Research in Community and Public Health Nursing

Original Articles

[English] Factors Associated with Health-Promoting Behaviors among Late Middle-Aged Women: Focusing on Aging Anxiety, Social Support, Self-Efficacy, and Physiological Indicators: Yu Jin Shin, Hye Kyung Lee; Res Community Public Health Nurs. 2026;37(3):346-357. Published online September 30, 2026; DOI: https://doi.org/10.12799/rcphn.2026.01655

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Abstract PDF: Purpose
The purpose of this study was to identify the relationships between aging anxiety, social support, and self-efficacy, and to determine the factors influencing health-promoting behaviors among late middle-aged women. Methods: This study utilized a descriptive research design. The participants were 136 late middle-aged women visiting vocational training centers in Sejong Special Self-Governing City. Data were collected using structured questionnaires regarding general characteristics, aging anxiety, social support, and self-efficacy. Physiological indicators, including blood glucose levels and body mass index (BMI), were also measured. Results: The factors significantly influencing health-promoting behaviors in late middle-aged women were social support (β=.40, p<.001), subjective health status categorized as "healthy" (β=.27, p=.019) or "average" (β=.29, p=.009), blood glucose levels (β=.17, p=.010), BMI (β=.16, p=.012), and aging anxiety (β=-.16, p=.042). These factors explained 48.9% of the total variance in health-promoting behaviors (adjusted R²=.489). Conclusion: The findings suggest that psychological, social, and physiological factors should be considered when developing health promotion strategies for late middle-aged women. Community-based programs that enhance social support and nursing interventions addressing health perception, aging anxiety, and physiological health management may help support health-promoting behaviors in this population.

[English] Structural Model of Health Promoting Behaviors of General Hospital Nurses: Se Si Ra Kim, Eun A Kim; Res Community Public Health Nurs. 2026;37(3):296-308. Published online September 30, 2026; DOI: https://doi.org/10.12799/rcphn.2026.01634

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Abstract PDF: Purpose
This study aimed to test and validate a structural model explaining health promoting behaviors among nurses working in general hospitals and to identify key factors influencing health promoting behaviors.
Methods
A hypothetical model was constructed based on the Theory of Planned Behavior and prior empirical studies. Health consciousness, social support, and self-efficacy were specified as exogenous variables, while behavior intention and health promoting behaviors were treated as endogenous variables. Data were collected from June 8 to June 24, 2024, from 345 nurses employed at three general hospitals in a G metropolitan city. Partial least squares structural equation modeling (PLS-SEM) was conducted using SPSS Statistics 26.0 and SmartPLS 4.0.9.6 to assess model fit and test the hypotheses.
Results
The PLSc model showed SRMR=.06, dULS=1.13 and dG=.43, but did not meet the predefined criterion for model fit based on dULS; therefore, PLS-SEM was used for the final analysis. VIF values confirmed the absence of multicollinearity. The adjusted R² for health promoting behaviors was 58%. Health consciousness had the strongest effect, followed by social support, self-efficacy, and behavior intention. Predictive relevance (Q²) ranged from .36 to .56. Six of the seven hypotheses were supported.
Conclusion
Therefore, in nursing education and practice, it is necessary to develop and apply strategic interventions that enhance health consciousness and self-efficacy and strengthen social support and behavior intention.

[English] Influence of Health Literacy and Psychological Well-being on Health Promotion Behavior in Military Personnel: Dong Jun Lee, Eun Sun So; Res Community Public Health Nurs. 2026;37(1):90-100. Published online March 31, 2026; DOI: https://doi.org/10.12799/rcphn.2025.01389

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Abstract PDF: Purpose
The purpose of this study is to understand the influence of health literacy and psychological well-being on health promotion behavior in military personnel. Methods: This was a descriptive survey study conducted with 142 military personnel serving in front-line and rear-area divisions located in G-do and G-si. Data were collected from May 13 to May 23, 2025, and analyzed using descriptive statistics, independent t-tests, one-way ANOVA, Pearson correlation analysis, and multiple linear regression analysis. Results: Total military service period of 20 years or more (β=0.39, p=.019), perceived health status (β=0.32, p<.001), psychological well-being (β=0.26, p=.003), gender (β=0.23, p=.014), and university (β=0.21, p=.024) were found to have significant influence on health-promoting behaviors. These variables explained 31% of the variance in health-promoting behaviors (F=5.32, p<.001). Conclusion: It is necessary to develop personalized individual strategies that can promote health-enhancing behaviors among military personnel, while also providing foundational data for establishing military health policies and developing health management programs.

