대학생 대상 자기관리 수업이 건강증진행동에 미치는 영향: 행동 유형을 중심으로
The Effectiveness of a College-Level Self-Management Course on Health Promoting Behavior Change by the Respective Behavior Type
정경미 (연세대학교)
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초록
본 연구는 행동 유형에 따라 자기관리 수업의 효과성이 달라지는가를 보기 위해, 첫째, 자기관리 수업의 개입효과를 목표 행동에 따라 나누어 직접적으로 비교하고, 둘째, 다수의 측정변인으로 개입효과를 측정하였다. 이를 위해 본 연구에서는 한 대학교에서 자기관리 수업을 수강하면서 행동수정 프로젝트를 완료한 수강생들 중 제외기준에 해당하는 147명을 제외한 121명을 대상으로 분석을 실시하였다. 자기관리 수업은 기저선(2-3주), 자기관리 수업(3개월), 종결로 진행되었다. 수업의 첫 주와 마지막 주에 수강생들은 자기보고 설문을 작성하였다. 이에 더하여, 수강생들은 자신의 목표행동을 매일 기록하였다. 연구자는 이렇게 수집된 행동자료를 PEM, 개입 전-후의 신뢰구간 비교의 방법으로 분석하였다. 목표 행동에는 학습, 운동, 수면, 긴장 습관, 식습관이 있었는데, 연구 결과, 자기관리 수업의 개입효과는 목표 행동의 유형에 따라 유의하게 다르게 나타났다. 구체적으로, 긴장습관에는 수면과 운동 행동보다 더 많은 변화가 있었다. 결과는 측정변인에 관계없이 거의 유사했다. 이 같은 결과를 바탕으로 본 연구의 함의와 한계점에 대해 논의하였다.
- keywords
- 자기관리 수업, 건강증진행동, 목표 행동, 행동 유형, 행동 수정, self-management course, health promoting behavior, target behavior, behavior type, behavior modification
Abstract
The purpose of this study was to investigate whether the effectiveness of a self-management (SM) course differed depending on the target behavior type. Undergraduate students were taught behavioral principles relevant to self-management and were asked to modify their own problem behaviors using those principles. In the present study, we (a) directly compared the effectiveness of the SM course across target behavior types and (b) measured behavior change outcomes based on three variables. A total of 268 university students took the SM course and participated in the self-modification project, and 121 students were used for analysis. The study timeline was as follows: baseline (2-3 weeks), SM course (3 months), and final week. During the baseline and final weeks, students filled out self-report questionnaires. In addition, they recorded their daily behavior during the SM course regarding their target problem behavior. The result revealed that the effectiveness of the SM course was significantly different depending on the behavior type, which were study habits, exercise behaviors, sleeping habits, nervous habits, and eating habits. More specifically, nervous habits were more amenable to change through the SM course than sleep habits and exercise behavior. These findings were similar across the three different outcomes measures. Implications and limitations are discussed.
- keywords
- 자기관리 수업, 건강증진행동, 목표 행동, 행동 유형, 행동 수정, self-management course, health promoting behavior, target behavior, behavior type, behavior modification
참고문헌
Appelbaum, K. A., Blanchard, E. B., Hickling, E. J., & Alfonso, M. (1988). Cognitive behavioral treatment of a veteran population with moderate to severe rheumatoid arthritis. Behavior Therapy, 19(4), 489-502.
Bailey, W. C., Kohler, C. L., Richards Jr., J. M., Windsor, R. A., Brooks, C. M., Gerald, L. B., & Liu, T. (1999). Asthma self-management: Do patient education programs always have an impact? Archives of Internal Medicine, 159(20), 2422-2428.
Barrera Jr., M., & Glasgow, R. E. (1976). Design and evaluation of a personalized instruction course in behavioral self-control. Teaching of Psychology, 3(2), 81-84.
