[논문]Effects of Birth Control Empowerment Program for Married Immigrant Vietnamese Women in South Korea

Kim, Jihyun; Kim, Nam Cho

doi:10.4069/kjwhn.2017.23.1.1

Effects of Birth Control Empowerment Program for Married Immigrant Vietnamese Women in South Korea 원문보기

KJWHN : Korean journal of women health nursing, v.23 no.1, 2017년, pp.1 - 10

Kim, Jihyun (Department of Nursing, Daejeon University) , Kim, Nam Cho (College of Nursing, The Catholic University of Korea)

Abstract ▼ AI-Helper

Purpose: Aims of the researchers were to develop an birth control empowerment program (BCEP) designed to help married immigrant women in Korea to plan their pregnancies. Methods: This study was as a randomized controlled trial to verify the effects of the BCEP. The BCEP was developed based on Falk-Rafael (2001)'s Empowerment caring model. The program was offered once a week, for 90 minutes per session, for a total of 10 weeks. The BCEP incorporated group instruction, group discussion, and counseling. The eligible participants were randomly assigned to either experimental group (n=23) or control group (n=23). Results: Participants in the intervention group had significantly better outcomes in contraceptive knowledge (p<.001), contraceptive self-efficacy (p=.014), perceived contraceptive control (p<.001), sex-related spousal communication (p<.001), and sexual autonomy (p=.009). Conclusion: The BCEP was effective intervention method, which can promote family planning practices among married immigrant women.

주제어

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문제 정의

The purpose of this study was to develop and examine the effects of an empowerment program, which was designed to help MIW in South Korea to plan their pregnancies. The specific objectives are as follows:
This study was a single-blind, randomized controlled trial to examine the effects of the birth control empowerment program (BCEP).

제안 방법

A Self-report questionnaire was used for the measurement. The questionnaire consisted of 54 items focused on contraceptive self-efficacy, and the average time to complete the questionnaire was about 20 minutes.
The scale includes 12 items, responses to items were scored on a 5-point Likert-type scale from 1 (don’t agree at all) to 5 (totally agree).
This research carried out the BCEP over 10 weeks but could not measure the direct intentions and practices of contraception behavior. However, preceding research shows that the mediation of empowerment significantly increases contraception practice rate [26], and that women with higher levels of empowerment have higher rates of contraception practices and birth control practices [29].
The BCEP was an effective intervention method, which promote family planning practices in MIW via increasing contraception knowledge, contraception self-efficacy, perceived control regarding contraception use, and sexual autonomy. This study helped to improve the problems faced by MIW through repetitive and continuous education, counseling, and group discussions. It also verified that continuous education on the difficulties experienced by MIW regarding birth control was effective for increasing their knowledge, attitude, and practice of birth control.

대상 데이터

The first 6 sessions consisted of direct instruction, and the remaining 4 involved telephone counseling. 10~14 participants attended each session. The program was implemented in rooms at two multicultural family support centers in C city and M city.
05. Considering the 6% attrition rate in existing studies, 24 participants were selected. Eligibility criteria were (a) MIW aged at least 20 years, (b) able to understand the study purpose and provide consent for participation, (c) who had attended Korean language classes at a multicultural family support center for more than 8 months and (d) able to communicate in Korean language.
Researchers evaluated the inclusion criteria for 61 candidates based on initial interview. Of this number, aside from 13 who had exclusion characteristics, 48 candidates were found to be eligible and were included in the study. These 48 candidates signed the informed consent and were randomly assigned to a study group using a computer-generated simple randomization sequence with a 1:1 allocation ratio.
Researchers evaluated the inclusion criteria for 61 candidates based on initial interview. Of this number, aside from 13 who had exclusion characteristics, 48 candidates were found to be eligible and were included in the study.
10~14 participants attended each session. The program was implemented in rooms at two multicultural family support centers in C city and M city. The program began at 10 am at both centers but on different days (Tuesdays and Wednesdays).
A Self-report questionnaire was used for the measurement. The questionnaire consisted of 54 items focused on contraceptive self-efficacy, and the average time to complete the questionnaire was about 20 minutes.
The study was conducted in 2 multicultural family support centers in South Korea. Four centers were preliminarily selected to provide information for and take part in a birth control program from two rural communities, C city and M city, in South Korea.

데이터처리

Thus, parametric and non-parametric statistics of each group were utilized for the data analysis. And a x² test and an independent test were carried out to examine similarity of the groups in the general characteristics and variables. Independent t test and Mann-Whitney U tests were performed to examine differences in the effects of the empowerment program between the 2 groups.

이론/모형

For perceived contraceptive control, Kim and Kang’sPerceived Control Scale [9] was used.
The Birth Control Self-Efficacy Scale developed by Hwang and Chung [15] and based on Kang’s [22] Condom Use Self-Efficacy Scale and Galavotti et al.,’s [23] Birth Control Self-Efficacy Scale was used to measure contraceptive self-efficacy.

성능/효과

Responses to items were scored on a 5-point Likert-type scale from 1 (don’t agree at all) to 5 (totally agree) with higher scores indicating greater sexual autonomy.
The results showed that the participants’ knowledge levels were very low, as indicated by the pre-intervention scores of 5.22 and 6.43 out of a possible 15 in the experimental and control groups, respectively.

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