PURPOSE
The aim of this study was to examine the effects of an Advanced Practice Nurse (APN)-led self-management program on cardiovascular health status among Korean women at risk of developing or progressing cardiovascular disease.
METHODS
This pilot study used one-group pre- and post- test experimental design. At health fairs in a community, 30 women who had one or more risk factors for metabolic syndrome were recruited and agreed to participate in the study. A total of 25 women completed the study. The intervention consisted of weekly follow-up calls and self-monitoring diary after an hour of individual counseling regarding risk factors, fast walking, and healthy diet tailored to the participants' needs. Physical activity was assessed with the World Health Organization International Physical Activity Questionnaire and a pedometer.
RESULTS
Participants showed statistically significant improvements in blood pressure, body mass index, levels of triglyceride, total cholesterol and low density lipoprotein, numbers of metabolic syndrome factors, and the 10-year CV risk estimate after one month of concentrated intervention. In addition, their physical activity behavior significantly improved after the intervention.
CONCLUSION
This APN-led self-management program targeting modifiable risk factors by offering tailored counseling and concentrated support during the transition might be effective in preventing progression to the cardiovascular disease.

Citations

• Cardiometabolic Risk of Visceral Fat Obesity and Factors Influencing Visceral Fat in Overweight or Obese Middle-Aged Korean Women: A Cross-Sectional Study
  Sujin Kim, Nah-Mee Shin, Jiwon Choi
  Korean Journal of Adult Nursing.2024; 36(4): 320.     CrossRef
• Self-Management Program for Heart Healthy Behavior Among Middle- and Old-Aged Korean Women at Risk for Metabolic Syndrome
  Nah-Mee Shin, JiWon Choi, InHae Cho, Byung-Jun Park
  Journal of Cardiovascular Nursing.2017; 32(6): E8.     CrossRef
• Development and Effectiveness of Tailored Education and Counseling Program for Patients with Coronary Artery Disease undergoing Percutaneous Coronary Intervention
  So-Yeon Kim, Min Young Kim
  Korean Journal of Adult Nursing.2017; 29(5): 547.     CrossRef

PURPOSE
The purpose of this study was to develop a smartphone application and evaluate it's effectiveness and usability for promoting bone health in Korean young adult women.
METHODS
A smartphone application was developed covering exercise, nutrition, and health habits related to bone health. A pilot testing was conducted using a one-group pre/posttest design. A total of 22 female college students with low bone mass participated in the 8-week use of a pilot testing.
RESULTS
The "Strong bone Fit body (SbFb)" application was developed using Android platform. In the pilot testing, bone mineral density, serum CTX, and 25 (OH)Vit.D were significantly decreased. There is no significant change in serum osteocalcin and calcium. Serum phosphorus concentration, nutrient intakes (fiber, VitB6, and pantotenic acid), and all bone composition profiles were significantly increased. Bonehealth knowledge was significantly increased but no change in health belief and self-efficacy.
CONCLUSION
The results of this pilot testing suggest the effectiveness of the SbFb application to enhance and promote self-managing abilities for bone health. It can provide continuous feedback and high-quality bone health information. However, some contents and working methods of the application need to be modified and its effectiveness on bone health requires further investigations.

Citations

• Feasibility of a mobile app for traumatic stress management using neurofeedback-based meditation and binaural beat music: A pilot randomized controlled trial
  Yun-Jung Choi, Dong-Hee Cho, Na-Rae Lee
  DIGITAL HEALTH.2024;[Epub]     CrossRef
• Effectiveness of a virtual reality application‐based education programme on patient safety management for nursing students: A pre‐test–post‐test study
  Jae Woo Oh, Ji Eun Kim
  Nursing Open.2023; 10(12): 7622.     CrossRef
• Development and evaluation of a self‐management application for patients with gout
  Seung Gum Kang, Eun Nam Lee
  Japan Journal of Nursing Science.2020;[Epub]     CrossRef
• Application and Effect of Mobiletype-Bone Health Intervention in Korean Young Adult Women with Low Bone Mass: A Randomized Control Trial
  Young-Joo Park, Sook-Ja Lee, Nah-Mee Shin, Hyunjeong Shin, Songi Jeon, Jungwoo Lee, Inhae Cho
  Asian Nursing Research.2017; 11(1): 56.     CrossRef