Bouman, T. K., & Emmelkamp, P. M. G. (1996). Panic disorder and agoraphobia. In Van Hasselt, V. B. & Herson, M. (Eds.), Sourcebook of psychological treatment manuals for adult disorders, (pp. 23-63). New York: Plenum Press.
Bradley, L. A., Young, L. D., Anderson, K. O., Turner, R. A., Agudelo, C. A., Mcdaniel, L. K., & Morgan, T. M. (1987). Effects of psychological therapy on pain behavior of rheumatoid arthritis patients. treatment outcome and six‐month followup. Arthritis & Rheumatism, 30(10), 1105-1114.
Chapman, G. B., & Elstein, A. S. (1995). Valuing the Future Temporal Discounting of Health and Money. Medical Decision Making, 15(4), 373-386.
Choi, J. H., & Chung, K. M. (2012). Effectiveness of a college-level self-management course on successful behavior change. Behavior Modification, 36(1), 18-36.
Cooper, J. O., Heron, T. E., & Heward, W. L. (2007). Applied Behavior Analysis (2nd ed.). New Jersey: Pearson Educational International.
Curry, S. J. (1993). Self-help interventions for smoking cessation. Journal of Consulting and Clinical Psychology, 61(5), 790-803.
Dunning, D., Heath, C., & Suls, J.M. (2004). Flawed self-assessment implications for health, education, and the workplace. Psychological science in the public interest, 5(3), 69-106.
Efron, B. (1979). Bootstrap methods: Another look at the jackknife. The annals of Statistics, 7(1), 1-26.
Efron, B., & Tibshirani, R. (1986). Bootstrap methods for standard errors, confidence intervals, and other measures of statistical accuracy. Statistical science, 1(1), 54-75.
Glasgow, R. E., & Rosen, G. M. (1979). Self-help behavior therapy manuals: Recent developments and clinical usage. Clinical Behavior Therapy Review, 1(1), 3-20.
Gould, R. A., & Clum, G. A. (1993). A meta-analysis of self-help treatment approaches. Clinical Psychology Review, 13(2), 169-186.
Haaga, D. A. F. (2000). Introduction to the special section on stepped care models in psychotherapy. Journal of Consulting and Clinical Psychology, 68(4), 547.
Hamilton, S. B. (1980). Instructionally-based training in self-control:Behavior-specific and generalized outcomes resulting from student-implemented self-motivation projects. Teaching of Psychology, 7(3), 140-145.
Harris, M. B., & Trujillo, A. E. (1975). Improving study habits of junior high school students through self-management versus group discussion. Journal of Counseling Psychology, 22(6), 513-517.
Hillis, D. M., & Bull, J. J. (1993). An empirical test of bootstrapping as a method for assessing confidence in phylogenetic analysis. Systematic Biology, 42(2), 182-192.
Hirai, M., & Clum, G. A. (2006). A meta-analytic study of self-help interventions for anxiety problems. Behavior Therapy, 37(2), 99-111.
King, A. C., Frey-Hewitt, B., Dreon, D. M., & Wood, P. D. (1989). Diet vs exercise in weight maintenance: The effects of minimal intervention strategies on long-term outcomes in men. Archives of Internal Medicine, 149(12), 2741.
Kiresuk, T. J., & Sherman, R. E. (1968). Goal attainment scaling: A general method for evaluating comprehensive community mental health programs. Community Mental Health Journal, 4(6), 443-453.
Knapp, T. J., & Wells, L. A. (1978). Behavior therapy for asthma: A review. Behaviour research and therapy, 16(2), 103-115.
Kolb, D. A., Winter, S. K., & Berlew, D. E. (1968). Self-directed change: Two studies. The Journal of Applied Behavioral Science, 4(4), 453-471.
Leith, L. M., & Taylor, A. H. (1992). Behavior modification and exercise adherence: A literature review. Journal of Sport Behavior, 15(1), 60-74.
