Purpose A hand-washing program using role-playing was developed for preschool children and tested to verify its usefulness.
Methods The participants were 46 preschool children (experimental group, 23; control group, 23). Data were collected from August 7, 2017 to September 20, 2017. The first posttest was carried out on the day after the initial intervention was completed, and the second posttest was performed after a month. Data were analyzed using the x2 test, Fisher exact test, Shapiro-Wilk test, Mann-Whitney test, and Friedman test.
Results In the experimental group, the frequency of practicing hand-washing was significantly higher than in the control group on the next day (z=-4.94, p<.001) and after a month (z=-3.15, p=.002). The accuracy of hand-washing was significantly higher in the experimental group than in the control group on the next day (z=-4.02, p<.001) and after a month (z=-3.86, p<.001).
Conclusion The hand-washing program developed in this study was found to be an effective intervention strategy for improving the frequency and accuracy of hand-washing among preschool children.
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Purpose The purpose of this study was to identify factors associated with smartphone overdependency in preschool children based on an analysis of mother, child, and their mutual dyadic relationships.
Methods Data were collected from 171 mothers of preschool children enrolled at daycare centers and kindergartens from January to March 2018. The data were analyzed by descriptive statistics, the t-test, analysis of variance with Scheffé post hoc test, Pearson correlation coefficient, and hierarchical regression analysis using SPSS version 24.
Results The self regulation of preschool children (β=-.358, p<.001) was the factor most closely associated with smartphone overdependency. The second most closely associated factor was children’s use of a smartphone 0.5-1 hour daily (β=-.249, p=.005). Additional associated factors were mothers’ use of a smartphone for 3-4 hours daily (β=.217, p=.002), children’s use of a smartphone for less than 0.5 hour daily (β=-.212, p=.006), and children’s use of a smartphone for 1-2 days per week (β=-.205, p=.026).
Conclusion Based on the results of this study, it is necessary to try to develop guidelines and programs to prevent smart phone overdependency in preschool children.
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Purpose This study was conducted to measure adiposity and to investigate related factors in preschoolers born prematurely.
Methods A longitudinal follow-up study was conducted with 52 preschoolers at 5 years of corrected age among 343 preterm infants. Their adiposity status was evaluated based on measurements of body mass index, subscapular and triceps skin fold thickness (SFT), waist circumference, waist-to-height ratio, and mid-arm circumference at a home visit.
Results The findings showed that SFT measurements, particularly at the triceps, reflected the degree of adiposity more accurately than other conventional measures. A shorter gestation, older maternal age, and the mother having more years of formal education were associated with higher levels of adiposity in the preschoolers.
Conclusion The adiposity of children born prematurely needs to be thoroughly monitored with additional SFT measurements, considering the risk of accelerated growth patterns overriding regular catch-up growth in children born prematurely.
Purpose The purpose of this study was to determine the needs for children’s health promotion education programs as perceived by child care center teachers and mothers.
Methods This study conducted a survey of 88 child care center teachers and 70 mothers of preschool children in Seoul from January 4 to February 5, 2016. This study aimed to characterize the current conditions of health promotion education for preschool children and the needs for health promotion education as perceived by child care center teachers and mothers of preschool children.
Results Areas of high need for health promotion education included lifestyle improvements for preventing diseases in children and awareness of the importance of health in educational objectives, standardized educational manuals, health educators as educators, child care centers as educational places, local health centers as educational support organizations, regular class hours as educational time, role play for training, and actual models in the educational medium. The educational subjects for which a high need was reported included safety and accident prevention, the role of smartphones and TV watching in mental health, and personal hygiene and disease prevention.
Conclusion These findings suggest that it is necessary to develop a health promotion education program for preschool children.
Purpose The purpose of this study was to explore and describe the meaning and essence of experiences of stress in mothers of preschoolers with atopic dermatitis.
Methods This study employed a qualitative research design. Seven mothers of preschoolers with atopic dermatitis were interviewed and the data were analyzed using Giorgi’s phenomenological method.