[English] Associations between Self-esteem, Social Support, Family Empowerment, and Health Empowerment among Children during the COVID-19 Pandemic: Hye-Jin Kim; Res Community Public Health Nurs. 2025;36(1):49-58. Published online March 31, 2025; DOI: https://doi.org/10.12799/rcphn.2024.00794

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Abstract PDF: Purpose
This study aimed to identify associations between self-esteem, social support, family empowerment, and health empowerment among children during the COVID-19 pandemic.
Methods
A cross-sectional study was conducted among fifth- to sixth-grade children and their parents who were recruited from C elementary school in Gangwon-do, South Korea. The health empowerment, self-esteem, and social support as reported by children were measured by the Korean version of Health Empowerment Scale (K-HES), Self-Esteem Scale, and Perceived Social Support, respectively. The family empowerment as reported by parents of children was measured by the Family Empowerment Scale. Linear regression analysis was performed.
Results
Of the participants, children’s self-esteem (β=.46, p<.001) and social support (β=.47, p<.001) and parents’ family empowerment (β=.27, p=.008) were significantly and positively associated with children’s health empowerment.
Conclusion
Among children in health-vulnerable environments due to the COVID-19 pandemic, establishing interventions for improving health empowerment needs to be considered as a nursing strategy for self-esteem, social support, and family empowerment at the intrapersonal and interpersonal levels.

[English] Factors Associated with Subjective Health Status among People with Spinal Cord Injury: An Application of the International Classification of Functioning, Disability and Health Model: Haesun Lee, Hye Jin Nam, Ju Young Yoon; Res Community Public Health Nurs. 2025;36(1):73-84. Published online March 5, 2025; DOI: https://doi.org/10.12799/rcphn.2025.00962

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Abstract PDF: Purpose
This study aimed to identify factors influencing subjective health status among individuals with spinal cord injury (SCI) using the International Classification of Functioning, Disability and Health (ICF) model.
Methods
This study analyzed secondary data from the 2021 Survey on the Status and Needs of Individuals with SCI conducted by the Korea Spinal Cord Injury Association. A hierarchical multiple regression analysis was conducted in four steps. Independent variables included sociodemographic factors, satisfaction with medical services (environmental factor), the need for weight control, the need for nutritional education, the need for dietary management, and disability acceptance (personal factors) along with exercise and activity of daily living (activity and participation factors). These factors were added sequentially at each step based on the ICF model.
Results
A total of 513 participants were analyzed in this study, with an average subjective health status of 5.51±2.39. Higher satisfaction with medical services (β=.27, p<.001), frequent exercise (β=.19, p=.008), and a greater level of activities of daily living (β=.02, p<.001) were significantly associated with improved subjective health status. Conversely, a lower need for nutritional education (β=-.25, p=.042) was negatively associated.
Conclusion
This study highlighted satisfaction with medical services, nutrition education needs, exercise frequency, and activities of daily living as important factors. These findings provide insight into how the health status of individuals with SCI can be enhanced through targeted interventions and support from healthcare providers.

[English] A Multi-component Living Lab on Health Engagement for Advancing Self-care Agency among Migrant Workers in South Korea: A mixed methods study: Youlim Kim, Hyeonkyeong Lee, Sookyung Kim, Junghee Kim; Res Community Public Health Nurs. 2023;34(4):281-293. Published online December 29, 2023; DOI: https://doi.org/10.12799/rcphn.2023.00199

