Purpose
This study developed a self-management program for patients undergoing lumbar spinal stenosis surgery utilizing the information-motivation-behavioral skills (IMB) model. Methods: This study employed a quasi-experimental design with a nonequivalent control group and pretest–posttest design. Data were collected from August 11, 2022, to March 31, 2023, at a general hospital in South Korea. A total of 58 patients participated in the study (30 experimental, 28 control group). The experimental group received a six-session self-management program based on the IBM model, whereas the control group received usual education and information. Data were analyzed with SPSS/WIN 23.0 using the independent t-test, chi-square test, Fisher’s exact test, Shapiro-Wilk test, and Mann-Whitney U test. Results: Significant differences were observed in self-management information (p<.001), personal motivation (p=.002), social motivation (p=.002), behavioral skills (p=.002), behaviors (p=.003), health-related quality of life (p<.001), and disc height (p=.006) in the experimental group following program implementation, compared to the control group. However, no significant differences were found in lower extremity muscular strength, lumbar lordotic angle, or the visual analog scores for low back pain and leg pain between the two groups. Conclusion: The self-management program developed in this study, based on the IMB model, was effective in improving self-management information, motivation, behavioral skills, behaviors, health-related quality of life, and self-management health outcomes in patients undergoing lumbar spinal stenosis surgery. Nevertheless, future research should aim to verify the long-term effects of such self-management programs by extending the intervention period.

Purpose
This study aimed to clarify the relationship between andropause syndrome and health-related quality of life, as well as the mediation effect of family bond among middle-aged males in South Korea. Methods A total of 135 middle-aged males who live in B, K, and U City participated in the study, conducted from March 10 to May 31, 2021. Participants were invited to complete self-reported questionnaires measuring andropause syndrome, health-related Quality of Life (QoL), family bond, and demographic information. The data obtained were analyzed using multiple regression and a simple mediation model applying the PROCESS macro with 95% bias-corrected bootstrap confidence interval (5,000 bootstrap resampling). Results The QoL of middle-aged males in South Korea showed a significant negative correlation with andropause syndrome (r=-.32, p<.001), and a significant positive correlation with family bond (r=.59, p<.001). Futher, family bond had a mediating effect between andropause syndrome and QoL (indirect effect=-4.07, 95% Boot confidence interval=-6.53~-1.97). Conclusion Based on the results of this study, in order to improve the QoL of middle-aged males in South Korea, it is necessary to provide programs that can improve family bond along with physical and mental intervention programs to effectively alleviate andropause syndrome.

Citations

• A comprehensive analysis of research trends on andropause among middle-aged South Korean men
  Young Hwa Lee, Sun Jung Park, Hyun Ji Kim, Bock Soon Park, Hyo Yeol Jang, Ha Na Cho, Young Sook Lim
  International Journal of ADVANCED AND APPLIED SCIENCES.2023; 10(6): 129.     CrossRef

PURPOSE
This study aimed to identify the mediating effects of health belief on the disease-related knowledge, eHealth literacy, and self-care behavior of hypertension patients. eHealth is an emerging field of medical informatics, referring to the organization and delivery of health services and information using the internet and related technologies.
METHODS
A total of 156 patients who were receiving treatment for hypertension at the best internal medicine clinic in Busan City participated in the study. Data collection was conducted from May 22, to June 30, 2019. Collected data were analyzed with descriptive statistics, independent t-test, one-way analysis of variance, Pearson's correlation coefficient, and three-step mediated regression analysis using SPSS/WIN 25.0.
RESULTS
Significant positive correlations were observed between disease-related knowledge and eHealth literacy (r=.19, p=.016), disease-related knowledge and health belief (r=.32, p<.001), disease-related knowledge and self-care behavior (r=.16, p=.046), eHealth literacy and health belief (r=.17, p=.034), and health belief and self-care behavior (r=.27, p=.001). Health belief had a mediating effect (z=−2.47, p=.013) on the correlation between disease-related knowledge and self-care behavior.
CONCLUSION
To improve self-care behavior among hypertension patients, medical practitioners need to develop interventions that enhance health belief.

