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Original Articles

Unhealthy alcohol use: screening and behavioral counseling interventions
Wonyoung Jung, Seung-Won Oh, Se-Hong Kim, Soo Young Kim
Korean J Fam Med 2025;46(1):20-26.   Published online November 12, 2024
DOI: https://doi.org/10.4082/kjfm.24.0115
Background
Despite the increase in daily alcohol intake in recent decades and the implementation of national health screenings, effective management strategies for alcohol consumption remain outdated. This review evaluates intervention studies on screening and behavioral counseling for unhealthy alcohol use, with the aim of enhancing the effectiveness of interventions and improving health outcomes.
Methods
On the basis of the GRADE (Grading of Recommendations Assessment, Development, and Evaluation)- ADOLOPMENT framework, systematic reviews and randomized controlled trials were examined to investigate the effectiveness of screening and counseling interventions in reducing unhealthy alcohol use. Five key questions were generated, and an evaluation and quality assessment of existing systematic reviews and new evidence related to each key question were conducted.
Results
Updating the U.S. Preventive Services Task Force and Cochrane 2018 reviews, we identified five new randomized trials that evaluated screening and counseling interventions for unhealthy alcohol use. For Key Question 2, the sensitivity and specificity of the new screening studies were consistent with those of prior research. Brief interventions were confirmed to reduce alcohol use (Key Question 4a), although additional research is required for a wider array of health outcomes. One study highlighted the benefits of counseling interventions for newborn health indicators in pregnant women (Key Question 4b). No new evidence was found regarding the harms of screening (Key Question 3) or alcohol use reduction interventions (Key Question 5).
Conclusion
This review supports the continued use of brief interventions to reduce alcohol consumption in highrisk groups and highlights the need for culturally tailored research in Korea.
  • 4,558 View
  • 105 Download
Tobacco cessation: screening and interventions
Yoo-Bin Seo, Sang-Wook Song, Sung-Goo Kang, Soo Young Kim
Korean J Fam Med 2025;46(1):12-19.   Published online October 29, 2024
DOI: https://doi.org/10.4082/kjfm.24.0034
Background
Tobacco use has been the leading cause of disease and death in South Korea. Early detection of tobacco use and evidence-based interventions play pivotal roles in facilitating tobacco cessation.
Methods
In accordance with the earlier iterations of the Lifetime Health Maintenance Program (2009) and recent recommendations from the United States Preventive Services Task Force (USPSTF; 2021), two themes were chosen for investigation: the identification of and intervention for tobacco use. The USPSTF recommendations were formulated by conducting an overview of reviews. In this study, literature searches and quality assessments of reviews were conducted.
Results
The findings highlighted the efficacy of physician-led identification and advising in promoting tobacco cessation, with robust evidence supporting the implementation of behavioral and pharmacological interventions. These interventions significantly increased the likelihood of successful cessation compared with usual care. Digital interventions, such as internet- or mobile-based interventions, showed additive effects for quitting.
Conclusion
Identification and targeted interventions are essential for tobacco cessation. By leveraging evidencebased strategies and enhancing access to resources, healthcare providers can empower individuals to achieve successful tobacco cessation and improve overall health outcomes.
  • 4,306 View
  • 118 Download
Split Tummy Exercise Program for Reducing Diastasis Recti in Postpartum Primigravidae: A Randomized Controlled Trial
Suhaila Shohaimi, Nik Rosmawati Nik Husain, Faizah Mohd. Zaki, Ixora Kamisan Atan
Korean J Fam Med 2023;44(2):102-108.   Published online March 20, 2023
DOI: https://doi.org/10.4082/kjfm.22.0035
Background
Diastasis rectus abdominis (DRA) involves the separation of the midline abdominal muscles and linea alba and affects more than half of postpartum women. This study aimed to assess the effect of a split tummy exercise program (STEP) on DRA closure in postpartum mothers.
Methods
A randomized controlled trial was conducted from 2008 to 2020 at the Obstetrics and Gynaecology Clinic of the Universiti Kebangsaan Malaysia Medical Centre. Primigravida mothers diagnosed with DRA were selected and randomly assigned to the intervention (n=21) or control (n=20) group. The intervention group underwent a home-based STEP consisting of three phases of nine abdominal exercises. DRA size was assessed at baseline and at 8 weeks postpartum using two-dimensional ultrasound.
Results
The mean age of the participants was 28 years (standard deviation, 3.6), with the majority of Malay ethnicity (87.8%) and working mothers (78%). After 8 weeks, the intervention group showed a significant reduction in DRA size of up to 27% (mean difference, 6.17 mm; 95% confidence interval, 3.7–8.7; P<0.001). No significant intergroup DRA changes were observed after 8 weeks of follow-up.
Conclusion
Early postpartum screening for DRA should be advocated to allow early STEP intervention to ensure favorable outcomes. STEP intervention is an effective postnatal training program for managing DRA.

