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Original Articles

Purpose
The aim of this study was to investigate internet addiction among middle school students and to examine the mediating effects of social support in the relationships of self-efficacy and self-control with internet addiction.
Methods
The participants in the study were 119 middle school students in J city. The measurements included a self-efficacy scale, a self-control scale, a social support scale, and the Internet Addiction Scale for Youth. Data were analyzed using the independent t-test or Mann-Whitney U test, one-way analysis of variance, the Scheffé test, Pearson correlation coefficients, and multiple-regression using SPSS version 22.0. Mediation effects were analyzed by the Sobel test and Baron and Kenny's hierarchical analysis technique.
Results
Significant correlations were found among self-efficacy, self-control, and internet addiction. Social support had partial mediating effects in the relationship between self-efficacy and internet addiction, as well as in the relationship between self-control and internet addition.
Conclusion
In order to prevent internet addiction, the promotion of interactions among peers, which is a component of social support, is particularly important. It is also necessary to promote face-to-face activities that can strengthen relationships. The findings suggest that intensifying social support may help reduce the level of internet addiction in middle school students.

Citations

Citations to this article as recorded by  
  • Smartphone Application-Based Addiction, Short Video Addiction, and Short Video Flow among Physical Education Majors: A Cross-Sectional Study
    Zeynep Dinç, Leyla Saraç
    Osmangazi Journal of Educational Research.2026; 12(Special Is): 41.     CrossRef
  • A meta-analysis of self-regulation and digital recreation from birth to adolescence
    Steven J. Howard, Nicole Hayes, Sumudu Mallawaarachchi, Daniel Johnson, Cathrine Neilsen-Hewett, Janelle Mackenzie, Laura A. Bentley, Sonia L.J. White
    Computers in Human Behavior.2025; 163: 108472.     CrossRef
  • Internet Addiction of College Students: An Overview of Psychological Causes
    琳 赵
    Advances in Psychology.2025; 15(01): 15.     CrossRef
  • Relationship between academic procrastination and internet addiction in Peruvian university students: the mediating role of academic self-efficacy
    Dana Rocio Chavez-Yacolca, Ruth Beatriz Castro-Champión, Nely Marlene Cisneros-Gonzales, Denis Frank Cunza-Aranzábal, Mardel Morales-García, Carlos D. Abanto-Ramírez
    Frontiers in Psychology.2025;[Epub]     CrossRef
  • Theoretical Perspectives on Adolescent Internet Addiction: A Comprehensive Literature Review
    Yishan Jin, Shan Jiang, Chunkai Li
    Health & Social Care in the Community.2025;[Epub]     CrossRef
  • Exploring the Role of Independent Living Workers in How Youth in Care Access and Utilize Technology
    Dana M. Reiss, Marlo A. Perry, Rebecca J. Gomez, Camie Tomlinson, Naomi Reddish
    Child and Adolescent Social Work Journal.2025;[Epub]     CrossRef
  • HEMŞİRELİK ÖĞRENCİLERİNDE FİZİKSEL AKTİVİTENİN KİŞİLİK ÖZELLİKLERİ ÜZERİNDEKİ ETKİSİ: İNTERNET BAĞIMLILIĞININ ARACILIK ROLÜ
    İlknur Sayan
    Akademik Hassasiyetler.2025; 12(27): 237.     CrossRef
  • Investigating the mediating effect of resilience in the relationship between self-efficacy, happiness, social support, and Internet addiction in adolescents
    Tuba Bağatarhan
    Current Psychology.2025; 44(12): 11591.     CrossRef
  • The association between internet use on depression among rural-to-urban migrants: The role of sense of gain and intergenerational support
    Xiaohan Yang, Yijie Wang
    Acta Psychologica.2025; 258: 105150.     CrossRef
  • The effect of social support on learning engagement among Chinese nursing interns: the mediating role of self-efficacy
    Liping Wu, Yan Chen, Meiqin Xue, Weiyi Zhu, Wei Wang
    BMC Nursing.2025;[Epub]     CrossRef
  • Problematic internet use, the behavioral activation system/behavioral inhibition system, and self-control in children and adolescents: A network analysis
    Hui Zhou, Xinyi Xing, Jiaqi Zhang, Guangteng Meng, Kesong Hu, Ping Wei, Manqi Chen, Jing Xiao, Qi Li
    Journal of Applied Developmental Psychology.2025; 101: 101881.     CrossRef
  • Effects of Game-Related Tasks for the Diagnosis and Classification of Gaming Disorder
    Jeongbong Choi, Youngseok Choi, Young-Chul Jung, Jeyeon Lee, Jongshill Lee, Eunkyoung Park, In Young Kim
    Biosensors.2024; 14(1): 42.     CrossRef
  • The Moderating Effect of Self-Efficacy on Pregnancy Stress and Smartphone Addiction of Pregnant Women in Late Pregnancy: A Longitudinal Study
    Di Ma, Bingfen Li, Xiaoyan Liu, Ying Sun, Jingli Sun
    Risk Management and Healthcare Policy.2024; Volume 17: 41.     CrossRef
