Earticle

본 연구는 영유아 건강을 위한 미세먼지를 예방하고 관리할 수 있기 위해 QR 코드를 이용한 E-book 기반 미세먼지 예방 교육 프로그램 모형을 개발하고자 하였다. 이에 아동건강 전문가 2명과 영유아 교육전문가 3명의 심도 깊은 토론을 통해 미세먼지 예방을 위한 유아건강교육 프로그램 모형을 개발했으며, QR 코드를 이용한 E-book을 개 발하였다. QR 코드를 활용한 e-book 기반의 미세먼지 예방교육 프로그램 모형은 만 5세 유아를 대상으로 현장 적합 성 및 교수매체로서의 적절성을 검증하였다. 연구결과, 첫째, QR 코드를 이용한 E-book 기반 미세먼지 예방 교육 프로그램 모형은 감상활동-핵심활동-마무리활동의 3단계를 거쳐 개발되었다. 둘째, QR 코드를 이용한 E-book은 미 세먼지 예방 교육 프로그램에 적용가능한 유용한 교수매체이다. 결론적으로, 개발된 QR 코드를 활용한 e-book 기반 미세먼지 예방교육 프로그램은 영유아의 미세먼지에 대한 민감성을 높이고, 영유아교육 분야의 미세먼지 예방 및 건강 관리 활동을 위한 적절한 교육방법으로 활용될 것이다.

This study was to develop the health education program model of young children based on e-book using QR code to prevent and manage fine dust. We developed program to prevent and manage fine dust for young children’ health through in-depth discussions with 2 young children's health experts and 3 young children education experts, and developed the e-book using QR code. The program model for fine dust’s prevention education based on e-book using QR code was verified for suitability as a field adaptation and teaching medium for 5-year old. The results of this study are as follows: First, the program model for fine dust’s prevention education based on e-book using QR code was developed through 3 stages of appreciation activity-central activity-finishing activity. Second, the e-book using QR code is a useful teaching medium applicable to fine dust’s prevention education program. In conclusion, the e-book-based fine dust’s prevention education program using QR code will be used as an appropriate education method for fine dust’s prevention and health management activities in the field of education for young children.

본 연구의 목적은 네트워크 메타분석 방법을 활용하여 중환자실 환자들의 욕창예방 중재의 비교효과와 순위를 평가하기 위하여 수행하였다. 네트워크 메타 분석은 R software의 “netmeta” 패키지를 이용한 빈도주의 방법을 이용하였다. 최종적으로 10편의 논문이 선정되었으며. 네트워크 메타 분석에 결과에 따른 욕창예방의 프로 그램의 중재 간 비교우위는 욕창 표준중재와 비교하여 순위는 피부보호 용품 사용이(P-Score 85.3.%: OR=0.12, 95% CI: 0.03, 0.49) 가장 효과적일 확률이 높았으며 두 번째는 실리콘 폼 드레싱(P-Score 84.5%: OR=0.14 , 95% CI: 0.05, 0.38)으로 나타났다. 그 다음으로는 통합중재 (P-Score 60.0%: OR=0.29, 95% CI: 0.07, 1.25), 체위변경 (P-Score 32.3%: OR=0.66, 95% CI: 0.21, 2.09) 그리고 마찰을 감소시킬 수 있는 직물의 사용 (P-Score 23.8%: OR=0.85, 95% CI: 0.20, 3.65) 순이었다. 본 연구의 결과는 중환자실 욕창예방 프로그램의 효과 적인 적용을 위한 정보를 제공 할 수 있을 것으로 생각된다.

This study conducted a network meta-analysis to compare the effectiveness and ranking of pressure ulcer preventive programs in intensive care units. A frequency network meta-analysis was performed to identify evidence from relevant randomized control trials. A total of 10 randomized control trials involving 5 intervention subgroups were included in this study. Based on the ranking probabilities(P-Score), preventive materials was ranked as the most effective among all programs (P-Score 85.3.%: OR=0.12, 95% CI: 0.03, 0.49). Next was silicone foam dressing(P-Score 84.5%: OR=0.14 , 95% CI: 0.05, 0.38), care bundle(P-Score 60.0%: OR=0.29, 95% CI: 0.07, 1.25), reposition (P-Score 32.3%: OR=0.66, 95% CI: 0.21, 2.09) and synthetic fabrics (P-Score 23.8%: OR=0.85, 95% CI: 0.20, 3.65). It is necessary to develop practical and efficient interventions that can prevent pressure ulcers in intensive care unit patients, improve patient safety, and reduce nurses' workload.

