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Purpose: Education on infant safe sleep practices has been known to reduce the risk of sleep-related sudden unexpected infant death. Since sleep environments may vary across sociocultural contexts, infant safe sleep education needs to reflect specific sociocultural settings. This study aimed to develop an educational Protocol for Infant Safe Sleep (PISS) for primary caregivers in Korea that considers parenting behaviors and cultural characteristics. Methods: This study was conducted in three key methodological steps: (1) retrieval, de- fining, and systematic classification of PISS content; (2) the structural formulation of the content as an educational protocol; and (3) content validation. For the first step, a literature review was conducted, along with an analysis of educational materials from institution websites related to infant safe sleep and online parenting communities. Field observations were also conducted to identify relevant Korean culture characteristics. Based on these findings, the PISS was developed. Content validity index was assessed by six professionals, and the results were reflected into the educational program. Results: The PISS intervention provided an educational video and booklet and enhanced learning via phone counseling and educational kit, which comprised an illustrated safe sleep sticker and a calendar-style activity diary. The educational content consisted of (1) sleep location, (2) sleep position, (3) bedding, (4) clothes and temperature, and (5) other considerations. Conclusion: This study developed the PISS, an intangible educational intervention based on Korean sociocultural characteristics and specific guidelines for primary caregivers. Future research should evaluate the effectiveness of this program in promoting safe sleep practices.

Purpose: This study aimed to investigate the effects of a Multicomponent Intervention Program for Preventing Delirium (MIPPD) on the incidence of delirium, self-extubation or self-removal of the catheter, and length of stay among elderly patients in the Intensive Care Unit (ICU). Methods: This study employed a nonequivalent control group pretest-posttest non-synchronized design to verify the MIPPD effects. The participants, 73 patients aged over 65 years were admitted to a university hospital's ICU in J province between December 2015 and July 2016. The MIPPD contained the following elements: family caregiver education, delirium assessment, reorientation activities, therapeutic communication, sensory intervention for vision and hearing impairments, management of immobility or limited mobility, family support, and maintenance of sleeping patterns. Under the program, nurses and family members provided immediate intervention to elderly patients with an expected length of stay of at least 48 hours. Results: After the MIPPD application, the incidence of delirium in the intervention group was significantly lower (odds ratio=0.19, 95% confidence interval=0.03~0.97) than that in the control group. However, there were no significant differences between the groups in terms of self-extubation or catheter self-removal and length of stay. Conclusions: This program can effectively reduce the incidence of delirium. Because prevention is optimal for delirium management, a proactive intervention must be considered; given that, in this study, there were no problems in terms of family engagement, an MIPPD involving family participation should be actively implemented in intensive care unit practice.

This study aimed to investigate the effects of the multimodal group intervention that combined animal-assisted therapy (AAT) and integrated play therapy (IPT) on depression and self-esteem in undergraduate university students. The subjects were 40 students attending animal-related and social welfare departments of universities located in a metropolitan city. The multimodal intervention program was conducted for eight sessions (twice a week, 60 min each) in the experimental group. Data analysis was conducted using the independent sample t-test, ANCOVA, and paired sample t-test for pre- and post-test. Therefore, the multimodal intervention program applying AAT and IPT showed positive effects on depression and self-esteem in university students. Based on these results, this study proposed the operation of multidisciplinary education and practical and policy utilization methods to reduce depression among university students and help improve their self-esteem.

Objective To investigate the effectiveness of a novel and complex intervention in community-dwelling people with intellectual disabilities. Methods Forty-three participants completed the experiment. The subjects were randomly assigned the experimental (n=33) or control (n=10) groups. The multicomponent intervention program comprised exercise and nutrition management and behavior modification. The intervention was performed for 60 minutes once weekly for 10 weeks. The assessment included anthropometric data, body composition and blood pressure analysis, and blood tests. In addition, pulmonary function, physical function, and health-related quality of life were measured before and after the intervention. Results No adverse events occurred during the intervention. After the intervention, the experimental group showed a significantly higher increase in high-density lipoprotein cholesterol level than did the control group (effect size=0.152, p=0.019). Conclusion This innovative intervention was effective in improving cardiovascular health. Even greater effects could be achieved through improvements in implementation strategies to increase compliance.