  • The Mediating Effect of Self-Efficacy in the Relationship Between Parental Communication and Digital Addiction
    Tuba Bağatarhan, Diğdem Müge Siyez
    Journal of Rational-Emotive & Cognitive-Behavior T.2024; 42(4): 830.     CrossRef
  • Preventive Interventions for Internet Addiction in Young Children: Systematic Review
    Yansen Theopilus, Abdullah Al Mahmud, Hilary Davis, Johanna Renny Octavia
    JMIR Mental Health.2024; 11: e56896.     CrossRef
  • Low self-control, perceived social support and internet gaming addiction: findings from an ethnicity minority region in China
    Cui Meng, Li Quancai, Cui Kunjie, Xin Yanyu, Lama Wencai, Xia Yiwei
    Frontiers in Psychiatry.2024;[Epub]     CrossRef
  • Social Interaction and Online Learning Efficiency for Middle School Students: The Mediating Role of Social Presence and Learning Engagement
    Fangfang Gao, Chunzhen Wang, Han Xie, Jianzhong Hong
    Behavioral Sciences.2024; 14(10): 896.     CrossRef
  • Maternal and paternal harsh parenting and anxiety symptoms in Chinese adolescents: examining a multiple mediation model
    Xiujuan Yang, Ling Lin, Wen Feng, Pei Liu, Nana Liang, Zhenpeng Xue, Yuejiao Ma, Yuan Shen, Wenwen Yu, Jianping Lu, Jianbo Liu
    Child and Adolescent Psychiatry and Mental Health.2024;[Epub]     CrossRef
  • Relationship between internet attitude and internet self-efficacy: ICT competence and network interaction as mediators
    Di Wu, Xiao Yang, Chun Lu, Miaoyun Li, Meiqian Wang, Wei Yang
    Children and Youth Services Review.2023; 149: 106916.     CrossRef
  • The Effect of Academic Adaptability on Learning Burnout Among College Students: The Mediating Effect of Self-Esteem and the Moderating Effect of Self-Efficacy
    Chumei Chen, Yuanyi Shen, Yujie Zhu, Fanghao Xiao, Jiawen Zhang, Jianchao Ni
    Psychology Research and Behavior Management.2023; Volume 16: 1615.     CrossRef
  • Protocol for an observational cohort study on psychological, addictive, lifestyle behavior and highly prevalent affective disorders in primary health care adults
    Fátima Méndez-López, Bárbara Oliván-Blázquez, Marta Domínguez-García, Cruz Bartolomé-Moreno, Isabel Rabanaque, Rosa Magallón-Botaya
    Frontiers in Psychiatry.2023;[Epub]     CrossRef
  • Depressive and Anxious Symptoms Increase with Problematic Technologies Use Among Adults: The Effects of Personal Factors Related to Health Behavior
    Fátima Méndez-López, Bárbara Oliván-Blázquez, Marta Domínguez García, Yolanda López-Del-Hoyo, Olaya Tamayo-Morales, Rosa Magallón-Botaya
    Psychology Research and Behavior Management.2023; Volume 16: 2499.     CrossRef
  • Longitudinal relationships between school assets, traditional bullying, and internet gaming disorder: the role of self-control and intentional self-regulation among Chinese adolescents
    Ke-Nan Qin, Xiong Gan
    Frontiers in Public Health.2023;[Epub]     CrossRef
  • COVID-19 victimization experience and university students’ smartphone addiction: the mediating role of emotional intelligence
    Hongxia Chen, Hong-xin Zhang
    BMC Public Health.2023;[Epub]     CrossRef
  • Analysis of the mediating effects of self-efficacy and self-control between physical activity and Internet addiction among Chinese college students
    Zhihao Du, Xiuli Zhang
    Frontiers in Psychology.2022;[Epub]     CrossRef
  • The Effect of COVID-19 Perceived Risk on Internet Addiction among College Students in China: An Empirical Study Based on the Structural Equation Model
    Ling Pan, Jun Li, Ziao Hu, Henan Wu
    International Journal of Environmental Research an.2022; 19(20): 13377.     CrossRef
  • 13,523 View
  • 318 Download
  • 26 Crossref
Purpose
This study was conducted to identify correlations between how much fever management information mothers obtained from the internet and their actual knowledge and practices of fever management.
Methods
This was a descriptive survey of 172 mothers with children aged between 0 and 3 attending five daycare centers located in the city of Daegu. Descriptive statistics, the independent t-test or one-way analysis of variance, and Pearson correlation coefficients were used for data analysis.
Results
In total, 75% of the mothers had searched the internet for information on fever management. The overwhelming majority (92.2%) used information from the internet to help manage fever in their children. Positive correlations were found between acquiring fever management information from the internet and fever management practices (r=.18, p=.038), and between mother’s knowledge and practices of fever management (r=.27, p<.001).
Conclusion
Based on the results of this study, to improve fever management practices, it is necessary to increase mothers’ knowledge. Therefore, resources should be developed to augment mothers’ knowledge of fever management through the internet.

