중국 무용전공 대학생의 자기관리, 공연자신감, 무용몰입의 관계

장량량 전북대학교 일반대학원 2021 국내석사

The purpose of this study is to investigate the relationship between self-management, performance confidence, and dance immersion of Chinese dance majors, and provide useful information for improving individual student self-management as well as inspiring performance confidence and dance immersion. To achieve the purpose of this study, from May 5 to July 10,2020, a total of 476 copies were distributed by selecting college students from 1st to 4th grades majoring in dance at a 4-year university in Shanxi, China. Among them, 454 questionnaires were used for the actual analysis, excluding 22 copies that were judged to be lacking in reliability (double-write, non-performing, insolvent data, etc.). The measuring tool of the study was modified and supplemented according to the purpose of the study, and a total of 30 questions were used, with a 5-step Likert scale. The composed questionnaire was composed of demographic characteristics (4 questions), self-management (10 questions), performance confidence (10 questions), and dance immersion (6 questions), and data analysis was exploratory factor analysis, reliability and validity analysis, correlation analysis, multiple regression analysis, and mediating effect analysis were conducted. Based on these research procedures and data analysis results, this study drew the following conclusions. First, it was found that there was a difference between each variable according to demographic characteristics. 1) The differences in self-management, performance confidence, and dance immersion of Chinese dance majors according to demographic characteristics were found to be partially significant by gender. 2) The differences in self-management, performance confidence, and dance immersion of Chinese dance majors according to demographic characteristics were found to be partially significant by grade. 3) Differences in self-management, performance confidence, and dance immersion of Chinese dance majors according to demographic characteristics were found to have significant differences across majors. 4) The difference in self-management, performance confidence, and dance immersion of Chinese dance majors according to demographic characteristics was found to be partially significant according to dance experience. Second, it was found that the self-management of college students majoring in Chinese dance had a significant effect on performance confidence. It was found that self-management mental management, interpersonal management, and practice management had a positive effect on performance confidence. Third, it was found that the performance confidence of Chinese dance majors has a significant effect on dance immersion. The performance confidence was found to have a positive effect on the cognitive and behavioral commitment of dance immersion. Fourth, it was found that self-management of college students majoring in Chinese dance had a significant effect on dance immersion. It was found that self-management practice management and interpersonal management positively influenced the cognitive commitment of dance immersion, and practice management, interpersonal management, and mental management had a positive effect on behavioral commitment.

Development of self-management program using mobile application for people living with HIV : a randomized controlled pilot study