The purpose of this study is to identify the effects of a group integrated intervention program that simultaneously conducts cognitive activities, physical activities, emotional activities and social interactions by integrating animal-assisted therapy (AAT) and integrated elderly play therapy based on the cognitive functions and depression of the elderly who live alone. This study follows a pre-test post-test design with a nonequivalent control group, to verify the effectiveness of a group integrated intervention. It applies a group integrated intervention program to 20 elderly people who live alone, aged 65 and above (10 in the experimental group, 10 in the control group), once a week for 90 minutes across eight weeks. The study went through MMSE-K, TMT-A and GDSSF-A to assess cognitive functions and the level of depression. The group integrated intervention increased the cognitive functions of the experimental group and decreased levels of depression. Therefore, this study verified that a group integrated intervention program of AAT and integrated play therapy of the elderly, is an effective for increasing cognitive functions and decreasing depression levels of the elderly who live alone. Based on these findings, the study suggests that there is a need to continuously expand group integrated intervention programs and provide relevant political support.

This study is a meta-analysis on the effectiveness of Cognitive-Behavioral Treatment (CBT) within post-intervention pro grams for adolescent victims of school bullying in the Republic of Korea (Korea). Fourteen dissertations and journals, pub lished in Korea between 2000 and 2021, were selected based on the PICOS standards, and effect sizes were calculated using Comprehensive Meta-Analysis (CMA) Version 3. The results indicated an overall effect size of 1.00, suggesting substantial ef fects. CBT for adolescent victims demonstrated large effect sizes on self-concept, self-esteem, peer relationship, and school adjustment outcomes, while its effects on emotion outcomes, showed median effect size. Finally, this study investigated opti mal CBT conditions for better effects, indicating that CBT was most effective when conducted with five to nine participants in 10 to 14 sessions, lasting 60 minutes, twice a week. Notably, smaller group sizes, more sessions, shorter session times, and frequent interventions seemed to enhance the efficacy of CBT programs. This implies that the intensity and frequency of in terventions are pivotal in maximizing the impact of CBT for bullied adolescents. Overall, post-intervention programs em ploying CBT demonstrated mostly substantial effect sizes, providing valuable insights for future CBT implementations by identifying program components for enhanced effectiveness.

Purpose To assess the feasibility of a technology-assisted intervention in a hybrid cardiac rehabilitation program among patients with coronary heart disease. Methods This study was a two-arm parallel randomized controlled trial. Twenty-eight patients with coronary heart disease were randomly assigned to either the intervention group, receiving a 12-week technology-assisted intervention (n = 14), or the control group (n = 14), receiving usual care. Guided by the Health Belief Model, the intervention group received three center-based, supervised exercise training sessions, a fitness watch that served as a cue to action, six educational videos, and a weekly video call. The Self-efficacy for Exercise, exercise capacity, and Health Promoting Lifestyle Profile II were assessed at baseline and immediately post-intervention (12-weeks). Results Among the 28 patients who participated in this study, 85.7% completed the program, with a relatively low attrition rate (14.3%). The number of exercise training sessions accomplished by the participants in the intervention group was 51.27 ± 19.41 out of 60 sessions (85.5%) compared to 36.46 ± 23.05 (60.8%) in the control group. No cardiac adverse events or hospitalizations were reported throughout the study. Participants in the intervention group showed greater improvement in health-promoting behaviors when compared with the control group at 12 weeks. Within-group effects demonstrated improvement in exercise self-efficacy and exercise capacity among participants in the intervention group. A participant satisfaction survey conducted immediately post-intervention revealed that participants were “very satisfied” (23.1%) and “satisfied” (76.9%) with the technology-assisted intervention. Conclusions The findings demonstrated that technology-assisted intervention in a hybrid cardiac rehabilitation program was feasible and suggested to be beneficial in improving exercise self-efficacy, exercise capacity, and health promoting behavior among patients with coronary heart disease. A full-scale study is needed to determine its effectiveness in the long term. Trial and protocol registration ClinicalTrials.gov NCT04862351. https://clinicaltrials.gov/ct2/show/NCT04862351.

