• Journal of Family Resource Management and Policy Review
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• v.17 no.3
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• pp.1-17
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• 2013

This study focused on adolescents who are studying in middle schools of the Gyeongnam region, aims to provide methods for improving school adjustment among adolescents through the enhancement of family strength. It will examine the effect of family strength on adolescents' school adjustment verify the mediating effect of social support in the influential relationships of school adjustment. The summarizations, obtained in this study are as follows: First, an analysis of the results of the effect of family strength on social support demonstrated that family strength had a positive effect on social support. That is, as family strength was higher, social support increased. Second, an analysis of the results of the effect of family strength on school adjustment show that family strength would have a direct effect on school adjustment, which is positive. Where family strength was higher, school adjustment of adolescents was also higher. Third, the results of the effect of social support on school adjustment when controlling family strength demonstrate that social support would have a positive effect on school adjustment, however, family strength did not predict school adjustment. Therefore, the complete mediating effect of social support in the relationship between family strength and school adjustment was identified. In conclusion, it was identified that family strength had an indirect effect on school adjustment, but not a direct effect. Therefore, it is indicated that indirect intervention through the social support system as well as direct intervention for the improvement of adolescents' school adjustment is required. In addition, it was confirmed that family strength and social support would be more important variables than control variables, which reflect the characteristics of adolescents and family in terms of school adjustment. Therefore, the recognition that the responsibility in adjusting to school is the common role of families, schools, and community going beyond the individual responsibility of adolescents is needed.

• Clinical and Experimental Pediatrics
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• v.49 no.10
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• pp.1031-1036
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• 2006

In this article, the following topics will be discussed: What is a developmental disability? What are the risk factors for developmental disability? What are the causes of delayed motor development? What are the early manifestations of developmental disability in young infants? What are the goals of early intervention and the forms or types of early intervention services? What are the dynamis of families with a developmentally delayed child? What is the role of a pediatrician for a developmentally disabled child and his or her family?

• Journal of Korean Academy of Nursing
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• v.39 no.1
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• pp.124-135
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• 2009

Purpose: The purpose of this study was to evaluate the service satisfaction for families who have someone with mental illness, and are using community mental health centers in Gyeonggi Province. Methods: The participants in this study were 796 family members. Data were collected using Family satisfaction survey questionnaire developed by the author (23 items on family service and 15 items on client service). Results: The total satisfaction level for the service with family and client resulted in above average scores. Of the 23 service items, data showed the highest level of satisfaction was with professional skills and attitude, and day rehabilitation programs, and the lowest for professional activities for advocacy and social welfare benefits, emergency & crisis intervention, medical expense subsidies. Of the 15 service items, job and housing related service had the lowest level of satisfaction. Conclusion: It is recommended that psychiatric emergency & crisis intervention programs and system development be accelerated. Also, there is a need to develop medical expense subsidy programs for older family caregivers, job and housing focused rehabilitation programs and community facilities for the client, as well as more active and powerful professional advocate activities for persons who have mental disabilities and their families.

• Korean Journal of Social Welfare
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• v.55
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• pp.27-54
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• 2003

This study examines the problems of children exposed to family violence. As a result, the children exposed to family violence exhibit various emotional, behavioral and social problems and distorted perceptions and inappropriate reactions toward family violence. Based on these results and existing programs for children exposed family violence, an integrative group program has been devised. The program was applied to two groups of the children and an experimental study was conducted to examine its effectiveness on emotional problems, aggressiveness, social skills and perceptions/reactions toward family violence. As a result, the experimental groups have shown an overall significant improvement in scores on emotional problems, aggressiveness, social skills and perceptions/reactions toward family violence. The study offers the following recommendations for clinical social work practice. First, great efforts to alleviating the problems of children exposed to family violence should be made continually. Second, special attention should be paid to reflect the characteristics of our own culture in clinical social work intervention and to do so, various practical intervention skills suitable to our culture should be developed. Finally, many different intervention models for children exposed family violence should be developed and researches comparing those models should be carried out.

