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Jeon and Kim: A Predictive Model of Health Promotion Behavior in Obese School-Age Children
Original Article
Journal of Korean Academy of Nursing

Journal of Korean Academy of Nursing 2010; 40(2): 264-276.

Published online: 30 April 2010

DOI: https://doi.org/10.4040/jkan.2010.40.2.264

A Predictive Model of Health Promotion Behavior in Obese School-Age Children

Mi Suk Jeon, Hyeon-Ok Kim2

1Health Teacher, Gosan Elementary School, Wanju, Korea.

2Professor, College of Nursing, Research Institute of Nursing Science, Chonbuk National University, Jeonju, Korea.

Address reprint requests to: Jeon, Mi Suk. Gosan Elementary School, 148 Eupnae-ri, Gosan-myeon, Wanju 565-864, Korea. Tel: 82-63-263-4025, Fax: 82-63-263-4607, ymdje@hanmail.net

Received 13 October 2009       Revised 19 October 2009       Accepted 1 April 2010

Copyright © 2010 Korean Society of Nursing Science

Abstract

Purpose

The purpose of this study was to propose and to test a predictive model that could explain and predict the health promotion behavior of obese school-age children in Korea.

Methods

Participants for this study were 365 students from 13 elementary schools located in Jeonbuk Province, Korea. The data were analyzed using SPSS 15.0 program and Amos 7.0 program.

Results

The results verified the factors that influence health promotion behavior of the participants. Important direct factors were prior health-related behavior, perceived self-efficacy, and commitment to a plan of action and indirect factors were perceived barrier and activity-related effect. These factors explained 75.3% of variance in the participants' health promotion behavior. The proposed model was concise and extensive in predicting health promotion behavior of the participants.

Conclusion

Findings may provide useful assistance in developing effective nursing interventions for maintaining and promoting health promotion behavior in obese school-age children.

Keywords: Child, Obesity, Health promotion

Figures and Tables

Figure 1
Hypothetical model.
x1-x2=Previous health behavior; x3-x4=Self-esteem; y1-y2=Perceived benefit; y3-y4=Perceived barrier; y5-y6=Perceived self-efficacy; y7-y8=Activity-related affect; y9-y11=Social support; y12-y13=Commitment to a plan of action; y14-y19=Health promotion behavior.
jkan-40-264-g001
Figure 2
Modified model with parameter estimates.
x1-x2=Previous health behavior; x3-x4=Self-esteem; y1-y2=Perceived benefit; y3-y4=Perceived barrier; y5-y6=Perceived self-efficacy; y7-y8=Activity-related affect; y9-y11=Social support; y12-y13=Commitment to a plan of action; y14-y19=Health promotion behavior.
jkan-40-264-g002
Table 1
Descriptive Statistics of Study Variables (N=365)
jkan-40-264-i001
Table 2
Parameter Estimates for Modified Structural Model and Standardized Direct, Indirect, and Total Effects in Modified Model (N=365)
jkan-40-264-i002

*p<.05; **p<.01.

†Standardized parameter; ‡Critical ratio; §Squared multiple correlation.

Notes

This article is based on a part of the first author's doctoral thesis from Chonbuk National University.

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