Purpose: Mothers who give birth prematurely experience parenting stress after their babies are discharged and find it difficult to emotionally bond with them. Forming an emotional bond with a baby promotes the baby's growth and development, helps the mother cope with parenting stress after discharge, and is important for maintaining family functioning. This study aimed to identify the attachment experiences of mothers with low-birth-weight infants (LBWIs) in a follow-up program using early intervention. Methods: A phenomenological perspective was used for this qualitative research. Data were collected from in-depth interviews with twelve mothers who participated in a follow-up program using early intervention for mothers with LBWIs from September 2017 to December 2017. Colaizzi's method was used to analyze the data. Results: The experience of mothers' attachment was investigated on the basis of three categories: ‘beginning of changes in parenting methods,’ ‘forming an intimate motherechild bond,’ and ‘concerns and expectation about the child's development.’ Conclusion: The results indicate that the follow-up program using an early intervention designed to increase mothers' confidence in their parenting skills can promote mother’ attachment and the quality of life of families with LBWIs.

Purpose: This study aimed to systematically develop an obesity prevention program for adolescents to promote healthy eating and physical activity in schools. Methods: The development of the Let's Eat Healthy and Move at School program for adolescents followed the six steps of intervention mapping (IM). IM is a widely used protocol for developing systematic and effective interventions based on theories and evidence. Results: To better understand the problem and identify the needs of adolescents, interviews were conducted with teachers, school nurses, and students (step 1). In step 2, the desired behaviors and their determinants were established and combined into a matrix comprising 16 change objectives. In step 3, theoretical methods such as persuasive communication and consciousness-raising were chosen. The program was segmented into three educational activity sessions in step 4. In step 5, an implementation manual was developed for program instructors to ensure effective and accurate implementation. Finally, practices for evaluating the program's effectiveness and procedures were designed in step 6. Conclusion: The Let’s Eat Healthy and Move at School program will provide adolescents with guidelines to promote healthy living and prevent obesity in everyday life using strategies for sustainable adolescent obesity prevention and management.

Purpose: This study evaluated the effects of a cultural competence training program for public health nurses (PHNs) using intervention mapping. Methods: An embedded mixed method design was used. Forty-one PHNs (experimental: 21, control: 20) and forty marriage migrant women (MMW) (20, in each group) who were provided nursing care by PHN participated in the study. The experimental group was provided with a four-week cultural competence program consisting of an eight hour offline and online course, e-mail newsletters and social networking services (BAND). Transcultural Self-efficacy (TSE) of the PHNs, client-nurse trust, and satisfaction with nursing care of MMW were measured. Ten PHNs in the experimental group were interviewed after the experimental study. Results: The experimental group showed a significantly greater improvement in TSE, client-nurse trust, and satisfaction with nursing care than did the control group. Six themes emerged from qualitative data: (a) Recognizing cultural differences, (b) Being interested in the multicultural policy, (c) Trying to communicate in MMW’s own language, (d) Providing medical information using internet and smart phone, (e) Embracing culturally diverse people into society, and (f) Requiring ongoing cultural competence training. Conclusion: Cultural competence training enabled PHNs to provide culturally competent care and contribute to MMW’s health outcomes.