Citations

Citations to this article as recorded by  
  • Impact of postpartum exercise on pelvic floor disorders and diastasis recti abdominis: a systematic review and meta-analysis
    Nicole F Beamish, Margie H Davenport, Muhammad Usman Ali, Matthew J Gervais, Talia Noel Sjwed, Gyanjot Bains, Allison Sivak, Rita E Deering, Stephanie-May Ruchat
    British Journal of Sports Medicine.2025; 59(8): 562.     CrossRef
  • Comparative Efficacy and Acceptability of Non-surgical Treatments with or without Exercise for Diastasis Recti Abdominis in Postpartum Women: A Network Meta-Analysis of Randomized Controlled Trials
    Wen-Chieh Wu, Wen-Hong Wu, Ming-Fen Lee, Pei-Yu Wu, Yu-Kang Tu, Hsuan Lin, Chien-Yi Chan, Chun-Yin Huang
    Sports Medicine.2025; 55(4): 937.     CrossRef
  • Comparative Efficacy of Abdominal Exercises and Abdominal Binding on Diastasis Recti Abdominis Reduction in Postpartum Women: A Systematic Review and Meta‐Analysis of Randomized Controlled Trials
    Abdullah, Khawaja Abdul Rehman, Bilal Ahmad, Muhammad Khubaib Arshad, Humza Saeed, Mahnoor Asghar Keen, Amna Anwar, Noor ul ain Saleem, Umm E. Salma Shabbar Banatwala, Zara Bilal, Maryam Shahzad, Pakeeza Shakoor, Muhammad Ahsen Niazi
    Physiotherapy Research International.2025;[Epub]     CrossRef
  • Effects of conservative approaches for treating diastasis recti abdominis in postpartum women: A systematic review and meta-analysis
    Laís Campos de Oliveira, Laura Isabel Martins de Almeida, Maria Clara Fagundes Lucio, Jorge Furtado de Campos Júnior, Raphael Gonçalves de Oliveira
    Medicine.2025; 104(23): e42723.     CrossRef
  • The Italian national consensus conference on the diagnosis and treatment of Rectus Abdominis diastasis in Post-gravidic Women
    Umberto Bracale, Cesare Stabilini, Giuseppe Cavallaro, Francesca Pecchini, Gerardo Sarno, Ferdinando Agresta, Michele Carlucci, Simona Rocchetti, Alberto Sartori, Alberto Di Leo, Jacopo Andreuccetti, Giusto Pignata, Ernesto Tartaglia, Carlo Sagnelli, Dieg
    Hernia.2025;[Epub]     CrossRef
  • Comparative effectiveness of rehabilitation therapies for diastasis recti abdominis: A systematic review and Bayesian network meta‐analysis
    Jiahui Zhu, BaoJin Dong, Shuang Liu
    International Journal of Gynecology & Obstetrics.2025;[Epub]     CrossRef
  • An evidence-based comparison of rehabilitation strategies for diastasis recti abdominis in postpartum women: a systematic review and network meta-analysis
    Nahid Bigdeli, Ali Yalfani, Amin Doosti-Irani, Ali Qodrati
    Scientific Reports.2025;[Epub]     CrossRef
  • Precision medicine exploration of postpartum rectus abdominis muscle separation: from basic research to clinical practice
    MengMeng Huang, Zhihong Huang, Hanzhang Huang
    BMC Surgery.2025;[Epub]     CrossRef
  • Recomendaciones médicas desde atención primaria sobre ejercicio físico en el posparto
    L.M. Gallo-Galán, M.A. Gallo-Vallejo, J.L. Gallo-Vallejo
    Medicina de Familia. SEMERGEN.2024; 50(3): 102148.     CrossRef
  • Intra‐ and Interimage Reliability of Inter‐Rectus Distance Measurements Determined via Ultrasound Imaging by the Same or Different Testers in Women in the Early Postpartum Period
    Qing Jiang, Ya Gao, Shuyu Xia, Yuefan Gu, Jun Gu, Jianfeng Guo, Guannan Feng, Qifeng Deng, Xuedong Deng
    Journal of Ultrasound in Medicine.2024; 43(6): 1037.     CrossRef
  • FISIOTERAPIA NA DIÁSTASE DOS MÚSCULOS RETOS ABDOMINAIS NO PÓS-PARTO: REVISÃO INTEGRATIVA
    Ana Clara Moreira de Jesus, Andresa Santos Souza, Gabrielle Barreto Menezes, Jisielle Oliveira dos Santos, Luiz André Santos Silva, Elisama de Campos Guimarães, Isabela da Silva Vasconcelos Rodrigues, Grace Kelly Melo de Almeida
    Revista Contemporânea.2024; 4(7): e5102.     CrossRef
  • Comparison of Health Parameters in Postpartum Diastasis Recti: A Randomized Control Trial of SEMG Biofeedback-Assisted Core Strengthening Exercises with Kinesiotaping vs. Non-Assisted Exercises
    Ujala Afzal, Quratulain Saeed, Muhammad Nabeel Anwar, Sanna Pervaiz, Manahil Shahid, Rimsha Javed, Muhammad Umair Ali, Seung Won Lee
    Healthcare.2024; 12(16): 1567.     CrossRef
  • Effect of hypopressive and conventional abdominal exercises on postpartum diastasis recti: A randomized controlled trial
    Mercedes Soto-González, Iria Da Cuña-Carrera, Eva María Lantarón-Caeiro, Augusto Gil Pascoal, Shabnam ShahAli
    PLOS ONE.2024; 19(12): e0314274.     CrossRef
  • 11,754 View
  • 266 Download
  • 14 Web of Science
  • 13 Crossref

