• 제목/요약/키워드: stage of change theory

검색결과 108건 처리시간 0.026초

Factors affecting vegetable preference in adolescents: stages of change and social cognitive theory

  • Woo, Taejung;Lee, Kyung-Hea
    • Nutrition Research and Practice
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    • 제11권4호
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    • pp.340-346
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    • 2017
  • BACKGROUND/OBJECTIVES: Despite the importance of consuming sufficient amounts of vegetables, daily vegetable intake among adolescents in Korea is lower than the current dietary recommendation. The objective of this study was to examine determinants affecting vegetable preference in order to suggest a stage-tailored education strategy that can promote vegetable consumption in adolescents. SUBJECTS/METHODS: Adolescents (n = 400, aged 16-17 years) from two high schools participated in a cross-sectional study. Survey variables were vegetable preference, the social cognitive theory (SCT) and stages of change (SOC) constructs. Based on vegetable preference, subjects were classified into two groups: a low-preference group (LPG) and a high-preference group (HPG). SOC was subdivided into pre-action and action/maintenance stages. To compare SCT components and SOC related to vegetable preference, chi-squared and t-tests, along with stepwise multiple-regression analysis, were applied. RESULTS: In the LPG, a similar number of subjects were classified into each stage. Significant differences in self-efficacy, affective attitudes, and vegetable accessibility at home and school were detected among the stages. Subjects in the HPG were mainly at the maintenance stage (81%), and there were significant differences among the stages regarding self-efficacy, affective attitudes, and parenting practice. In the predictions of vegetable preference, self-efficacy and parenting practice had a significant effect in the "pre-action" stage. In the action/maintenance stage, outcome expectation, affective attitudes, and vegetable accessibility at school had significant predictive value. In predicting the vegetable preference for all subjects, 42.8% of the predictive variance was accounted for by affective attitudes, self-efficacy, and vegetable accessibility at school. CONCLUSION: The study revealed that different determinants affect adolescent vegetable preference in each stage. Self-efficacy and affective attitudes are important determinants affecting vegetable preference. Additionally, school-based nutrition intervention that focuses on enhancing affective attitudes, self-efficacy, and vegetable exposure may constitute an effective education strategy for promoting vegetable consumption among adolescents.

효과적 건강상담을 위한 제 보건행동이론의 활용방안에 대한 연구 (The Use of Health Behavior Theory for Effective Health Counselling)

  • 김혜경
    • 보건교육건강증진학회지
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    • 제19권1호
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    • pp.149-170
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    • 2002
  • The use of health behavior theory in health counseling may improve its effectiveness. This article provides an overview of health behavior theory and guidelines on how to incorporate various theories into effective health counseling. Models that focus on behavior change at the individual level are described, including the health belief model, which focuses on individual health beliefs; social learning theory, which emphasizes interactions between individual, behavior and its environment; theory of reasoned action and theory of planned behavior, which examines factors influencing behavioral intention;. the stages of change model, which focuses on one's stage of readiness for change. Research review provides explanatory and predictive utility of four health behavior theories. Suggestions for effective health counselling are as follows: 1. Unified theoretical framework incorporating key concepts from different health behavior theories is needed. 2. Need assessment should be included in counselling process. 3. Behavior-change counselling should target changes in one or more key variables previously identified. 4. Focusing on promotional efforts into a high profile behavior(gateway behavior) can be an an adjunctive way of initiating other health promotion behaviors. 5. Counselling should be staged based, and different strategies and processes of changes should be applied at different stages.