Purpose: This study aimed to examine the effects of a post-discharge tailored telephone (TATE) follow-up program for patients with low health literacy (LHL) who had undergone percutaneous coronary intervention. Methods: This pilot study employed a non-equivalent control group pretest?posttest design to evaluate the preliminary effects of a TATE follow-up program at a university hospital in Seoul. Data were collected from July 2020 to September 2021. A total of 51 patients were recruited, and 46 completed the study. Patients were divided into three groups: an intervention group with LHL, a control group with LHL, and a control group with high health literacy. The intervention group received two 15-minute phone calls as part of the TATE follow-up program. Results: The TATE follow-up program significantly improved disease- related knowledge in the intervention group compared with the control groups (p=.001). The intervention group also reported significantly higher satisfaction with nursing services than the other two groups (p=.006). However, there were no significant differences in changes in health behavior adherence among the groups, although the intervention group with LHL showed the greatest increase of 17.5 points after the intervention. Conclusion: This pilot study demonstrated that the TATE follow-up program was effective and feasible for improving disease-related knowledge and satisfaction with nursing services among patients with LHL. These findings highlight the importance of tailored transitional care interventions to support cardiovascular disease management and secondary prevention.

Purpose: To examine the effects of a spousal participation health promotion program (health promotion program, HPP) based on Cox’s Interaction Model of supporting husbands’ health behavior compliance following a percutaneous coronary intervention (PCI). Methods: This study was a nonequivalent control group pretest-posttest design. A total of 52 participants (26 in each group) completed the study. The researchers conducted pretest and posttest at 12-week intervals on 26 control groups. Those in the 26 experimental groups attended in the entire 12-week program with pretest and posttest. Also, 10 control groups who wished to receive the intervention were given the opportunity to participate in the HPP for 3 weeks and were provided with the materials used from weeks 4 through 12 after completion of the study. Descriptive statistics, independent t-test, paired t-test, Mann-Whitney U-test, and a Wilcoxon signed rank test were conducted. Results: Spousal participation HPP was effective in promoting participants’ marital compatibility and health behavior compliance. Conclusion: Spousal participation HPP was an effective intervention for reducing body mass index, total cholesterol, triglyceride, and low-density lipoprotein, enhancing marital harmony, and promoting health behavior compliance among middle-aged and older men who underwent PCI. Therefore, it is recommended to actively utilize the spousal participation HPP as an effective intervention strategy for health management of this population.

Purpose: Dementia and altered cognitive function are highly prevalent among older adults with mild cognitive impairment (MCI); hence, prevention is necessary before it develops into dementia. Treatment adherence?medication adherence and physical activity?is essential to prevent and delay dementia; however, comprehensive interventions to promote it in this population are lacking. This study aimed to develop a program for treatment adherence utilizing an Internet of things (IoT) device. Methods: The six-step mapping protocol was used to develop the IoT-based treatment adherence intervention (ITAI). The intervention was based on literature review, expert opinions, and input from older adults with MCI. Results: In Step 1, needs assessment was conducted to gain insights into health problems and their underlying determinants. In Steps 2 and 3, performance objectives were identified for behavior change and selected theoretical and evidence-based methods were linked to the intervention outcomes. In Step 4, the ITAI was designed with components and materials consistent with the identified change goals and methods, and specific intervention components developed. In Step 5, implementation plans and solutions to barriers to its application were identified. In Step 6, the plan to evaluate intervention effectiveness was outlined. Conclusion: The intervention mapping provided a systematic procedure for developing an ITAI for older adults with MCI and preparing a randomized controlled trial. Utilizing intervention mapping is useful as ITAI systematically processes treatment adherence for MCI using the IoT and is acceptable and valid. ITAI is expected to increase medication adherence and physical activity in older adults with MCI.

본 연구에서는 우리나라 다문화가정 아동을 위한 대인돌봄 기반의 오르프 음악활동 프로그램을 개발하고자 한다. 대 인 돌봄 기반의 오르프 음악 활동 프로그램 구성은 자아 탄력성, 또래 관계, 행복, 대인 돌봄 인식, 불안 및 스트레스를 조절할 수 있는 프로그램으로 구성하였으며, 분석(Analysis), 설계(Design), 개발(Development), 실행(Implementation)의 ADDI 모형을 토대로 개발하였다. 그 결과, 돌봄의 표현 영역, 핵심 주제, 돌봄 목표, 대인 돌봄 기법, 오르프 기법에 근거한 10차시 의 프로그램이 개발되었다. 개발된 본 프로그램의 연구 결과를 통해 다문화가정 아동에게 대인돌봄간호가 효과적일 수 있으 며, 본 프로그램이 아동의 정신건강 증진을 위한 중재로 활용될 수 있는 기초자료로 활용될 수 있을 것이다.