Results Five main themes and 12 theme clusters emerged. The 5 main themes were 1) the mother’s enduring heartache from the conflict that arise among family members, 2) the complete loss of daily happiness, 3) the steady stream of emotional fluctuations, 4) struggling to bear the heavy financial burden, and, 5) a life of hope accompanied by stress.
Conclusion The results of this study provide an in-depth understanding of stress among mothers of preschoolers with atopic dermatitis. These results can be used in the development of nursing interventions to provide psychological and emotional support for mothers and family members.
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Purpose The purpose of this study was to construct a model to explain the parenting satisfaction associated with the role transition of older mothers with preschool children.
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Results Parental stress, mother-child interactions, parental beliefs regarding personality, and socioeconomic status (income, education, and occupation) had direct effects on parenting satisfaction. Social support also showed direct and indirect effects. Among the sub factors of child temperament, sociability had a significant effect. These variables explained 57.4% of the variation in parenting satisfaction.
Conclusion The results of this study will contribute to the development of effective programs to enhance the parenting satisfaction of older mothers, and will help older mothers through the role transition necessary for the growth of their children.
Purpose This study was conducted to describe parenting stress in mothers of preschoolers who were born prematurely and to determine factors affecting parenting stress in child’s problem behavior, mother-child interaction and parenting alliance.
Methods An exploratory survey study was conducted with 66 mothers of preschool children (5~6 years) with preterm births (PTB). Data were collected using Parenting Stress Index (PSI), Child Behavior Checklist (CBCL), Mother-Preschool Child Interaction Scale (MPIS), and Parenting Alliance Inventory (PAI).
Results Of the 66 mothers, 8(12.1%) showed high scores that were more than borderline for the PSI total score. In the multiple linear regression analysis, lower scores on the PAI (β=-.41, p<.001), higher scores on the externalizing problem behavior of the CBCL (β=.40, p=.001), and lower scores on the MPIS (β=-.21, p=.043) were statistically significant contributors to maternal parenting stress.
Conclusion Findings indicate that mothers of PTB preschool children are at risk for parenting stress. Child’s externalizing problem behavior, poor maternal- child interaction and parenting alliance were independent factors raising maternal parenting stress. More attention is needed on paternal parenting support, child’s behavioral development, interaction with children for effective prevention and management of maternal parenting stress of PTB young children.
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Purpose The aim of the study was to assess the prevalence of preschooler obesity/overweight and to identify associated factors.
Methods This study was a cross-sectional study. Data for 591 preschoolers, 432 fathers and 538 mothers from the Korea National Health and Nutrition Examination Survey 2013-2014 were included. Obesity/overweight was defined by 2007 Korean National Growth Charts. T-test, Rao-Scott χ2, multivariate logistic regression was used for the analysis.
Results Prevalence rates for preschooler obesity/overweight were 14.9% (obesity, 5.4%; overweight, 9.5%). The preschoolers with atopic dermatitis or allergic rhinitis or asthma (OR=2.78, 95% CI [1.27-6.09], p=.011) and eating more thiamine per day (OR=1.01, 95% CI [1.00-1.02], p=.001) showed higher obesity/overweight development. The only parental factor affecting preschooler obesity/overweight was parental body mass index (father, OR=1.18, 95% CI [1.09-1.28], p<.001; mother, OR=1.09, 95% CI [1.04-1.15], p<.001).
Conclusion Interventions on preventing preschooler obesity should be introduced much earlier for children with risk factors. Results from this study can be used as preliminary data to develop effective strategies to prevent obesity in Korean preschoolers.
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Purpose The purpose of this study was to identify the relationship between mother child-rearing attitude, language control styles and preschool child’s social competence, and also, to provide a basis for development of a program to promote preschool child’s social competence.
Methods The present study was a descriptive research. Participants in this study were a convenience sample of 300 preschool children and their mothers. For the final analysis 264 questionnaires were used after eliminating questionnaires with incomplete responses. Data were analyzed using the SPSS 18.0 program.
Results The mean score for mother’s child-rearing attitude was 3.31±0.25 out of 5 points, for hierarchical language control styles (2.76±0.62), commanding (1.95±0.58), and humanistic (2.48±0.62) out of 5 points, and for child’s social competence, 3.50±0.34 out of 5 points. Negative correlations were found between commanding language control styles and child’s social competence (r= -.34, p < .001), and between commanding language control style and mother’s child-rearing attitude (r = -.50, p < .001).
