Research in Community and Public Health Nursing

Original Articles

[English] Development and Evaluation of a Self-management Mobile App for Adults with Osteoarthritis: Ju Young Park, Jung Tae Son; J Korean Acad Community Health Nurs. 2022;33(1):114-127. Published online March 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.1.114

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Purpose
This study aimed to develop a self-management mobile app for adults with osteoarthritis based on a selfdetermination theory to use it as a nursing intervention tool, and to evaluate the effects of the developed mobile app on adults' basic psychological needs, indexes of osteoarthritis, self-management and quality of life.
Methods
The 56 participants were randomly assigned to either the experimental group (n=28) or the control group (n=28). The participants of the experimental group used a self-management mobile app for 12 weeks after the pretest, and two posttests were taken at the end of every 6 weeks. The data were analyzed using IBM SPSS/WIN 25.0 for Chi-square test, Fisher's exact test, independent t-test, and repeated measures ANOVA.
Results
Basic psychological needs, indexes of osteoarthritis, self-management, and quality of life score of the experimental group were significantly higher than those of the control group.
Conclusion
Our findings suggest that mobile app intervention can support improvements in psychological needs, symptoms of osteoarthritis and quality of life in adults with osteoarthritis. It is recommended that the developed mobile app be used as a nursing intervention tool for adults with osteoarthritis in the community.

Citations

Citations to this article as recorded by

Development and Effects of a Smartphone Application to Improve Self-Management in Workers Who Underwent Thyroid Cancer Surgery
Myoyoun Kim, Seon Young Hwang
Cancer Nursing.2025;[Epub] CrossRef
Development and effectiveness of a mobile-based autonomy support program for the prevention of metabolic syndrome in middle-aged women
Miseon Seo, Eun-Young Jun, Hyunjin Oh
Frontiers in Public Health.2024;[Epub] CrossRef

[English] Effects of Auricular Acupressure on Joint Pain, Range of Motion, and Sleep in the Elderly with Knee Osteoarthritis: Min Jin Jang, Yun Mi Lim, Hyo Jung Park; J Korean Acad Community Health Nurs. 2019;30(1):79-89. Published online March 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.1.79

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Abstract PDF

PURPOSE
The purpose of this paper is to determine effects of auricular acupressure on knee pain, range of motion, and sleep in the elderly with knee osteoarthritis.
METHODS
This is an experimental study designed with randomization and single-blind in a placebo-control approach. The subjects included the elderly with knee osteoarthritis who were using an elderly welfare facility. In each of the groups, 28 subjects were assigned. For the experimental group, auricular acupressure was applied to five pressure points related to the pain caused by osteoarthritis and sleep. In the case of the placebo-control group, auricular acupressure was applied to other five points than the former. The intervention lasted eight weeks. In order to examine intervention effects of auricular acupressure, joint pain, Pressure Pain Thresholds (PPTs), and extension and flexion range of motion (ROM) were measured weekly. As for the pre- and post-examinations, pain, sleep quality, and the time-by-sleep stage of the patients with knee osteoarthritis were measured.
RESULTS
The VAS scores in the experimental group with auricular acupressure significantly decreased through time (p<.001) and WOMAC also significantly decreased (p<.01) compared with the placebo-control group. However, there were no significant differences in PPTs. The flexion (p<.01) and extension (p<.001) ROMs measured for eight weeks improved over time. Meanwhile, sleep quality improved significantly after the intervention termination (p<.01), but there was no significant difference found in the time-by-sleep stage.
CONCLUSION
Auricular acupressure applied for eight weeks was found to be effective in reducing joint pain, improving knee ROM, and improving sleep quality in patients with degenerative knee arthritis.

