Transtheoretical Model Based Exercise Counseling Combined with Music Skipping Rope Exercise on Childhood Obesity

함옥경,성경미,이보경,최희원,임은옥 한국간호과학회 2016 Asian Nursing Research Vol.10 No.2

Purpose: The purpose was to evaluate the effects of a transtheoretical model (TTM) based exercise counseling offered with music skipping rope exercise on components of the TTM (stages of change, decisional balance, and self-efficacy), body mass index, glucose, and lipid profile of overweight/obese children in Korea. Methods: This study used a nonequivalent pretest and posttest experimental study design. A total of 75 overweight/obese children participated in the study. Eight sessions of exercise counseling combined with music skipping rope exercise for 12 weeks were offered for children in the experimental group, while one session of exercise counseling with music skipping rope exercise for 12 weeks was offered for children in the control group. Outcomes were measured at baseline, and 6 months after the intervention. Results: After the intervention, self-efficacy significantly improved among children in the experimental group (p = .049), while these children maintained their baseline BMI at 6-month follow-up (p > .05). Among children in the control group, BMI significantly increased (p < .05). Fasting blood sugar significantly increased for both groups after the intervention (p < .05). However, a greater increase was observed for the control group. Conclusions: Our study partially supports the hypothesis that a TTM-based exercise intervention is effective in maintaining BMI and improving self-efficacy of overweight/obese children. The TTM-based counseling combined with exercise classes has potential to control weight among overweight/obese children, while involvement of parents and children in the development of the theory-based intervention may generate further benefits regarding health and well-being of overweight/obese children.

비의도적 사고 피해자의 삶의 질

함옥경,이은주,이원정 한국보건교육건강증진학회 2007 한국보건교육·건강증진학회 학술대회 발표논문집 Vol.- No.-

Mediating Effects of Self-Efficacy in the Transtheoretical Model Among Adolescent Male Smokers in Korea

함옥경,유재복 한국간호과학회 2009 Asian Nursing Research Vol.3 No.1

Purpose This study examined the moderating and mediating effects of self-efficacy on the relationships between predictor variables (decisional balance and processes of change) and the outcome variable(stages of change) using the Transtheoretical Model. Design Cross-sectional data were collected from 147 current and former smokers at three vocational technical high schools in Korean metropolitan areas. Methods The survey instruments included decisional balance, self-efficacy, processes of change (behavioral and experiential), and stages of change. Regression analyses were used to identify the mediating effects of self-efficacy. Results Self-efficacy mediated the relationships of decisional balance and behavioral processes with stages of change, but not that of experiential processes with stages of change. Conclusions The study results will provide valuable information regarding how each predictor variable is connected and path through adoption of smoking cessation behavior. By understanding mechanisms of behavior change, health professionals could develop effective smoking cessation interventions with consideration of roles of self-efficacy in the smoking cessation behavior change. Purpose This study examined the moderating and mediating effects of self-efficacy on the relationships between predictor variables (decisional balance and processes of change) and the outcome variable(stages of change) using the Transtheoretical Model. Design Cross-sectional data were collected from 147 current and former smokers at three vocational technical high schools in Korean metropolitan areas. Methods The survey instruments included decisional balance, self-efficacy, processes of change (behavioral and experiential), and stages of change. Regression analyses were used to identify the mediating effects of self-efficacy. Results Self-efficacy mediated the relationships of decisional balance and behavioral processes with stages of change, but not that of experiential processes with stages of change. Conclusions The study results will provide valuable information regarding how each predictor variable is connected and path through adoption of smoking cessation behavior. By understanding mechanisms of behavior change, health professionals could develop effective smoking cessation interventions with consideration of roles of self-efficacy in the smoking cessation behavior change.

사회경제적 요인에 따른 지역사회 저소득층 중년여성의 심혈관질환 위험요인 차이

함옥경(Ham, Ok Kyung),김봉정(Kim, Bong Jung),이영아(Lee, Young Ah) 한국보건간호학회 2008 韓國保健看護學會誌 Vol.22 No.1

