Research in Community and Public Health Nursing

Original Articles

Application of the ASE Model to the Assertive Behavior of Non-smoking College Students Under Secondhand Smoke Exposure: Jin A Choo, Eun Kyung Kim; J Korean Acad Community Health Nurs. 2011;22(1):1-10. Published online March 31, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.1.1

1,136 View
16 Download
12 Citations

PURPOSE
The present study was to apply the Attitudes-Social influence-Efficacy (ASE) model in order to identify factors associated with the assertive behavior of non-smoking college students when they are exposed to secondhand smokes in Korea.
METHODS
Data were collected from non-smoking college students (N=1,656, 76.6% female) at two universities in Seoul and Gyeonggi-do. The main outcome measure was the assertive behavior. ASE factors such as attitudes toward being assertive, social influences, and self-efficacy as well as socio-demographic, health- related, and smoking-related factors were self-administrated.
RESULTS
The mean of the assertive behavior (range 1~5 points) was 2.23; 37.6% was not at all assertive, while 4.3% was always assertive. Higher assertiveness was significantly correlated with a higher level of positive attitude, social influence and self-efficacy (p<.05 for all). Stepwise multiple regression analyses showed that the social influence was the strongest factor associated with the assertive behavior (beta=0.430, p<.001, R2=.246), followed by self-efficacy, motive to assertiveness, having any family member who had diseases, and male gender. These factors explained the assertive behavior by 39.7%.
CONCLUSION
The ASE model may explain the assertive behavior of non-smoking college students under secondhand smoke exposure. Social influence and self-efficacy were significant factors associated with their assertive behavior.

Citations

Citations to this article as recorded by

Investigating drivers of qardhul hassan financing acceptance in the time of COVID-19: a Malaysian breadwinner perspective
Hanudin Amin
International Journal of Social Economics.2023; 50(8): 1139. CrossRef
Decrease in household secondhand smoking among South Korean adolescents associated with smoke-free policies: grade-period-cohort and interrupted time series analyses
Hana Kim, Heewon Kang, Sung-il Cho
Epidemiology and Health.2023; : e2024009. CrossRef
Effects of an Experiential Learning Activities-Focused Smoking Prevention Program in Elementary School Students: On the Basis of the Attitude-Social Influence-Efficacy Model
Jin Hee Na, Jina Choo
Korean Journal of Health Promotion.2019; 19(2): 96. CrossRef
Speaking up about Lighting up in Public: Examining Psychosocial Correlates of Smoking and Vaping Assertive Communication Intentions among U.S. Adults
Cabral A. Bigman, Susan Mello, Ashley Sanders-Jackson, Andy S.L. Tan
Health Communication.2019; 34(4): 500. CrossRef
Assertive Behavior in Asking Smokers Not to Smoke among Patients with Vascular Diseases
Eun Kyung Kim, Young Ran Chae, Yun Hee Jung, Eun Ha Park
Journal of Korean Biological Nursing Science.2016; 18(1): 27. CrossRef
Attitude, Knowlege, and Social Influence as Factors of Smoking Intention among Nonsmoking Middle School Students
Young Sook Seo, Young Im Kim, Chang Hyun Lee
Journal of the Korean Society of School Health.2016; 29(2): 81. CrossRef
Effects of Attitude, Social Influence, and Self-Efficacy Model Factors on Regular Mammography Performance in Life-Transition Aged Women in Korea
Chang Hyun Lee, Young Im Kim
Asian Pacific Journal of Cancer Prevention.2015; 16(8): 3429. CrossRef
Gender Differences in Factors Associated with Secondhand Smoke Exposure among Cancer Patients
Eun-Kyung Kim, Jina Choo, Eun-Sook Choi
Korean Journal of Health Promotion.2015; 15(4): 225. CrossRef
Effectiveness of a Secondhand Smoking Prevention Program on Adolescents
Min Ah Park, Mi Ye Kim, Young Sun Ha
Journal of Korean Academy of Community Health Nursing.2014; 25(1): 44. CrossRef
Predictors of Mammography Performance in Job Women
Young Im Kim, Chang Hyun Lee
Korean Journal of Occupational Health Nursing.2013; 22(4): 343. CrossRef
Factors affecting Smoking Middle School Students' Intention to Quit Smoking: On the Basis of the ASE Model
Young Sook Seo, Young Im Kim
Journal of Korean Academy of Community Health Nursing.2013; 24(4): 471. CrossRef
A Study on the Assertive Behavior Among Non-smoking College Students Under Secondhand Smoke Exposure
Myoung-Soo Kim, Yun-Hee Kim
Journal of the Korea Academia-Industrial cooperation Society.2012; 13(11): 5187. CrossRef