심미소 Graduate School, Yonsei University 2020 국내박사

Introduction: Self-management of people living with HIV is essential to promote health status and prevent HIV infection. However, self-management behaviors among people living with HIV in Korea are insufficient. People living with HIV have poorer levels of health indicators, such as smoking, drinking, stress, depression, and suicide attempts, than the general public. In addition, people living with HIV are reluctant to reveal their status and participate in community self-help groups because of stigma and discrimination. Therefore, a self-management intervention for people living with HIV that overcome these limitations is needed. A mobile app can be used to overcome the limitations of time and space and to improve patients’ physical and mental health. Also, it can help connect people living with HIV who have trouble participating in community self-help groups. This study was conducted to develop a self-management program using a mobile app for people living with HIV and determine the effectiveness of the program on self-management behaviors and health outcomes. Methods: This study was divided into two phases. Phase 1 involved program development, and phase 2 focused on evaluating the program’s effectiveness. For phase 1, the Medical Research Council framework for developing complex health interventions and the Information-Motivation-Behavioral skills (IMB) model was used. For the development of video education materials and the mobile app, a literature review, needs assessment for health care providers and people living with HIV, and expert and people living with HIV reviews were conducted. Through these procedures, the final program was derived. For phase 2, a randomized controlled pilot trial was performed to evaluate the effect of the self-management improvement program. Thirty-three participants in the infectious outpatient clinic of one hospital participated in this study and were randomly assigned to the intervention group (n=17) and the control group (n=16). The intervention group used the mobile app for four weeks while the control group was provided with self-management education materials in PDF format. Self-report questionnaires assessed self-efficacy for self-management, self-management behaviors, medication adherence, perceived health status, depression, perceived stigma, viral load, and CD4+ T cell counts. The viral load and CD4+ T cell counts were reconfirmed through electronic medical records. Generalized equating estimation and independent t-tests were used for analysis. Results: In phase 1, the “Health manager” mobile app was developed. The mobile app had 13 menus: Home, My Info, Health Goals, Alarms, Health Diary, Education Video, Health Information Bulletin Board, Community, Health Counselling, Health Points, Survey, Settings, and Help. As a result of confirming the effectiveness of the program in phase 2, self-efficacy for self-management (β=2.292, p=.008) and self-management behaviors (β=2.660, p<.001) increased and perceived stigma (β=-0.704, p=.019) decreased in the intention-to-treat population. The satisfaction score of acquiring behavioral skills was the highest with 7.09 (±2.587) points, and the score of acquisition of self-management information was next with 6.64 (±2.976) points. Conclusion: The program improved self-efficacy for self-management, self-management behaviors, and reduced perceived stigma of people living with HIV in Korea. Patients can benefit from this program by acquiring behavioral skills and self-management information. Health care providers can use this program to improve self-management of people living with HIV, and researchers can utilize these results as basic study for the development of self-management improvement interventions using mobile apps. HIV 감염인의 자가관리는 건강 상태를 향상시키고 HIV 감염을 예방하는 데 필수적이다. 그러나 한국 HIV 감염인의 자가관리 수준은 낮은 편으로, 일반 대중보다 흡연, 음주, 스트레스, 우울, 자살시도 등의 건강 지표 수준이 열악하다. 또한, HIV 감염인은 낙인과 차별로 인해 자신의 상태를 노출하고 지역사회 자조모임에 참여하기 어렵다. 따라서 이러한 한계를 극복할 수 있는 중재의 제공이 필요하다. 모바일 앱을 활용한 프로그램은 시간과 공간의 한계를 극복하고 환자의 건강 개선을 도모할 수 있으며, 지역사회 자조모임에 참여하는 것이 어려운 HIV 감염인들을 서로 연결하는 데 도움이 될 수 있다. 따라서 본 연구는 모바일 앱을 활용하여 HIV 감염인을 위한 자가관리 프로그램을 개발하고, 자가관리행위와 건강 결과에 미치는 효과를 평가하기 위해 수행되었다. 연구는 프로그램 개발 단계와 프로그램 효과 평가 단계로 나누어 수행되었다. 프로그램 개발 단계에서는 복잡한 건강 중재를 개발하기 위한 영국 의료연구위원회의 프로그램 개발 틀과 정보-동기-행동기술 모델을 활용하였다. 비디오 교육 자료 및 모바일 앱의 개발을 위해 문헌고찰, 의료인과 HIV 감염인 대상 요구도 평가, 전문가 및 HIV 감염인 대상 검토 과정을 수행하였으며, 이러한 절차를 통해 최종 프로그램을 확정하였다. 프로그램 효과 평가 단계에서는 자가관리 향상 프로그램의 효과를 평가하기 위해 무작위 대조군 연구를 수행하였다. 일개 병원의 감염내과 외래를 방문하는 33명의 HIV 감염인이 본 연구에 참여하였으며, 중재군(17명)과 대조군(16명)에 무작위로 배정되었다. 중재군은 4주간 모바일 앱 프로그램을 사용하였으며, 대조군에게는 PDF 파일로 만든 교육 자료를 제공하였다. 자가보고식 설문지를 활용하여 자가관리에 대한 자기효능감, 자가관리행위, 약물 순응도, 주관적 건강 상태, 우울, 낙인에 대한 인식, 바이러스 농도와 CD4+ 면역세포 수 등을 조사하였다. 바이러스 농도와 CD4+ 면역세포 수는 전자 의료 기록을 통해 재확인하는 과정을 거쳤다. 통계분석에는 일반화 추정 방정식(Generalized Estimating equations, GEE)을 사용하였다. 프로그램 개발 단계에서 13가지 메뉴(홈, 내 정보, 건강 목표, 알람, 건강 일기, 건강 교육 비디오, 건강 정보 게시판, 커뮤니티, 건강 상담, 건강 포인트, 설문조사, 설정, 도움말)의 모바일 앱과 9개의 비디오 교육 자료가 개발되었다. 효과 평가 단계에서의 분석 결과 Intention-to-treat 집단에서 자가관리에 대한 자기효능감(β=2.292, p=.008), 자가관리행위(β=2.660, p<.001)가 통계적으로 유의하게 향상되었으며, 낙인에 대한 인식(β=-0.704, p=.019)이 통계적으로 유의하게 감소하였다. 만족도 조사 결과 행동 기술 습득(7.09점) 측면에 대한 만족도가 가장 높았으며, 자가관리 정보 획득(6.64점)이 다음을 차지하였다. 이 프로그램은 한국의 HIV 감염인의 자가관리에 대한 자기효능감, 자가관리행위, 낙인의 인식의 개선에 효과가 있었다. 또한, HIV 감염인의 자가관리에 대한 행동기술과 정보를 제공하는데 도움이 되었다. 의료진은 이 프로그램을 사용하여 HIV 감염인의 자가관리를 향상할 수 있으며, 연구진은 이 결과를 모바일 앱을 활용한 자가관리 향상 중재의 개발을 위한 근거 자료로 활용할 수 있다.