Purpose: This study aimed to implement a child abuse prevention program and evaluateits effectiveness based on the Nursing Model of Resilience and Coping Skills TrainingModel for unmarried mothers during pregnancy and puerperium. Methods: This studyhad a prospective single-case, AB design with four repeated self-questionnaire measuresand three observational measures. Seven unmarried mothers were provided with 10 sessionschild abuse prevention program through individual visits from 32 to 34 weeks ofpregnancy to six weeks after childbirth. The questionnaire was composed related to resilience,maternal stress, maternal attitude, parent-child interaction, child abuse potential. The observation was measured by video recording (total 16 times) the interaction of parent-childduring feeding and analyzing it by three experts. Data were analyzed by Wilcoxonsigned-rank test and Friedman’s test. Results: Maternal attitude and parent-childinteraction were statistically significantly improved after intervention compared to beforeintervention. However, maternal stress decreased after intervention compared tobefore intervention, but it was not statistically significant. Additionally, resilience andchild abuse potential were not statistically significant. This program is partially effectivein preventing child abuse by promoting parenting attitudes and parent-child interactions. Conclusion: This study focused on individual resilience and applied systematic interventionas coping skills training to prevent child abuse. This study is meaningful inthat interventions were conducted through individual visits to unmarried mothers athigh risk of child abuse, and the program was applied, including pregnancy and postpartumperiods, to prevent child abuse early.

Purpose: Obesity among children from low-income families is becoming a social problem. The aim of this study was to evaluate the effectiveness of an obesity prevention program that included physical activity, nutrition education, behavioral modification, and primary caregiver participation components among children from low-income families. Methods: The study analyzed a nonequivalent control group using a pretest-posttest design. A total of 77 children were recruited from six community childcare centers using purposive sampling. For the intervention group (n=40), the pretest was administered before the combined intervention program involving the participants' primary caregivers was conducted for 8 weeks. The posttest was conducted immediately after the program and again four weeks after the program. Results: Flexibility (F=4.64, p=.020), muscular endurance (F=11.22, p<.001), nutritional knowledge scores (F=4.79, p=.010), body image satisfaction scores (F=4.74, p=.012), and self-esteem scores (F=3.81, p=.029) showed significant differences and interactions between group and time for the intervention and control groups. Conclusion: Strategies to actively engage the primary caregivers of low-income families in children's obesity programs are needed. Obesity prevention programs for children based on the program in this study should be routinely developed, and continuing attention should be given to children from low-income families.

Purpose: Men diagnosed with sexually transmitted infections (STIs) are at greater risk for Human Immunodeficiency Virus (HIV) infection and STIs reinfection. This study aimed to test the effectiveness of a brief human immunodeficiency virus (B-HIV) prevention program on HIV and sexually transmitted infection (STI) knowledge, perceived benefits of condom use, risk reduction self-efficacy, risk reduction behaviors, and reinfection rate among Thai men with STIs. Methods: A quasi-experimental design was conducted. Participants were selected from men with STI symptoms. They were randomly assigned to a B-HIV prevention program or usual care, 100 each. The program consisted of 3 modules. Key messages for HIV prevention were sent weekly through Line. Outcomes were HIV and STI knowledge, perceived benefits of condom use, risk reduction self-efficacy, risk reduction behaviors (condom use, the number of sexual partners, and condomless sex), and STI reinfection rate. Independent t-test and binary logistic regression were performed. Results: The B-HIV prevention program significantly increased HIV and STI knowledge and resulted in perception of greater benefits from condoms and greater risk reduction self-efficacy. Program participants used condoms more frequently with many types of partners, especially with casual partners and sex workers. The intervention group practiced condomless sex less frequently than the control group. The program did not improve participants’ condom use with lovers/steady partners and did not decrease the number of sexual partners and STI reinfection rate at 3-month follow-up. Conclusions: A B-HIV prevention program could reduce the risk of HIV infection among male clients with current STIs by enhancing their condom use with casual partners and sex workers. Strategies to improve condom use with lovers/steady partners among this high-risk population is needed.