The Effects of Group Movement Training on Psychophysiological Variables and the Range of Motion in the Institutionalized Elderly: Boo Deuk Suh; J Korean Acad Community Health Nurs. 2009;20(4):403-411. Published online December 31, 2009

268 View
0 Download

Abstract PDF: PURPOSE
The purpose of this study is to explore the effects of a group movement exercise program on psychophysiological variables in the institutionalized elderly.
METHODS
This research adopted the non-equivalent control group pretest-posttest design. Twenty elders were selected as an experimental group, whereas twenty-two elders were as a control group. The group movement program consisted of 35 minutes of dance and three days a week for eight weeks. Resting systolic blood pressure, diastolic blood pressure and heart rate were measured in a relaxed sitting position. The range of flexion and extension of joint was measured with a gonimeter. Life satisfaction and self-efficacy were measured by self-report. Data were analyzed through chi2-test, t-test and ANCOVA using SPSS/WIN program.
RESULTS
The results were as follows: Resting systolic blood pressure, diastolic blood pressure and resting heart rate decreased significantly by the group movement training. The range of flexion and extension of the shoulder and hip joints increased significantly. The scores of life satisfaction and self-efficacy increased remarkably by the group movement.
CONCLUSION
The results suggest that group movement training can be an effective intervention to improve psychophysiological variables and the range of motion for the institutionalized elderly.

Analysis of the Factors Affecting to Youth Smoking Based on the Stage of Change: Yun Jeong Yi, Soon Nyoung Yun, Young Ko, Mi Kyoung Chang, Bo Ra Nam; J Korean Acad Community Health Nurs. 2009;20(2):225-233. Published online June 30, 2009

289 View
0 Download

Abstract PDF: PURPOSE
This study was to analyse the factors affecting youth smoking, especially self-efficacy and perceived social norm, based on the stage of change.
METHODS
A self-reported survey was conducted during the period from the 21st of April to the 17th of May, 2008. Data were collected from 10,707 students of 12 middle schools in Seoul, Gyeonggi-do, and Incheon. The data were analysed with SPSS/WIN 15.0.
RESULT
The smoking possibility was 2.18 times higher in the male students than in female students, and 1.76 times higher in 8th-grade students and 2.48 times higher in 9th-grade students than in 7th-grade ones. Smoking possibility increased when students had more experience in alcohol, more friends who smoke, or worse relationship with their parents. Also this study showed that high-level self-efficacy and perceived social norm were acting as inhibiting factors of smoking.
CONCLUSION
To reduce the youth's smoking rate, smoking prevention programs should provide educational chances to learn knowledge and skills on how to reject smoking temptation. Also, someone significant like parents should make it clear to the youth that they do not want their children to smoke.

Impulsivity and Self-efficacy according to Internet Addiction: Boo Deuk Suh, Yeon Hee Choi; J Korean Acad Community Health Nurs. 2008;19(2):310-316. Published online June 30, 2008

313 View
1 Download

Abstract PDF: PURPOSE
The purpose of this study was to examine impulsivity and self-efficacy according to Internet addiction in adolescents.
METHOD
Subjects were middle and high school students in Daegu (N=486). Data were collected by a self-rating questionnaire including demographic data, a Korean version of Internet addiction, impulsivity and self-efficacy.
RESULT
Impulsivity and self-efficacy according to Internet addition were significantly different (F=22.909, p<.001). There were significant correlations between Internet addiction and impulsivity (r=.280, p<.01), between Internet addiction and self-efficacy(r=-.288, p<.01) and between impulsivity and self-efficacy (r=-.665, p<.01).
CONCLUSION
These results indicate that the more addictive to the Internet the more impulsive and the less self-efficacious. Therefore, further studies are needed to generalize these results and examine the effects of Internet addiction more broadly.

