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Huang SJ, Hung WC, Shyu ML, Chou TR, Chang KC, Wai JP. Field Test of an m-Health Worksite Health Promotion Program to Increase Physical Activity in Taiwanese Employees: A Cluster-Randomized Controlled Trial. Workplace Health Saf 2023; 71:14-21. [PMID: 35657298 DOI: 10.1177/21650799221082304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
BACKGROUND Occupational health nurses in workplaces aim to offer evidence-based interventions to increase physical activity among employees to promote health. Mobile health (m-health) interventions have demonstrated effectiveness in increasing physical activity, and the application of m-health solutions in workplaces warrants investigation. We examined the effectiveness of a cell phone/smart device and web-based (m-health) intervention in motivating the employees at financial enterprise firms to increase physical activity. METHODS This study included employees from 16 banks (n = 194) who were randomly assigned to either (a) an experimental group (6 banks, n = 89), which received an intervention that integrated the Theory of Planned Behavior (TPB)-based tailored Short Message Service (SMS) with web-based knowledge or (b) a comparison group (10 banks, n = 105), which received web-based messages alone. Outcomes included psychosocial variables (attitude toward physical activity, normative beliefs, and control beliefs) and the level of physical activity. Data were collected at baseline, immediately after the intervention, and 3 months after the intervention. FINDINGS The level of physical activity significantly increased in the experimental group (p < .05). TPB variables such as perceived social norms (p < .01) and behavioral control (p < .05) also significantly improved in the experimental group. However, all the effects had a small size (=.05) and diminished in 12 weeks. CONCLUSIONS In addition to internet-based information, the use of mobile phones/smart devices to encourage employees to exercise for 8 weeks effectively increased employees' physical activity level. More research, specifically addressing workplace culture, is warranted to establish methods for sustaining healthy behaviors to increase physical activity.
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Affiliation(s)
- Sheu-Jen Huang
- Department of Health Promotion and Health Education, National Taiwan Normal University, Taipei
| | - Wen-Chi Hung
- Department of Oral Hygiene and Healthcare, Cardinal Tien Junior College of Healthcare and Management, New Taipei City
| | - Meei-Ling Shyu
- Department of Nursing, Taipei Medical University, Taipei
| | - Tzren-Ru Chou
- Department of Graphic Arts and Communication, National Taiwan Normal University, Taipei
| | - Kuo-Chen Chang
- Department of Geography, National Taiwan Normal University, Taipei
| | - Jackson P Wai
- Laboratory for Exercise Physiology Research, Graduate Institute of Sport Science, National Taiwan Sport University, Taoyuan
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Huda MH, Chipojola R, Lin YM, Lee GT, Shyu ML, Kuo SY. The Influence of Breastfeeding Educational Interventions on Breast Engorgement and Exclusive Breastfeeding: A Systematic Review and Meta-Analysis. J Hum Lact 2022; 38:156-170. [PMID: 34229526 DOI: 10.1177/08903344211029279] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
BACKGROUND Breast engorgement and breast pain are the most common reasons for the early cessation of exclusive breastfeeding by mothers. RESEARCH AIMS (1) To examine the influence of breastfeeding educational interventions on breast engorgement, breast pain, and exclusive breastfeeding; and (2) to identify effective components for implementing breastfeeding programs. METHODS Randomized controlled trials of breastfeeding educational interventions were searched using five English and five Chinese databases. Eligible studies were independently evaluated for methodological quality, and data were extracted by two investigators. In total, 22 trials were identified, and 3,681 participants were included. A random-effects model was used to pool the results, and a subgroup analysis and meta-regression analysis were conducted. RESULTS Breastfeeding education had a significant influence on reducing breast engorgement at postpartum 3 days (odds ratio [OR]: 0.27, 95% CI [0.15, 0.48] p < .001), 4 days (OR: 0.16, 95% CI [0.11, 0.22], p < .001), and 5-7 days (OR: 0.24, 95% CI [0.08, 0.74], p = .013) and breast pain (standardized mean difference: -1.33, 95% CI [-2.26, -0.40]) at postpartum 4-14 days. Participants who received interventions had higher odds of exclusive breastfeeding. Breastfeeding educational interventions provided through lecture combined with skills practical effectively reduced breast engorgement (OR: 0.21; 95% CI [0.15, 0.28]; p = .001) and improved exclusive breastfeeding at postpartum 1-6 weeks (OR: 2.16; 95% CI [1.65, 2.83]; p = .001). CONCLUSIONS Breastfeeding educational interventions have been effective in reducing breast engorgement, breast pain, and improved exclusive breastfeeding. A combination of knowledge and skill-based education has been beneficial for sustaining exclusive breastfeeding by mothers.
