A Systematic Review and Meta-Analysis of Bystander's Barriers to Intervene in Gender-Based Violence and the Role of Failed Prior Attempts.

Gender-based violence (GBV) is a pervasive public health issue that harms victims. Bystanders' interventions are crucial in preventing the risks of GBV; however, numerous barriers impede their willingness and behaviors to intervene. As a part of efforts to thwart these barriers, this study used a systematic review and meta-analysis to identify such barriers and assess their impact on bystanders' engagement to intervene. The researchers explored academic databases and included 38 studies in the analysis; we extracted and coded the identified barriers (e.g., lack of responsibility, rape myth) and allocated them to six domains: failure to notice, failure to perceive risk, failure to take responsibility for engaging, lack of bystander efficacy/competency, failure to take an action, and failure of previous intervention attempts. We calculated the overall and domain-specific effect sizes (ES) and performed moderator analysis. The overall ES of the barriers identified in the review were small but statistically significant. The most potent bystander intervention barrier domain was failed previous intervention attempts; the greatest specific barriers therein were negative emotions and feelings of uncertainty after engaging in bystander behaviors. University/college populations were more vulnerable to barriers to intervention than community members. Moreover, the barriers were more prohibitive in incidents of violence against women and sexual assaults than in intimate partner violence. Bystander-focused programs that address negative emotions and feelings arising from prior intervention experiences are needed to foster continued bystander engagement and assistance in GBV; moreover, tailored program content should also be provided for groups most vulnerable to intervention barriers.

Effectiveness of family interventions for patients with schizophrenia: A systematic review and meta-analysis.

The family is the primary caregiver for most patients with schizophrenia, and their roles are essential in patients' illness trajectories and outcomes. Due to this, various family interventions for schizophrenia have been developed and applied to the relatives who take care of their family members with schizophrenia. This study examined the effectiveness of existing family interventions for schizophrenia in achieving their target outcomes at both the family and patient levels by utilizing a systematic review and meta-analysis. Combinations of terms were used to search for relevant studies from the databases. Thirty-seven randomized controlled trials that met the inclusion criteria were included in the analysis. Based on the pooled result of the included studies, the programmes significantly improved the targeted outcomes with large effect size. The programmes' impacts on family-related outcomes were higher than those on patients. Among the targeted outcomes, patients' treatment satisfaction and adherence and family caregivers' mental health were the most remarkable outcomes that had improved from the included programmes. Conversely, outcomes related to family relationships, caregiving experiences, perceived social support of family caregivers, and patients' medication use did not see significant improvements. The programmes delivered to individual family units and only to the family caregivers were more effective than those delivered to groups of caregivers and caregivers and patients together, respectively. Programme-focused interventions were more effective than emotion-focused ones. Based on these findings, an in-home visiting nurse programme or advanced technology is suggested when applying family interventions for schizophrenia in practice.

Modeling suicidal ideation in Korean older adults based on their social relationships and mental health: a meta-analytic path analysis.

OBJECTIVES: Elder suicide is a serious concern in many countries, including South Korea. Various policies and programs to prevent elder suicide are essential; however, further understanding of this phenomenon is necessary. The current study, therefore, developed a model for understanding the underlying mechanism of suicidal ideation in older adults in South Korea. The model was based on Andersen's theory (2021), which explains the path from social relationships to mental health. METHODS: This study was conducted utilizing meta-analytic structural equation modeling in accordance with a pooled correlation matrix. We used data from 93 existing studies systematically identified in nine academic databases. RESULTS: The fit statistics show that our model fits the data well. The results demonstrated that suicidal ideation was directly affected by abuse, depression, and self-esteem but not by family relationships. Depression significantly mediated the relationship between abuse and suicidal ideation and between family relationships and suicidal ideation. CONCLUSION: Social relationships play an important role in determining mental health among Korean older adults, consistent with Andersen's theory. Prevention of elder abuse and depression is essential in preventing suicide among older adults in South Korea.

A Systematic Review and Meta-Analysis of Randomized Controlled Trials for Intimate Partner Violence: The Effects of the Programs Based on Their Purposes.

Background: Intimate partner violence (IPV) is a complex global problem that has serious health consequences for victims. Many intervention programs have been introduced for IPV, with various target populations, purposes, designs, and outcomes. However, a consensus has not been reached regarding which type of program has the greatest impact. Therefore, the purpose of this study was to examine the effects of existing interventions on IPV risk and to compare the effects of the interventions based on their purposes and designs. Method: A systematic review and meta-analytic method were utilized in this study. Through a rigorous database search, 13 randomized controlled trials that met the inclusion and exclusion criteria were selected and included in the analysis. Results: The included interventions had a small effect size, which was statistically significant. The couple interventions aiming to reduce the risk of IPV perpetration and victimization simultaneously showed the greatest impact, compared to bystander interventions and interventions targeting either perpetrators or victims. The interventions aiming to reduce the risk of IPV perpetration showed a significant impact on changing gender equality-related knowledge and attitudes, and those aiming to reduce the risk of IPV victimization were effective in increasing knowledge and changing attitudes related to traditional norms, empowerment, and health conditions. The interventions targeting bystanders showed significant effects on increasing bystander-related attitudes and behaviors. Conclusion: Our findings provide strong evidence for future intervention programs for IPV. Long-term research to follow-up actual IPV reductions after interventions will be needed to confirm the findings of this study.