Self-Management Support Needs of Youth With Type 1 Diabetes and Autism Spectrum Disorder and Families

Fernandes Moura B. Batista, Annanda University of Illinois at Chicago ProQuest Dissert 2023 해외박사(DDOD)

This dissertation aimed to explore the experiences and self-management support needs of youth living with ASD and T1DM from the perspective of their caregivers. Two papers from this dissertation address this purpose. The first paper, Autism Spectrum Disorder Factors' Impact on Empowerment of Type 1 Diabetes Daily Care in Youth with Both Conditions: A mixed method study, sought to (1) explore how autism-related factors impact T1DM management and examine the self-management support needs among family-empowered youth with T1DM and ASD, and (2) examine whether youth with higher levels of autism severity will demonstrate greater challenges in meeting their needs for T1DM care compared to youth with lower levels of autism severity and require more support from their families. The mixed method was picked for the quantitative portion and a descriptive exploratory approach for the qualitative portion. The study foundation is the qualitative approach, which paralleled the quantitative approach (QUALI + Quant). Qualitative and quantitative data were collected at the same time, merged after analysis, and results were intercepted. This means they were compared to find associations, convergent, and divergent and complementary information. The aim of the second paper, Spectrum (T1): Wellbeing, family experiences, healthcare providers, and network support used to mitigate the burden of living with both Type 1 Diabetes (T1DM) and Autism Spectrum Disorder (ASD), was to explore the experiences and self-management needs of youth living with ASD and T1DM from the perspective of their 24 family caregivers.This study has led to a greater understanding of the unique aspects of the self-management support needs of T1DM in youth with ASD; how these needs are affected by the levels of autism severity and factors such as individual, family, network, healthcare providers, and health policies. The first paper determined the impact of ASD on T1DM management and how families empower youth with autism in performing T1DM self-care activities. Also, the results showed that youth with level 3 of autism severity, which individuals have more restrictive behaviors that affect their independence in everyday activities, and they may be highly sensitive to sensory input, have more challenges in handling T1DM care. The second paper reported the self-management needs of T1DM related to parent's experiences with a child with T1DM and ASD; their well-being and hope for the future; longitudinal healthcare team care, insurance coverage, technology aides, and network support to the family and the youth with T1DM and ASD. This exploration helped to identify where more investigation is needed to explore diabetes self-management needs and challenges of parents and youth with T1DM and autism in sharing diabetes care responsibilities; educating the healthcare providers; and designing interventions to help parents share diabetes care according to self-efficacy, autonomy, and level of autism severity of the youth. Using objective measures, this dissertation has added to the breadth of knowledge about self-management support needs related to different ASD severity levels. This study provided a better understanding of the self-management support needs and optimal ways to deliver education, behavioral interventions, and technology-based interventions to improve T1DM self-care, T1DM control, and quality of life.

