemplation of AI's algorithmic underpinnings. This necessitates a broader conception of educational tools, encompassing AI as a catalyst for mathematical cognition, transcending conventional linguistic and symbolic instruments.
Objectives: This study was designed to develop and evaluate a stage matched exercise intervention program to effectively increase exercise behaviors in urban elders. Methods: The study included three phases: preliminary descriptive data collection, program development, and program evaluation. The data for the preliminary descriptive phase were collected between May and June 2001. The study participants were 89 urban elders who responded a questionnaire that included general characteristics, exercise related experiences, stage, and process of change in exercise behaviors. Data were analyzed using descriptive statistics, $x^2$-test, and content analysis. Development of the program was based on the preliminary data. and a literature review, and was guided by the tran theoretical model. It consisted of strategies to facilitate the process of changes used in each stage. Evaluation of the program was achieved from October to December 2001, using a case study method, in which eight urban female elders participated. Interviews were conducted on a weekly basis in the form of either an individual interview, or group discussion. Each elder subject received education in accordance with the program strategies and education materials. In the case that a subject's stage of change moved into another one, the scores for the process of change were re-measured. The data were analyzed using the content analysis technique. Results: The results were as follows: 1. Elders who participated in the preliminary data collection phase were over 75 years of age, and the majority of them were women. They had a higher educational level, and fewer number of illnesses than the subjects in other studies. Their stage of change was divided into pre-contemplation and maintenance. The social liberation scores were the highest across all stages of change. There was no difference between men and women on scores for processes of change in each stage. 2. The stage matched exercise intervention program that was developed in this study consisted of one counseling type program and three distinguished educational booklet materials. 3. The results of the case studies are as follows: 1) The study participants were 8 women between 75 and 87 years of age. At the first interviews, all of them were in the pre-contemplation stage. All of them reached the action stage before the 7th week. The scores for processes of change that were the focus in each stage increased more than the scores for other processes of change. During the early stages of change, experimental processes increased more than behavioral processes. However. this pattern was reversed during later stages of change. 2) Characteristics of the subjects in each stage were identical as presented at the tran theoretical model. The intervention strategies were effective in the transition occurred in any stage. 3) Barriers for exercise included unwillingness to exercise, fatigue, shortness of breath, and pain. Ways to overcome these barriers were 'learning an alternative exercise method that can be done at home', 'self-promising/ exercise-promising', and 'use of cues to exercise'. 4) The factors that affected the application of the program were consideration of age and personal preference in selecting an exercise pattern, individualized intervention, and use of education materials appropriate to elders. Women over 80 years of age preferred muscle strengthening and stretching exercise, because they can be easily done at home. They also preferred individualized interventions, materials that were easy to read, and education contents appropriate for elders. Conclusion: In conclusion, the stage matched exercise intervention program that considered the characteristics of the elders was effective to facilitate exercise behaviors of the elders.
Kim Nam Hee;Kim Young Hae;Kim Jeong Soon;Hwang Sun Kyung;Jun Seong Sook
Korean Journal of Health Education and Promotion
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v.22
no.1
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pp.103-115
/
2005
The Purpose of this study was to identify the process of change, decisional balance and self-efficacy corresponding to the stages of change in exercise behavior based on the Transtheoretical Model(TTM) in obese adolescents. A random sample of 517 obese adolescents was recruited in Pusan. The data were collected from June 15 to 30, 2004. The research instruments were Stages of Change for Exercise Behavior, Process of Change, Decisional Balance, and Self-Efficacy. The data were analyzed by descriptive statistics and ANOVA using SPSS WIN 10.0 program. The results of this study were as follows 1. The subjects were distributed in each stage of exercise behavior: There were 255 subjects($49.3\%$) in the contemplation stage, 131 subjects($25.3\%$) in the preparation stage, 52 subjects($10.1\%$) in the maintenance stage, 41 subjects($7.9\%$) in the action stage, and 38 subjects($7.4\%$) in the precontemplation stage. 2. Analysis of variance showed that cognitive process (F=13.57, p=.000), behavioral process(F=17.23, p=.000), decisional balance pros(F=11.95, p=.000), and self efficacy(F=12.52, p=.000) were significantly associated with the stages of exercise behavior change, but decisional balance cons(F=2.87, p=.023) was not significantly associated with the stages of exercise behavior change. This study can provide useful information for developing effective exercise behavior program considering obese adolescents' stages of change according t'.t the TTM.
Purpose: This study was done to identify the distribution and related factors for stage of change for wearing hearing protection devices (HPDs) by workers in environments with high noise. Predictors of Use of Hearing Protection Model and Trans-theoretical Model were tested. Methods: The participants were 755 workers from 20 noisy work places in Busan and Gyeongnam. Data were collected from January to April 2008 using self-administered questionnaires, and analyzed using multiple logistic regression. Results: There were significant differences in social mode (OR=1.35, 95% CI: 1.06-1.73) between precontemplation/contemplation and preparation stage, in males (OR=2.36, 95% CI: 1.24-4.51), workers with high school education or less (OR=1.39, 95% CI: 1.28-2.78), shift workers (OR=1.50, 95% CI: 1.02-2.21), workers who previously worked in noisy places (OR=1.39, 95% CI: 1.20-2.34), and workers who had previous hearing examinations (OR=1.89, 95% CI: 1.25-2.85), in the social model (OR=1.59, 95% CI: 1.42-1.78), and self-efficacy (OR=1.05, 95% CI: 1.02-1.08) between workers in preparation and action stages, in length of time working in noisy work places (OR=2.26, 95% CI: 1.17-4.39), social model (OR=1.66, 95% CI: 1.33-2.08), and perceived benefit (OR=0.95, 95% CI: 0.93-0.97) between action and maintenance stage. Conclusion: Social model was a common factor showing differences between two adjacent stages for wearing HPDs. The results provide data for developing programs to encourage workers to wear HPDs and application of these programs in work settings.
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