Theoretical evaluation of Cox’s interaction model of client health behavior for health promotion in adultwomen

Purpose@#This literature review aimed to evaluate Cox’s interaction model of client health behavior (IMCHB) as used in studies on women’s health. @*Methods@#Using keyword combinations of “women” and “IMCHB” or “interaction model of client health behavior,” we searched the PubMed, MEDLINE, Embase, and RISS databases for studies on the promotion of women’s health published from January 2009 to April 2019. Finally, 11 studies were selected and evaluated according to seven criteria for theory evaluation, which combined Fawcett’s theory evaluation criteria and Chinn and Kramer’s criteria. @*Results@#We found that the IMCHB corresponds to a verifiable practical level of a middle-range theory, although it may be partially abstract. It contains all four concepts of the metaparadigm of nursing, in terms of a holistic philosophical approach. A theoretical evaluation demonstrated that the IMCHB has significance, generality, testability, empirical adequacy, and pragmatic adequacy for nursing practice and research. However, the lack of clear conceptual definitions and the presence of complex relationships among concepts resulted in a lack of internal consistency and parsimony. @*Conclusion@#According to an in-depth verification through a review of the literature, the IMCHB has been used as a health promotion intervention strategy for various populations of women and has led to useful results in nursing practice. The IMCHB was confirmed to be a suitable theory for experimental and clinical research. Future research can build on this middle-range theory for women’s health research and practice.

Association of Job Stress and Health Promotion Behaviors with Quality of Life among Female Riot Police Officers / 산업간호학회지

PURPOSE: The purpose of this study was to investigate the association of job stress and health promotion behaviors with the quality of life in female riot police officers.METHODS: A cross-sectional design was adopted, and a convenience sample of 182 female riot police officers from 5 Metropolitan Police Agencies in South Korea. All participants completed a self-administered survey questionnaire that assessed job stress, health promotion behavior, and quality of life in May 2018. The collected data were analyzed using t-test, analysis of variance, and correlation and multiple linear regression analyses, all of which were executed using SPSS/WIN 23.0 and STATA 13.0.RESULTS: The level of job stress among participants was moderate, and the mean was 45.25 out of a maximum possible score of 100. The mean scores that emerged for health promotion behaviors and the quality of life were 2.62 (maximum=4) and 56.59 (maximum=100), respectively. Job stress (r=−.380, p < .001) and health promotion behaviors (r=.559, p < .001) were correlated with the quality of life. The statistically significant predictors of the quality of life were job stress (β=−.212, p=.001) and health promotion behaviors (β=.417, p < .001).CONCLUSION: The variables that were associated with the quality of life of female riot police officers were job stress and health promotion behaviors. Therefore, interventions that can enhance job stress management and health promotion behaviors are needed to improve the quality of life of female riot police officers.

Factors Associated with Daily Completion Rates in a Smartphone-Based Ecological Momentary Assessment Study / 대한의료정보학회지

OBJECTIVES: Ecological momentary assessment (EMA) methods are known to have validity for capturing momentary changes in variables over time. However, data quality relies on the completion rates, which are influenced by both participants' characteristics and study designs. This study applied an EMA method using a mobile application to assess momentary moods and stress levels in patients with Moyamoya disease to examine variables associated with EMA completion rates. METHODS: Adults with Moyamoya disease were recruited from a tertiary hospital in Seoul. Patients with cognitive impairment were excluded. The EMA survey was loaded as a mobile application onto the participants' personal smartphones. Notifications were sent at semi-random intervals four times a day for seven consecutive days. Daily completion rates were calculated as the percentage of completed responses per day; overall completion rates were calculated as the proportion of completed responses per total of the 28 scheduled measures in the study and assessed through a descriptive analysis, t-test, ANOVA, and regression analysis, with mixed modeling to identify the point at which the daily completion rate significantly decreased. RESULTS: A total of 98 participants responded (mean age, 41.00 ± 10.30 years; 69.4% female; 75.5% married). The overall completion rate was 70.66%, with no gender or age differences found. The daily completion rate decreased significantly after day 5 (p = 0.029). CONCLUSIONS: Obtaining a good completion rate is essential for quality data in EMA methods. Strategic approaches to a study design should be established to encourage participants throughout a study to improve completion rates.

Association of Job Stress and Health Promotion Behaviors with Quality of Life among Female Riot Police Officers / 한국직업건강간호학회지

PURPOSE@#The purpose of this study was to investigate the association of job stress and health promotion behaviors with the quality of life in female riot police officers.@*METHODS@#A cross-sectional design was adopted, and a convenience sample of 182 female riot police officers from 5 Metropolitan Police Agencies in South Korea. All participants completed a self-administered survey questionnaire that assessed job stress, health promotion behavior, and quality of life in May 2018. The collected data were analyzed using t-test, analysis of variance, and correlation and multiple linear regression analyses, all of which were executed using SPSS/WIN 23.0 and STATA 13.0.@*RESULTS@#The level of job stress among participants was moderate, and the mean was 45.25 out of a maximum possible score of 100. The mean scores that emerged for health promotion behaviors and the quality of life were 2.62 (maximum=4) and 56.59 (maximum=100), respectively. Job stress (r=−.380, p < .001) and health promotion behaviors (r=.559, p < .001) were correlated with the quality of life. The statistically significant predictors of the quality of life were job stress (β=−.212, p=.001) and health promotion behaviors (β=.417, p < .001).@*CONCLUSION@#The variables that were associated with the quality of life of female riot police officers were job stress and health promotion behaviors. Therefore, interventions that can enhance job stress management and health promotion behaviors are needed to improve the quality of life of female riot police officers.

Ecological Momentary Assessment Using Smartphone-Based Mobile Application for Affect and Stress Assessment / 대한의료정보학회지

OBJECTIVES: This study aimed to describe the process of utilizing a mobile application for ecological momentary assessment (EMA) to collect data on stress and mood in daily life setting. METHODS: A mobile application for the Android operating system was developed and installed with a set of questions regarding momentary mood and stress into a smartphone of a participant. The application sets alarms at semi-random intervals in 60-minute blocks, four times a day for 7 days. After obtaining all momentary affect and stress, the questions to assess the usability of the mobile EMA application were also administered. RESULTS: The data were collected from 97 police officers working in Gyeonggi Province of South Korea. The mean completion rate was 60.0% ranging from 3.5% to 100%. The means of positive and negative affect were 18.34 of 28 and 19.09 of 63. The mean stress was 17.92 of 40. Participants responded that the mobile application correctly measured their affect (4.34 ± 0.83) and stress (4.48 ± 0.62) of 5-point Likert scale. CONCLUSIONS: Our study investigated the process of utilizing a mobile application to assess momentary affect and stress at repeated times. We found challenges regarding adherence to the research protocol, such as completion and delay of answering after alarm notification. Despite this inherent issue of adherence to the research protocol, the EMA still has advantages of reducing recall bias and assessing the actual moment of interest at multiple time points that improves ecological validity.