• International Journal of Human Ecology
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• 제14권2호
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• pp.25-40
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• 2013

Addressing challenging behavior in young children with special needs is an important issue. This study analyzed the results of literature on parent-implemented behavioral interventions designed to manage the challenging behavior of children with developmental disabilities under 8 years of age. Seventeen relevant studies published in peer-reviewed English journals during the last 15 years were selected for review. The literature review showed that adequately trained parents can serve as a competent intervention agent, thereby making significant contributions to mitigating children's behavior problems. The reviewed studies also demonstrated that parents could play a variety of important roles such as informants and trainers in behavioral interventions. However, the conclusions on parent-implemented behavioral intervention may be tentative rather than conclusive due to previous research limitations including the lack of treatment integrity and social validity data. In addition, this review discussed several implications for practitioners, indicated the limitations of the reviewed studies, and presented suggestions for future research.

• 아동학회지
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• 제30권3호
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• pp.127-143
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• 2009

Participants in this study were 207 mothers of toddlers; they completed questionnaires on their need for and knowledge level of parent education, parenting efficacy, and parenting stress. Data were analyzed by descriptive statistics and Pearson's correlation coefficients. Mothers indicated high need for parent education; their knowledge level was moderate. Most mothers answered they'd like to participate in a parent education program; their preference was for small group programs implemented for 1-2 hours in the morning on weekdays for six sessions. Mothers with more knowledge of parenting information for toddlers showed higher parenting efficacy and experienced less parenting stress.

• 아동학회지
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• 제25권5호
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• pp.73-94
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• 2004

The study examined the effects of an intervention program for improving mother-child interaction behaviors of mothers with developmentally delayed young children. The program consisted of three main activities, lectures for good parenting, video-feedback of mother-child interactions, and consultation for problem behaviors of children. The subjects were 4 mothers of 5-6 years old children with developmental delays who were referred to a social competence program of a child counseling center. The mothers were identified to have problematic mother-child interaction behaviors through clinical interviews. The program ran for 16 sessions, one parent group leader implemented each session for 90-120 minutes once a week. The videotaped data of mother-child interactions for 10 minutes every 4 sessions were estimated by Maternal Behavior Rating Scale(MBRS) and qualitatively analyzed by transcription of communications between mothers and their children. It concluded that the intervention program enhanced mother-child interaction behaviors.

• 아동학회지
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• 제24권4호
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• pp.123-142
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• 2003

This study examined the effectiveness of a social competence program for mentally challenged(IQ 58-74) and/or somewhat autistic 6- and 7-year old children with peer relationship difficulties. The Hierarchical Model of Social Competence by Guralnick(1992) provided the framework of the experimental program. The intervention consisted of 16 sessions: 2 intervention teachers implemented each session for 90 minutes once a week. Target behaviors were to initiate interactions with others, to respond to behaviors of teachers and peers, to participate in group activities, and to express their needs to others with speech. Data on the frequencies of target behaviors, the behavior episodes and parent reports were analyzed. Most of children became to be more sociable, although there were individual differences in the changes in target behaviors.

• 부모자녀건강학회지
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• 제4권1호
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• pp.35-55
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• 2001

Recently attention has been focused on the effects of early intervention, or its lack, on both normal and preterm infants. Particularly numerous studies suggest that premature infants are not necessarily understimulated but instead are subjected to inappropriate stimulation. Developmental support and sensory stimulation have become clinical opportunities in which nursing practice can impact on the neurobehavioral outcome of premature infants. Developmental care has been widely accepted and implemented in neonatal intensive care units across the country. Increasingly, attention and concern in caring for low-birth-weight infants and premature infants has led clinicians in the field to explore the effects of a complex of interventions designed to create and maintain a developmentally supportive environment; to provide age-appropriate sensory input; and to protect the infant from inappropriate, excessive and stressful stimulation. The components of developmental care include modifications of the macro-environment to reduce NICU light and sound levels, care clustering, nonnutritive sucking, and containment strategies, such as flexed positioning or swaddling. Sensory stimulation of the premature infants is presented to standardize the modification of a developmental intervention based on physiologic and behavioral cues. The most appropriate type of stimuli are those that are sensitive to infant cues. Evaluation of infant physiological and behavioral responds to specific intervention stimuli may help to identify more appropriate interventions based on infants' cues. A critical question confronting the clinician is that of determining when the evidence supporting a change in practice is sufficient to justify making that change. There are acknowledged limitations in the current studies. Many of the studies examined had small sample sizes; used nonprobability sampling; and used a phase lag design, which introduces the possibility of threats to internal validity and limits the generalizability of the results. Although many issues regarding the effects of developmental interventions remain unresolved, the available research base documents significant benefits of developmental care for LBW infants in consistent outcomes, without significant adverse effects. Particularly, although the individual studies vary somewhat in the definition of specific outcomes measured, instrumentation used, time and method of data collection, and preparaion of the care providers, in all studies, infants receiving the full protocol of individualized developmentally supportive care had improvements in some aspect of four areas of infant functioning: level of respiratory or oxygen support, the establishment of oral feeding; length of hospital stay, and infant behavioral regulation. In summary, based on the available literature, individualized developmental intervention should be incorporated into standard practice in neonatal intensive care. And this implementation needs to be coupled with ongoing research to evaluate the impact of an individualized developmental care programs on the short- and long-tenn health outcomes of LBW infants.