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Abstract PDF Supplementary Material: Purpose
Migrant workers battle to access health services and adapt to a new culture. Self-care agency can be essential for health self-management. This study examines the effects of a health engagement program to improve self-care agency using a living lab approach among migrant workers living in South Korea.
Methods
This study used a mixed-methods design, including a non-equivalent pre-post-test control group and three focus group interviews. Participants included 42 migrant workers from nine countries recruited via flyers, posters, and internet bulletins posted by a migrant community organization. During the 12 weeks, only the intervention group participants received four workshops addressing healthy physical activity, healthy dietary habits, effective cultural adaptation, stress management, and two outdoor cultural activities. They also participated in focus group interviews after the second, third, and fourth group activities and discussed the benefits of healthy behaviors and specific ways to implement them in real life.
Results
Participants in the intervention group showed an increase in self-care agency, health literacy, and acculturation after the 12- week intervention. Themes were derived based on the lessons from living lab activities, barriers to health behavior practices, and methods to overcome these.
Conclusion
This study demonstrated that multi-component intervention using a living lab effectively increased migrants’ participation in health promotion activities by strengthening health in their self-care agency. The qualitative and living lab approach effectively obtained comprehensive results on strategies to enhance healthy behavior engagement.

[English] Factors Influencing the Wellness of Call Center Employees: Yeon Ju Kim, Gwang Suk Kim, You Lim Kim; J Korean Acad Community Health Nurs. 2022;33(1):128-138. Published online March 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.1.128

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Abstract PDF

Purpose
This study aimed to identify the factors influencing the wellness of call center employees.
Methods
From December 2018 to October 2019, a cross-sectional study was conducted with 155 workers recruited from the call centers in Seoul, South Korea. Data were collected using self-administered questionnaires. The questionnaires were used to measure the following scales: Korean occupational stress scale, emotional labor scale, work-life balance scale and wellness scale. Using the SPSS 26.0 program, the descriptive statistics, independent t-test, ANOVA, correlation analysis, and multiple regression analysis were conducted.
Results
The mean score of the wellness level of call center employees was 3.05 out of a maximum of 5.00. More wellness level of call center employees was associated with gender, psychiatric diagnosis, and call characteristics. A multiple regression analysis indicated that the total scores on the wellness scale were predicted by call characteristics, occupational stress and work-life balance, with an explanatory power of 42.2%.
Conclusion
Study findings show that it is necessary to promote wellness in call center workers with differentiated strategies according to call characteristics, occupational stress and work-life balance. This implies that it is necessary to understand the call characteristics and patterns of workers and to provide an innovative wellness program tailored to individual characteristics for an effective management of the emotional labor and occupational stress.

Citations

Citations to this article as recorded by

The Mediating Effect of Self-Transcendence on the Relationship between Job Stress and Wellness among Nurses
Sung Mi Kim, Da Eun Kim
Journal of Korean Academy of Nursing Administration.2025; 31(4): 394. CrossRef

[English] The Relationship between Parenting Stress and Health Promotion Behavior of Working Women: Mediating Effect of Supporting Resources: Gwijin Lee, Jin Hwa Lee, Bok Im Lee; J Korean Acad Community Health Nurs. 2021;32(4):529-539. Published online December 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.4.529

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Abstract PDF: Purpose
The purpose of this study was to understand the parenting stress and health promotion behavior of working women, and to investigate the mediating effect of supporting resources. Supporting resources were set as social support of spouse and community, and institutional support of the organization to which the subject belongs based on previous studies and an ecological system theory.
Methods
The participants were composed of 214 female workers residing in 17 cities and provinces nationwide and having at least one child aged 1~12 years old. Data were collected online from February 19 to February 28, 2021. The collected data were analyzed using the SPSS 20.0 program to understand the level and correlation of the general characteristics and major variables, and to test the mediating effect, after controlling the variables significantly from univariate analysis, step regression analysis was performed.
Results
Among the supporting resources, the mediating effect of social support of spouse and community was statistically significant.
Conclusion
These findings suggest that it is necessary to seek ways to increase the social support of working women's spouses and people around them in order to increase the health promotion behavior of working women.