Development of a Teacher-Efficacy Scale for Health Education Teachers: Chung Ran Yi, Nak Won Kwon; J Korean Acad Community Health Nurs. 2008;19(2):247-259. Published online June 30, 2008

267 View
3 Download

Abstract PDF: PURPOSE
This study was conducted to develop a teacher-efficacy scale which is adequate for heath education teachers.
METHOD
A preliminary questionnaire was made based on the hypothetical factors. A total of 364 health education teachers answered to the preliminary test, and the potential factors of teacher-efficacy were checked out by exploratory factor analysis (EFA). In the main test 378 health education teachers answered, the factor structure was drawn by EFA, and confirmatory factor analysis (CFA) was conducted to test and the fitness of the factor model.
RESULTS
Through the preliminary test, 5 potential factors were found, which were instruction, health-service, administrative task, interpersonal relationship, and community connection. Also, 48 items were reduced to 31 items. Through the main test, from the 34 items were extracted 4 factors with 24 items, And then teacher-efficacy scale was developed, which included the subscales of instruction efficacy, health-service efficacy, task-interpersonal efficacy, and community connection efficacy.
CONCLUSION
Different from that for other subject teachers, the factor structure for health teachers had 4 factors with 24 items. The scale developed in this study is consistent with health teachers' work areas, and for this reason, has significance as a adequate and valid scale to measure teacher-efficacy of health education teachers.

Influencing Factors on Self-care in the Elderly with Essential Hypertension: Hae Ok Jeon; J Korean Acad Community Health Nurs. 2008;19(1):66-75. Published online March 31, 2008

268 View
0 Download

Abstract PDF: PURPOSE
The purpose of this study was to investigate influencing factors on self-care in the elderly with essential hypertension.
METHOD
The research instruments included the Self-Care Scale, the Knowledge Scale Related to Hypertension, the Self-Efficacy Scale and the Family-Support Scale.
RESULTS
The self-care was significantly associated with knowledge (r=.510, p=.000), self-efficacy (r=.708, p=.000), and family support (r=.403, p=.000). The major factors that affected subjects' self-care were knowledge and self-efficacy, which explained 58.7% of self-care.
CONCLUSION
Hypertension knowledge and self-efficacy are important factors for nursing interventions in caring for elderly patients with hypertension. It is needed to develop nursing programs for elderly patients with hypertension and to provide nursing interventions to improve knowledge and self-efficacy and, thereby, improving the self-care of elderly patients with hypertension.

The Effects of a Health Education Program on Health Promoting Behavior and Self-efficacy in University Students: So Young Min, Kyung Shin Paek; J Korean Acad Community Health Nurs. 2007;18(4):562-571. Published online December 31, 2007

224 View
0 Download

Abstract PDF: PURPOSE
The purpose of this study was to develop a health education program on the health promoting behavior and self-efficacy in university students and evaluate its effects.
METHOD
A nonequivalent control group pretest-posttest design was used. The subjects were 148 students [experimental(N=80) and control(N=68) groups] from a university in J City. The experimental group members participated in thirteen sessions of a health education program for fifteen weeks and the degree of their health promoting behavior and self efficacy was evaluated. The instruments for this study were the health promoting lifestyle profile developed by Walker et al.(1987) and self-efficacy scale developed by Sherer & Maddux(1982). Data were analyzed by descriptive statistics, Chi-square tests, t-tests, and paired t-test using SPSS 10.0.
RESULT
The experimental group had a significantly higher health promoting behavior score(F=10.389, p=.002) than the control group, while no significant difference was found in the self-efficacy score(F=.481, p=.489).
CONCLUSION
The results suggest that the health education program can be utilized as an effective program to promote health promoting behavior in university students.

Correlations among Meta Cognition, Critical Thinking and Self-efficacy of Nursing Students Studying through Problem Based Learning(PBL): Yoon Young Hwang, Chang Seung Park, Min Sun Chu; J Korean Acad Community Health Nurs. 2007;18(1):146-155. Published online March 31, 2007

271 View
0 Download

Abstract PDF: PURPOSE
This study was performed to examine the degree of meta cognition, critical thinking and self-efficacy and to identify correlations among the meta cognition, critical thinking, and self-efficacy of nursing students studying through PBL.
METHOD
The subjects were 140 nursing students who had studied through PBL over three terms at C College. Data were collected from August to September, 2005 using a structured questionnaire and analyzed using SPSS 10.0.
RESULTS
The mean score of meta cognition was 40.14 (SD=6.02), critical thinking was 181.46 (SD=14.49), and self-efficacy was 942.93 (SD=167.05). There was a statistically significant positive correlation between meta cognition and self-efficacy and age. Also, meta cognition had a positive correlation with appropriateness to nursing and interest in nursing knowledge, and critical thinking had a positive correlation with appropriateness to nursing, interest in nursing knowledge, interest in lab on campus and interest in clinical practicum. There were statistically significant positive correlations among meta cognition, critical thinking and self-efficacy.
CONCLUSION
Based on above results, further research should be done about many factors influencing nursing students' problem solving abilities for the development and application of many teaching methods for improving nursing students' meta cognition, critical thinking and self-efficacy.