Influence of learning flow and distance e-learning satisfaction on learning outcomes and the moderated mediation effect of social-evaluative anxiety in nursing college students during the COVID-19 pandemic: A cross-sectional study.

AIM: The purpose of this study was to examine the potential mechanism underlying the association between learning flow and learning outcomes in nursing students in South Korea during the pandemic. In particular, we examined the mediation effect of distance e-learning satisfaction moderated by social-evaluative anxiety related to COVID-19 on the relationship between learning flow and learning outcomes. BACKGROUND: Despite the COVID-19 pandemic, the education of nursing students has continued by shifting the manner of delivering their education. Distance e-learning is being widely used under the strong social distancing policies currently in place and many educators are struggling to enhance the efficiency of this distance e-learning. METHODS: A cross-sectional study was conducted among 310 nursing students attending two colleges in South Korea. Data were collected from December 2-15 in 2020 by using an online survey. RESULTS: As a result, an association was observed between learning flow and learning outcomes and distance e-learning satisfaction mediated this association. Importantly, social-evaluative anxiety caused by COVID-19 moderated the mediation effect of distance e-learning satisfaction. Students' anxiety related to COVID-19 played a negative role in the distance e-learning mechanism for nursing students. CONCLUSIONS: It is thus necessary for educators and staff in nursing schools to exert effort to reduce students' COVID-19-related anxiety to enhance the outcomes of distance e-learning in nursing students.

A mixed-method pilot study to test a program for friend-supporters of victims of dating violence.

This study aimed to evaluate the acceptability and impact of a bystander program (With You Education) in South Korea, designed to enhance the competencies of friend-supporters to help victims of dating violence (DV). To assess the potential impact of the program, the participants (n = 46) were asked to complete pre-, post-, and 1-year follow-up surveys and take part in a focused group interview after the training. Participants exhibited significant changes from pretest to posttest evaluation in terms of their competencies as a supporter. Most improvements were sustained over time. Four qualitative themes revealed the multilayered outcomes of this program: increased readiness to help, awareness of DV, beginning to understand the victims, and awareness of DV as a public health problem. With You Education was seen to be an acceptable program for young adults, which can be potentially utilized as a formal violence-related education.

Intention to Formally Report Family Violence in South Korea: Based on Black's Theory of Law.

Generally, filing a formal report of family violence is considered a difficult task, although it is the main source from which police can take action. The purpose of this study was to examine the factors predicting the intention to formally report family violence in South Korea, based on Black's theory of law. The data were drawn from the National Survey of Domestic Violence, collected from a representative sample of 5777 members of the South Korean population. The results indicated that people generally showed a greater intention to report violence that they witnessed in other families as opposed to their own family. Perceived gender roles and information about institutions where individuals might seek help for family violence were the strongest negative and positive predictors of the intention to report, respectively. The findings can be used as evidence when developing public education and practical guidelines to promote official reporting of family violence.

The Mediating Effect of Insecure Adult Attachment on the Relationship between Smartphone Addiction and Self-Directed Learning in University Students.

(1) Purpose: This study aimed to explore the mediating effect of insecure adult attachment on the relationship between smartphone addiction and self-directed learning in university students. (2) Methods: In total, 235 university students participated in this study. Data analysis was carried out through a three-stage verification procedure: Sobel test using technical statistics, Pearson correlation, and multiple regression analysis. (3) Results: Smartphone addiction was positively correlated with insecure adult attachment, attachment anxiety, and self-directed learning, whereas self-directed learning had a significant negative correlation with insecure adult attachment and attachment anxiety. Insecure adult attachment had a mediating effect on the relationship between smartphone addiction and self-directed learning. (4) Conclusion: Higher levels of smartphone addiction indicated higher levels of insecure adult attachment and reduced self-directed learning ability. Therefore, while the prevention of smartphone addiction is critical for improving self-directed learning skills, programs should be developed to foster the formation of secure adult attachment among university students.

Influences of gender-related perceptions and experiences on nursing professionalism: A cross-sectional study.