[English] Factors Influencing the Physical Activity of Foreign Workers: Based on a Health Promotion Model: Jeong Eui Cho, Yeong Mi Ha; J Korean Acad Community Health Nurs. 2021;32(3):344-355. Published online September 30, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.3.344

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Abstract PDF

Purpose
With low birth rates and aging population problems in Korea, the number of foreign workers grows rapidly. The purpose of this study was to identify factors influencing physical activity of foreign workers based on a Health Promotion Model by examining relationships between acculturation, perceived benefits, perceived barriers, exercise self-efficacy, activity-related affect, social support, and physical activity. Methods: The participants were foreign workers aged 18 to 60 who were employed at eight shipyards. A questionnaire was distributed to 216 participants.
Results
As a result of the multivariate ordinal logistic regression analysis, factors affecting physical activity of foreign workers were perceived benefits (B=.65, 95% CI=0.08~1.22), exercise self-efficacy (B=.16, 95% CI=0.05~0.26), integration (B=.41 95% CI=0.14~0.69), and social support for physical activity (B=.48, 95% CI=0.12~0.83). The total explanatory power was 17.7% (x² =41.95, p<.001). Conclusion: Based on these results, there is a need to develop a customized program to increase physical activities of foreign workers by enhancing integration, perceived benefits, exercise self-efficacy and social support.

Citations

Citations to this article as recorded by

Structural Equation Modeling of Health Promotion Behavior on Migrant Workers: A Multi-Group Analysis Based on the Period of Residence
Hanna Jeong, Youngsuk Kim
Journal of Korean Academy of Nursing.2024; 54(1): 73. CrossRef

[English] Development and Effect of the Integrated Health Promotion Program for Cancer Survivors Living at Home: Hee Sang Yoon, Eun A Hwang; J Korean Acad Community Health Nurs. 2021;32(1):51-63. Published online March 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.1.51

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Abstract PDF

Purpose
This study aimed to develop an integrated health promotion program for cancer survivors residing in the community based on the shared care model, and evaluate its effectiveness. Methods: A quasi-experimental trial was conducted. The participants consisted of 35 cancer survivors with completed intensive cancer therapy at the cancer hospital. The intervention group (n=20) and the control group (n=15) were recruited from among a district home cancer patient registrations. The intervention group participated in an integrated health promotion program based on the MAPP (Mobilizing for Action through Planning and Partnership) development process. The program consisted of physical, psycho-social and body image units. The participants were assessed before the program, and immediately after the program. Data were collected between July 1 and September 2, 2018 using FACT-G quality of life (QOL), distress thermometer (DT), and resilience. The data were analyzed by performing a x ² test, Fisher’s exact test, Mann-Whitney test, and ranked ANCOVA using SPSS. Results: The intervention group reported a higher QOL overall and significantly higher social/family well-being than the control group. Distress was significantly lower in intervention group than in the control group. Resilience had no significant difference between the two groups. Conclusion: These findings indicate that the integrated health promotion program base on the shared care model and MAPP development process could be effective intervention for improving social/family well-being and the QOL, and reducing distress of cancer survivors at home. Community health center nurses need to provide intervention to support self-care competency for cancer survivors’ comprehensive care with physical, psycho-social, and body image to help them adjust their life to a moderate risk group in the community.

Citations

Citations to this article as recorded by

Effects of an integrated lifestyle intervention for overweight and obese breast cancer survivors: A quasi-experimental study
Su Jin Seo, Ju-Hee Nho
European Journal of Oncology Nursing.2024; 73: 102714. CrossRef
Distress among Korean Cancer Survivors: A Latent Profile Analysis
Kwang-Hi Park, Min Kyung Song
International Journal of Environmental Research and Public Health.2022; 19(3): 1613. CrossRef
Introduction to methodology for the development of an integrative medical service model
Moon Joo Cheong, Myeung Su Lee, Min Cheol Joo, Sang-Yeol Lee, Jung-Han Lee, Jong-Min Yun, Yeonseok Kang, Myeong Soo Lee, Hyung Won Kang
Integrative Medicine Research.2022; 11(2): 100840. CrossRef
Community-Based Oncology Nursing: Status and Prospects
Jeong Sook Park
Asian Oncology Nursing.2022; 22(4): 203. CrossRef

[English] Influence of Depression and Social Support on Health-related Quality of Life among Migrant Workers: The Mediating Effect of Health Promoting Behavior: Han Na Jung, Young Suk Kim; J Korean Acad Community Health Nurs. 2020;31(3):360-374. Published online September 30, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.3.360