학령기 천식 아동의 천식에 대한 자가 관리 지식과 실천

김선수 경상대학교 대학원 2015 국내석사

The present study is to identify the extent of knowledge and practice of self-management on asthma of school-aged children. This is also a descriptive study which is tried to provide basic data needed for development of nursing intervention to improve self-management of asthma based on the results. The subjects were 100 school age children who were diagnosed as asthma and were taking asthma treatment currently and living in J city in Gyeongsangnam-do. Data collection was from 25th Aug to 30th Oct 2014. Measurement tool was developed by the researcher based on literatures on self-management knowledge of asthma and self-management practice of asthma (Ahn, 2012; Pediatric allergy & respiratory socierty, 2013; Hong, 1998; Lee, 2006; Lee et all, 2008; Lee, 2013; ) and on previous studies(Kim, 1999; Oh, 2000; Yun, 2001; Jung et all, 2007; Hong, 2009; Lee, 2011). Collected data were analyzed as real number, percentage, correct answer ratio, mean score, mean value and standard deviation, t-test, ANOVA, Sché́ffe test, Cronbach's ɑ by using SPSS WIN version 21.0 program. The summary of results of the present study is as follow: 1) For general characteristics of the subjects, female students are 54 and they are the biggest in number(54.0%), 4th~6th grade students are 52(52%), students who have 1 sibling are 60(60.0%), and nuclear families(parents and siblings) are the biggest in number 85(85.0%). For education level of father, higher than university is 83(83.0%) and 78(78.0%) for mother's education. For economic status, 72(72.0%) of subjects are in 'middle' status and 59(59.0%) of their mothers have job. 53 subjects(53.0%) have no religion and 61(61.0%) subjects are in 'middle' level in their school marks. 2) For disease-related characteristics of the subjects, 44(44.0%) subjects(the biggest in number) were diagnosed as asthma before 6 years old. For the period of having the disease, 39(39.0%) subjects had their disease for 1~2 years, 20(20.0%) subjects have been in emergency room, 25(25.0%) subjects have food allergy, 32(32.0%) subjects are having a difficulty in school life, 19(19.0%) subjects had asthma-related education before, and 22(22.0%) subjects have to take medicine regularly. 3) For the degree of self-management knowledge on asthma, it showed 14.37±2.11 points out of 20 points and correct answer ratio was 71.9%. 4) For the degree of self-management practice, it showed 21.65±2.75 points out of 30 points. 5) There were significant differences by grade(t=-5.209, p=.000) for self-management knowledge, and gender(t=-3.024, p=.003) and economic status(t=3.045, p=.003) for self-management practice. 6) There were significant differences in knowledge on asthma by diagnosed age(t=8.797, p=.000), food allergy(t=3.856, p=.024), asthma-related education(t=2.745, p=.007), and in difficulty in school life(t=2.636, p=.010). And there were significant differences in the self-management practice by difficulty in school(t=2.836, p=.006), and experience of visiting emergency room(t=2.222, p=.029). 7) There was a significant positive correlation(r=.362, p<.001) between knowledge and practice of self-management of the subjects on their asthma. In conclusion, the results of the present study found out that the degree of self-management knowledge and practice of school age children on their asthma was not enough for the self-management. Therefore, it is necessary to develop a nursing intervention program to improve self-management knowledge and practice for school-aged children who are suffering from asthma.