• 대한간호학회지
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• 제37권4호
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• pp.576-585
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• 2007

Purpose: This study was designed to construct a structural model explaining alienation, depression, and suicidal thoughts in male and female adolescents. Method: Data was collected by questionnairs from 204 male and 208 female students selected randomly in high schools in K city Results: This study found that depression was significantly affected by alienation, and was indirectly affected through alienation by school attachment, peer relationships, and academic performance. Suicidal thoughts were greatly affected by depression, and were directly and indirectly influenced by alienation. It was confirmed that alienation turned out to be a important mediating variable, while it had a effect significant on depression and suicidal thoughts. Also there were significant differences in affecting factors among male and female students. Conclusion: Intervention strategies for preventing alienation, depression and suicidal thoughts should be different according to gender in addition, specific nursing intervention plans, including parent education and role training programs, fostering of humanistic and achievement-focused educational environment, peer support programs, and individual counselling, need to be developed and implemented to lessen a feeling of alienation from family and school.

• 디지털콘텐츠학회 논문지
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• 제18권3호
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• pp.517-524
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• 2017

본 연구는 스마트기기의 이용이 유아들에게 미치는 영향에 대한 어머니들의 인식을 바탕으로 스마트기기를 이해하고 적절한 이용방법과 지도에 대한 기초자료를 제공하고자 수행되었다. 연구대상은 유아교육기관에 다니는 3-5세 유아를 둔 어머니 134명이었으며 질문지를 통해 자료를 수집하였다. 분석을 위해 SPSS 18.0을 이용하여 t-test, F검증을 실시하였다. 분석 결과 대부분의 어머니들은 스마트기기가 유아의 발달에 크게 영향을 미치지 않은 것으로 인식하였다. 또한 어머니들은 스마트기기의 처음 이용 시기, 학력, 취업유무에 따라서 유아에게 미치는 영향에 대한 인식에 차이가 있었다. 그러나 성별에 따른 차이는 나타나지 않았다. 본 연구 결과는 자녀들의 스마트기기 이용에 대한 부모 개입과 부작용 예방 및 부모교육프로그램에 대한 필요성을 시사한다.

• 한국산학기술학회논문지
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• 제17권3호
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• pp.317-331
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• 2016

본 연구는 부모의 양육태도가 중학생의 합리적 진로의사결정 유형에 미치는 영향 및 자기효능감의 매개효과를 분석하고, 이를 바탕으로 2016년부터 자유학기제를 맞는 중학생들의 진로 탐색을 자원하기 위해 가정과 학교에서 공동으로 적용할 수 있는 프로그램을 개발하기 위한 예비조사로 수행되었다. 연구 목적을 달성하기 위해 강북에 위치한 A 중학교 학생 345명에게 설문지를 배포하였으며, 불성실응답을 제외한 335부를 SPSS v.22을 활용하여 분석하였다. 분석 결과는 다음과 같다. 첫째 인구사회학적 분석에서 부모의 양육태도는 종교와 수입 집단 간 차이가 없는 것으로 나타났다. 둘째, 부모의 양육태도 중 민주적 양육태도가 중학생 자녀의 합리적 진로의사결정 유형에 가장 큰 영향을 발휘했으며 익애적 양육태도는 중학생 자녀의 합리적 진로의사결정 유형에 부분적으로 영향을 미쳤다, 하지만 권위주의적 양육태도는 영향을 미치지 못하는 것으로 나타났다. 셋째, 부모의 양육태도가 중학생 자녀의 합리적 진로의사결정 유형에 미치는 영향에서 자기효능감은 민주적 양육태도에서만 매개효과를 갖는 것으로 나타났다. 이러한 연구 결과는 중학생 자녀의 합리적 의사결정 유형을 긍정적으로 변화시키기 위해서는 부모교육과 함께 자기효능감 이외의 변인이 개입되어야 할 필요성을 발견했다는 점에서 그 의의를 찾을 수 있다.

• Clinical and Experimental Pediatrics
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• 제49권5호
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• pp.523-528
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• 2006

목 적 : 선천성심질환 청소년의 우울정도와 극복력의 상관관계를 파악하고 우울과 관련된 변수를 확인하고자 하였다. 방 법 : 선천성심질환으로 수술을 받고 2개 대학병원 및 심장전문병원에 등록되어 추적관찰 중인 만 13-18세 청소년 231명을 대상으로 하였다. 연구 도구는 만성질환아를 대상으로 개발한 극복력 도구와 Beck의 우울척도를 8-18세에 맞게 변형시킨 Kovasc의 CDI를 사용하였다. 결 과 : 선천성심질환 청소년의 우울정도는 0-54점 가능 점수에서 평균 16.74점이었고, 극복력은 70-160점 가능 점수에서 115.84점이었다. 극복력에 따른 우울정도는 극복력과 우울은 유의한 역상관관계(r=-0.59, P<0.01)를 나타났다. 또한, 극복력의 하부 개념인 개인내적요인(r=-0.69, P<0.01), 대처양상(r=-0.39, P<0.05), 대인관계(r=-0.59, P<0.01)도 우울정도와 통계적으로 유의한 역상관관계를 보였다. 다중회귀분석 결과 선천성심질환 청소년의 우울과 관련된 유의한 변수는 부모의 양육태도(${\beta}=-0.48$, P<0.01) 및 극복력(${\beta}=-0.62$, P<0.01)으로 나타났다. 결 론 : 선천성심질환 청소년에서 청소년 자신의 극복력이 높을수록 부모가 긍정적인 양육태도를 가질수록 우울정도가 낮음을 알 수 있었다. 따라서 환자 자신의 극복력을 파악하고 증진할 수 시킬 수 있는 심층 연구와 선천성심질환 청소년과 같이 만성질환을 가진 자녀의 부모에게 양육태도의 중요성을 가질 수 있도록 돕는 중재개발이 필요하다.