Citations

• Effects of e-health literacy on health-related quality of life in young adults with type 2 diabetes: Parallel mediation of diabetes self-efficacy and self-care behaviors
  Yura Jang, Youngran Yang
  Applied Nursing Research.2025; 82: 151917.     CrossRef
• Factors influencing coping skills of middle-aged adults in COVID-19, South Korea
  Minkyung Gu, Heeyoung Woo, Sohyune Sok
  Frontiers in Public Health.2024;[Epub]     CrossRef
• Influence of Digital Literacy and Patient Activation on Sick Role Behavior in Vulnerable Older Adults with Diabetes
  Young-Eun Yi, Hyun-Ju Lee
  Journal of Korean Academy of Fundamentals of Nursing.2024; 31(2): 179.     CrossRef
• Relationship Between Electronic Health Literacy and Self-Management in People With Type 2 Diabetes Using a Structural Equation Modeling Approach
  Eun-Hyun LEE, Young Whee LEE, Eun Hee KANG, Hyun-Jung KANG
  Journal of Nursing Research.2024; 32(1): e315.     CrossRef
• Electronic Health (eHealth) Literacy and Self-Care Behaviors—Results from a Survey of University Students in a Developing Country
  Salman Bin Naeem, Anthony Faiola, Aziz Ur-Rehman, Maged N. Kamel Boulos
  Information.2024; 15(10): 636.     CrossRef
• Digital literacy among Korean older adults: A scoping review of quantitative studies
  Hun Kang, Jiwon Baek, Sang Hui Chu, JiYeon Choi
  DIGITAL HEALTH.2023;[Epub]     CrossRef
• Investigating the relationship of electronic health literacy and self-care behaviors with life quality in patients with heart failure
  Masoomeh Bakhshayesh, Mitra Hojatansari, Soheila Rabie Siahkali
  Preventive Care In Nursing and Midwifery Journal.2023; 13(4): 30.     CrossRef
• The Relation Between eHealth Literacy and Health-Related Behaviors: Systematic Review and Meta-analysis
  Keonhee Kim, Sangyoon Shin, Seungyeon Kim, Euni Lee
  Journal of Medical Internet Research.2023; 25: e40778.     CrossRef
• Mediating Effects of Self-Efficacy and Social Support on the Relationship Between eHealth Literacy and Self-Care Competency in Patients Undergoing Percutaneous Coronary Interventions: A Cross-Sectional Study
  Eunhee Jo, Su-Jin Lee, Sun Hee Han
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(3): 325.     CrossRef
• Investigating predictors of self‐care behavior among homebound older adults: The role of self‐efficacy, eHealth literacy, and perceived social support
  Arkers Kwan Ching Wong, Jonathan Bayuo, Frances Kam Yuet Wong
  Journal of Nursing Scholarship.2022; 54(3): 278.     CrossRef
• The Relationship Between Participating in Online Parenting Communities and Health-Promoting Behaviors for Children Among First-Time Mothers: The Mediating Effect of Parental Efficacy
  Minyoung Woo, Sun-Mi Chae
  Journal of The Korean Society of Maternal and Child Health.2022; 26(3): 183.     CrossRef
• Factors Influencing the Self-management Behaviors of the Elderly with Hypertension in the Local Community
  Jeongju Hong
  Journal of Korean Academy of Community Health Nursing.2021; 32(3): 303.     CrossRef
• Relationships Between Mobile eHealth Literacy, Diabetes Self-care, and Glycemic Outcomes in Taiwanese Patients With Type 2 Diabetes: Cross-sectional Study
  Sophie Huey-Ming Guo, Hung-Chun Hsing, Jiun-Lu Lin, Chun-Chuan Lee
  JMIR mHealth and uHealth.2021; 9(2): e18404.     CrossRef