Review Article

Current Status of Physical Activity in South Korea
Yoo Bin Seo, Yun Hwan Oh, Yun Jun Yang, on behalf of the Korea Interest Group of Physical Activity
Korean J Fam Med 2022;43(4):209-219.   Published online July 19, 2022
DOI: https://doi.org/10.4082/kjfm.22.0099
The health benefits of physical activity have been well established. However, more than a quarter of the adult population in the world is insufficiently active (not performing at least 150 minutes of moderate-intensity physical activity per week, 75 minutes of vigorous-intensity physical activity per week, or any equivalent combination of the two), and there has been little improvement since 2001. In South Korea, the prevalence of insufficient physical activity was 54.4% in adults and 94.1% in adolescents in 2020. There was continuous decrease in the prevalence of sufficient aerobic physical activity, from 58.3% in 2014 to 45.6% in 2020. However, daily duration of sedentary behavior increased from 7.5 to 8.6 hours in the same period. Interventions to promote physical activity are necessary in various fields including clinical and policy approaches. As physical activity has decreased during the coronavirus disease 2019 pandemic, safer and more effective strategies to promote physical activity are required.

Citations

Citations to this article as recorded by  
  • The role of collegiate sport experience in social adjustment and quality of college life: moderating role of the school year
    Weisheng Chiu, Heetae Cho, Seungmo Kim
    Asia Pacific Journal of Education.2025; 45(4): 1146.     CrossRef
  • Retrospective observational study of the association between changes in physical activity and frailty in middle-aged and older adults: evidence from the Korean Longitudinal Study of Aging (2006–2022)
    Ye Jun Jung, Junhyuk Kim, Yun Seo Jang, Eun-Cheol Park
    BMJ Open.2025; 15(1): e092072.     CrossRef
  • Sedentary Behavior and Its Association With Psychological Well-Being and Sleep Quality in Adolescents: Evidence from a Propensity Score Analysis
    Lirong Zhang, Shaocong Zhao, Shuangyin Zhao, Hua Zheng, Yizhen Ke, Weichen Yang, Mingxing Lei
    Psychology Research and Behavior Management.2025; Volume 18: 281.     CrossRef
  • Application of the Multi-Process Action Control model framework to predict physical activity: a study on Korean university students
    Doheung Lee, Heejung Jung, Seungjoo Lee, Sungho Kwon
    Psychology & Health.2025; : 1.     CrossRef
  • Maintaining optimal cardiovascular health metrics and carotid intima-media thickness among Korean adolescents
    Fumie Kaneko, Hokyou Lee, Jee-Seon Shim, Hyeon Chang Kim
    Clinical Hypertension.2025;[Epub]     CrossRef
  • Assessing adherence to physical activity guidelines and correlates among older Korean adults with a focus on 10-minute bout duration using subjective and objective measures
    Junhui Park, Su Hyun Kim, Young Hoon Kim, Chang-Hyung Lee, Timoteo Salvador Lucas Daca
    PLOS One.2025; 20(6): e0324342.     CrossRef
  • A Novel Sarcopenia Screening Approach Using an Osteoporosis-Inspired T-Score Method
    Hyun Sik Kim, Choon Hee Chung, Jung Woo Lee
    Yonsei Medical Journal.2025; 66(10): 647.     CrossRef
  • Physical Activity Guidelines: Global Trends and Korean Perspectives
    Yoon-Jung Choi, Jeongran Ko, Junghoon Kim
    The Asian Journal of Kinesiology.2025; 27(3): 114.     CrossRef
  • Association between residential greenness and allergic diseases among adolescents in South Korea: A nationwide representative study
    Jeongmin M. Lee, Juyeong Kim, Kyeongeun Kim, Yesol Yim, Yerin Hwang, Selin Woo, Dong Keon Yon
    Pediatric Allergy and Immunology.2025;[Epub]     CrossRef
  • Gendered adolescent time use in Japan, Korea, Finland, and the United Kingdom across three decades
    Grace Chang, Man-Yee Kan
    Demographic Research.2025; 53: 511.     CrossRef
  • Prevalence and associated factors of overweight and obesity among adult women in Tanzania from the 2022 Tanzania Demographic and Health Survey
    Jovinary Adam, Pankras Luoga, Atuganile Mtawa, Tumaini Nyamhanga
    Scientific Reports.2025;[Epub]     CrossRef
  • 2025 Position statement on active outdoor play
    Eun-Young Lee, Louise de Lannoy, Yeong-Bae Kim, Apoorva Rathod, Maeghan E. James, Olivia Lopes, Brianna Nasrallah, Anujah Thankarajah, Dina Adjei-Boadi, Maria Isabel Amando de Barros, Scott Duncan, Robyn Monro Miller, Lærke Mygind, Leigh M. Vanderloo, Po-
    International Journal of Behavioral Nutrition and Physical Activity.2025;[Epub]     CrossRef
  • Dyslipidemia Fact Sheet in South Korea, 2024
    Osung Kwon, Sang-Yeub Lee, Bokyoung Kim, Kyungdo Han, Jihyun Ahn
    Journal of Lipid and Atherosclerosis.2025; 14(3): 298.     CrossRef
  • Cost-Effectiveness of a Mobile Health Program for Pre-elderly Adults
    Eunmi Bae, Arum Moon, Seungju Baek, Jung-Ha Kim, Sunmee Jang
    Journal of Medical Systems.2025;[Epub]     CrossRef
  • The Associations Between Physical Activity, Body Perception, and Self-Rated Health in Korean Adults: An Analysis of the 2023 Korean Community Health Survey
    Geun-Kook Kim, Su-Yeon Roh, Sung-Ho Hwang
    Medicina.2025; 61(11): 1898.     CrossRef
  • Trends in obesity, leisure-time physical activity, and sedentary behavior in Korean adults: Korea national health and nutritional examinations survey from 2014 to 2021
    Yunmin Han, Hoyong Sung, Younghwan Choi, Yeon Soo Kim, Hee-Taik Kang
    PLOS ONE.2024; 19(1): e0296042.     CrossRef