산재 환자를 간병하는 가족원의 대처경험 (The Coping Experience of Family Caregivers for the Industrial Disaster Victim)

  • 김춘미;오진주;최정명
    • 한국직업건강간호학회지
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    • 제16권2호
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    • pp.119-129
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    • 2007
  • Purpose: The purposes of this study were to understand the coping experience that family caregivers undergo during the process of care, to grasp coping behaviors used to solve problems and, finally, to develop a substantive theory by analyzing the coping process. Method: The methodology of collecting and analyzing data used in this study followed the ground theory. Data were collected through in-depth interviews with open-ended and descriptive questions about the subjects' coping experiences. The survey was conducted between May 2006 and August. The subjects of this study were 10 women. Result: The result of the study is as follows. Core category of This Study was "Self-Sacrifice". And The coping process of family caregivers while taking care of the industrial disaster victim was found to have five stages: shocked stage; undertaking stage of new role; skilled stage; exhausted stage; and desiderating stage. Seven coping behaviors were found to reduce the stress of role and anguish resulting from care. Conclusion: The result of this study is helpful for developing effective industrial nursing strategies suitable for each coping stage. It is necessary to practice nursing mediation and to analyze the change about nursing effect and family caregivers' adaptation.

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당뇨 자기관리를 위한 행위변화 이론: 개념적 고찰 (Behavior Change Theories in Diabetes Self-management: A Conceptual Review)

  • 최수영;송미순
    • Perspectives in Nursing Science
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    • 제7권1호
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    • pp.1-9
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    • 2010
  • Purpose: The purpose of this study was to review behavior change theories in terms of important variables, concept definitions, and applicability to diabetes self-management behavior. Methods: Six behavior change theories (the Transtheoretical Model, the Health Belief Model, the Theory of Reasoned Action, the Theory of Planned Behavior, Social cognitive theory, and Information-Motivation-Behavioral skills Model) were reviewed which were applied in diabetes self-management interventions. Results: The five key concepts from the five non-stage behavior change theories were delineated. Based on the key concepts, a theoretical framework was formulated as the explanatory model of diabetes self-management behaviors. The four major concepts in Information-Motivation- Behavioral skills Model were included. The cognitive arm of the proposed theoretical framework included constructs related to diabetes knowledge, motivation (beliefs, attitude, social norm), self-efficacy, and intention. Conclusion: The theoretical framework described here includes the key factors of successful diabetes self- management intervention. However, the concept of motivation needs further exploration and clarification for operationalization.

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연극론 『연극예술에 대하여』의 특성 연구 (Studies on a Characteristic of 『About Stage Drama Arts』)

  • 김정수
    • 공연문화연구
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    • 제22호
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    • pp.123-155
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    • 2011
  • 본 연구는 김정일의 『연극예술에 대하여』를 면밀히 읽어가면서, 김정일 자신이 평가한 '새로움'의 실체를 밝히는 것이 목적이다. 연구과정에서는 김정일 연극론과 북한의 1950년대 연극론과 비교하는 방식을 취했으며, 연구결과 김정일 연극론에 '새로운'이라는 형용사를 부여하는 것은 무리임이 드러났다. 계승과 새로움이 서로 교차되어 있기 때문이다. 먼저 계승의 측면은 극작법에서 발견된다. 극작법에서 등장인물과 언어에 관한 김정일의 주장은 1950년대 연극론의 연장선이며, 종자에 관한 그의 이론은 1950년대에 제기된 개념의 변형이기 때문이다. 또한 희곡/연극예술의 표현수단이 '대사'라는, 연기에 있어서 움직임보다 화술에 치중하라는 그의 지침은 1950년대 연극론과 비교할 때, 연극예술에 대한 개념의 축소로 해석된다. 반면 '새로움'의 측면은 무대형상화에서 확실히 발견된다. 고정되었던 무대배경이 암전 없이 그대로 이동한다는 것은 이전 무대장치와는 분명 구분되는 것이며, 무대가 연기자의 정서적 흐름을 반영하려는 시도는 그 성패를 떠나 시도만으로 높이 평가할 수 있다. 이와 더불어 코러스가 적극적으로 극에 개입하여, 극중 인물의 정서를 직접적으로 관객에게 전달하고, 창작자의 의도대로 관객의 반응을 유도한 점 역시 기존의 연극론과 변별성을 갖는다. 연극적으로 평가할 때, 무대와 음악에 관한 김정일의 이론과 실천은 시청각성의 극대화라는 의미를 부여할 수 있다. 따라서 김정일 연극론은 그의 주장과 같이 온전히 '새로운' 이론이라기보다는 기존 연극론의 축소적 계승이면서, 스펙터클의 확대에 초점을 둔 창작론이라 하겠다.