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Affiliation(s)
- Mega Hasanul Huda
- 38032 School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan
| | - Roselyn Chipojola
- 38032 School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan
| | - Yen Miao Lin
- 38032 School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan
| | - Gabrielle T Lee
- 6221 Applied Psychology, Faculty of Education, Western University, London, ON, Canada
| | - Meei-Ling Shyu
- 38032 School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan
| | - Shu-Yu Kuo
- 38032 School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan
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Tseng JF, Chen SR, Au HK, Chipojola R, Lee GT, Lee PH, Shyu ML, Kuo SY. Effectiveness of an integrated breastfeeding education program to improve self-efficacy and exclusive breastfeeding rate: A single-blind, randomised controlled study. Int J Nurs Stud 2020; 111:103770. [PMID: 32961461 DOI: 10.1016/j.ijnurstu.2020.103770] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2020] [Revised: 08/29/2020] [Accepted: 08/30/2020] [Indexed: 01/28/2023]
Abstract
BACKGROUND Low self-efficacy affects new mothers' ability to sustain breastfeeding. Interventions that increase self-efficacy could improve sustained breastfeeding. OBJECTIVES To develop an integrated breastfeeding education program based on self-efficacy theory, and evaluate the effect of the intervention on first-time mothers' breastfeeding self-efficacy and attitudes. DESIGN A single-blind, randomised controlled trial. SETTING A prenatal clinic of a teaching hospital. PARTICIPANTS First-time mothers with a singleton pregnancy (12-32 weeks' gestation) and their support partners were selected by convenience sampling (N = 104) and allocated by block-randomization to an intervention or control group. METHODS A 3-week breastfeeding intervention program was developed based on self-efficacy theory. The intervention group received the breastfeeding program; the control group received standard care. Data between groups were compared for scores on breastfeeding self-efficacy, infant feeding attitude, and breastfeeding practice, which were assessed using the Breastfeeding Self-Efficacy Scale-Short Form, the Iowa Infant Feeding Attitude Scale, and a structured questionnaire, respectively. Repeated data measurements were collected at baseline, 36-weeks' gestation, and postpartum at 1-week, and 1-, 3-, and 6-months. RESULTS Ninety-three mothers completed the study. Data were compared for the self-efficacy intervention group (n = 50) with the control group (n = 43). Baseline measures did not differ between groups. The intervention group had significantly higher breastfeeding self-efficacy at 36 weeks' gestation (mean difference (MD): 7.3, p < .001), and postpartum at 1-week (p < .001), 1-month (p < .001) and 3-months (p < .01) with MD: 6.7, 7.9, and 8.1, respectively; differences in scores from baseline were also significantly greater from 36 weeks' gestation to 3-months (MD from 9.1~9.9, p < .001) and 6-months postpartum (MD: 7.0, p < .05). Infant feeding attitude scores significantly improved from 36 weeks' gestation to 6-months postpartum for the intervention group (MD from 3.5~7.4, p < .05). Rates for exclusive and predominant breastfeeding postpartum were significantly higher for the intervention group vs control (p < .02) at 1-week (98% vs. 86%), 1-month (100% vs. 90.7%), and 3-months (94% vs. 76.7%). Odds ratio (OR) postpartum for exclusive and predominant breastfeeding was greater for the intervention group at 3-months (OR = 4.7, 95% Confidence interval (CI), 1.2 -18.6; p = .05) and for exclusive breastfeeding at 6-months (OR: 2.82, 95% CI 1.0-8.1; p = .05). CONCLUSIONS The breastfeeding education intervention improved breastfeeding self-efficacy, infant feeding attitudes, and exclusive breastfeeding rates. The breastfeeding education program could be effective for sustaining breastfeeding in new mothers. TRIAL REGISTRATION Registered with www.clinicaltrials.gov (NCT03807726).