Citations

Citations to this article as recorded by

Effects of Auricular Acupressure on Glycemic Markers, Stress, and Sleep in Older Adult Patients With Type 2 Diabetes: A Randomized Controlled Trial
Hyejin LEE, Bomi KIM, Hyojung PARK
Journal of Nursing Research.2025; 33(4): e404. CrossRef
Impact of Acupressure on Pain, Functional Status, and Quality of Life in Individuals With Knee Osteoarthritis
Tugba Aydemir, Rabiye Çirpan, Pınar Tekinsoy Kartin
Journal of Manipulative and Physiological Therapeutics.2025; 48(1-5): 204. CrossRef
The Effects of Auricular Acupressure on Menopausal Symptoms, Stress, and Sleep in Postmenopausal Middle‐Aged Women: A Randomized Single‐Blind Sham‐Controlled Trial
Bomi Kim, Hyojung Park
Journal of Midwifery & Women's Health.2024; 69(1): 41. CrossRef
The Effect of Auricular Acupressure on Urinary Incontinence, Quality of Life, and Sleep Quality in Elderly Women with Stress Urinary Incontinence
Yeonjin Kim, Hyojung Park
Journal of Korean Academy of Fundamentals of Nursing.2024; 31(2): 203. CrossRef
Effectiveness and Safety of Polydioxanone Thread Embedding Acupuncture Compared with Acupuncture Treatment for Knee Osteoarthritis: a Protocol for a Pilot, Assessor-Blinded, Randomized Controlled Trial
Hyun Jin Jang, Chang-Hyun Han, Ju Hyun Jeon, Jeong Kyo Jeong, HuiYan Zhao, Changsop Yang, Bok-Nam Seo, Ojin Kwon, WenShan Sun, JinChuan Ran, Hong Xu, Young Il Kim
Journal of Acupuncture and Meridian Studies.2024; 17(6): 210. CrossRef
A 12-week, Multicenter, Randomized, Double-blind, Placebo-controlled Clinical Trial Evaluating the Efficacy and Safety of DKB-131 in Knee Arthritis
Jeong Eom Hee, Il Jeong Hyun, Hwa Park Yu, Jeong Park Sin, Hoon Kim Do
International Journal of Nutrition.2024; 8(1): 41. CrossRef
Effects of Non-Pharmacological Sleep Interventions in Older Adults: A Systematic Review and Meta-Analysis
Hye-Ja Gu, Oi-Sun Lee
International Journal of Environmental Research and Public Health.2023; 20(4): 3101. CrossRef
The Effects of Auricular Acupressure on Low Back Pain, Neuropathy and Sleep in Patients with Persistent Spinal Pain Syndrome (PSPS): A Single-Blind, Randomized Placebo-Controlled Trial
Yunmi Lim, Hyojung Park
International Journal of Environmental Research and Public Health.2023; 20(3): 1705. CrossRef
Effect of Auriculotherapy on Musculoskeletal Pain: A Systematic Review and Meta-Analysis
Sun Yeob Choi, Yeo Ju Kim, Bomi Kim
Journal of Korean Academy of Nursing.2022; 52(1): 4. CrossRef
Effects of Non-Pharmacological Interventions to Improve the Sleep of Korean Elderly: A Systematic Review
Yunhee Park, Hyun Jung Yun
Journal of Korean Academy of Fundamentals of Nursing.2022; 29(1): 67. CrossRef
The effects of auricular acupressure on the sleep of the elderly using polysomnography, actigraphy and blood test: Randomized, single-blind, sham control
Juyon Min, Bomi Kim, Hyojung Park
Complementary Therapies in Clinical Practice.2021; 45: 101464. CrossRef
The Effect of Auricular Acupressure on Sleep in Older Adults with Sleep Disorders
Ju Hee Lee, Hyojung Park
Journal of Korean Gerontological Nursing.2021; 23(2): 117. CrossRef
Effect of Auricular Acupressure on Sleep and Pruritus in Patients Undergoing Hemodialysis
Yun Yi Bang, Hyojung Park
Journal of Korean Academy of Fundamentals of Nursing.2020; 27(2): 141. CrossRef
The Effects of Auricular Acupressure on Joint Pain and Shoulder Range of Motion in Older Adults
Bomi Kim, Hyojung Park
Korean Journal of Adult Nursing.2020; 32(3): 261. CrossRef

[English] Effects of Peer Mentoring Program on the Health Conservation in Elderly Women with Osteoarthritis: Ji Ran Nam, Ki Wol Sung; J Korean Acad Community Health Nurs. 2017;28(3):227-239. Published online September 30, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.3.227

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Abstract PDF: PURPOSE
The purpose of this study was to investigate the effects of peer mentoring program on physical activity, knee joint function, self-care agency and social support, which are health conservation elements in elderly women with osteoarthritis.
METHODS
This study used a quasi-experimental research design. It is a pretest-and-post 1, post 2 test design of a non-equivalent control group. The subjects were elderly women aged over 65 who were diagnosed with osteoarthritis. A total of 60 patients (experimental group 30, control group 30) who registered with the Senior Welfare Center in City G and in Region D participated in this study. The data were collected from June 29th to September 4th, 2015. The collected data were analyzed with Ï‡Â² test, Fisher's exact test, independent t-test and repeated measurement ANOVA.
RESULTS
The experimental group showed a greater increase in physical activity, knee joint function, self-care agency and social support than the control group.
CONCLUSION
The results indicated that the peer mentoring program is effective in increasing physical activity, knee joint function, self-care agency and social support of elderly women with osteoarthritis.