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Purpose The purpose of this study was to explore the relationships among preschoolers’ smartphone addiction tendency, problem behaviors, and parenting efficacy of the mothers of these children.
Methods A cross-sectional, descriptive study design was used with self-administered questionnaires. A total of 83 mothers of preschoolers aged 4-6 years and their preschool teachers from a kindergarten participated in the study.
Results Mean daily time spent by the preschoolers on smartphones was about 45 minutes/day. About 40% spent more than 60 minutes/day on smartphones. The majority (69.8%) used smartphones without adult supervision. The level of smartphone addiction tendency among the pre-schoolers was 1.52±0.45 on a 4-point scale. Preschoolers whose mothers use smartphones for more than 60 minutes/day showed a higher level of smartphone addiction tendency than preschoolers whose mothers use smartphones for less than 60 minutes/day. Also smartphone addiction tendency among preschoolers had a positive correlation with hyperactive-distractible behavior (r = .228, p = .038) and a negative correlation with parenting efficacy of their mothers (r = -.299, p = .006).
Conclusion Our findings demonstrated that preschooler’s smartphone addiction tendency is significantly associated with hyperactive-distractible behaviors of the children and low parenting efficacy among their mothers. Therefore well-designed care plans for these populations should be provided to decrease smartphone addiction tendency.
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PURPOSE The purpose of this study was to examine relationship of preschool child and mother interaction, child's health status, health-related quality of life and social development. Also, it was intended to provide a basis for development of mother-child interaction programs. METHODS The present study was a descriptive research.
Participants in this study were a convenience sample of 230 preschool children and their mothers. For the final analysis 209 questionnaires were used after eliminating questionnaires with incomplete responses. Data were analyzed using the SPSS 18.0 program. RESULTS The mean score for interaction between preschool child and mother was 3.96+/-0.55 out of 5 points, for child health status, 3.75+/-0.62 out of 5 points, for child's health-related quality of life, 83.89+/-10.20 out of 100 points and for child's social development, 19.66+/-3.57 out of 24 points. Positive correlations were found between interaction of preschool child and mother, child's health status, health-related quality of life, and social development. CONCLUSION The results demonstrate the importance of the quality of the relationship between mother, the child's primary caregiver, and her child for the healthy growth and development of preschool children. It is suggested that intervention programs for preschool child-mother interaction should be developed using evidence based data.
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Significant factors affecting physical activity support of mothers were monthly household income (beta=.417, p=.002), maternal self-efficacy for physical activity support (beta=.231, p=.003), information for physical activity support (beta=.173, p=.022), and experience of education about physical activity support (beta=.237, p=.002). These variables explained 26.4% of the variance in physical activity support (F=7.628, p<.001). CONCLUSION To improve maternal support for increasing physical activity of preschool children, maternal education and appropriate information should be provided to improve self-efficacy for physical activity support.
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PURPOSE The purpose of this study is to find out preschool children's health status and their mothers' health management in the vulnerable classes. METHODS The assessment tool was developed, taken into consideration existing studies, materials produced by the customized visiting health care system, and review of visiting nurses of health centers and related experts. Data were collected January to February 2010 from 259 mothers by visiting nurses, and analyzed using SAS program for descriptive statistics. RESULTS Body weight less than 3 percentile was found for 5.0% children and over 97 percentile for 7.7%. Atopy was found in 17.8% children, no hand-washing after toileting and before meal in 30.9% and 36.7% respectively, no breakfast in 15.8%, and irregular meal in 32.0%. Sex education was made by 45.7% mothers, regular dental check by 56.6%, and hearing and eyesight test by 61.1% and 66.8% respectively. Home environment for upbringing is 34.3 in the scale of 41, and accident prevention 17.5 in the scale of 22. CONCLUSION It is necessary to make an intervention on children's weight, personal sanitation and meal time in the vulnerable classes. Mothers need to be educated for appropriate health care, and home environments to improve upbringing and accident prevention.
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