  • Effect of alcohol consumption on risk of hypertension based on alcohol-related facial flushing response: From the health examinees study
    Seung Yeon Cho, Jiwon Jeong, Sangah Shin
    Alcohol.2024; 121: 133.     CrossRef
  • Feasibility of Mobile Health App-Based Home Aerobic Exercise for Physical Performance in Healthy Young Adults
    Je Shik Nam, Hyun-Ah Kim, Tae-Jin Kwak, Kang Hee Cho, Il-Young Jung, Chang-Won Moon
    Annals of Rehabilitation Medicine.2024; 48(1): 75.     CrossRef
  • Racial Differences in Ischemic and Hemorrhagic Stroke: An Ecological Epidemiological Study
    Dong-Seon Kang, Pil-Sung Yang, Daehoon Kim, Eunsun Jang, Hee Tae Yu, Tae-Hoon Kim, Jung-Hoon Sung, Hui-Nam Pak, Moon-Hyoung Lee, Gregory Y. H. Lip, Boyoung Joung
    Thrombosis and Haemostasis.2024; 124(09): 883.     CrossRef
  • Guidelines for physical activity counseling in primary healthcare clinics
    Yun Jun Yang
    Journal of the Korean Medical Association.2024; 67(4): 265.     CrossRef
  • Exploring the meanings and aspects of urban walking in Seoul for active living
    Eunbyeol Cho, Chaerim Lee, Dong Ha Kim, Seunghyun Yoo
    Korean Journal of Health Education and Promotion.2024; 41(1): 89.     CrossRef
  • Effects of public transportation use on non-exercise activity thermogenesis and health promotion: a mini-review
    Sung-Woo Kim, Deunsol Hwang, Sunghwan Kyun, Inkwon Jang, Taeho Kim, Jongwon Kim, Inseop Shin, Kiwon Lim
    Physical Activity and Nutrition.2024; 28(1): 031.     CrossRef
  • Physical Inactivity and Sedentariness in Older Hearing Loss patients: Restoration With Hearing Aids
    Sang‐Yoon Han, Hee Won Seo, Seung Hwan Lee, Jae Ho Chung
    The Laryngoscope.2024; 134(12): 5109.     CrossRef
  • Impacts of smoking on alcoholic liver disease: a nationwide cohort study
    Jeong-Ju Yoo, Dong Hyeon Lee, Sang Gyune Kim, Jae Young Jang, Young Seok Kim, Log Young Kim
    Frontiers in Public Health.2024;[Epub]     CrossRef
  • Effectiveness of an e-Book on Bone Health as Educational Material for Adolescents: Single-Group Experimental Study
    Nor Aini Jamil, Jashwiny Dhanaseelan, Nurin Athirah Buhari
    JMIR Pediatrics and Parenting.2024; 7: e56611.     CrossRef
  • The impact of fear of falling on health-related quality of life in community-dwelling older adults: mediating effects of depression and moderated mediation effects of physical activity
    Eun Sook Lee, Boyoung Kim
    BMC Public Health.2024;[Epub]     CrossRef
  • Handgrip strength thresholds associated with metabolic syndrome risk in children and adolescents: a systematic review and meta-analysis
    Hye Ah Lee, Seunghee Jun, Hyesook Park
    Epidemiology and Health.2024; 46: e2024047.     CrossRef
  • Increased Intake of Omega-3 Polyunsaturated Fatty Acids Is Associated with Reduced Odds of Low Hand Grip Strength in Korean Adults
    Yoonjin Shin, Eugene Chang
    Nutrients.2023; 15(2): 321.     CrossRef
  • A Cross-Sectional Investigation of the Association between Arterial Stiffness and Depressive Symptoms, Anxiety Symptoms, and Quality of Life
    Tae-Kyung Yoo, Seunghee Lee, Soo-Young Hwang, Curie Ahn, Saejong Park, Jong-Young Lee
    Medicina.2023; 59(3): 477.     CrossRef
  • Combinations of lifestyle behaviors and cancer risk among Korean adults
    Ngoc Minh Luu, Thi Tra Bui, Thi Phuong Thao Tran, Thi Huyen Trang Nguyen, Jin-Kyoung Oh
    Scientific Reports.2023;[Epub]     CrossRef
  • Does Excessive Smartphone Use Reduce Physical Activity in Adolescents?
    Soo Young Kim
    Korean Journal of Family Medicine.2023; 44(5): 247.     CrossRef
  • Discordance in Secular Trends of Bone Mineral Density Measurements in Different Ages of Postmenopausal Women
    Kwang Yoon Kim, Jaesun Park, Sungwon Yang, Junghwa Shin, Ji Hyun Park, Bumhee Park, Bom Taeck Kim
    Journal of Korean Medical Science.2023;[Epub]     CrossRef
  • Physical activity trajectories of different grade levels of male adolescents in association of academic performance and mental health
    Haemi Jee
    Journal of Exercise Rehabilitation.2023; 19(5): 258.     CrossRef
  • Age and sex differences in coronal lower extremity alignment in a healthy Asian population
    Doohyun Hwang, Min Wook Choi, Seong-Hwan Kim, Hyuk-Soo Han, Chong Bum Chang, Myung Chul Lee, Na-Kyoung Lee, Du Hyun Ro
    The Knee.2023; 45: 198.     CrossRef
  • Trends in the effects of socioeconomic position on physical activity levels and sedentary behavior among Korean adolescents
    Hunju Lee, Hyowon Choi, Sang Baek Koh, Hyeon Chang Kim
    Epidemiology and Health.2023; 45: e2023085.     CrossRef
  • The Difference in the Prevalence of Metabolic Syndrome According to Meeting Guidelines for Aerobic Physical Activity and Muscle-Strengthening Exercise: A Cross-Sectional Study Performed Using the Korea National Health and Nutrition Examination Survey, 201
    Du Ho Kwon, Young Gyu Cho, Hyun Ah Park, Ho Seok Koo
    Nutrients.2022; 14(24): 5391.     CrossRef
  • Current status of physical activity in Korea and exercise prescriptions
    Yun Jun Yang
    Journal of the Korean Medical Association.2022; 65(12): 810.     CrossRef
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  • 241 Download
  • 36 Web of Science
  • 37 Crossref
Original Articles
Delphi Survey for Designing a Intervention Research Study on Childhood Obesity Prevention
Min Jeong Kim, Eunju Sung, Eun Young Choi, Young-Su Ju, Eal-Whan Park, Yoo-Seock Cheong, Sunmi Yoo, Kyung Hee Park, Hyung Jin Choi, Seolhye Kim
Korean J Fam Med 2017;38(5):284-290.   Published online September 22, 2017
DOI: https://doi.org/10.4082/kjfm.2017.38.5.284
Background