[English] Development and Evaluation of a Joint Health Self-management Program for the Elderly with Knee Osteoarthritis in Communities: Applying the IMB Model: Young il Kim, Jeong Sook Park; J Korean Acad Community Health Nurs. 2017;28(1):55-68. Published online March 31, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.1.55

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15 Citations

Abstract PDF

PURPOSE
The purpose of this study is to develop and evaluate a joint health self-management program for knee osteoarthritis elders in communities.
METHODS
This program was developed based on the IMB (information-motivationbehavioral skills) model. The program methods include education, setting and achieving goals, sharing experiences, telephone counseling, and self-monitoring. The topics of the program include joint assessment, exercise, massage, joint protection, medication, depression management, diet, and healthcare approach. The research was conducted following the principles of the nonequivalent control group pretest-posttest design. Participants were 26 subjects in the experimental group, and 27 subjects in the control group. The experimental group participated in the self-management program, and the control group received general education.
RESULTS
Both post-test scores of personal motivation, social motivation, behavior skill, self-management behavior, joint pain, joint stiffness, physical function disability, right knee extension, left knee extension, and depression were significantly different between the experimental group and the control group.
CONCLUSION
The results of the study can be used to develop and standardize a systematic joint health self-management program. Further research is highly recommended to develop a strategy to continuously facilitate self-management of osteoarthritis patients' procedures.

Citations

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Effectiveness of an Information-Motivation-Behavioral Skills Model–Based Sarcopenia Prevention Program for Older Adults: A Quasi-Experimental Study
Yeji Kim, Gaeun Kim
Journal of Gerontological Nursing.2026; 52(1): 33. CrossRef
Effectiveness of a Self-Management Program for Patients Undergoing Lumbar Spinal Stenosis Surgery: A Quasi-Experimental Study
Mi Kyung Seo, Gyoo Yeong Cho
Korean Journal of Adult Nursing.2025; 37(3): 307. CrossRef
A predictive model for medication adherence in older adults with heart failure
Eun Ha Oh, Chun-Ja Kim, Elizabeth A Schlenk
European Journal of Cardiovascular Nursing.2024; 23(6): 635. CrossRef
Investigating the effect of an Orem-based self-care educative supportive nursing system on the joint function of patients with knee osteoarthritis
Elham Talebianpoor, Hamid Reza Mohammadi, Abolfazl Dehbanizadeh, Ardashir Afrasiabifar, Shahla Najafi Doulatabad
Journal of Education and Health Promotion.2024;[Epub] CrossRef
A survey of the effect of an information-motivation-behavioral model-based intervention on university students’ osteoporosis knowledge, health beliefs, and self-efficacy
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Women & Health.2024; 64(10): 870. CrossRef
The Effects of a Self-Efficacy Theory-Based Exercise Program for Patients Undergoing with Total Knee Arthroplasty
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Journal of Korean Academy of Nursing.2024; 54(4): 547. CrossRef
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European Journal of Oncology Nursing.2023; 63: 102276. CrossRef
Home-Based Remote Rehabilitation Leads to Superior Outcomes for Older Women With Knee Osteoarthritis: A Randomized Controlled Trial
Eun-Lee Lee, Myung Hun Jang, Byeong-Ju Lee, Sang Hun Han, Hoo Man Lee, Sang Ui Choi, Myung Jun Shin
Journal of the American Medical Directors Association.2023; 24(10): 1555. CrossRef
Development and Evaluation of a Self-management Mobile App for Adults with Osteoarthritis
Ju Young Park, Jung Tae Son
Journal of Korean Academy of Community Health Nursing.2022; 33(1): 114. CrossRef
Factors Affecting Health-promoting Behavior of Nurses in Small and Medium-sized Hospitals based on the IMB Model
Jin Hee Jeong, Hye Kyung Lee
The Korean Journal of Rehabilitation Nursing.2022; 25(2): 102. CrossRef
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Hey Jin Ha, Eun A Kim
Journal of Korean Academy of Community Health Nursing.2022; 33(3): 321. CrossRef
A preliminary study on the effects of an osteoporosis prevention program based on an Information-Motivation-Behavioral skill model in older adult women: A cluster randomized controlled trial
Yeongsuk Lee, Dong-Hee Kim
Geriatric Nursing.2022; 45: 55. CrossRef
Effect of a Physical Activity Promoting Program Based on the IMB Model on Obese-Metabolic Health Outcomes among Obese Older Adults with Knee Osteoarthritis
Jung-Suk Kim, Chun-Ja Kim
Journal of Korean Academy of Nursing.2020; 50(2): 271. CrossRef
Development and evaluation of a self‐management application for patients with gout
Seung Gum Kang, Eun Nam Lee
Japan Journal of Nursing Science.2020;[Epub] CrossRef
Factors Affecting the Self-Management of Adolescents with Type 1 Diabetes Mellitus based on the Information-Motivation-Behavioral Skills Model
Hooyun Lee, Eun Kyoung Choi, Heejung Kim, Ho-Seon Kim, Hee-Soon Kim
Child Health Nursing Research.2019; 25(2): 234. CrossRef