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Affiliation(s)
- Juei-Fen Tseng
- Department of Nursing, Tri-service General Hospital, Taipei, Taiwan; School of Nursing, College of Nursing, Taipei Medical University, 250 Wuxing Street, 11031 Taipei, Taiwan
| | - Su-Ru Chen
- School of Nursing and Post-Baccalaureate Program in Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan.
| | - Heng-Kien Au
- Department of Obstetrics, Taipei Medical University Hospital, Taipei, Taiwan; Department of Obstetrics and Gynecology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan; TMU Research Center for Cell Therapy and Regeneration Medicine, Taipei Medical University, Taipei, Taiwan
| | - Roselyn Chipojola
- School of Nursing, College of Nursing, Taipei Medical University, 250 Wuxing Street, 11031 Taipei, Taiwan; Kamuzu College of Nursing, Lilongwe, Malawi
| | - Gabrielle T Lee
- Applied Psychology, Faculty of Education, Western University, London, ON, Canada.
| | - Pi-Hsia Lee
- School of Nursing, College of Nursing, Taipei Medical University, 250 Wuxing Street, 11031 Taipei, Taiwan.
| | - Meei-Ling Shyu
- School of Nursing, College of Nursing, Taipei Medical University, 250 Wuxing Street, 11031 Taipei, Taiwan.
| | - Shu-Yu Kuo
- School of Nursing, College of Nursing, Taipei Medical University, 250 Wuxing Street, 11031 Taipei, Taiwan.
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Wang CS, Shyu ML, Lee YL. Personality traits and subjective well-being among fathers of preterm infants in Taiwan: a cross-sectional study. J Reprod Infant Psychol 2020; 38:408-420. [PMID: 32281884 DOI: 10.1080/02646838.2020.1748875] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
OBJECTIVE This study examined the association of personality traits and paternal/infant background characteristics with subjective well-being (SWB) among fathers of preterm infants. BACKGROUND While studies of parental care of preterm infants have focused on mothers or both parents, studies focusing specifically on fathers are relatively rare. In this study, we provide new information on the personality traits and paternal/infant background characteristics and their association with SWB among fathers of preterm infants. METHODS This study used a cross-sectional design. Participants included fathers of preterm infants hospitalised in the neonatal intensive care unit, neonatal intermediate care nursery, or postpartum ward of a medical centre in northern Taiwan within 5 days of birth. The Personality Inventory Scale and Subjective Well-being Scale were administered and background characteristics of fathers and preterm infants were measured. RESULTS A total of 104 fathers participated, of whom 73.1% showed a moderate level of SWB. Fathers with higher extraversion and openness exhibited higher SWB, while fathers with higher neuroticism exhibited lower SWB. SWB was also predicted by age, infant weight, family structure, and paternal education level. These factors cumulatively accounted for 48% of the variance in SWB. CONCLUSION Fathers' SWB was associated with extraversion, openness, neuroticism, age, education, family structure, and infant weight. The personality traits of fathers should be considered when developing plans for family support after following preterm infant birth. In addition to focusing on maternal well-being, programmes to increase paternal well-being would benefit the families of preterm infants.
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Affiliation(s)
- Chia-Shing Wang
- Department of Nursing, National Taiwan University Hospital , Taipei, Taiwan
| | - Meei-Ling Shyu
- Department of Health Promotion and Health Education, National Taiwan Normal University , Taipei, Taiwan.,College of Nursing, Taipei Medical University , Taipei, Taiwan
| | - Ya-Ling Lee
- Department of Nursing, National Taiwan University Hospital , Taipei, Taiwan.,Yale School of Nursing , Orange, CT, USA
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Huang SJ, Hung WC, Shyu ML, Chang KC, Chen CK. Web-based intervention to promote physical activity in Taiwanese children. J Pediatr Nurs 2019; 45:e35-e43. [PMID: 30700375 DOI: 10.1016/j.pedn.2018.12.016] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/11/2018] [Revised: 12/30/2018] [Accepted: 12/31/2018] [Indexed: 11/17/2022]
Abstract
PURPOSE This study investigated the effectiveness of a theory-based, technology-integrated website in promoting the physical activity of schoolchildren. DESIGN AND METHODS A website designed using a self-management strategy and supplemented with a geographical information system (GIS) mapping function was used to increase children's physical activity levels. A total of 524 students from six elementary schools in Taipei City completed surveys at three times during 2010 and were assigned to one of three groups: (1) a self-management group, using a website employing a goal-setting strategy and a storytelling schema based on a classical Chinese novel; (2) a knowledge-only group that was given only access to the website; or (3) a control group that was only given lectures and not allowed to access the website. RESULTS After adjustment for the effects of the pretest, the self-management and knowledge-only groups were found to be more physically active and have higher self-efficacy than the control group. Moreover, the self-management group had higher scores for these two variables than the knowledge-only group. Furthermore, the intervention was more effectives for male students than female students. CONCLUSION Overall, the self-management website proved to be effective in promoting schoolchildren's physical activity. The positive correlation of self-efficacy with the ability to handle the difficulties inherent in physical activity continued for 3 months after the intervention was completed.