The prevalence of childhood obesity in South Korea has increased owing to economic improvement and the prevailing Westernized dietary pattern. As the incidence of chronic diseases caused by obesity is also expected to increase, effective interventions to prevent childhood obesity are needed. Therefore, we conducted a Delphi study to determine the priorities of a potential intervention research on childhood obesity prevention and its adequacy and feasibility.

Methods

The two-round Delphi technique was used with a panel of 10 childhood obesity experts. The panelists were asked to rate “priority populations,” “methods of intervention,” “measurement of outcomes,” “future intervention settings,” and “duration of intervention” by using a structured questionnaire. Finally, a portfolio analysis was performed with the adequacy and feasibility indexes as the two axes.

Results

For priority populations, the panel favored “elementary,” “preschool,” and “middle and high school” students in this order. Regarding intervention settings, the panelists assigned high adequacy and feasibility to “childcare centers” and “home” for preschool children, “school” and “home” for elementary school children, and “school” for adolescents in middle and high school. As the age of the target population increased, the panelists scored increasing numbers of anthropometric, clinical, and intermediate outcomes as highly adequate and feasible for assessing the effectiveness of the intervention.

Conclusion

According to the results of the Delphi survey, the highest-priority population for the research on childhood obesity prevention was that of elementary school students. Various settings, methods, outcome measures, and durations for the different age groups were also suggested.