Evaluation of a theory-based community intervention to increase fruit and vegetable intakes of women with limited incomes

  • Chung, Sang-Jin;Hoerr, Sharon L.
    • Nutrition Research and Practice
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    • 제1권1호
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    • pp.46-51
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    • 2007
  • The study objectives were to increase both the stage of readiness to eat fruit and vegetables as well as the intakes of women who participated in the Expanded Food and Nutrition Education Program (EFNEP) for families with limited incomes. The intervention was to enhance the currently used curriculum, Eating Right Is Basic III (ERIB3), with stage-specific processes based on the Trans-Theoretical Model of readiness to change. Trained EFNEP community workers taught the enhanced curriculum to 90 mothers in the experimental county and to 53 mothers in the control county. Pre- and post-intervention measures included stages of readiness to eat fruit and vegetables and to intake as assessed by 24-hour dietary recalls and staging questions. Most women recruited into EFNEP were in Action and Preparation Stages (53.5%). Fruit and vegetable intakes showed a linear trend along with the Stage of Change for fruit and vegetable. After intervention, some combination of the ERIB3 and the fruit and vegetables-enhanced ERIB3 resulted in a reported 1/2 servings/day increase in fruits and vegetables in both the control and the experimental counties, although changes were not significant. EFNEP women also moved along the Stage of Change Continuum for fruits and vegetables in both counties. The percentage of people who ate 5 or more servings of fruit and vegetables was significant, however, only in the experimental group. We encourage health professionals to apply lessons learned from this intervention and to continue to pursue theoretically based interventions to change dietary behaviors.

카오스의 관점에서 본 르네상스의 수학과 미술 (Mathematics and Arts of Renaissance on the Chaotic Perspective)

  • 계영희;오진경
    • 한국수학사학회지
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    • 제19권2호
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    • pp.59-76
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    • 2006
  • 본 논문은 탈근대화의 영향으로 등장한 카오스 이론의 시각으로, 수학과 미술의 관련성을 연구하였다 중세 말에서 르네상스로 접어드는 13-14세기, 르네상스의 개화기인 15, 16세기 그리고 16세기말에서 바로크 시대로 접어드는 세 시기에 시대정신이 역동적 체계에서 어떻게 구축되는지를 조망하였다. 시간의 흐름과 더불어 역동적으로 변모해가는 문화와 역사는복잡계의 전형이기 때문이다.

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A Method to Identify How Librarians Adopt a Technology Innovation, CBAM(Concern Based Adoption Model): Focusing on School Librarians' Concern about Digital Textbooks

  • 강지혜
    • 한국문헌정보학회지
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    • 제50권3호
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    • pp.5-23
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    • 2016
  • As new technologies change a society, librarians need to understand and adapt to technology innovations. However, most innovations that librarians are supposed to adopt are government-driven or top-down changes; and there have been very few studies conducted to identify any patterns or consistencies in librarians' perceptions of innovation. This paper, therefore, has two research purposes. First, it introduces the Concern Based Adoption Model (CBAM) as one method to gain a deeper understanding of how librarians see such changes. Second, this study identifies school librarians' concerns regarding digital textbooks in South Korea applying the CBAM theory. The test signifies that school librarians present a typical non-user profile, and the pattern anticipates a potential resistance to digital textbooks. Also, it discovers the less experienced and innovator librarians had higher concerns across every stage. The findings underscore a need of various interventions. The CBAM theory suggests, in terms of intense Stage 0 and 1, it is required for school librarians to have events to gain information about digital textbook implementation. Regarding targeted interventions, since the biggest gaps occurs in Stage 4, Consequence and Stage 5, Collaboration, according to school librarians' experience and adoption style, new school librarians need stronger engagement with the community, which including associations, mentors or peer support, and collaborating with public libraries; innovator school librarians require opportunities to test and present their use of digital textbooks (Hall and Hord 1987).