일 지역 보건소 금연클리닉 이용자의 흡연유혹, 자기 효능감 및 금연상담 만족도

함옥경(Ham, Ok Kyung),유재복(Yoo, Jae Bok) 한국보건간호학회 2008 韓國保健看護學會誌 Vol.22 No.2

국민건강영양조사 결과에 의한 한국인의 사고 유형 및 발생빈도

함옥경(Ham, Ok Kyung),이은주(Lee, Eun Joo) 한국보건간호학회 2007 韓國保健看護學會誌 Vol.21 No.1

한국 여성의 유방엑스선 촬영에 영향을 미치는 요인

함옥경(Ham, Ok Kyung) 한국보건간호학회 2004 韓國保健看護學會誌 Vol.18 No.1

A Comparison of Smoking Control Strategies in Korea and the United States

이정렬,함옥경,홍윤미 한국간호과학회 2004 Journal of Korean Academy of Nursing Vol.34 No.7

The purpose of this study was to compare smoking control strategies between Korea and the United States. Korea and other developing countries may learn from the experience of the United States in dealing with the growing epidemic of cigarettes. In particular, smoking control objectives, structures, laws and regulations, funds, programs and activities, research, and surveillance systems were compared. The comparison was conducted at the federal, states/provincial, and county levels of the two countries. The data were collected through various governmental websites, contact with people directly, and a literature review. Based on the comparison, seven recommendations for smoking control strategies were made primarily for Korea.

Factors Affecting Underweight and Obesity Among Elementary School Children in South Korea

이규영,함옥경 한국간호과학회 2015 Asian Nursing Research Vol.9 No.4

Purpose: The purpose of the study was to determine factors associated with underweight and obesity in elementary school children in Korea. Methods: Study participants included 4,895 children attending 59 elementary schools across Korea. Children were grouped into underweight [< 5% body mass index (BMI)-for-age], normal weight (5%e85% BMI-for-age), and overweight/obese ( 85% BMI-for age). The questionnaire included demographic characteristics, health status, and diet and exercise behavior of children, and environmental characteristics of schools. Results: Twelve percent of the children were overweight or obese. The results showed that demographic (age and gender), health status (atopic dermatitis and poor subjective health), and the characteristics of diet and exercise (unbalanced diet and diet experiences) were associated with underweight (p < .05), while demographic (age and gender), health status (poor subjective health), behavioral characteristics (fast food consumption and diet experiences), and school environmental characteristics (rural area) were associated with overweight/obesity (p < .05). Conclusions: Programs and interventions to reduce underweight and overweight/obesity in Korean elementary schools must consider behavioral and environmental characteristics of children.

일지역 남자대학생의 건강행위 및 생리적 요인과 스트레스 인지

전은미,함옥경,이영아 한국자료분석학회 2010 Journal of the Korean Data Analysis Society Vol.12 No.4

The purpose of this study was to explore factors of perceived stress including perceived health, health behavior, and biological factors among male college students. A total of 105 male students voluntarily participated in the study. Self-report survey and anthropometric measurements were performed. Health behavior included smoking, alcohol use, exercise, and sleeping hours, while biological factors included body mass index(BMI), saliva cortisol, and blood pressure. Multiple regression analysis revealed that BMI, high problem drinking/alcohol dependence, and perceived health were significantly correlated with perceived stress, and these variables explained 21.5% of the variance(F=3.763, p=.001). Public awareness and health education programs are needed to promote awareness of relationships between unhealthy behavior and stress. 본 연구는 대학생의 스트레스와 관련된 요인을 파악하기 위한 서술적 상관관계 연구로 일지역 남자대학생 105명을 임의표집하여 신체계측과 자기기입식 방법에 의한 설문조사를 시행하였다. 자료수집은 주관적 건강인식과 건강행위 영역에서 음주, 흡연, 운동과 수면시간을 포함시켰고, 생리적 영역에서는 BMI, 타액 중 코티졸과 혈압을 측정하였다. 분석결과 연령, 학년, 흡연, 음주, 주관적 건강인식, BMI가 각각 스트레스와 유의한 관련이 있는 것으로 파악되었다(p<.05). 연령과 학년이 높으며, 흡연자와 고위험 문제음주자/알코올 의존자와 BMI 가 증가할수록, 자신의 건강상태를 건강하지 않다고 인식하는 경우에 스트레스가 높았다. 이들을 예측변수로 하여 다중회귀분석을 실시한 결과 BMI, 고위험 문제음주/알코올의존, 주관적 건강인식이 스트레스와 유의하였으며, 이들 변수들은 스트레스 인지의 21.5%를 설명하였다(F=3.763, p=.001). 대학생들은 스트레스 해소의 수단으로 흡연과 음주를 선택하는 경향이 있으나, 이들 불건강행위는 결국 스트레스에 부정적인 영향을 줄 수 있으므로 건강증진을 통하여 스트레스를 감소시킬 수 있도록 홍보와 보건교육이 요구된다.