[English] Factors associated with Patient Activation for Self-management among Community Residents with Osteoarthritis in Korea: Yang Heui Ahn, Bong Jeong Kim, Ok Kyung Ham, Seong Hoon Kim; J Korean Acad Community Health Nurs. 2015;26(3):303-311. Published online September 30, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.3.303

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18 Citations

Abstract PDF

PURPOSE
The purpose of this study was to survey patient activation for self-management and to identify factors associated with patient activation for self-management among community residents with osteoarthritis in Korea.
METHODS
Cross-sectional study design was used. Survey data were collected from 270 community residents with osteoarthritis through direct interviews. Studied factors included patient activation, joint pain, physical function, depression, and general characteristics. Data were analyzed using chi-squared test, t-test and multivariate logistic regression analysis.
RESULTS
The participants' mean score of patient activation was 56.0+/-16.61. The mean score of each factor was 10.6+/-5.89 for joint pain, 5.5+/-3.56 for physical function, and 19.3+/-10.01 for depression. The patient activation level was significantly associated with depression and general characteristics such as education, religion, comorbid hypertension, and use of medical clinics (p<.05).
CONCLUSION
The findings suggest that depression, education, religion, comorbid hypertension, and use of medical clinics may be important factors to be considered when developing programs of patient activation for self-management. This is the first study that measured patient activation, and further studies are suggested to find factors associated with patient activation for self-management among community residents with other chronic diseases.