결흉(結胸)의 발병 부위에 대한 우재경(尤在涇)의 병리관 (Youzaijing's Pathologic View on the Outbreak Region of Chest Bind)

  • 조원준
    • 동의생리병리학회지
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    • 제22권4호
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    • pp.733-739
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    • 2008
  • It was said that the epigastric region was the outbreak region of chest bind on Shanghanlon. But successive medical men annotated the epigastric region as the chest, which caused the misunderstanding that chest bind was a chest trouble. However Youzaijing, a medical man in Qing dynasty, presented that the epigastric region meant stomach and the middle of stomach did intestines, comparing Dachengqi-tang with Daxianxiong-tang. This view agreed with Huatuo's six-region-transmutation theory. Taojiean and Zhangjingyue also criticized on the six-meridian-transmutation theory, proposing that the change of cold damage didn't go by the fixed rules. This reflected the oriental medical pathologic view that pathogen invaded and advanced to the weak region by the relations between healthy qi and pathogen, and it criticized on the doctrinarian interpretation of Shanghanlon as Neijing. Huatuo insisted that stomach was the final stage of cold damage by presenting that theory. And this theory became a philological basis on Youzaijing's pathologic view.

'과학1' 중학교 교과서의 물질의 상태 변화와 분자 운동 내용이 요구하는 인지 수준 분석(제III보) (Analysis of the Level of Cognitive Demands about Concepts of the Changes of State and Kinetic Theory on 'Science 1' Textbooks in Junior High School (III))

  • 박지은;박예슬;강순희
    • 대한화학회지
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    • 제57권5호
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    • pp.640-655
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    • 2013
  • 우리나라 중학교 '과학1'에 실려 있는 '물질의 상태 변화'와 '분자의 운동'에 대한 서술 내용이 요구하는 인지 요구도를 분석하였다. '분자의 운동'에는 '확산과 증발', '기체의 압력과 부피', '기체의 온도와 부피', 그리고 '상태 변화와 열에너지' 개념이 포함된다. 인지 요구도 분석에 활용한 분석 준거는 영국에서 개발된 과학 교과 내용 분류틀에 있는 3종류 분석틀이다. 분석 대상인 6종 교과서 내용들이 요구하는 인지 수준들은 구체적 조작 수준과 형식적 조각 수준들이 다양하였다. 해당 내용에는 여러 인지 수준들이 있으나 그 중에서도 높은 인지 수준을 요구하는 내용들을 보면 다음과 같다. 첫째, 단원 초기에 물질의 세 가지 상태를 설명할 때에는 그 서술 내용이 요구하는 높은 인지 수준이 6종 모두 후기 구체적 조작 수준이다. 그러나 단원의 초기 이후부터는 이에 대한 설명이 모두 초기 형식적 수준이다. 분자 배열과 분자 모형에 관한 내용이 요구하는 높은 인지 수준은 모든 6종 교과서가 분자 운동으로 서술하고 있기 때문에 초기 형식적 조작 수준이다. 둘째, 확산과 증발 개념에 대한 내용이 요구하는 높은 인지 수준은 6종 교과서 모두 초기 형식적 조작 수준이다. 왜냐하면 상태 변화를 분자 운동론으로 서술하고 있어서 초기 형식적 조작 수준이다. 셋째, 기체의 압력과 부피, 기체의 온도와 부피 개념에 대한 내용이 요구하는 높은 인지 수준은 교과서 6종 모두 초기 형식적 조작 수준이다. 분자 운동을 이용한 형식적 모델을 이해해야 하고 그리고 그래프를 통해 보일 법칙과 샤를 법칙을 이해해야 하기 때문에 학생들은 고차식의 그래프를 해석해야 하며, 두 독립변수 사이의 관계를 발견해야 하므로 초기 형식적 조작 수준이다. 넷째, 상태 변화와 열에너지 개념에 대한 내용이 요구하는 높은 인지 수준은 교과서 6종 모두 초기 형식적 조작 수준이다. 물질의 끓는점과 어는점을 설명하는 고차식 그래프의 해석 능력을 요구하고 있기 때문에 초기 형식적 조작 수준이다. 물질의 상태 변화와 온도의 관계도 분자 운동론을 이용하여 서술하고 있기 때문에 초기 형식적 조작 수준이다.