• Human Ecology Research
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• v.52 no.6
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• pp.587-600
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• 2014

The purpose of this study was to examine the effects of family resources on social exclusion and the resilience of low-income families. To be more specific, this study categorized the level of social exclusion into five dimensions: work, housing, health, education, and social participation. Further, family resources were categorized into the two dimensions of "internal resources of the family" and "external resources of the family" in order to evaluate the effects of the two differentiated dimensions on social exclusion and the resilience of low-income families. The data of low-income families for the period of August 23 to September 28, 2012, were collected from community welfare centers that manage individual development accounts and local self-sufficiency centers; 302 cases were considered. The main results of this study were as follows: firstly, the model analysis proved that family resources as a parameter was significant, not only statistically but also theoretically and practically. Secondly, while a negative relationship was found between social exclusion and family resources, a positive relationship was found between family resources and resilience. This implied that the alleviation of a low-income family's social exclusion level could become an important intervention for the improvement of the family's functioning and strengths. Further, it implied that the qualitative improvement of the family's resources that affected the promotion of the resilience could be a basis for another practical intervention. These results suggested crucial implications for the development of comprehensive policies for addressing poverty issues.

• Journal of Families and Better Life
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• v.33 no.3
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• pp.31-48
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• 2015

This study examined the factors affecting the client's binge drinking, and the client and parents' change led by family therapy. From August to November 2011, the counseling case of this research was consisted of a total of 9 sessions-individual, parents, mother-daughter, father-daughter, and family counseling. This study utilized verbatim and audio recordings, and employed Miles and Huberman(1994) matrix and network to analyze the data. The findings of the study revealed that the factors that influenced the client's binge drinking included the family's dysfunctional communication method, adverse rearing attitude owing to unresolved emotional problems from the family-of-origin, and the client family's peculiar environment and culture. The therapist's intervention included making the client aware of his own problem, helping to gain insight and understand the parents' family-of-origin, connecting the past family-of-origin and the present, identifying attempted solutions, making aware of new change, and suggesting new communication methods. Through the therapist's intervention employing MRI interactional family therapy model and Bowen's family systems theory, the family members experienced changes; perception of all family members that participated in the counseling changed, and accordingly, their communication method and attitude changed as well. Through these changes in the family, the client's alcohol consumption reduced in terms of both frequency and amount, thus was able to solve their binge drinking problem.

• Asian Oncology Nursing
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• v.2 no.1
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• pp.5-16
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• 2002

Purpose: This study was to develop a stress-adaptation model for family caregivers of cancer patients that could provide the basis of planning nursing intervention. Method: A hypothetical model was developed using the family adaptation model proposed by Haley et al. (1987). In the literature, the stressor was identified as patient's characteristics, caregiver's characteristics, duration of illness, and family life events. It affected stress appraisal, family resources, family coping and finally caregiver's adaptation. In this model, 18 paths were constructed. Data were collected from 241 caregivers, whose family members were in treatment between June and August 2000, at 3 university hospitals and were analyzed by SPSS and LISREL programs. Results: 1) The overall fitness indices of the hypothetical model were x 2=267.78 (P= .0), GFI= .92, AGFI= .87, NFI= .93, NNFI= .93, PNFI= .64, PGFI= .55, and RMR= .43. Ten of the eighteen paths proved to be significant. 2) To improve the model fitness, the hypothetical model was modified considering modification indices and the paths proved not significant. Final model excluded 3 paths demonstrated to be improved by x2=161.96 (P= .00), GFI= .95, AGFI= .91, NFI= .96, NNFI= .96, and RMR= .23. Twelve of fifteen paths proved to be significant. 3) Stress appraisal was influenced by disease related characteristics and duration of illness and was explained 22% of the variance. Family resources were influenced by stress appraisal and was explained 57% of variance. Family coping was influenced by disease related characteristics, caregiver's characteristics, duration of illness, family life event, and stress appraisal and was explained 57% of variance. Family caregiver adaptation was influenced by disease related characteristics, caregiver's characteristics, stress appraisal, and family coping and was explained 31% of variance. Twelve of fifteen paths were significant. Conclusion: Based on this study, to help family caregivers to adapt, individual intervention is necessary with consideration of disease related and caregiver's characteristics and duration of illness. The intervention should include efforts to raise the family resources and to identify positively the stress they encounter, and there is a need to establish an adaptation model that considers emotional aspects of family caregivers. Since there is a difference in emotional status depending on the disease stage, a study needs to be done to analyze the differences among the disease stages (diagnosis, treatment, recurrence, and terminal stages).