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9 Citations

Abstract PDF

Purpose
This study aims to identify the mediating effect of health promoting behavior in the relationship between depression and health-related quality of life, and between social support and health-related quality of life among migrant workers.
Methods
Data were collected from 152 migrant workers working at companies in K and B metropolitan cities. The study conducted a survey from August 1 to September 30, 2019, and used self-report structured questionnaires that were translated into English and Korean. The data were analyzed using descriptive statistics, Pearson correlation coefficient, simple and multiple regression, Baron and Kenny’s method, and Sobel test.
Results
Depression was significantly negatively correlated with social support (r=-.29, p<.001), health promoting behavior (r=-.30, p<.001) and health-related quality of life (r=-.44, p<.001). And social support was significantly positively correlated with health promoting behavior (r=.50, p<.001) and health-related quality of life (r=.44, p<.001). And health promoting behavior was significantly positively correlated with health-related quality of life (r=.51, p<.001). Furthermore health promoting behavior showed partial mediating effects in the relationship between depression and health-related quality of life (Z=3.26, p<.001), and showed partial mediating effects in the relationship between the social support and health-related quality of life (Z=3.98, p<.001).
Conclusion
In this study, depression and social support were shown to mediate health promotion behavior to improve health-related quality of life. Therefore, in order to improve the health-related quality of life of migrant workers, it is necessary to focus on the health promotion behaviors, and effective strategies are needed to reduce depression, and support social support.

Citations

Citations to this article as recorded by

Tinjauan Pustaka : Promosi Kesehatan dan Gizi Pada Populasi Migran
Ira Yunianti, Wulan Setianingrum, Destia Ika Fitriana, Septa Indra Puspikawati
CALVARIA MEDICAL JOURNAL.2026; 4(1): 55. CrossRef
Health-Promoting Behaviours in Myanmar Migrants: Association With Acculturation, Perceived Stress, and Behaviour-Specific Cognitions and Affects
Htet Shwe Wah Oo, Ratsiri Thato
Health Promotion Practice.2026;[Epub] CrossRef
Structural Equation Modeling of Health Promotion Behavior on Migrant Workers: A Multi-Group Analysis Based on the Period of Residence
Hanna Jeong, Youngsuk Kim
Journal of Korean Academy of Nursing.2024; 54(1): 73. CrossRef
Mediated relationships between coping style and social support on the quality of life of disabled older adults
Yuanrong Wu, Jiaru Chen, Guo Yin, Manxuan Shen, Qin Li
International Journal of Nursing Practice.2024;[Epub] CrossRef
Evaluation of bio-psycho-social and socio-cultural problems of Syrian elderly living in Turkey
Emrah Apak, Taner Artan, Dogac Niyazi Ozucelik
International Journal of Social Psychiatry.2023; 69(2): 454. CrossRef
The Moderating Effect of Mental Health on the Relationship Between Cardiovascular Disease Awareness and Health Behaviors of Middle-Aged Korean Chinese Workers With Cardiovascular Risk Factors in Korea
Yu Zhu Zhang, Seon Young Hwang
Journal of Transcultural Nursing.2023; 34(2): 131. CrossRef
Health-related quality of life of migrant workers: a systematic literature review
Hyun-Jin Cho, Kyoungrim Kang, Kyo-Yeon Park
BMC Public Health.2023;[Epub] CrossRef
What Determines the Health-related Quality of Life of Vietnamese Migrant Workers in Korea?
Jihyon Pahn, Heesuk Kim, Youngran Yang
Research in Community and Public Health Nursing.2023; 34: 147. CrossRef
Social Support for Acculturative Stress, Job Stress, and Perceived Discrimination Among Migrant Workers Moderates COVID-19 Pandemic Depression
Youlim Kim, Hyeonkyeong Lee, Mikyung Lee
International Journal of Public Health.2022;[Epub] CrossRef

[English] Health-promoting Lifestyle of Nursing Students: Using Mixed Methods Research: Hyun Ju Lee; J Korean Acad Community Health Nurs. 2019;30(4):414-425. Published online December 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.4.414