Purpose: This study describes the development of a violence prevention educational program for elementary school children using empathy (VPEP-E) that teachers can use during class. Methods: Hoffman's theory of empathy and Seels and Richey's (1994) ADDIE model were applied to develop this program. Results: The developed program consisted of eight sessions: "Orientation/ definition of violence and empathy", "Types and boundaries of violence", "Look into my feelings", "Say it with a facial expression", "Preventing non-empathic violence due to social prejudice", "Preventing physical violence", "Verbal and online violence prevention: empathic conversation", and "I can do well: review of the whole curriculum". The program was evaluated by 15 elementary school teachers, who considered it to be easily accessible to elementary school students. The final VPEP-E, which will be provided in eight times for 40 minutes each for fifth-grade students, will provide a basis for preventing violence by fostering empathy. Conclusion: We expect the developed educational program to be effective in preventing violence among elementary school students. However, further research involving children from various age groups is needed.

Purpose: The purpose of this study was to investigate the effects of sexual abuse prevention education program linked to elementary physical and psychological development on sexual knowledge and attitude. Methods: The participants were the elementary school students of fifth and sixth grades in S city (experimental, comparison, and control group=96, 96, and 74, respectively). The experimental group received sexual abuse prevention education linked physical and psychological development, 6 sessions (3 sessions are physical and psychological development educations and 3 other sessions are sexual abuse prevention educations). The comparison group received sexual abuse prevention educations, 3 sessions (the same curriculum of the experimental group). The control group didn't receive any sexual education. The data were analyzed by x2 test and t-test, and ANOVA using the SPSS program. Results: The experimental group showed significantly better sexual knowledge and attitude than the comparison and control group. Conclusion: Sexual abuse prevention education program linked physical and psychological development is required for elementary school students, to improve the sexual knowledge and attitude.

Purpose: The purpose of this study was to evaluate the effectiveness of a peer cervical cancer prevention education program on Korean female college students’ knowledge, attitude, self-efficacy, and intention. Methods: A quasi-experimental pretest-posttest design with a non-equivalent control group was used. The participants were 58 female college students in a metropolitan city in Korea. The sample consisted of an intervention group (n=28) that participated in a peer education program and a control group (n=30). Data were measured using self-administered questionnaires at two time points: prior to the intervention and after the intervention. Results: Compared to the control group, the experimental group reported significantly positive changes for knowledge, attitude, self-efficacy, and intent to practice cervical cancer prevention behaviors. Conclusion: The findings of this study indicated that a peer education program developed for Korean female college students was a useful and effective intervention strategy to promote cervical cancer prevention behaviors in Korean sociocultural contexts.

Purpose: The purpose of this research was to investigate the effect of an osteoporosis prevention program based on the Health Belief Model for women between the ages of 30 years and 45 years at risk of osteoporosis. Methods: This study was conducted with randomized control group pretest, post-test and follow-up trial. Intervention group (n = 37) and control group (n = 36) participated in the research. Data were collected using a sociodemographic data questionnaire, the Osteoporosis Knowledge Test, the Osteoporosis Health Belief Scale, the Osteoporosis Self-efficacy Scale, a monitoring form for estimated dairy calcium intake, and a monitoring form for estimated weekly exercise. Intervention program was composed of a 4-week education program and a 24-week counseling program. Data were collected pretest, post-test 15 days after the end of the education program, follow-up 1 after 3 months, and followup 2 after 6 months. Mann Whitney U test, chi-square test, Friedman test, Bonferroni test, two means test and Wilcoxon signed-rank test were used for statistical analysis. Results: After the education and counseling program, a significant increase was seen in comparison with the control group in the mean scores of the intervention group on the Osteoporosis Knowledge Test and its subscales (p < .001), on the Osteoporosis Health Belief Scale and its subscales (p < .001), on the Osteoporosis Self-efficacy Scale and its subscales (p < .001), and in their daily calcium intake (p < .001) and duration of weekly exercise (p < .001). Conclusion: The results of this study were evidence that showed the effects of Health Belief Model ebased osteoporosis prevention education and counseling program conducted by nurses.