The Effects of a Combined Exercise Program and Telephone Counseling on Physiological Functions, Self-efficacy and Depression in Obese Middle-aged Women: Nam Hee Park, Chae In Han, Eun Oak Choi; J Korean Acad Community Health Nurs. 2007;18(1):69-78. Published online March 31, 2007

385 View
0 Download

Abstract PDF: PURPOSE
This study was to determine the effects of a combined exercise program and telephone counseling in obese middle-aged women. The study also attempted to measure the effects of the program on physiological functions, self-efficacy and depression.
METHOD
This research employed a nonequivalent control group pretest-posttest design. The experimental group consisted of 29 obese middle-aged women, and the control group of 30 women. The subjects in the experimental group participated in a combined exercises program and telephone counseling for 12 weeks.
RESULTS
After performing the program for 12 weeks, BMI (p=.000), percent body fat (p<.007), TC (p=.026), TG (p=.035) and depression (p=.012) in the experimental group decreased significantly compared with the control group. Self-efficacy (p=.000) in the experimental group increased significantly compared with the control group after the program.
CONCLUSION
From these findings, it was confirmed that a combined exercises program and telephone counseling for obese middle-aged women can increase self-efficacy and decrease BMI, percent body fat, total cholesterol, triglyceride and depression. Therefore, this program can be utilized for various population groups including women, and further researches are required on programs for men.

Experience of Falls and Predictors of Falls in the Elderly at Senior Citizens' Centers: In Young Yoo, Jung Hyun Choi; J Korean Acad Community Health Nurs. 2007;18(1):14-22. Published online March 31, 2007

283 View
1 Download

Abstract PDF: PURPOSE
The purpose of this study was to investigate the experience of falls, the fear of falling and fall efficacy and identify the predictors of falls in the elderly at senior citizens' centers.
METHOD
The subjects of this study were 106 elders who used senior citizens' centers in Chungcheongbuk-do, Korea. Data were collected from May to June, 2006 through a survey using a structured questionnaire.
RESULT
Of the elderly sampled, 35.8% experienced falls during the last 1 year. Of falls experienced by the elderly, 53% occurred indoors, 47% outdoors, 15.8% in the bathroom or toilet. In addition, 57.8% of the elderly had injuries on the hip and waist related with falls. The fear of falling was higher in those with experience in falls than in those without. Factors affecting the elders' falls were age (OR=1.113, 95% CI=1.012-1.224), the number of chronic disease (OR=2.342, 95% CI=1.365-4.019) and the fear of falling (OR=4.279, 95% CI=1.901-9.634). The predictor of the frequency of falls was fall efficacy (R2=24.9).
CONCLUSION
As a result, it is essential to develop fall prevention programs based on the fear of falling, fall efficacy, chronic diseases and medication state. And in senior citizens' centers, fall prevention safety education should be activated as a health promotion program.

Health-risk Behaviors and Self-efficacy in Elderly Adolescents: Ji Yeon An, Young Ran Tak; J Korean Acad Community Health Nurs. 2006;17(3):387-396. Published online September 30, 2006

242 View
0 Download

Abstract PDF: No abstract available.