Citations

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Margaret A Reilly, Megan E Alagna, Cassandra Iroz, Emily Ho, Alexander Lundberg, Andrew W Hoel, Ashley K Vavra, Julie K Johnson, Karen J Ho
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Relationship Between Patient Activation and Type 2 Diabetes Mellitus Self-management and Clinical Outcomes in Saudi Arabian Primary Care Setting
Nasser Almutairi, Vinod Gopaldasani, Hassan Hosseinzadeh
American Journal of Health Promotion.2024; 38(6): 767. CrossRef
Patient Activation in Cancer Patients: Concept Analysis
Se Young Jang, Eun Sun Lee
Korean Journal of Adult Nursing.2024; 36(1): 15. CrossRef
Factors associated with patient activation among patients with diabetes on hemodialysis: a multicenter cross-sectional study from a developing country
Jehad M. Zeidalkilani, Yazan A. Milhem, Reem N. Shorafa, Sari Taha, Amer A. Koni, Samah W. Al-Jabi, Sa’ed H. Zyoud
BMC Nephrology.2024;[Epub] CrossRef
Exploring the Relationships Among Social Support, Patient Activation, and Pain-Related Outcomes
Marianne S Matthias, Adam T Hirsh, Susan Ofner, Joanne Daggy
Pain Medicine.2022; 23(4): 676. CrossRef
Nurses’ beliefs about back pain, their coping strategies and participant activation for self-management
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South African Journal of Physiotherapy.2022;[Epub] CrossRef
Patient activation level and its associated factors in adults with chronic pain
Fengzhen Yao, Man Zheng, Xiaoqing Wang, Shujuan Ji, Sha Li, Gang Xu, Zhen Zheng
Medicine.2021; 100(19): e25929. CrossRef
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Ambreen Tharani, Ann Van Hecke, Tazeen Saeed Ali, Veerle Duprez
International Journal of Nursing Studies.2021; 120: 103983. CrossRef
Nurses back pain beliefs, coping strategies and factors associated with participant activation for self‐management of back pain
Loveness A. Nkhata, Yolandi Brink, Dawn Ernstzen, Quinette A. Louw
Journal of Advanced Nursing.2021; 77(9): 3772. CrossRef
Chronic Patients’ Activation and Its Association with Stress, Anxiety, Depression, and Quality of Life: A Survey in Southeast Iran
Mohammad Ali Zakeri, Mahlagha Dehghan, Fatemeh Ghaedi-Heidari, Maryam Zakeri, Gholamreza Bazmandegan, Yeong Shiong Chiew
BioMed Research International.2021;[Epub] CrossRef
Reliability and Validity of the Patient Activation Measure in Kidney Disease: Results of Rasch Analysis
Courtney J. Lightfoot, Thomas J. Wilkinson, Katherine E. Memory, Jared Palmer, Alice C. Smith
Clinical Journal of the American Society of Nephrology.2021; 16(6): 880. CrossRef
Patient Activation and its Predictors in Hospitalized Older Adults in Singapore
Ee-Yuee Chan, George Frederick Glass, Run Qi Cheong, Guey Fong Chin, Devon Yun Jia Chng
Geriatric Nursing.2021; 42(2): 336. CrossRef
Evaluation of the Interaction Model of Client Health Behavior‐based multifaceted intervention on patient activation and osteoarthritis symptoms
Yang Heui Ahn, Ok Kyung Ham
Japan Journal of Nursing Science.2020;[Epub] CrossRef
Religiosity and Patient Activation Among Hospital Survivors of an Acute Coronary Syndrome
Hawa O. Abu, David D. McManus, Catarina I. Kiefe, Robert J. Goldberg
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Ning‐Ning Zhu, Pei‐Pei Xu, Ting‐Ting Lei, Ting Sun, Sally Wai‐Chi Chan
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Nebojsa Skrepnik, Andrew Spitzer, Roy Altman, John Hoekstra, John Stewart, Richard Toselli
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Factors associated with patient activation in an Australian population with comorbid diabetes and chronic kidney disease: a cross-sectional study
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[English] The Effect of Health Promotion Program in Vulnerable Women with Osteoarthritis: Myung Suk Lee, Hyun JA Lim, Jung Suk Kim; J Korean Acad Community Health Nurs. 2011;22(3):241-251. Published online September 30, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.3.241

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3 Citations

Abstract PDF

PURPOSE
This study was to develop and evaluate a health promotion program for women with osteoarthritis.
METHODS
The research adopted the nonequivalent control group pretest-posttest design. The subjects were 34 in the experimental group and 34 in the control group sampled among vulnerable women aged over 40. The independent variable was the health promotion program, and the dependent variables were perceived health status, balance, K-WOMAC, depression, life satisfaction and health promoting behavior. The health promotion program was performed for 50minutes each session, twice a week and for 8 weeks. Data were collected from July 1 to September 11, 2010.
RESULTS
The experimental group showed significant differences in perceived health status, balance, WOMAC pain, WOMAC difficulty of performing activity, depression, and health promoting behavior compared to the control group. There was no significant difference in WOMAC stiffness, waist, weight, and life-satisfaction.
CONCLUSION
The results of this study suggest that the health promotion program can be applied in degenerative arthritis education to improve self-care.

Citations

Citations to this article as recorded by

Effects of a Fall Prevention Program Based on Goal Attainment Theory for Homebound Older Adults With Osteoarthritis of the Lower Extremities
Chunhee Lee, Heeok Park
Orthopaedic Nursing.2022; 41(6): 414. CrossRef
Bus Workers’ Experiences with and Perceptions of a Health Promotion Program: A Qualitative Study Using a Focus Group Discussion
Jeehee Pyo, Mina Lee, Minsu Ock, Gwiok Park, Dongseok Yang, Jungsun Park, Yangho Kim
International Journal of Environmental Research and Public Health.2020; 17(6): 1992. CrossRef
Development and Evaluation of a Joint Health Self-management Program for the Elderly with Knee Osteoarthritis in Communities: Applying the IMB Model
Young-il Kim, Jeong Sook Park
Journal of Korean Academy of Community Health Nursing.2017; 28(1): 55. CrossRef

[English] A Study on Nutrition and Health Evaluation of Osteoarthritis Elderly in Community: Sook Ja Yang; J Korean Acad Community Health Nurs. 2006;17(2):186-194. Published online June 30, 2006

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