Objective To investigate the feasibility of a public health center-based aerobic and resistance training program for primary prevention of cardiovascular disease in people with visual, auditory, or physical/brain impairments. Methods The study included 25 adults aged >40 years who lived in Cheorwon-gun in South Korea, had a disability registered for visual, auditory, or physical/brain impairments under the Disability Welfare Act, and had either known cardiovascular disease or two or more risk factors for cardiovascular disease. The program comprised four education sessions and 12 weeks of customized aerobic and strengthening exercises performed twice a week at moderate intensity, with each exercise session lasting for 1 hour. The body mass index (BMI), percent body fat, 6-minute walk distance (6MWD), and 30-second sit-to-stand test results were measured at baseline and on program completion. Results Seventeen subjects (68%) completed the program. There were significant decreases in BMI and percent body fat (both p<0.05), with a significant increase in 30-second sit-to-stand strength (p<0.05) but no changes in the 6MWD. In subjects with visual or auditory impairments, BMI and percent body fat were significantly decreased after the program; however, there was no significant change in the results of the 30-second sit-to-stand strength test or the 6MWD. Conclusion In people with disabilities, a 3-month community-based exercise program can decrease body mass index and percent body fat and increase sit-to-stand strength. The 30-second sit-to-stand test may be a useful measure of the strength and endurance of the lower extremities in people with disabilities.

Purpose The purpose of this study was to evaluate a mobile-based maternal feeding education program for overweight prevention in infants based on breastfeeding attitude, breastfeeding self-efficacy, breastfeeding duration, recognition of hunger and satiety cues of infants, and knowledge regarding providing solids foods. Methods A nonequivalent control group pretest-posttest design was used for the study. Participants included 15 primiparas in the experimental group and 14 primiparas in the control group in all the follow-up tests. Using self-reported questionnaires in electronic format, data were collected four times (before the intervention, 1 month after childbirth, 3 months after childbirth, and 6 months after childbirth). Using SPSS 24 version, independent t-test and repeated-measures analysis of variance were used to test the effects of the mobile-based maternal feeding education program. Results The experimental group showed significantly more positive breastfeeding attitude (F = 5.28, p = .008), higher breastfeeding self-efficacy (F = 3.50, p = .041), and increased breastfeeding duration (t = ?2.09, p = .046) than the control group. In addition, the experimental group showed significantly improved knowledge regarding providing solid foods to the infants (F = 4.86, p = .009) in comparison with the control group. However, for education on recognizing hunger and satiety cues of infants, the mobile-based maternal feeding education program was not effective (F = 0.23, p = .878). Conclusion According to the results of this study, the mobile-based maternal feeding education program has the potential to contribute to overweight prevention in infants.

Purpose: Falls and medication errors are the most common patient safety incidents globally. Kolb’s experiential learning theory supports the application of cognitive learning in clinical settings. This study examined the effectiveness of Experiential Learning?Based Fall and Medication Error Prevention Education (EFMPE), utilizing virtual reality and room of errors. Methods: A randomized controlled trial was conducted with 28 fourth-year nursing students (15 experimental, 13 control). The experimental group participated in EFMPE from February 1 to 6, 2024, comprising six sessions of 2 hours each. The control group received traditional lectures. Safety control confidence and course interest were measured before and immediately after the intervention; safety control confidence was reassessed 6 weeks later. Results: Both groups showed immediate improvement; however, only the experimental group sustained increased safety control confidence after 6 weeks (Wald χ2=13.21, p<.001). Course interest was significantly higher in the experimental group post-intervention (Wald χ2=10.64, p=.001). Conclusion: These preliminary findings suggest that EFMPE potentially supports the prevention of falls and medication errors in clinical practice.

Purpose: This study aimed to explore the effects of incorporating gym ball exercises for fall prevention on lower limb muscle activity and balance in elderly individuals. Methods: Thirty elderly individuals residing in nursing homes were selected as study participants and randomly divided into experimental and control groups. Each group was comprised of 15 individuals. The experimental group performed fall prevention exercises using gym balls, whereas the control group performed only fall prevention exercises. Both groups were conducted for 6 weeks, 3 times a week, with each session lasting 50 minutes. We compared and analyzed the changes in muscle activity and balance within and between the groups. Results: When comparing the changes in lower limb muscle activity between groups before and after intervention, the experimental group showed significantly higher lower limb muscle activity after the intervention compared to the control group, with a statistically significant difference (p<. 001). Similarly, the experimental group showed significantly higher improvements in both static and dynamic balance abilities after the intervention than the control group, with statistically significant differences (p<. 001). Conclusion: The results of this study demonstrated that incorporating Gym ball exercises into fall prevention programs is an effective method for enhancing lower limb muscle activity and balance in elderly individuals, thereby reducing fall risk.