A Study on Korean Adults' Health Status, Smoking Perception, and Self-efficacy of Smoking Cessation according to Smoking Status: Mi Kyung Park, Kyung Suk Kang, Nam Young Kim; J Korean Acad Community Health Nurs. 2006;17(1):83-90. Published online March 31, 2006

309 View
0 Download

Abstract PDF: PURPOSE
The present study purposed to investigate Korean adults health status, smoking perception. and self-efficacy of smoking cessation according to whether smoking or not.
METHODS
This study conducted a questionnaire survey of 694 adults at D County in Korea during the period from the 10th of June to the 10th of July 2004. The instruments used for this study were scales on health status, smoking perception and self-efficacy: of smoking cessation. Data was analyzed by frequency and percentage, mean and SD, chi2-test, t-test, ANOVA using SPSS 11.0 program.
RESULTS
The subjects of this study were 503 men and 191 women, and 60.8% of the male subjects and 6.8% of the female subjects were smokers. With respect to health status (t=-2.58, p=0.010), smoking perception (t=10.59. p<0.000) and the self-efficacy of smoking cessation (t=-23.04, p<0.000), there were significant differences according to whether smoking or not.
CONCLUSIONS
It is necessary to make repeated study to find other variables that affect adults smoking and to develop smoking cessation programs that enhance the self-efficacy of smoking cessation.

A Study on Taxi Drivers' Smoking Behavior, Self-efficacy and Expectation Level of Success in Smoking Cessation: Chun Mi Kim, Haeng Mi Son; J Korean Acad Community Health Nurs. 2005;16(4):517-526. Published online December 31, 2005

264 View
0 Download

Abstract PDF: PURPOSE
The purpose of this study is to find taxi drivers' smoking behavior, self-efficacy and expectation level of success in smoking cessation. It will provide useful information for developing nursing interventions in health promotion programs.
METHOD
The subjects of this study were 271 taxi drivers in Seoul and its metropolitan area. Data were collected using a self-reported questionnaire asking smoking history, smoking behaviors, health problem, stages of change for smoking cessation, self-efficacy and the expectation level of success in smoking cessation. Data were analyzed through descriptive statistics. Pearson's correlation, Mann-Whitney U test, Kruskal-Wallis test and Cronbach's a.
RESULTS
Of the taxi drivers, 83.8% were current smokers. Stages of change were as follows: 45.8% were in the precontemplation stage, 26.2% in the contemplation stage, 13.7% in the maintenance stage, 12.2% in the preparation stage and 1.5% in the action stage. In addition. 20.3% of the subjects reported health problems such as hypertension, heart disease, diabetes mellitus and respiratory disease. The expectation level of success in smoking cessation was positively related with self-efficacy. There were statistically significant differences in the expectation level of success in smoking cessation according to the number of cigarettes per day and nicotine dependency. In addition. there were statistically significant differences in self-efficacy according to the number of cigarettes per day, duration of smoking (years) and nicotine dependency.
CONCLUSION
The results of this study suggest that taxi drivers' health problems and smoking rate were serious. Therefore more systematic health promotion programs for smoking cessation should be developed and executed by health care specialists at individual taxi companies.

A Chronic Disease Self-management Program for the Elderly in Korea: Hye Ra Yoo, Jee Won Park; J Korean Acad Community Health Nurs. 2005;16(4):404-414. Published online December 31, 2005

285 View
0 Download

Abstract PDF: OBJECTIVES
The present study proposed to evaluate 1st-month and 3rd-month health status, depression, self-efficacy and medical expenses of a community-based health promotive self-management program for old Koreans.
METHOD
Participants in the CDSMP were selected from elders in a community health center through convenient sampling. The program included a 3-hour session per week for 14 weeks. Outcomes of evaluation in the 1st month and the 3rd month included modified Self-rated Health Status Scale, Center for Epidemiologic Studies Short Depression Scale, Self-Efficacy for Managing Chronic Disease 6-item Scale, and 1-item Medical Expenses Scale.
RESULTS
Self-rate health scores increased significantly just after the intervention (16.22), in the 1st month (17.57) and in the 3rd month (19.04) (chi2=32.06, p=.000); Depression scores (reversed) also increased significantly just after the intervention (6.04), in the 1st month (7.75) and in the 3rd month (8.39) (chi2=29.92, p=.000); Self-efficacy score increased significantly just after intervention (12.87) but it decreased in the 1st month (12.73) and in the 3rd month (12.04). But all of the three scores were still higher than those before the intervention (8.65) (chi2=32.42, p=.000): Medical expense score decreased at the end of the intervention (1.57) but the cost score increased in the 1st month (2.48) and in the 3rd month (2.39) (chi2=7.81, p=.050).
CONCLUSION
CDSMP is effective in increasing self-rate health and self-efficacy and in decreasing depression in the Korean elderly. However, no significant effect of the program was observed in decreasing the medical cost of the Korean elderly.

First
Prev
Page of 1
Next
Last

Search