Privacy Self-management in Health Care: A Means to Many Ends

Stanhaus, Amanda C University of Michigan ProQuest Dissertations & Th 2023 해외박사(DDOD)

Privacy can be understood as access of one actor (whether individual or organization) to another, with decisions determining access being made according to socio-contextual factors (i.e., structures, protections, relations, and obligations). In the US healthcare delivery context, patients disclose information (e.g., intimate details; family history; biospecimens) to providers in support of their own treatment after being notified via standardized privacy policies that electronic health information (EHI) is governed by heightened federal protections that govern organizations participating in healthcare delivery. In contrast, in the US consumer context, organizations process information representing individuals in accordance their bespoke privacy policies that generally adhere to the Fair Information Practice Principles (i.e., transparency, use limitation, access and correction, data quality, and security) and typically follow the provisions of notice and consent. These consumer data privacy legal protections have been critiqued as "privacy self-management," as legal scholar Daniel Solove argues that such "choices" ultimately legitimize nearly unlimited data gathering, analysis, and retention by commercial entities in accordance with the organizationally-defined privacy policies, rather than any real ability for consumers to control or "self-manage" their data.Increasingly, EHI is being governed by privacy self-management. This dissertation seeks to understand how different actors view the utilization of privacy self-management in the healthcare realm. Using qualitative and quantitative methods, three studies examine how members of the US public, patients, and organizations conceptualize privacy self-management. Each of the three studies indicates that the public's, patients', and organizations' conceptions of privacy self-management, respectively, are embedded in social structures (e.g., legal, organizational, professional, and ethical protections) and relations (e.g., legal, professional, contractual, and ethical obligations). First, analysis of nationally representative survey data (n=2,074; Source: NIH-5R01CA214829-02, Principal Investigator [PI] Kardia) finds that few people in the United States have confidence in their ability to self-manage their health information. Confidence in privacy self-management is localized to a minority of the public that believes EHI obligations will be fulfilled, a problematic situation as that belief is not widely held and, furthermore, those obligations do not extend to the consumer context. Second, analysis of data gathered at two public deliberative sessions (N=61; Source: NIH-5R01CA214829-02, PI Kardia) finds that patients were dissatisfied with existing safeguards. They recommended increasing the transparency of data flows yet stopped short of endorsing other proposed safeguards that increased patient burden and they grappled with introducing choice when they considered the ethical obligations to fellow patients. And finally, analysis of comments submitted by organizations (n=164) during the notice of public rulemaking period for the Proposed Cures Act Application Programming Interface (API) Rule finds that organizations inside and outside of the healthcare delivery system portray privacy self-management in accordance with their obligations to individuals. Essentially, critics of expansion cited concerns regarding healthcare delivery organizations' obligations to patients compared to the lack of obligations that technology firms have for consumers.This dissertation finds that the privacy self-management conceptions of US public, patients, and organizations are indeed embedded in larger socio-contextual factors. Therefore, practitioners, policymakers (whether governmental or organizational) and researchers are encouraged to adopt a more socialized understanding of privacy self-management, which could, respectively, support patient engagement, substantive reform, and a better explanation of the limitations of privacy self-management. Privacy is not dead; our understanding of privacy as a social phenomenon is just in its infancy.

Diabetes Self-Management Education: An Evaluation of the Partners in Care Program on Improving Knowledge, Self-Efficacy, and Self-Management

Chang, Yoon Jung University of Hawai'i at Manoa ProQuest Dissertati 2022 해외박사(DDOD)

T2DM is a lifelong condition that requires consistent attention to glycemic monitoring, lifestyle therapies, and self-management to adequately control the disease. The lack of time during an office visit for DMSE/S and cultural barriers (language and relatability of educational materials) can hinder patients from adequate self-management and glycemic control. The purpose of this evidence-based project was to evaluate whether participating in the Partners in Care DSME/S course resulted in improved health outcomes through increasing diabetes knowledge, self-efficacy, and self-management skills in those with T2DM. The site of this project was held at the Queens Medical Center West Oahu Diabetes Management and Education Center (QMC-WO DMEC) with 7 participants. An evaluation of the course using pre-and post-surveys was used to study changes in self-efficacy, self-management, and diabetes knowledge scores after one Partners in Care DSME/S course. Analysis of data resulted in a 33% increase in diabetes self-management and a 14% increase in diabetes self-efficacy. Results of this project support the use of the Partners in Care DSME/S courses in improving diabetes self-efficacy and self-management. DSME/S courses require low financial and staffing requirements and can be implemented anywhere there are willing T2DM patients. Given the positive outcomes of this project, expansion of the number of courses offered, students, and locations may need to be explored going forward.