Citations

Citations to this article as recorded by  
  • Effects of a case-based simulation fever management education program for parents of hospitalized children in South Korea: a quasi-experimental study
    Bora Nam, Hyunju Kang
    Child Health Nursing Research.2025; 31(4): 237.     CrossRef
  • Febrile seizure: What information can caregivers access through YouTube?
    Juyeon Oh, Sun Young You
    Seizure.2021; 91: 91.     CrossRef
  • 6,333 View
  • 272 Download
  • 2 Crossref

Original article

Quality Evaluation of Online Health Information Related to Young Child
Hyun-Mi Son, Minji Je, Young-Sil Sohn
Child Health Nurs Res 2018;24(1):91-100.   Published online January 31, 2018
DOI: https://doi.org/10.4094/chnr.2018.24.1.91
Purpose
This study was to evaluate the quality of online health information related to infants and preschoolers accessible through mobile applications and websites.
Methods
Using combinations of the terms ‘infant’, ‘preschooler’, and ‘health’ as the main keyword or categories, the researchers searched relevant mobile applications and websites in Korean application markets and popular search engines. Twelve mobile application and 14 websites were finally selected according to our inclusion criteria and evaluated using DISCERN instrument.
Results
The overall quality score of online health information available through mobile applications was 2.00 of 5 points, the reliability score was 2.15, and the quality score was 1.76. The overall quality score of online health information available through websites was 2.29, the reliability score was 2.40, and the quality score was 1.82.
Conclusion
The quality of online health information related to young children was found to be low and to have potentially significant drawbacks according to DISCERN criteria. Therefore, it is necessary to establish a system to evaluate and regulate the quality of online health information. Additionally, factors that readers can use to judge the quality of health information, such as references and the benefit versus risks of the information, should be provided.

Citations

Citations to this article as recorded by  
  • Correlation between oral health knowledge, demand for remote education tools, and self-efficacy among parents of children and adolescents
    Min-Ji Park, Herry Novrinda, Jae-Young Lee
    Journal of Korean Society of Dental Hygiene.2025; 25(1): 69.     CrossRef
  • The Impact of Mothers’ Smartphone Use, eHealth Literacy, Maternal Role Performance Confidence, and Online Social Support on Health Promotion Behavior for Infants and Toddlers
    Se-Young JUNG, So Yeon PARK
    Korean Journal of Health Promotion.2024; 24(3): 134.     CrossRef
  • Caregivers of children feel confident about using the Internet for health information
    Emma Delemere, Rebecca Maguire
    Health Information & Libraries Journal.2023; 40(1): 54.     CrossRef
  • Effects of e-Health Literacy, Parenting Stress, and Maternal Role Confidence on Children’s Health-Promoting Behaviors in Mothers of Infants and Toddlers
    So-Hee Park, Jeung-Im Kim
    Journal of The Korean Society of Maternal and Chil.2023; 27(2): 92.     CrossRef
  • Interactivity, Quality, and Content of Websites Promoting Health Behaviors During Infancy: 6-Year Update of the Systematic Assessment
    Danielle Jawad, Heilok Cheng, Li Ming Wen, Chris Rissel, Louise Baur, Seema Mihrshahi, Sarah Taki
    Journal of Medical Internet Research.2022; 24(10): e38641.     CrossRef
  • Needs for Post-hospital Education among Parents of Infants and Toddlers with Congenital Heart Disease
    Bo Ryeong Lee, Hyun Young Koo
    Child Health Nursing Research.2020; 26(1): 107.     CrossRef
  • Knowledge of Diaper Dermatitis and Diaper Hygiene Practices among Mothers of Diaper-wearing Children
    Jin Sun Kim, Yong Sun Jeong, Eun Jin Jeong
    Child Health Nursing Research.2019; 25(2): 112.     CrossRef
  • 10,076 View
  • 260 Download
  • 7 Crossref
Original Articles
Influence of Parental Media Use, Educational Needs, and Media Guidance for Children on Children’s Media Use
Hyun-Young Koo, Eun-Jung Kim
Child Health Nurs Res 2015;21(2):183-193.   Published online April 30, 2015
DOI: https://doi.org/10.4094/chnr.2015.21.2.183
Purpose
The purpose of this study was to identify the influence of parental media use, parents’ educational needs regarding media use, and parents’ media guidance for children on the children’s media use.
Methods
The participants were 161 parents of elementary school children in the 1st and 4th grades. Data were collected through self-report questionnaires, and analyzed using the SPSS/WIN 19.0 IBM program.
Results
The average times for watching television and using the internet in the children were 11.44 hours and 5.89 hours per week, respectively. Children’s time watching television was influenced by parents’ time watching television, children’s gender (girl), and parents’ educational needs. Children’s television dependency was influenced by parents’ educational needs, parents’ time watching television, and parents’ age (under 36 years). Time using the internet and internet dependency in the children were influenced by parents’ educational needs, family monthly income (under 3 million won), and parents’ guidance for children on watching television.
Conclusion
The findings indicate that elementary school children’s media use is influenced by parental media use, parents’ educational needs, and parents’ media guidance for children. Therefore parental factors should be considered in developing approaches to provide education programs to prevent media overuse in children.