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Abstract PDF

PURPOSE
The purpose of this study was to examine the effects of psychosocial wellbeing status and self efficacy on health-promoting behavior of nursing students, and to explore the experiences related to health-promoting behavior.
METHODS
For this study, an explanatory sequential mixed method design approach was used with survey data collected from 148 nursing students. In addition, qualitative data for exploration of health-promoting behavior experience were collected from three focus-group interviews of 17 participants. Quantitative data were analyzed with SPSS/WIN 25.0 and qualitative data were analyzed by making contents analysis with Nvivo 12.0.
RESULTS
The results showed that psychosocial wellbeing status, self efficacy, grade, and regularity meal explained 43.0% of the variance in health-promoting behavior. And seven themes from the collected significant statements about experience of health-promoting behavior included the daily life going on without delay; changes in body which is felt; recognizing the necessity of health care; making efforts to increase physical activities; revising eating habit; looking for the way to relieve stress; and attempting to divert my thoughts.
CONCLUSION
Based on the results of this study, it is necessary to develop and verify health program in order to improve nursing students' health-promoting behavior. And university authorities and government should make an effort to improve nursing students' health-promoting behavior.

Citations

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Health promoting lifestyle behaviors and associated predictors among clinical nurses in China: a cross-sectional study
Wen Zeng, Shaomei Shang, Qian Fang, Shan He, Juan Li, Yuanrong Yao
BMC Nursing.2021;[Epub] CrossRef

[English] Effectiveness of a Workplace Walking Program Using a Fitness Tracker Including Individual Counseling and Tailored Text Messaging: Mi Ra Jung, Yeong Mi Ha; J Korean Acad Community Health Nurs. 2019;30(3):257-270. Published online September 30, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.3.257

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3 Citations

Abstract PDF

PURPOSE
This study is designed as a non-equivalent, control group pre/post-test for identifying effectiveness of a workplace walking program using a fitness tracker including individual counseling and tailored text messaging.
METHODS
Seventy-nine employees from two large companies were allocated into an intervention group (n=39) and a control group (n=40). Participants were asked to wear a fitness tracker (Fitbit Charger HR) during 24-hour, 5-days per week, for 10 weeks. The intervention group was provided with daily walking steps measured by Fitbit, weekly counseling with a specifically designed workbook, and seven weekly text messaging, and the control group with the fitness tracker only.
RESULTS
At the week 10 measurement, there were significant differences between the intervention and control groups in physical activity self-efficacy (p<.001), physical activity behavior (p<.001), daily walking steps (p<.001), systolic blood pressure (p=.033), and wellness (p<.001).
CONCLUSION
These results suggest that the workplace walking program using a fitness tracker including individual counseling and tailored text messaging is more effective for persons with 10,000 steps/day. Therefore, it is recommended to actively apply this workplace walking program to inactive employees for encouraging regular physical activities and improving their wellness.

Citations

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mHealth Interventions to Promote Physical Activity of Adults in Korea: Health Equity-Focused Systematic Review
Hana Kim, Jisan Lee
Journal of Health Informatics and Statistics.2023; 48(Suppl 1): S1. CrossRef
The Effectiveness of a mHealth Program Using Wearable Devices and Health Coaching among Bus Drivers for Promoting Physical Activity
Yeongmi Ha, Sang-Ho Lee, Suyeon Lee, Yeojoo Chae
Journal of Korean Academy of Community Health Nursing.2022; 33(3): 332. CrossRef
Effectiveness of a Mobile Wellness Program for Nurses with Rotating Shifts during COVID-19 Pandemic: A Pilot Cluster-Randomized Trial
Yeongmi Ha, Sang-Ho Lee, Dong-Ha Lee, Young-Hun Kang, Woonjoo Choi, Jinung An
International Journal of Environmental Research and Public Health.2022; 19(2): 1014. CrossRef

[English] Effects of a Health Promotion Empowerment Program Using a Resident Volunteer as a Lay Health Leader on Frail Elders' Health and Empowerment: Jeong Sook Park, Yun Jung Oh; J Korean Acad Community Health Nurs. 2018;29(3):335-348. Published online September 30, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.3.335