Citations

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  • Childhood obesity: The threatening apprentice of the adiposity empire
    J. Karina Zapata, Javier Gómez-Ambrosi, Gema Frühbeck
    Reviews in Endocrine and Metabolic Disorders.2025; 26(4): 539.     CrossRef
  • Assessing the Impact of Early Childhood Intervention Programs on Obesity Prevention: A comparative study
    Fatima Tariq, Salman Tahir, Shahjahan Raza Gardezi, Maryam Sarwar, Muhammad Nasir Shahbaz, Arham Riaz
    DEVELOPMENTAL MEDICO-LIFE-SCIENCES.2024; 1(7): 48.     CrossRef
  • Development of a comprehensive flourishing intervention to promote mental health using an e-Delphi technique
    Juliane Piasseschi de Bernardin Gonçalves, Camilla Casaletti Braghetta, Willyane de Andrade Alvarenga, Clarice Gorenstein, Giancarlo Lucchetti, Homero Vallada
    Frontiers in Psychiatry.2023;[Epub]     CrossRef
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    Yeon-Oh Han, Byung-Sun Lee
    Children.2022; 9(1): 79.     CrossRef
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    Farnaz Khatami, Ghazal Shariatpanahi, Hamid Barahimi, Rezvan Hashemi, Leila Khedmat, Mahta Gheirati
    BMC Pediatrics.2021;[Epub]     CrossRef
  • Expert consensus on the important chronic non-specific neck pain motor control and segmental exercise and dosage variables: An international e-Delphi study
    Jonathan Price, Alison Rushton, Vasileios Tyros, Nicola R. Heneghan, Zubing Mei
    PLOS ONE.2021; 16(7): e0253523.     CrossRef
  • Designing an internet‐based intervention for improving wellbeing in people with acquired vision loss: A Delphi consensus study
    Nurbanu Somani, Eldre Beukes, Keziah Latham, Gerhard Andersson, Peter M Allen
    Ophthalmic and Physiological Optics.2021; 41(5): 971.     CrossRef
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    Rafaela Liberali, Emil Kupek, Maria Alice Altenburg de Assis
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    Jonathan Price, Alison Rushton, Vasileios Tyros, Nicola R Heneghan
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  • Establishing consensus on key public health indicators for the monitoring and evaluating childhood obesity interventions: a Delphi panel study
    Shane O’Donnell, Gerardine Doyle, Grace O’Malley, Sarah Browne, James O’Connor, Monica Mars, M-Tahar M. Kechadi
    BMC Public Health.2020;[Epub]     CrossRef
  • 7,508 View
  • 58 Download
  • 9 Web of Science
  • 10 Crossref
Group Intervention by Primary Care Physicians on Heavy Drinkers: A 1-Year Follow-up Study.
Chul Young Lim, Jong Sung Kim, Sung Soo Kim, Jin Gyu Jung, Nam Kyou Bae, Sun Hee Lee, Tae Geun Choi, Jung Ha Kim
Korean J Fam Med 2010;31(11):845-851.   Published online November 20, 2010
DOI: https://doi.org/10.4082/kjfm.2010.31.11.845
Background
This study was performed to evaluate the effect of group intervention by primary care physicians on the changes of drinking behaviors in Korean heavy drinkers.Methods: A total of 32 male heavy drinkers participated in group intervention by family physicians of Chungnam National University Hospital. Initially, they were assessed for general characteristics, family function and drinking characteristics prior to the intervention conducted 4 times (about 40 minutes/each session). Reassessment on their drinking frequencies (times/week), drinking amounts (drinks/drinking day) and Alcohol Use Disorders Identification Test (AUDIT) score was achieved at directly, at 12 weeks and at 1 year after intervention.Results: The mean drinking frequency was significantly (P < 0.01) decreased from 5.2 ± 1.7 before to 3.5 ± 2.4 at directly, 3.9 ± 2.3 at 12 weeks and 4.0 ± 2.3 at 1 year after intervention. The mean drinking amounts were significantly (P < 0.01) decreased from 17.0 ± 16.5 before to 11.0 ± 16.9 at directly, 14.2 ± 17.8 at 12 weeks and 13.9 ± 17.8 at 1 year after intervention. The mean AUDIT score was significantly (P < 0.01) decreased from 29.4 ± 5.8 before to 19.1 ± 11.0 at directly, 21.8 ± 9.1 at 12 weeks and 23.0 ± 9.4 at 1 year after intervention. The number of heavy drinkers and binge drinkers were significantly (P < 0.05) decreased from 32 (100%) and 32 (100%) before to 20 (62.5%) and 22 (68.8%) at directly, 23 (71.9%) and 24 (75.0%) at 12 weeks, and 22 (68.8%) and 19 (59.4%) at 1 year after intervention.Conclusion: It is suggested that group intervention by family physicians may be effective on the improvement of drinking behavior at 12 weeks and 1 year after the intervention in heavy drinkers.
  • 2,249 View
  • 18 Download
Background
Varenicline is known to have higher effect for smoking cessation than existing pharmacotherapies, including Bupropion and Nicotine replacement therapy, however, it can also bring about adverse effects such as problems in compliance due to the complicated dosage, side effects of high frequency, and financial burden resulted from a long term treatment. Moreover, the effect for smoking cessation with group program and non-pharmacotherapy, including financial. incentives, E-mails or SMS is well known, but, the study on their combination is rare. Therefore, in the present study, we tried to evaluate two things; the effect for smoking cessation with multi-modal intervention, and the compliance of Varenicline Methods: From July 2008 to February 2009, we conducted the multi-modal smoking cessation program for 30 volunteers in Dankook university. This program consisted short course of Varenicline, financial incentives, E-mail and short messageservice. Results: The continuous abstinence rate for weeks 9 throught 12 was 76.7% and for weeks 9 through 24 was 43.3%. Multivariate analysis revealed that duration of Varenicline treatment was significant factor affecting 12-week continuous abstinence rate. The average duration of Varenicline treatment was 17.1 (±10.8) days and 54.0% took Varenicline as directed. The most common adverse events were nausea (40.0%) and insomnia (23.3%).Conclusion: Multi-modal intervention (short course of Varenicline, financial incentive, E-mail and short message service) was effective for smoking cessation with high continuous abstinence rates in a university. We suggest multi-modal intervention because compliance of Varenicline seems to be low in real setting.