본 연구는 내과계 중환자실에 입원한 기관삽관 환자의 비계획적 발관 예방프로그램을 개발하여 비계획적 발관율을 감소시키고 간호사들이 실무에서 비계획적 발관에 적극적으로 대처할 수 있도록 도움을 주기 위해 수행되었다. 조사기간은 사전기간이 2008년 5월부터 2009년 4월이었고, 프로그램 적용기간은 2009년 5월부터 2010년 4월로 각각 1년씩이었다. 기간 내 조사 대상 총 삽관환자는 사전시기와 중재 시기에 각각 330명, 332명이었으며, 이들 중 비계획적 발관을 경험한 사전 29사례와 적용기간 23사례에 대해 발관경험 환자와 담당간호사의 발관 관련 제 특성을 추가적으로 살펴보았다. 통계분석은 SPSS 18.0을 이용하였다. 비계획적 발관을 경험한 환자와 간호사의 제 특성은 유의한 차이를 보이는 것은 없었으나 두 시기에 신규 간호사의 진입 비율에 유의한 차이가 있었다(p=.039). 기관내관 삽입 1000일당 비계획적 발관율은 신규 간호사 진입이 많았음에도 적용 기간의 평균이 8.8을 보여 사전 관찰시기의 평균 발관율 12.3과 비교하여 유의하게 감소(t=-2.333, p=.040)하였으므로 본 연구의 결과는 중환자실 삽관환자의 비계획적 발관예방 활동을 통해 환자 안전에 기여할 수 있는 프로그램이라 사료된다.

Unplanned extubation prevention program (UEPP) was developed and applied to intubated patients hospitalized in a medical intensive care unit (ICU). The number of unplanned extubation was 29 during the preliminary investigation and 23 cases during the prevention intervention program. The general features of the patients and nurses who experienced UE did not have any significant differences between the two periods, with only the number of new nurses in the ICU being significantly different (p=.039). Although the number of new nursing staff in the ICU was high, the mean rate of unplanned extubation, which is the number of UE days per 1000 intubation days, was 8.8 during the prevention intervention program, which was significantly lower than 12.3, the mean rate of UE during the preliminary investigation (t=-2.333, p=.040). The results provide a prevention program that could contribute to the safety of patients by actively preventing unplanned extubation in intubated patients in ICU.

본 연구의 목적은 클라이언트의 트라우마에 지속적으로 노출되는 전문가의 이차외상스트레스를 예 방하고 레질리언스를 강화하기 위해 조직적 차원에서 활용될 수 있는 이차외상스트레스 예방 프로 그램을 개발하고자 하는 것이다. 이를 위하여 개입조사모델이 활용되었다. 아동보호전문기관 상담 원들을 대상으로 욕구조사와 포커스 집단면접을 실시하여 상담원들이 경험하는 이차외상스트레스 의 수준, 이차외상스트레스가 업무와 개인적 삶에 미치는 영향, 기관에서 트라우마 관련 교육의 현 황, 이차외상스트레스 예방 프로그램을 실시한다면 필요한 내용과 운영방법 등에 대해 확인하였다. 이러한 과정을 거쳐 개발된 프로그램을 아동보호전문기관 상담원 7명을 대상으로 초기 현장실험을 실시한 결과, 개발된 프로그램이 상담원들의 이차외상스트레스와 우울 수준을 감소시키고, 스트레 스 대처방식의 사용 수준을 향상시켰음을 확인할 수 있었다. 이러한 결과를 바탕으로 장차 트라우마 에 노출된 클라이언트를 주된 대상으로 실천하는 전문가들을 위한 조직적 차원의 예방 프로그램을 최종 개발하였다.

The purpose of this study is to develop a program that can be adopted at an organizational level, preventing secondary traumatic stress and strengthening resilience of practitioners who are continuously exposed to client’s trauma. During the process of the program development, the intervention research model was employed. Both need survey and focus group interview were performed to counselors in child protection agencies, which confirmed the level of secondary traumatic stress experienced by counselors, impact on their work and personal life, and the status of the trauma-related training programs offered at an organizational level. The required contents and operational methods of the programs were also identified. A pilot study performed on 7 counselors found that the program reduced the level of secondary traumatic stress and depression, and improved the stress-coping style of the counselors. Based on the results, a preventative program was finally developed at an organizational level for practitioners working with trauma-exposed clients.