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4 Citations

Abstract PDF

PURPOSE
This study has been conducted to develop and examine a health promotion empowerment program using a lay health leader for frail elderly.
METHODS
The research was organized in a nonequivalent control group pre-post test design. Data collection was performed from August 18 to October 8, 2015. The subjects included 76 frail elders aged over 65 registered in home visiting services (Experimental group=39, Control group=37). A health promotion empowerment program using a resident volunteer as a lay health leader was run for 8 weeks. Health factors (health promotion behavior, perceived health status and frailty) and empowerment factors (empowerment, social participation) were assessed. The data were analyzed by using the SPSS/WIN 18.0 program.
RESULTS
After the program, health promotion behavior, perceived health status and social participation increased in the experimental group more significantly than in the control group, but frailty decreased in the experimental group greater than in the control group.
CONCLUSION
The health promotion empowerment program using a resident volunteer as a lay health leader was effective. Therefore, the health promotion empowerment program needs to be expanded to other frail elders. Also, a health leader should be recommended as a public health resource and systematically managed.

Citations

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Breaking the cycle of frailty: The impact of health promotion training on older family caregivers
Fatma Banu Demirdaş, Nilüfer Korkmaz Yaylagül
Geriatric Nursing.2026; 70: 104058. CrossRef
The effect of community health nurse-led multi-faceted group-based frailty prevention program for older adults: a multi-site pretest-posttest design
Gyeonga Kang, Hyungjoo Ji, Ju Young Yoon
BMC Nursing.2025;[Epub] CrossRef
Effectiveness of a nurse-led, community-based frailty prevention program for prefrail older adults: a pragmatic quasi-experimental trial
Dong-Ok Lee, Jina Choo, Songwhi Noh, Yura Shin
BMC Nursing.2025;[Epub] CrossRef
Development and evaluation of the information and communication technology-based Loneliness Alleviation Program for community-dwelling older adults: A pilot study and randomized controlled trial
Jung Ae-Ri, Lee Kowoon, Park Eun-A
Geriatric Nursing.2023; 53: 204. CrossRef

[English] The Relationships among Experiences of Traumatic Events, Post-traumatic Stress and the Needs for Health Promotion Programs of 119 Paramedics: Mi Suk Kang, Young Im Kim, Hyo Geun Geun; J Korean Acad Community Health Nurs. 2017;28(4):524-536. Published online December 31, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.4.524

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3 Citations

Abstract PDF

PURPOSE
This study aims to examine the relationships among experiences of traumatic events, post-traumatic stress (PTS), and the needs for health promotion programs of 119 paramedics.
METHODS
Experiences of traumatic events, PTS, and needs for health promotion programs were measured using a structured questionnaire. The subjects were 193 paramedics in Jeju Island. Data were analyzed using descriptive statistics, t-test and Ï‡2 test.
RESULTS
The most experienced event out of the 16 different traumatic events was â€˜retrieve a suicide's body.â€™ A high-risk classification of PTS was observed in 36.2% of the subjects. The rates of experiences were higher than those of the actual needs for all 26 health promotion programs. The programs reported as highly needed by respondents were stress management (75.5%) followed by exercise (74.6%) and PTS management (72.5%). Subjects with longer career periods, a fire sergeant, perceived obesity, numerous experiences of traumatic events, and in the PTS risk group had a higher need for a stress management program.
CONCLUSION
These findings indicate that a significant number of 119 paramedics experienced PTS. They also show that onsite strategic management is strongly required. In addition, implementation of health promotion programs based on the needs of 119 paramedics is highly needed.

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The Life Satisfaction Scale for Apostolic Women Religious can assist women religious congregations who seek a transformative and vivacious future
Maria Clara Kreis, Debra W. Moore
Journal of Spirituality in Mental Health.2024; 26(1): 32. CrossRef
The Effect of a Job Stress Management Program Based on Acceptance-Commitment Therapy for Firefighting Paramedics
Jae Woon Lee, Jae-Hyun Ha
Journal of Korean Academy of Fundamentals of Nursing.2021; 28(1): 56. CrossRef
Validity and Reliability of Korean Version of Post-traumatic Stress Disorder Scale (K-PTSD) Measuring Attitudes and Knowledge of PTSD
Kyung-sook Bang, Hwal Bang, Sun-Woo Hong, Jihee Lim
Journal of Korean Academic Society of Nursing Education.2020; 26(1): 47. CrossRef

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