Citations

Citations to this article as recorded by  
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    Gareth J Hollands, Felix Naughton, Amanda Farley, Nicola Lindson, Paul Aveyard
    Cochrane Database of Systematic Reviews.2019;[Epub]     CrossRef
  • Adherence to Pharmacological Smoking Cessation Interventions: A Literature Review and Synthesis of Correlates and Barriers
    Lauren R Pacek, F Joseph McClernon, Hayden B Bosworth
    Nicotine & Tobacco Research.2018; 20(10): 1163.     CrossRef
  • Interventions to increase adherence to medications for tobacco dependence
    Gareth J Hollands, Máirtín S McDermott, Nicola Lindson-Hawley, Florian Vogt, Amanda Farley, Paul Aveyard
    Cochrane Database of Systematic Reviews.2015;[Epub]     CrossRef
  • Efficacy of Smoking Cessation and Prevention Programs by Intervention Methods: A Systematic Review of Published Studies in Korean Journals during Recent 3 Years
    Hye Kyeong Kim, Ji Yeon Park, Eun Joo Kwon, Seung Hee Choi, Han-Ik Cho
    Korean Journal of Health Education and Promotion.2013; 30(5): 61.     CrossRef
  • A Short-Term Effectiveness of Smoking Cessation Intervention in Outpatient Department of Pulmonology
    Chang Dong Yeo, Hyeon Hui Kang, Ji Young Kang, Sung Kyoung Kim, Myung Sook Kim, Seung Soo Kim, Sang Haak Lee, Hwa Sik Moon
    Tuberculosis and Respiratory Diseases.2011; 71(2): 114.     CrossRef
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Effects of a School-based Obesity Prevention Program in Adolescents.
Sang Joon Yun, Kayoung Lee
J Korean Acad Fam Med 2008;29(8):585-594.   Published online August 10, 2008
Background
We aimed to evaluate the effect of school- based obesity prevention and management program applied to adolescents in a middle school on body mass index (BMI), weight-related attitude, eating behavior and physical activity of adolescents. Methods: A total of 664 adolescents (14.7±0.9 years old) in a middle school located in Busan were study subjects. The obesity prevention and management program was conducted for 6 months, from March to September, 2005. Their weight and height were measured and their weight-related attitude, eating habit and physical activity were assessed using a questionnaire at baseline and after 6 months. Their weight status was classified into under-, normal-, and overweight according to their BMI at baseline. Results: The prevalence of underweight and overweight was 6.2% and 19.3%, respectively. Among the adolescents with overweight, the BMI significantly decreased after 6 months compared to the BMI at baseline (P<0.05), while the BMI was not significantly changed over 6 months among the under- and normal weight groups. The adolescents were more likely to become highly concerned about obesity-related problems (P=0.002) and actively participating in obesity prevention program (P=0.007) after 6 months compared to those attitude at baseline. The BMI significantly decreased in the adolescents whose eating behavior or physical activity were improved compared to their counterparts (P<0.05). Conclusion: The 6-months program for obesity prevention and management seemed to reduce BMI in overweight adolescents and raise concern about obesity related problems and promote participation in obesity prevention program in adolescents as a whole. Further long-term intervention studies need to be implemented. (J Korean Acad Fam Med 2008;29:585-594)
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Effect of Smoking Cessation on Mortality after Percutaneous Coronary Intervention.
Hanna Sung, Hong Jun Cho, Jin Hyun Kim, Seung Jung Park
J Korean Acad Fam Med 2007;28(9):698-704.   Published online September 10, 2007
Background
Smoking is one of the known major risk factors of coronary artery disease and previous studies have shown that the risk of mortality declines after cessation of smoking. The goal of this study was to determine the influence of smoking on mortality after percutaneous coronary intervention, which has still not been established in Korea. Methods: Patients who had undergone successful percutaneous coronary intervention at Asan Medical Center between January 1996 and June 1997 were classified into nonsmokers (n=306), ex-smokers (n=178), and current smokers (n=360). According to subsequent smoking status, current smokers were divided into quitters (n=152), persistent smokers (n=173), and unknown status (n=35). The data of the death Roll was from the National Statistical Office. Results: The maximum follow-up was 119 months (mean±SD=100±26.5). The total smoking rate was 42.7%. The mortality rates of nonsmokers, ex-smokers and current smokers were 17.6%, 20.8%, and 17.2%, respectively. In analyses adjusted for base line characteristics, the relative risk of death among current smokers was 1.57 (95% confidence interval [CI], 0.98 to 2.53) and among ex-smokers was 1.37 (95% CI, 0.80 to 2.35) compared with nonsmokers. The persistent smokers had a greater relative risk of death from all causes (relative risk, 2.20 [95% CI, 1.08 to 4.48]) as compared with the quitters. Conclusion: The persistent smokers were at greater risk for death than the quitters. Therefore, patients undergoing percutaneous intervention should be encouraged to stop smoking. (J Korean Acad Fam Med 2007;28: 698-704)
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The Effect of Brief Intervention on Heavy Drinking Patients in Primary Care.
Jin Gyu Jung, Sun Kun Oh, Kyung Hee Han, In Wook Jung, Jong Sung Kim, Sung Soo Kim
J Korean Acad Fam Med 2005;26(2):96-101.   Published online February 10, 2005
Background
: The management of problem drinking is very important in family practice and primary care. This research was designed to evaluate the effect of brief intervention on heavy drinking patients in family practice.