Citations

Citations to this article as recorded by  
  • Structural Relationships Among Parents’ Media Literacy, Smart-Media Mediation, Preschoolers’ Smart-Media Usage Time, and Social Competence
    Jisun Kim, Kangyi Lee
    Korean Journal of Child Studies.2019; 40(6): 63.     CrossRef
  • Structural Relationships Among Children’s Duration of Media Use, Behavior Problems, and School Adjustment
    Subin Ahn, Boram Kang, Kangyi Lee
    Korean Journal of Child Studies.2017; 38(2): 191.     CrossRef
  • 10,776 View
  • 102 Download
  • 2 Crossref
PURPOSE
The purpose of this study was to explore the parent related factors that influence internet game addiction among elementary school students.
METHOD
Data was collected through self-administered questionnaires and descriptive statistics, t-test, ANOVA, correlation and stepwise multiple regression were used to analyze the data. Data survey was conducted with 739 conveniently selected students who were in grades 4, 5, and 6 of elementary schools in Seoul or Gyung-gi province.
RESULTS
The addiction groups were classified as general user group (84.3%), potential risk group (10.0%) and high risk group (5.7%). There were significant internet game addiction differences by gender, grade, expense of internet cafe, religion, school record, place where child played, economic status, and duration and frequency of game play. The addiction was negatively correlated to parents' attachment, supervision, attitude to child nurturing, and expectations regarding school study. The most significant variables were both parents' attitude to child nurturing, and mother's supervision. These three variables explained 20.7% of internet game addiction in elementary school students.
CONCLUSION
The study findings identified significant factors affecting internet game addiction in elementary school students. These findings are expected to make a contribution to the creation of ideal interventions at school, home, and counselling centers to prevent internet game addiction.

Citations

Citations to this article as recorded by  
  • Difference in home participation patterns and environmental factors between Korean children with and without disabilities
    Deok-Gi Hong, Yunwha Jeong
    Disability and Rehabilitation.2022; 44(21): 6340.     CrossRef
  • Internet addiction among psychology students: the role of resilience and perceived economic hardship
    Thanos Touloupis, Christina Athanasiades
    Psychology: the Journal of the Hellenic Psychologi.2022; 27(1): 175.     CrossRef
  • A comparison between primary school principals’ and teachers’ perceptions of students’ online risk behaviours: the role of perceived self-efficacy
    Thanos Touloupis, Christina Athanasiades
    Cambridge Journal of Education.2020; 50(4): 1.     CrossRef
  • Consumers' Needs for Public Education and Corporate Participation Regarding Child Internet Addiction: Based on the Risk Perception Attitude Framework
    Su‐Jung Nam, Hyesun Hwang
    Journal of Consumer Affairs.2019; 53(3): 1220.     CrossRef
  • Factors Affecting the Internet Game Addiction Risk of Elementary School Students in Multicultural Families
    On Choi, Keum Seong Jang, Nam Young Kim
    Journal of Health Informatics and Statistics.2019; 44(1): 64.     CrossRef
  • Principals’ attitudes towards risky internet use of primary school students: The role of occupational factors
    Thanos Touloupis, Christina Athanasiades
    Education and Information Technologies.2018; 23(1): 497.     CrossRef
  • Time spent on the Internet by multicultural adolescents in Korea
    Yangmi Lim, Su-Jung Nam
    Asia Pacific Journal of Education.2017; 37(1): 55.     CrossRef
  • Effects of Stress Coping Behaviors on Higher Grade Elementary School Students’ Internet Game Addiction: Focused on Gender Difference
    Young-Hee Ju, So-Hee Lim
    Journal of the Korean Society of School Health.2016; 29(3): 226.     CrossRef
  • Internet Game Addiction, Parental Attachment, and Parenting of Adolescents in South Korea
    Kyunghee Kim, Kisook Kim
    Journal of Child & Adolescent Substance Abuse.2015; 24(6): 366.     CrossRef
  • Factors Affecting Higher Grade Elementary school students' Internet Game Addiction: Focus on Gender Differences
    Young-Ju Jee, Kyoung-Nam Kim, Young-Hae Kim
    Journal of the Korea Academia-Industrial cooperati.2014; 15(8): 5023.     CrossRef
  • Risk and Protective Factors of Internet Addiction: A Meta-Analysis of Empirical Studies in Korea
    Hoon Jung Koo, Jung-Hye Kwon
    Yonsei Medical Journal.2014; 55(6): 1691.     CrossRef
  • Effects of School Adjustment on Higher Grade Elementary School Students' Internet Game Addiction: Focused on Gender Difference
    Young Ran Kweon, Myung Sook Park
    Journal of Korean Academy of Psychiatric and Menta.2012; 21(2): 99.     CrossRef
  • Preliminary study of Internet addiction and cognitive function in adolescents based on IQ tests
    Min-Hyeon Park, E-Jin Park, Jeewook Choi, Sukhi Chai, Ji-Han Lee, Chul Lee, Dai-Jin Kim
    Psychiatry Research.2011; 190(2-3): 275.     CrossRef
  • A Prediction Model for Internet Game Addiction in Adolescents: Using a Decision Tree Analysis
    Ki Sook Kim, Kyung Hee Kim
    Journal of Korean Academy of Nursing.2010; 40(3): 378.     CrossRef
  • 5,610 View
  • 55 Download
  • 14 Crossref
PURPOSE
This study was done to develop a prevention program for media addiction in elementary school students, and to examine its effects on television addiction, internet addiction, cellular phone addiction, and impulsiveness.
METHODS
The study was designed using a nonequivalent control group pretest-posttest design. The participants were 58 elementary school students (29 in the experimental group and 29 in the control group). Students in the experimental group were given the prevention program for media addiction. The data were analyzed using the SPSS/WIN 19.0 program.
RESULTS
Students in the experimental group reported a significant decrease in television addiction compared to students in the control group.
CONCLUSION
The results of the study indicate that the prevention program for media addiction was effective in decreasing television addiction in elementary school students.