Lovaas, O. I. (1993). The development of a treatment- research project for developmentally disabled and autistic children. Journal of Applied Behavior Analysis, 26(4), 617-630.
Ma, H. H. (2006). An alternative method for quantitative synthesis of single-subject researches. Behavior modification, 30(5), 598-617.
Marlatt, G. A., & Kaplan, B. E. (1972). Self-initiated attempts to change behavior: A study of New Year's resolutions. Psychological Reports, 30(1), 123-131.
Marrs, R. W. (1995). A meta-analysis of bibliotherapy studies. American Journal of Community Psychology, 23(6), 843-870.
Martin, J. & Pear, J. (2006). 행동수정[Behavior modification (7th ed..)]. (이임순, 이은영, 임선아 역). 서울: 학지사. (원저 2003 출판)
McGaghie, W. C., Menges, R. J., & Dobroski, B. J. (1976). Self-modification in a college course: Outcomes and correlates. Journal of Counseling Psychology; Journal of Counseling Psychology, 23(3), 178-182.
Menges, R. J., & Dobroski, B. J. (1977). Behavioral self-modification in instructional settings: A review. Teaching of Psychology, 4(4), 168-173.
Miltenberger, R. G., Fuqua, R. W., & Woods, D. W. (1998). Applying behavior analysis to clinical problems: review and analysis of habit reversal. Journal of Applied Behavior Analysis, 31(3), 447-469.
Noar, S. M., Benac, C. N., & Harris, M. S. (2007). Does tailoring matter? Meta-analytic review of tailored print health behavior change interventions. Psychological Bulletin, 133(4), 673-693.
Norton, P. J., & Price, E. C. (2007). A meta-analytic review of adult cognitive-behavioral treatment outcome across the anxiety disorders. The Journal of Nervous and Mental disease, 195(6), 521-531.
Parker, R. I., Hagan-Burke, S., & Vannest, K. (2007). Percentage of All Non-Overlapping Data (PAND) An Alternative to PND. The Journal of Special Education, 40(4), 194-204.
Payne, P. A., & Woudenberg, R. A. (1978). Helping others and helping yourself: An evaluation of two training modules in a college course. Teaching of Psychology, 5(3), 131-134.
Perri, M. G., & Richards, C. S. (1977). An investigation of naturally occurring episodes of self-controlled behaviors. Journal of Counseling Psychology, 24(3), 178-183.
Rakos, R. F., & Grodek, M. V. (1984). An empirical evaluation of a behavioral self-management course in a college setting. Teaching of Psychology, 11(3), 157-162.
Schallow, J. R. (1975). Locus of control and success at self-modification. Behavior Therapy, 6(5), 667-671.
Scogin, F. R., Hanson, A., & Welsh, D. (2003). Selfadministered treatment in stepped‐care models of depression treatment. Journal of Clinical Psychology, 59(3), 341-349.
Scruggs, T. E., Mastropieri, M. A., & Casto, G. (1987). The quantitative synthesis of single- subject research. Remedial and Special Education, 8(2), 24-33.
Seligman, M. E. P. (1994). What You Can Change and What You Can't. New York: Knopf.
Tatrow, K., & Montgomery, G. H. (2006). Cognitive behavioral therapy techniques for distress and pain in breast cancer patients: a meta-analysis. Journal of Behavioral Medicine, 29(1), 17-27.
Wasserman, S., & Bockenholt, U. (1989). Bootstrapping: Applications to psychophysiology. Psychophysiology, 26(2), 208-221.
Watson, D. L., & Tharp, R. G. (2010). 충동과 자기관리[Self-directed behavior (9th ed..)]. (정경미,조성은, 최부열 역). 서울: 박학사. (원저 2007출판)
Wincze, J. P., & Carey, M. P. (2001). Sexual dysfunction: A guide for assessment and treatment. New York: The Guilford Press.
Worthington, E. L. (1977). Honesty and success in self-modification projects for a college class. Teaching of Psychology, 4(2), 78-82.
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