The purpose of this study was to examine the influence of gender-related perceptions and experiences on nursing professionalism among nursing students who grew up in a culture with strong gender norms. Data were collected through an online survey from a convenience sample of nursing students in South Korea. To examine gender-related perceptions, we assessed beliefs in gender stereotypes and the level of benevolent sexism. Direct and indirect experiences of gender violence were assessed by examining participants' histories of involvement in intimate partner violence and witnessing parental violence. Nursing students' gender-related perceptions were significantly related to their nursing professionalism, whereas their experiences of gender violence were non-significantly related. More specifically, those who had stronger gender stereotypes showed a weaker perception of nursing professionalism. In addition, benevolent sexism was a strong predictor of nursing professionalism. We strongly recommend that nursing educators address gender-related issues in their nursing education, as this might help to minimize gender-stereotyped thoughts among nursing students, which can hamper their growth as professionals.

Who Are the Victims and Who Are the Perpetrators in Dating Violence? Sharing the Role of Victim and Perpetrator.

BACKGROUND: Dating violence (DV) is a serious problem with devastating consequences. Often, research on DV has focused on two distinct groups: victims and perpetrators. However, there is growing evidence for a victim-perpetrator overlap model, which posits that those involved in DV are more likely to take on both roles, rather than either role on its own. PURPOSE: We investigated the patterns of involvement in DV among those who identified themselves as victims or perpetrators in previous studies. METHOD: This was a systematic review and meta-analysis. A total of 371 variables related to participants' previous and concurrent experiences of DV victimization or perpetration (202 variables related to victimization and 169 related to perpetration) were identified in 25 studies, which were found by systematically searching three databases: PubMed, Web of Science, and SCOPUS. RESULTS: The majority of previous studies categorized study participants as either DV victims or perpetrators; however, those who identified themselves as either DV victims or DV perpetrators were more likely to assume the opposite role as well. Specifically, current DV perpetrators had a strong association with previous or concurrent victimization experiences, and current DV victims were similarly likely to have assumed the roles of both victim and perpetrator in their histories. CONCLUSION: Further efforts should be put into avoiding categorization of those involved in violence; rather, they should be regarded as a single group. Additionally, evidence-based interventions should be developed for this population to help break the cycle of violence.

Correlates of Successful Aging in South Korean Older Adults: A Meta-Analytic Review.

The purpose of this study was to examine the factors contributing to achieving successful aging (SA) among the Korean older population and identified the strength of each factor's contribution to SA. We extensively searched 4 Korean and 3 English online databases, extracting a total of 64 studies for the analysis. Finally, 42 associated factors and 347 correlation coefficients were found, which were then categorized into 5 domains: functional, psychological, familial, social, and demographic. The psychological domain had the highest effect size. This was followed, in descending order, by the social, functional and familial, and demographic domains. Importantly, the familial domain, which has not been explored in many existing SA models, emerged as a notable predictor. This study is meaningful in terms of understanding one of the minority older populations more deeply and providing stronger evidence for developing evidence-based intervention programs for Korean older adults.

A Meta-Analysis of the Correlates of Successful Aging in Older Adults.

OBJECTIVE: Successful aging (SA) is a concept that remains without a consensus definition. The purpose of the current study was to explore the components of SA by systematically reviewing factors correlated with SA. We also compared the relative strength of the components by using the meta-analytic method. METHODS: A meta-analysis was conducted to quantitatively synthesize the correlates of SA from three online databases: PubMed, CINAHL, and SCOPUS. MAIN FINDINGS: The correlates were categorized into four domains: (1) avoiding disease and disability, (2) having high cognitive/mental/physical function, (3) actively engaging in life, and (4) psychologically well adapted in later life. The domain "psychologically well adapted in later life" showed the strongest association with SA, ES( r) = .482. CONCLUSION: The findings of this study were meaningful in terms of examining the strength of the correlations between the domains and overall SA and, further, providing evidence for building interventions for aging population.

Meta-analysis about the Effectiveness of Intervention Programs for Married Immigrant Women.

PURPOSE: The purpose of this study was to test the effect size of intervention programs for married immigrant women as well as to suggest the basic data for health care practices for married migrant women. METHODS: Meta-analysis was conducted with 27 articles from domestic Korea master's and doctorate degree dissertations and Korea academic journals from 2007 to 2014. RESULTS: Overall average effect size was 1.17 and 'parental education' of Intervention Variables was the biggest effect size. Intervention Variables were also identified to be the most desirable in cases when total sessions were applied with 10-18 sessions, 1 session per week, 90-120 minutes per session activity time and with less than 10 subjects in group size. Regarding effect variables, psychological variable group was identified to show the biggest effect size and in sub-variables, self-efficacy was identified to show the biggest effect size. CONCLUSION: If intervention programs for married immigrant women is expanded and conducted based on the results of this study, the program would have significant affect psychological, social and physical health of the married migrant women who currently occupy the important status in our society.