This study aims to develop an Orff musical activity program based on interpersonal care for children from multicultural families in South Korea. The Orff music activity program based on interpersonal care consists of a program that can control ego-resilience, peer relationships, happiness, anxiety, and stress, and was developed based on the Analysis, Design, Development, and Implementation (ADDI) model. As a result, a ten-session program was developed based on the expressive area of care, theme, goal, interpersonal care technique, Orff technique. The research results of the developed program show that interpersonal care nursing can be effective for children from multicultural families, and this program can be used as an intervention to improve children's mental health.

The occupation of firefighting is characterized by a high risk of exposure to traumatic events, which can result in the development of post-traumatic stress disorder. This study aims to investigate firefighters’ perceptions and needs on virtual reality (VR) psychological intervention programs. The study is qualitative and uses a focus group interview. Semi-structured interviews were conducted with two focus groups of six people, one for field staff and one for internal and psychological support staff. Consequently, two themes and eight categories were identified for VR psychological intervention programs. Firefighters' perceptions of the VR psychological intervention program were categorized into three categories. Their needs included “a form of group counseling with realistic virtual colleagues,” “content modules that reflect different trauma experiences for each job, such as rescue and resuscitation, firefighting, and desk work,” “a standardized, one-hour, non-face-to-face program,” “support for manual development and program utilization that considers individual differences in age and digital proficiency,” and “professional firefighters’ participation in development and outreach to individuals, managers, and organizations." The key findings of the study are expected to be considered in developing future VR psychological intervention programs for firefighters.

The purpose of this study is to present a basis of application of an exer-cise program through a systematic analysis of the effect of combined exercise program for middle-aged women using meta-analysis. It ap-pears that the overall effect size (0.606) of the combined exercise pro-gram was positive for improving physical strength and physiological function. The physiologically related variables showed an effect size which is equal to or greater than a middle level. This may be an objec-tive basis to prove that the combined exercise program is an effective intervention method to overcome loss of functions and weakened func-tions by improving physical strength and preventing reduction of hor-mones. The combined exercise program was found to be most effective when it was conducted two times a week; for over 1 hr and 30 min to 2 hr; and at intensity of 40% or more for an 8-week period. As the com-bined exercise program showed an effect of a middle level or higher for all the middle-aged women in their age of 40 to 65, it appeared that this exercise program is very effective for middle-aged women. The results of this study suggest that the combined exercise program for mid-dle-aged women is a very effective intervention method. This study can reduce inefficiencies of overly redundant studies regarding an effect of an exercise program, and can be grounds for the basic work for the in-tegrated classification of the physiological variables.

Purpose: This study was to compare the effects of individual and group intervention programs on the demented elderly and their families. Methods: The programs were applied to two groups, one by home visiting and the other by group intervention. The groups were composed of 14 elders and 12 elders, respectively, with their families. The programs were applied twice a week, ninety minutes per session for four weeks. Programs consisted of cognitive therapy, music and art therapy, and massage for the demented elderly, education on dementia, cognitive-behavioral intervention for problematic behavior, methods to lessen stress, and counselling for the families. Results: AER, problematic behavior, QOL of pts and QOL, caregiving burden, and relationship with the pts of caregivers were improved after each program but not significantly except QOL of pts (Z=-3.37, p=.00) in the group intervention. When the two interventions were compared with each other, the group intervention program was more effective than the home visiting program in all variables but not significantly except QOL of pts (U=32.00, p=.00). Conclusion: In summary, both the individual and group intervention programs were helpful to both pts and families, and even though tthere was no statistically significant difference between the two intervention programs except in QOL of pts, the group intervention was more effective,