Citations

Citations to this article as recorded by  
  • Managing Problematic Usage of the Internet and Related Disorders in an Era of Diagnostic Transition: An Updated Review
    Bernardo Dell’Osso, Ilaria Di Bernardo, Matteo Vismara, Eleonora Piccoli, Federica Giorgetti, Laura Molteni, Naomi A. Fineberg, Calogero Virzì, Henrietta Bowden-Jones, Roberto Truzoli, Caterina Viganò
    Clinical Practice & Epidemiology in Mental Health.2021; 17(1): 61.     CrossRef
  • LA PRÉVENTION DE L’UTILISATION PROBLÉMATIQUE D’INTERNET : EXPLORATION DU POINT DE VUE DES JEUNES
    Gabrielle St-Arnaud, Magali Dufour1, Andrée-Anne Légaré, Joël Tremblay, Karine Bertrand, Yasser Khazaal, Natacha Brunelle, Mathieu Goyette
    Revue québécoise de psychologie.2019; 40(2): 115.     CrossRef
  • Policy and Prevention Approaches for Disordered and Hazardous Gaming and Internet Use: an International Perspective
    Daniel L. King, Paul H. Delfabbro, Young Yim Doh, Anise M. S. Wu, Daria J. Kuss, Ståle Pallesen, Rune Mentzoni, Natacha Carragher, Hiroshi Sakuma
    Prevention Science.2018; 19(2): 233.     CrossRef
  • Prevention and Policy Related to Internet Gaming Disorder
    Daniel L. King, Paul H. Delfabbro
    Current Addiction Reports.2017; 4(3): 284.     CrossRef
  • Professional Identity of Elementary School Health Teachers: A Grounded Theory Approach
    Jin Ok Kwon, Jina Oh, Eun Ha Kim, Dae Dong Hahn
    Child Health Nursing Research.2015; 21(1): 64.     CrossRef
  • Influence of Parental Media Use, Educational Needs, and Media Guidance for Children on Children’s Media Use
    Hyun-Young Koo, Eun-Jung Kim
    Child Health Nursing Research.2015; 21(2): 183.     CrossRef
  • 7,705 View
  • 183 Download
  • 6 Crossref
The Evaluation of the Child-Care Web Sites on the Internet.
Kyung Ja Han, Jeong Soo Kim, Sook Young Kim
Korean J Child Health Nurs 2006;12(1):57-64.
PURPOSE
This study was conducted to analyze web sites that provide child-care information and to provide a proper model for child-care web sites.
METHOD
The evaluation tool with 23 items including purpose, contents, timeliness and reliability, interaction, and function was developed and modified. Quantitative analyses of 48 web sites, which were selected using popular search engines, were done. Result: 1) The aim of the web site was clearly shown for 24 sites (63.2%) and 17 sites (44.7%) provided the information for judging whether the informant was an expert. 2) Most web sites provided information on feeding, nutrition, and common health problems, and 11 sites provided information on care of problem behavior, but only 6 sites provided information on mother-infant interaction. 3) Timely information was provided on 21 sites, however none of the sites provided information sources. 4) Methods for contact the authors were found for 31 sites (81.6%) and 19 sites (50%) had active bulletin boards to receive opinions from users. 5) There were 32 sites where information could be found by clicking less than 3 times.
CONCLUSION
We suggest that the evaluation criteria for child-care web sites used in this study is a tool that can be used to evaluate web sites with consistency, but there is a need for further study to develop standardization of the evaluating tool.
  • 2,279 View
  • 7 Download
Personal and Environmental Predictors of Internet Addiction in Higher Grade Elementary School Students.
Young Mi Yoon, Hyo Mi Park
Korean J Child Health Nurs 2006;12(1):34-43.
PURPOSE
The purpose of this study was to identify the degree of internet addiction and factors affecting internet addiction in elementary school students.
METHOD
The participants in this study were 1,328 students in 4, 5 or 6 grades of elementary school. They were recruited from two elementary schools. Data collection was conducted using of 6 questionnaires that were modified by the investigator. The data were analyzed with the SPSS win 10.0 program using descriptive statistics, Pearson correlation coefficients and stepwise multiple regression.
RESULTS
1) The mean of total item score for internet addiction was 2.1, which was slightly low. Of respondents in this research 48.4% normally use the internet, while 48.5% addictively use the internet and as high as 3.1% were serious internet-addicted. 2) There was a significant correlation between internet addiction, self-esteem, aggression, impulsivity, parent's support and friend's support(gamma= -.15 ~ .44). 3) Stepwise multiple regression analysis showed that amount of time spent on the internet per day, impulsivity, aggression, gender, self-esteem, duration to use of internet, father's age, and the major place where the internet was used were the predictors of internet addiction and accounted for 47% of the variance in internet addiction.
CONCLUSION
Time spend on the internet per day, impulsivity, aggression, gender, self-esteem, duration to use of internet, father's age, the major place where the internet was used accounted for internet addiction in elementary school students. Therefore it is necessary to develop nursing interventions and to further identify the depth of the relationship of the related factors in order to decrease internet addiction.
  • 2,394 View
  • 13 Download
PURPOSE
This study was a cross-sectional descriptive survey to identify school nurses' knowledge, educational needs and providing education about Internet addiction.
METHOD