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Affiliation(s)
- Sheu-Jen Huang
- Department of Health Promotion & Health Education, National Taiwan Normal University, Taipei, Taiwan.
| | - Wen-Chi Hung
- Department of Oral Hygiene & Healthcare, Cardinal Tien Junior College of Healthcare and Management, New Taipei City, Taiwan
| | - Meei-Ling Shyu
- School of Nursing, Taipei Medical University, Taipei, Taiwan.
| | - Kuo-Chen Chang
- Department of Geography, National Taiwan Normal University, Taipei, Taiwan.
| | - Chun-Kai Chen
- Disaster Prevention Technology Research Center, Sino Technology Company, Taipei City, Taiwan
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Abstract
The objectives of this study were to develop the Self-Awareness of Falls in Elderly (SAFE) scale and test its reliability and validity among elderly inpatients. A cross-sectional study design and convenience sampling were used to test the validity and reliability of the SAFE scale. Explanatory factor analysis and confirmatory factor analysis yielded an acceptable goodness of model fit, confirming the 21 items in the SAFE scale that were distributed among four factors: awareness of activity safety and environment, awareness of physical functions, awareness of medication, and awareness of cognitive behavior. The values of interrater reliability and Cronbach’s alpha were at least .70, indicating that reliability of the SAFE scale was acceptable. The SAFE scale is the first instrument to measure self-awareness of fall risk among high-risk groups. Further management and fall prevention can then be designed to reduce the incidence of falls among elderly people in clinical care.
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Huang HC, Chang CH, Hu CJ, Shyu ML, Chen CI, Huang CS, Tsai HT, Chang HJ. Time-Varying Effects of Psychological Distress on the Functional Recovery of Stroke Patients. Arch Phys Med Rehabil 2017; 98:722-729. [DOI: 10.1016/j.apmr.2016.09.120] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2016] [Revised: 09/13/2016] [Accepted: 09/15/2016] [Indexed: 11/25/2022]
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Affiliation(s)
- Mei-Ju Chi
- Assistant Professor, School of Gerontology Health Management, and Master Program in Long-term Care, College of Nursing; Taipei Medical University; Taipei Taiwan
| | - Meei-Ling Shyu
- Assistant Professor, School of Nursing, College of Nursing; Taipei Medical University; Taipei Taiwan
| | - Shou-Yu Wang
- Assistant Professor, Department of Nursing; Hung-Kuang University; Taichung Taiwan
| | - Hsiu-Ching Chuang
- Master's student, Department of Counseling and Applied Psychology, College of Humanities; National Taichung University of Education; Taichung Taiwan
| | - Yeu-Hui Chuang
- Pi , Associate Professor, School of Nursing, College of Nursing; Taipei Medical University; Taipei Taiwan
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Huang HC, Huang LK, Hu CJ, Chang CH, Lee HC, Chi NF, Shyu ML, Chang HJ. The mediating effect of psychological distress on functional dependence in stroke patients. J Clin Nurs 2014; 23:3533-43. [DOI: 10.1111/jocn.12606] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/14/2014] [Indexed: 11/30/2022]
Affiliation(s)
- Hui-Chuan Huang
- Graduate Institute of Nursing; College of Nursing; Taipei Medical University; Taipei Taiwan
- Department of Nursing; Cardinal Tien Junior College of Healthcare & Management; New Taipei City Taiwan
| | - Li-Kai Huang
- Department of Neurology; Taipei Medical University-Shuang Ho Hospital; New Taipei City Taiwan
| | - Chaur-Jong Hu
- Department of Neurology; Taipei Medical University-Shuang Ho Hospital; New Taipei City Taiwan
- Department of Neurology; School of Medicine; Taipei Medical University; Taipei Taiwan
| | - Chien-Hung Chang
- Stroke Center and Department of Neurology; Chang Gung Memorial Hospital; Linkou Medical Center College of Medicine; Chang Gung University; Kueishan Taoyuan Taiwan
- Department of Electrical Engineering; College of Engineering; Chang Gung University; Kueishan Taoyuan Taiwan
| | - Hsin-Chien Lee
- Department of Psychiatry and Medical Humanity; School of Medicine; College of Medicine; Taipei Medical University; Taipei Taiwan