(The) effects of a comprehensive self-management program promoting self-efficacy on compliance and glycemic control for type 2 diabetic patients in community health centers

박주영 Graduate School, Yonsei University 2011 국내박사

지역사회 거주 양극성장애 환자의 자가관리를 위한 모바일 어플리케이션 개발 및 효과

김영화 전북대학교 일반대학원 2019 국내박사

Development of a self-management scale for patients with liver cirrhosis

권오영 Graduate School, Yonsei University 2023 국내박사

Facilitators and Inhibitors of Independent Self-Management of Adolescents with Type 1 Diabetes

Meadows, Rita Elizabeth Jean ProQuest Dissertations & Theses The University of 2020 해외박사(DDOD)

Purpose: The purpose of this qualitative descriptive study was to identify the facilitators and inhibitors of independent self-management of T1DM by adolescents, to elicit their perceptions of behaviors required for independent self-management and, to identify resources used by this population to support independent self-management.Background: Type 1 diabetes (T1DM) is one of the leading chronic diseases in childhood. In 2009 an estimated 166,984 U.S. children < 20 years old had a diagnosis of T1DM. Based on a 21% increase in the rate of T1DM between 2001–2009, it is projected that 600,000 children and adolescents will have T1DM by 2050. Adolescents with T1DM will eventually join the 1.25 million adults independently managing their T1DM. A smooth transition from dependent to independent self-management is imperative to prevent harmful long-term outcomes of the disease.Methods: Eleven adolescents- Five males and six females, carrying a T1DM diagnoses for at least one year participated in focus group interviews for this qualitative description study. The focus group interviews were transcribed verbatim and analyzed using qualitative content analysis.Results: Three domains emerged from an overarching theme, “Sorry, I have diabetes...It shaped me into who I am”: Self-management behavior skills required for the adolescent with T1DM during transition from dependent to independent T1DM self-management; Facilitators of everyday participation in self-management behaviors for adolescents with T1DM; and Inhibitors of everyday participation in self-management behaviors for adolescents with T1DM. The behaviors of independent self-management of adolescents with T1DM included preparation & knowledge, responsibility, and self-advocacy. Facilitators of everyday participation in self-management behaviors for adolescents with T1DM included Community influences, and Navigating the healthcare system. Community influences included the Family, Peers and Extra-community of the adolescent with T1DM. Three subcategories fell under Navigating the healthcare system included “Not making a big deal about it” “Technology allows more freedom” and the Interpersonal relationships with healthcare providers. Three categories reflected the third domain, Inhibitors of everyday participation in self-management behaviors for adolescents with T1DM. The three categories include Lack of self-accountability, Lack of community support, and Difficulty navigating the healthcare system. The first category, Lack of self-accountability, branched into four subcategories: Demands of T1DM self-management, Embarrassment, Blaming, and Lack of self-responsibility. Four subcategories also evolved from the second category, Lack of community support: Lack of family support, Peers who “don’t understand,” and Conflicts with school nurses. The third category, Difficulty navigating the healthcare system, branched into two subcategories; Poor interpersonal relationships, and Gatekeepers.Conclusions: Transitional programs must cater to the unique psychological, developmental, and disease-specific needs of the adolescent with T1DM to improve competence in self-management skills. Effective transition programs will need to focus on the psychological, behavioral, neurological, neurocognitive, and hormonal influences on T1DM independent self-management.