A total of 198 school nurses working in schools located in Gyunggi Province and the cities of Ulsan, Daegu, and Pohang participated in the study. A self-report scale was used to collect data. It included 53 items measuring school nurses' knowledge, their educational needs and performing related to Internet addiction.
RESULTS
The mean score for knowledge of Internet addiction was 13.12 (SD=3.13), indicating a moderate level of knowledge. The highest frequency, 24.7% of the school nurses agreed that the computer teacher is the appropriate person to do educate on Internet addiction, followed by the school nurse with another teacher (24.2%). Only 40.4% of the nurses had any experience in providing students with education about Internet addiction. The main reason for not providing education about Internet addiction was that there was no time (57.6%). Education was reported most frequently as being provided by the class teacher (36.3%), followed by school nurse (31.3%).
CONCLUSIONS
It is important to expand the role of school nurses in preventing and responding to Internet addiction and to develop training programs designed to further develop their abilities in teaching and counseling.
  • 2,697 View
  • 35 Download
Scope of Internet Addiction and Predictors of Addiction in Korean Children in Early Elementary School.
Young Im Moon, Hyun Young Koo, Ho Ran Park
Korean J Child Health Nurs 2005;11(3):263-272.
PURPOSE
This study was done to identify the scope of internet addiction in school age children in early grades of elementary school in Korea, and to identify factors affecting internet addiction for these children. METHOD: The participants were 408 children from in grades 1 to 4 in four urban elementary schools. Data were collected through self-report questionnaires which were constructed to include a parent-child internet addiction test, a self-control rating scale, and a scale of parent control of on-line use. The data were analyzed using the SPSS program. RESULTS: Of the children, 71.6% reported being average on-line users, 27.9%, heavy on-line users, and 0.5%, internet addicted. Self control and parent control of on-line use for average on-line users were different from that of heavy on-line users. Significant predictors influencing internet addiction were time spent on-line, self control, gender, father's occupation, on-line games, on-line use alone, and conversation with parents. These predictors accounted for 42% of variance in internet addiction. CONCLUSION: The prevalence of heavy on-line use in children was higher than expected, and internet addiction was influenced by self control, time spent on-line, and related factors. Therefore nursing interventions for prevention and management of internet addiction need to be developed and provided to these children.
  • 3,326 View
  • 42 Download
Internet Addiction, Social Support and Psychological Factors in Adolescents.
Hae Kyung Chung, Kyung Hee Kim
Korean J Child Health Nurs 2004;10(4):406-412.
PURPOSE
This study was done to identify the level of Internet addiction among adolescents, and to examine factors affecting Internet addiction in adolescents.
METHOD
The participants in were 475 high school students. Data were analyzed using multiple regression analysis to examine the factors affecting Internet addiction in adolescents.
RESULT
The overall Internet addiction scale score was 63.83(+/-20.48). The differences of Internet addiction according to student characteristics were found to be significant for sex and grade. The level of Internet addiction was positively related to the level of impulsiveness and depression. The level of Internet addiction was negatively related to the level of social support. Factors such as impulsiveness and social support were examined as significant factors predicting Internet addiction in adolescents.
CONCLUSION
Based upon these findings, factors affecting Internet addiction in adolescents include impulsiveness and social support. The findings provide further justification for interventions targeting key factors that influence Internet addiction in adolescents in addition to providing adolescents with necessary communication, negotiation and other life skills.
  • 2,700 View
  • 44 Download
Educational Needs for Internet Addiction in Middle School Students of Korea.
Won Oak Oh
Korean J Child Health Nurs 2004;10(1):48-58.
PURPOSE
Internet addiction is a newly recognized problem in the adolescents. The purpose of this study was to identify and analyze the educational needs for Internet addiction in middle school students of Korea.
METHOD
The subjects of this study were 450 middle school students. The data were collected from open and structured questionnaire about the educational needs for Internet addiction.
RESULT
As a result of content analysis of educational needs for Internet addiction, 9 domains and 19 themes were categorized from 542 statements. 9 Domains are : Definition, Etiology, Status, Process, Diagnosis, Influence, Coping and Prevention of Internet Addiction and General Information of Internet Use. These results were revealed that middle school students had comprehensive education needs for Internet Addiction. Also, there were the difference of need contents and frequency between school boy and girl students. Most of students had high educational needs for Internet addiction based on school health care program.
CONCLUSION
It would be necessary to develop on Internet addiction prevention program for adolescents concerning these findings. In the future, there should be study to identify the psychological characteristics of adolescent associated with Internet addiction.