- Department of Psychiatry; Taipei Medical University-Shuang Ho Hospital; New Taipei City Taiwan
| | - Nai-Fang Chi
- Department of Neurology; Taipei Medical University-Shuang Ho Hospital; New Taipei City Taiwan
- Department of Neurology; School of Medicine; Taipei Medical University; Taipei Taiwan
| | - Meei-Ling Shyu
- School of Nursing; College of Nursing; Taipei Medical University; Taipei Taiwan
| | - Hsiu-Ju Chang
- School of Nursing; College of Nursing; Taipei Medical University; Taipei Taiwan
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Chang HJ, Lai YL, Chang CM, Kao CC, Shyu ML, Lee MB. Gender and age differences among youth, in utilization of mental health services in the year preceding suicide in Taiwan. Community Ment Health J 2012; 48:771-80. [PMID: 22105719 DOI: 10.1007/s10597-011-9470-1] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/10/2011] [Accepted: 11/04/2011] [Indexed: 11/26/2022]
Abstract
The primary objective of this study was to explore gender and age differences in the use of medical services during the year preceding suicide. Data were obtained from the mortality dataset of Department of Health and National Health Insurance Database. Included in the sample were 862 persons aged 12-24 years who committed suicide in Taiwan between 2001 and 2004. We compared the records of medical service utilization of adolescents (ages 12-18 years) with young adults (ages 19-24 years). Persons in both age groups contacted general practitioners more often than other types of medical providers in the year preceding suicide, with the exception of the month before suicide. Females made greater use of medical services than males in both age groups. Suicide prevention strategies should increase the emphasis in training non-psychiatric medical practitioners to identify and treat young persons at suicide risk.
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Affiliation(s)
- Hsiu-Ju Chang
- School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan
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Lin CF, Shyu ML, Lu MS, Huang CI. Examining the Effectiveness of a Distant Learning Education Program: Use of Patient Safety and Reporting Law and Ethics as Example. Lecture Notes in Computer Science 2012. [DOI: 10.1007/978-3-642-35606-3_44] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
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Lee CM, Chang FC, Miao NF, Shyu ML, Lee SC, Chang YC, Lin SH, Chen YT, Hsu MC, Ruo JP. Effects of a community prevention intervention on public awareness, knowledge, and risk perception of club drug use by youth in Taiwan. Subst Use Misuse 2011; 46:1265-74. [PMID: 21619445 DOI: 10.3109/10826084.2011.571332] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
This study evaluated the effects of mobilizing community coalitions and implementing prevention intervention concerning public awareness, knowledge, and perception of the risks associated with club drug use by Taiwanese urban youth. A quasi-experimental design was used. Three communities in Taipei city were included in the present study. A total of 328 residents successfully participated in the baseline survey (April 2008), and 276 residents were successfully interviewed for the follow-up survey (September 2008). The generalized estimating equation (GEE) method was used. The percentage of the intervention respondents who reported having seen or heard antidrug messages increased significantly between the time of the baseline survey (63.7%) and the follow-up survey (77.4%), while the percentage of attendance at antidrug events increased from 23.1% to 38.7% during the same time interval. In addition, community knowledge and perception of the problem of club drug use by youth rose significantly between the baseline and the follow-up in the intervention communities. The study's limitations are noted.
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Affiliation(s)
- Ching-Mei Lee
- Department of Health Promotion and Health Education, National Taiwan Normal University, Taipei, Taiwan, Republic of China
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