본 연구는 가정폭력가해자 프로그램 이수 후 가해자들의 재폭력에 피해 여성의 능동적 대처방식의 효과를 검증하기 위해 실시되었다. 본 연구의 자료는 2008년에서 2009년에 걸쳐 가정폭력 행위자 치료 프로그램 장기 효과 연구에서 수집되었다. 프로그램 이수 후 피해 여성을 3차에 걸쳐 추적 조사하였으며 본 연구에서는 1, 2차 시점의 데이터를 사용하였다. 표본의 수적 한계와 연구의 특성을 고려하여 PLS(Partial Least Square) 분석 방법을 사용하였다. 분석 결과 정서적 폭력의 경우 1차와 2차 각각 발생률이 77.6%, 41.3%로 나타났으며 신체 폭력의 경우 시점 각각 43.1%, 18.4%의 발생률을 보였다. 모형 분석 결과 남편의 정서적 재폭력에 대해서는 여성의 문제해결의 능동적 대처방식이 조절효과를 나타내었으며(p<.001), 신체 재폭력에 있어서는 문제해결이 아닌 도움요청이 조절효과를 보이는 것으로 나타났다(p<.01). 분석 결과를 바탕으로 가정폭력 재폭력에 대응하기 위한 실천적 함의를 도출하였다.

This study aims to investigate the effects of active coping of spouses on recidivism of domestic violence. In order to obtain better study results, 21-month follow up interview was conducted for spouses of batterers who completed domestic violence batterer intervention program. Spouses were interviewed for three times; 9-month, 15-month, and 21-month after program completion. Finally, data till 15-month follow-up was used to manage sample size problem. As a results, a total number of 76 spouses were included for final analysis. Data was collected from 2008 to 2009. Based on sample size and study objects, PLS(Partial Least Square) analysis was used. the prevalence rates of emotional abuse was 77.6% at the first interview but 41.3% at the second interview. For physical violence each rate were 43.1% and 18.4%. For emotional violence, problem-solving strategy among active coping shows significant moderating effects on reducing emotional violence(p<.001) while help-seeking among active coping has significant effects on decrease physical violence(p<.01).

본 연구에서는 인지 중재 프로그램(FIE-Basic 프로그램)이 유아의 또래 갈등 해결전략과 사회적 기술에 미치는 효과에 대해 알아보았다. 연구대상은 울산광역시에 소재한 W 어린이집에 다니는 유아 35명으로 이 중 17명은 실험집단, 18명은 통제집단으로 무선배정 하였다. 실험집단 유아들에게 FIE-Basic 프로그램의 정서인식(EM)과 공격성 예방을 위한 사고학습(TLPV) 도구를 적용하였다. 30회기의 실험 처치 후 집단 간 사전검사와 사후검사 점수의 변화량을 비교한 결과, 인지중재 프로그램은 실험집단 유아의 또래 갈등 해결전략(친사회적 전략, 적대적 전략, 수동적 전략)과 사회적 기술에 긍정적인 효과를 미쳤다. 본 연구는 일반 유아를 대상으로 인지 중재 프로그램이 사회성 발달에 미치는 효과를 입증하여 유아교육현장의 적용 가능성을 탐색하고 이론적 기초를 제공한 것에 의의가 있다.

The purpose of this study is to examine the effects of a Cognitive Intervention Program_(FIE-Basic Program: EM, TLPV) on peer conflict-resolution strategies and social skills in children. The subjects were 35 four-year-old children in Ulsan City. The children were randomly divided into experimental and control groups, with the former comprising 17 children and the latter 18 children. A total of 30 sessions with Identifying Emotion_(EM) instrument and Think and Learn to Prevent Violence_(TLPV) instruments were applied to the experimental group, while the control group received regular lessons during the same time period. The Cognitive Intervention Program_(FIE-Basic Program) had a positive effect on the children's peer conflict resolution strategies_(pro-social strategies, hostile strategies, and passive strategies) and social skills. This study proves the effectiveness of the Cognitive Intervention Program_(FIE-Basic Program) for normal children, explores the applicability of such programs to child education, and provides a theoretical basis.