  • 2,362 View
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Internet Addiction, Internet Expectancy, and Self-Efficacy in Elementary School Students.
Inn Sook Lee
Korean J Child Health Nurs 2003;9(4):376-383.
PURPOSE
The purpose of this study was to investigate the status of internet addiction, internet expectancy, and self-efficacy in elementary school students.
METHOD
The study was carried out during the period from June 16 to July 12, 2003. The subjects in the study were 397 elementary students attending four elementary schools in Chungcheongbuk-do and Kyunggi-do. Self-rating questionnaire included general characteristics, internet addiction scale, internet expectancy scale, and self-efficacy scale. Data was analyzed using SPSS/WIN10.0 by unpaired t-test and Pearson corelation coefficient.
RESULT
In this study, the mean score of internet addiction was 20.7. Internet dangerous group was 12.6% and internet addicticted group was 0.3%. The score of internet addiction was significantly different according to parents' concern, aversion to school life and extracurricular lecture. The mean score of internet expectancy was 27.1. The score of Internet expectancy was significantly different according to popularity among friends and easiness of making friends. The mean score of self-efficacy was 55.8. The score of self-efficacy was significantly different according to conversation with parents, enforcement of parents on learning, aversion to school life, aversion to extracurricular lecture, existence of intimate friend, popularity among friends(p=.000), and easiness of making friends.
CONCLUSION
This study showed that prevalence of internet addiction was much lower than expected, but the score of internet addiction and internet expectancy can be different according to parents' concern and relationship with friends.Therefore parents must be concerned about their children and their school lives to prevent internet addiction.
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Relationships among School Children's Internet Addiction, Family Environment and School Adjustment.
Ji Young Kim, Hyun Sook Ryu
Korean J Child Health Nurs 2003;9(2):198-205.
PURPOSE
The purpose of this study is to investigate the degree of school children's internet addiction and to explicit the relationship among the internet addiction, family environment and school adjustment.
METHOD
The subjects of the study were 640 students from 5th and 6th year children of five elementary schools in G city. The data were analyzed by SAS program with frequency, percentage, means, standard deviation, chi2-test, ANOVA and Pearson's Correlation Coefficient.
RESULT
In the degree of the internet addiction were 10.0% of addiction group, 58.0% of intermediate group, and 32.0% of nonaddiction group. There were significant differences in family environment score(F=25.09, p=.0001) and school adjustment score(F=34.46, p=.0001) regarding internet addiction degree. The relationship among internet addiction score, family environment score and school adjustment score revealed a significant inverse correlation(r=-0.32, p=.0001, r=-0.35, p=.0001). And the relationship between family environment score and school adjustment score revealed a significant correlation(r=0.52, p=.0001).
CONCLUSION
The degree of school children's internet addiction has been found to be very high and correlated to the family environment and school adjustment. Therefore, programs should be developed in order to improve this situation.
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Relation between Internet Game Addiction in Elementary School Students and Student's Perception of Parent-Child Attachment.
Young Hae Kim, Hyun Mi Son, Young Ok Yang, Young Ran Cho, Nae Young Lee
J Korean Acad Child Health Nurs 2007;13(4):383-389.
PURPOSE
In this study, the internet game addiction level was assessed, and parent-child attachment level associated with the addiction was analyzed.
METHOD
From December 5 to 23, 2005, self-reported questionnaire data were collected from 990 Busan City elementary school students of the 5th and 6th grades. The questionnaire consisted of questions about their characteristic features in playing internet games based on the K-scale developed by KADO. The data were analyzed using the SPSS WIN 10.0 program. Frequency, percentage, arithmetic mean, and standard deviation, chi2-test, ANOVA analysis and Scheffe test were used to analyze the data.
RESULTS
1. With regard to the level of internet game addiction, 71.2% of the students responded that they were general users, and 6.3%, at high risk for addiction. Mean scores were 103.3 for the high-risk group, 77.7 for the potential risk group, and 55.86 for the general user group. The total mean was 63.74. 2. Mean scores for parent-child attachment levels were 97.1 and 99.6 for father and mother, respectively.
CONCLUSION
These results suggest that a collaborative program to educate and counsel parents to increase the parent-child attachment level needs to be established in protection and recovery programs for internet game addiction.
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PURPOSE
The purpose of this study was to examine the effects of EP-IGAP(Internet Game Addiction Prevention Educational Program) on increasing the self-control and decreasing the time spent on internet games.
METHOD