본 연구는 자살 고위험집단인 독거 우울 노인을 대상으로 문제해결치료 프로그램의 효과성을 검증 하기 위해 실시한 유사실험연구이다. 실험집단을 대상으로 문제해결치료 프로그램을 실행하고, 실 험집단과 통제집단에게 우울과 사회적 문제해결능력 및 5개 차원에 대한 사전, 사후, 추적조사를 실시하였다. PST 프로그램의 효과성을 검증하기 위해 반복측정 분산분석의 집단과 조사시점 간 상 호작용에 대한 분석과 조사시점 별 두 집단 간의 차이에 대한 t-test 분석을 실사하였다. 분석결과 실험집단의 우울수준은 사후조사에서 감소되었고, 추적조사에서도 지속되었다. 사후조사에서 측정 한 실험집단의 사회적 문제해결능력과 합리적 문제해결양식이 강화되었고, 부정적 문제지향과 충동 적, 회피적 문제해결양식이 감소되었지만, 추적조사에서는 그 효과들이 지속되지 못하였다. 결론적 으로 자살 고위험군인 독거 우울 노인의 자살 예방에 PST가 효과적임을 확인하였으며, 자살 위험에 처한 노인들의 PST에 대한 접근성을 높일 수 있도록 사회복지사를 대상으로 한 PST 교육이 확대되 어야 하고 PST 참여자의 문제해결능력을 유지하기 위한 사후관리가 필요함을 제안하였다.

This study used the quasi-experimental research design to examine the effectiveness of problem-solving therapy (PST) for the depressed elderly people living alone as a suicidal high-risk group. PST was conducted for the experimental group, both the experimental and control groups were subjected to pre-test, post-test, and follow-up test on depression and social problem-solving ability. The effectiveness of PST was verified by repeated measurement variance analysis and t-test. PST was found effective in reducing depression and its effect continued until the follow-up test. PST strengthened social problem-solving ability and rational problem-solving style, but reduced negative problem orientation and impulsive/avoidant problem-solving style, but their effects did not persist in the follow-up test. In conclusion, PST was found suitable to prevent suicide for the depressed elderly living alone, and thus PST training programs should be expanded for social workers and follow-up management should be carried out for PST participants.

본 연구는 서울시 자살예방센터에서 중장년층 자살예방을 위해 개발한 「중장년 서로를 살리는 관계학 교」 프로그램의 효과성을 검증하였다. 본 프로그램은 총 4회기의 집단 워크숍으로, 관계 회복, 의사소통, 위기 대처를 주제로 구성되었다. 사전-사후 비교 설계를 적용하여 총 81명이 참여하였으며, 도움제공 유능감, 의사소통 능력, 외로움·사회적 고립, 중년기 위기감, 우울감, 자살 태도를 구조화된 척도로 평가하 였다. 자료는 Wilcoxon 부호순위 검정과 효과크기(Cohen’s d)로 분석하였다. 그 결과, 도움제공 유능감은 유의하게 향상되었고(Δ = +0.50, p < .001, d = 0.50), 우울감(Δ = -0.60, p < .05)과 정서적 불안정(Δ = -0.15, p < .05)은 완화되었다. 자살 태도는 이해적·금기적 태도가 감소하며 예방적 태도로 변화하였다(p < .05). 의사소통 능력은 소규모 향상을 보였으나, 외로움·사회적 고립은 뚜렷한 변화가 없었다. 성별·연령 별 분석에서는 여성과 40-50대 집단에서 효과가 두드러졌다. 본 연구는 서울시 자살예방센터가 주도한 단기 집단 프로그램이 중장년층의 관계 자원 회복과 심리적 안정 증진에 기여할 수 있음을 실증적으로 보여주었다.

This study evaluated the effectiveness of the Midlife Life-Saving Relationships School, a suicide prevention program developed by the Seoul Suicide Prevention Center for middle-aged adults. Using a pretest–posttest design, 81 participants completed four group sessions focused on relational recovery, communication, and crisis coping. Outcomes included helping efficacy, communication skills, loneliness/social isolation, midlife crisis, depression, and suicide attitudes, analyzed using Wilcoxon Signed-Rank Tests and Cohen’s d. Results showed significant improvements in helping efficacy (Δ = +0.50, p < .001, d = 0.50) and reductions in depression (Δ = −0.60, p < .05) and emotional instability (Δ = −0.15, p < .05). Suicide attitudes shifted toward prevention, with decreases in understanding and prohibitive attitudes (p < .05). Communication skills showed modest positive trends, while loneliness and social isolation did not change. Greater effects were observed among women and participants aged 40–50 years. The findings suggest that this group-based program can enhance relational capacities and stability in midlife adults.