• Research in Community and Public Health Nursing
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• v.14 no.1
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• pp.120-131
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• 2003

Purpose: to investigate nursing service needs of dementia caregivers in the community, and, also to provide basic data that is helpful in developing nursing intervention for them. Method: MMSE-K exam was administered on 15,216 men more than 65years old who live in Gu, Seoul city, and the subject of this study were caregivers of 792 demented elderly who were below 20 points in the MMSE-K exam. Result: Total score of nursing service needs of family appeared lower than average. By specific area, information nursing needs was the highest(M=3.29), and therapeutic nursing needs (M=3.31), welfare service nursing needs(M=3.32), emotional support nursing needs (M=3.34) followed in order. The factors which increased the total score of nursing service needs of dementia caregivers as general and physical characteristics were man (p=.04), lower ADL (p=.00) and IADL(p=.00), longer length of sick days(p=.01), having diseases(p=.03), decline of cognition(p=.00), existence of dementia symptom(p=.00). And. high economic status(p=.03), good caring attitude(p=.00) were family characteristics which increased the nursing service needs of caregivers. As predicting variables dementia symptom (10.4%), caring attitude(1.9%), existence of economic activity (1.5%), and length of sick days(1.2%) exhibited explanation power in order. Conclusion: In future, active intervention methods that correspond to family nursing service needs have to be developed, and it is also needed to develop nursing intervention strategy on specific problem with dementia problematic behavior, exercise etc.. Also, it is needed to do research on the caring attitude of dementia family because active caring attitude of family was significant influencing factor on nursing service needs of family.

• The Journal of Korean Academy of Sensory Integration
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• v.22 no.1
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• pp.25-42
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• 2024

Objective : The aim of this study was to investigate the effects of a sensory integration intervention on the sensory processing and posture control of children with developmental delays and a simultaneous family-centered coaching intervention on their parents' parenting efficacy. Methods : This study adopted a multiple probe design across four children aged five to six with developmental delays and their parents. A sensory integration intervention and a family-centered coaching intervention were employed twice a week in a total of 16 sessions over 8 weeks. Sensory profiles were evaluated, and the Korean version of the Parenting Sense of Competence was used before and after the interventions, and changes in post-intervention posture control were measured using Biorescue equipment. Results : During the intervention period, weight support in the sitting, Sitting with eyes closed, and standing positions evaluated using Biorescue was higher than two standard deviations from the baseline. After the interventions, all children showed enhanced sensory processing. Conclusion : Sensory integration and family centered coaching interventions have positive effects on the sensory processing and posture control of children with developmental delays and on their parents' parenting efficacy.

• Korean Journal of Adult Nursing
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• v.28 no.6
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• pp.619-627
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• 2016

Purpose: This study was to test a structural model of spirituality and the quality of life of stroke survivors' caregivers in order to provide guidelines for the development of intervention and strategies to improve their quality of life. Methods: Data were collected from 133 family caregivers of stroke patients who were hospitalized in C university hospital located in Seoul. Data collection using survey questionnaires was done from May, 2013 to February, 2014. Results: Fitness of the hypothetical model was appropriate. Physical component of quality of life of family caregivers is directly affected by two variables (51.5%), burden and depression. Mental component of quality of life of family caregivers is directly affected by three variables (77.6%), depression, burden, and functional dependence of patients. Depression as well as burden were directly affected by spirituality and functional dependence of patients respectively. Thus, spirituality directly affected depression and burden and indirectly affected the quality of life of family caregivers. Conclusion: Therefore, spiritual intervention to improve the stroke caregivers' quality of life might be necessary to support and strengthen their spirituality as a mediating variable that can contribute to decreasing their depression and burden.