Methods : The subjects were composed of 34 Korean males who had findings of alcoholic liver disease in the general health examination. About 5 to 10 minute outpatient interventions consisting of brief advice on drinking problems were delivered in the mean (±SD) frequency of 3.5 (±1.4) times during the 12 weeks. The effect of brief intervention was evaluated by the number of drinking days per week and drinks per drinking day during the 4 weeks before brief intervention and 12 weeks later. The result was compared with the control group (24 males) who had the same condition but did not receive the brief intervention.

Results : The mean (±SD) drinking days per week were significantly (P<0.001) decreased from 3.5 (±1.7) to 2.0 (±2.1) days and the mean (±SD) drinks per drinking day were significantly (P<0.001) decreased from 9.5 (±3.5) to 5.1 (±4.3) drinks. The degree of decrease in the subjects was significantly higher than the control group in both drinking days per week (P=0.001) and drinks per drinking day (P<0.005).

Conclusion : The brief intervention by family physicians is an effective clinical method in the management of heavy drinking patients.
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Assessing the degree of evidence based therapeutic intervention in a university based family medicine outpatient clinic.
Chang Li Tang, Dung Hyun Moon, Myoung Ho Hong, Kyung Hwan Cho, Youn Seon Choi, Do Kyung Yoon, Jeong A Kim, Young Mee Lee, June Young Lee
J Korean Acad Fam Med 2002;23(1):40-59.   Published online January 1, 2002
Background
: Despite the development of medical knowledge and technology, it has long been pointed out that the treatment guidelines are not sufficiently based on evidence. It has not been yet studied how evidence based medicine if implemented when physicians make their therapeutic decision. The purpose of this study was to determine the degree of evidence based interventions in a university based family medicine outpatient clinic.

Methods : The degree of evidence based practice was evaluated using Ellis and Gills' method developed by the Evidence-Based Medicine Center in Oxford. The patients' records of an outpatient clinic of a university hospital were reviewed on the primary diagnosis - intervention. The evidence based guidelines were defined as traditional textbooks and the results of randomized controlled trials found on databases such as Medicine, Clinical evidence, Best evidence, and Cochrane. In case where there were no guidelines, consultation with the specialists was done. The degree of the evidence based therapeutic interventions was assessed by three levels.

Results : There were 179 primary diagnosis - intervention pairs, among them, 125 pairs (69.8%) of interventions were based on randomized controlled trial evidence and 19 pairs (10.6%) based on convincing non-experimental evidence. No evidence was found for 35 pairs (19.6%). As a result, 80.4% of the total 144 pairs were regarded as evidence-based medicine.

Conclusion : The result showed that considerable portion of the total cases were evaluated as based on clinical evidence, which is similar to the conclusions of the previous studies in other countries. We hope that future similar studies will be conducted in other institutions as well as in other specialities.
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Hepatitis B examination and recognition change after 1 year in girls' high school students.
Ill Hwan Kim, Ok Min Kim, Chul Gab Lee
J Korean Acad Fam Med 2001;22(8):1271-1278.   Published online August 1, 2001
Background
: Korea Academy of Family Medicine recommands HBsAb and HBsAb test in youth health promotion program. Adequate management are necessary for prevention of vertical transmission at perinatal period. especially girls' high school students as a future's conceivable woman. Health examination program for the first grade students of high school which was established by the Educational Ministry has been acted since 1998. So, throught the students health examination we'd like to find an adequate method of prevention and management in hepatitis B.

Methods : Our study examines HBs Ag/Ab about girl's high school students at two high schools in an city. According to the results of hepatitis B, active intervention in carrier group, passive intervention in candidate were done. And then a year later, hepatitis B management was investigated through the questionnaire.

Results : In active intervention group, regular check up of hepatitis B is 21.4%, hepatitis B blood test in family is 39.3% and in passive intervention group, hepatitis B vaccination rate after health examiantion is 9.1%.

Conclusion : More active intervention such as mass vaccination are required in health examination for the purpose of hepatitis B management at youth.
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