The research design was a quasi-experiment, repeated measures design with non-equivalent control group. Participants in this study were 269 elementary school students of elementary school(134 for the experimental group, 135 for the control group). The instruments used in this study were the Self-control of Internet Game Scale and Time spent on internet games per week. The experimental group participated in the EP-IGAP for 6 weeks.
RESULTS
After the intervention, the experimental group showed a significant increase in self-control related to internet games. But, there was no statistical difference in the time spent on internet games between the two groups.
CONCLUSION
These results suggest that EP-IGAP is effective in increasing the self-control related to internet games in elementary school students. Further research is needed to modify the EP-IGAP.
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Development of an Obesity Management Program for Elementary School Children: Based on Keller's Motivation Theory.
Min Jeong Kim, Hee Soon Kim, Sun Ah Kim, Duk Hee Kim
J Korean Acad Child Health Nurs 2007;13(3):257-264.
PURPOSE
The purpose of this study was to develop an effective obesity management program for elementary school children, based on the motivation theory.
METHOD
This study was a methodological study. A child obesity management program, based on the motivation theory was developed, a web site was made and children with obesity participated in the internet program. After the children finished the program, they evaluated the clinical validity of the program. The clinical validity was tested from Jun 12 to 16, 2006. The participants were 6 students. The evaluation tool was Keller's IMMS(Instructional Material Motivation Survey). Data were evaluated using means+/-SD for four major components A,R,C,S (Attention, Relevance, Confidence, Satisfaction), based on ARCS in the motivation theory.
RESULTS
The program developed in this study was named 'ARCS children obesity escape', and the URL is 'http://www.119kid.co.kr'. Regarding the four components of ARCS, the overall reaction of participants showed that they were very highly motivated by this program.
CONCLUSION
Utilizing the ARCS motivation strategies for solving obesity problems for children is an effective method to motivate the management of obesity, and can increase achievement motivation, attention, relevance, confidence, and satisfaction with the management of obesity. Thus, the program developed in this study is expected to reduce obesity in children, and become an important guide for obesity management and health improvement for children.
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Differences in Sexual Attitudes and Gender Egalitarianism in Middle School Students According to Level of Internet Addiction.
Hyun Young Koo, Seong Sook Kim
J Korean Acad Child Health Nurs 2007;13(2):157-165.
PURPOSE
This study was done to investigate internet addiction, sexual attitudes and gender egalitarianism in middle school students, and to identify the differences of sexual attitude and gender egalitarianism according to the level of internet addiction.
METHOD
The participants were 344 students from two middle schools in Seoul. Data were collected through self-report questionnaires which included an internet addiction test, a sexual attitude scale, and a Korean gender egalitarianism scale for adolescents. The data were analyzed using the SPSS program.
RESULTS
Of the students, 63.1% reported being average on-line users, 33.4%, heavy on-line users, and 3.5%, internet addicted. Sexual attitudes and gender egalitarianism of average on-line users were different from those addicted to the internet. Internet addiction, sexual attitudes and gender egalitarianism of students were different according to general characteristics, time spent on-line, and exposure and contact to cyber obscenities.
CONCLUSION
Sexual attitudes and gender egalitarianism in middle school students were influenced by internet addiction. Therefore nursing interventions to prevent and manage internet addiction need to be developed and provided to middle school students. Also a variety of programs for teaching sexuality to adolescents should be developed.
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Factors Influencing Internet Addiction among High School Students.
Won Oak Oh
J Korean Acad Child Health Nurs 2007;13(1):81-89.
PURPOSE
This study was conducted to identify the degree of Internet addiction and factors influencing this addiction among high school students in Korea.
METHOD
A total of 405 high school students in the Gyeoung-gi, Daegu and Gyeoung-buk areas were surveyed using questionnaires for data collection.
RESULTS
Internet addiction among high school students in Korea was relatively low. In the overall ratio distribution, however, the students who were classified as either addicted or at risk of addiction accounted for a high percentage of the students, 31.1%. Positive or negative relationships were found between internet addiction and the research variables but multiple regression analysis revealed that the most powerful predictor of Internet addiction was depression.
CONCLUSION
Using the above results, it is necessary to develop Internet addiction prevention programs for adolescents. There should be a more comprehensive study in the future for an in-depth understanding of internet addiction of adolescents.
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