Kim, Youlim
(College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University)
,
Lee, Hyeonkyeong
(College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University)
,
Ryu, Gi Wook
(College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University)
This study aimed to evaluate Cox's interaction model of client health behavior (IMCHB) as used in studies on women's health. Using keyword combinations of "women" and "IMCHB" or "interaction model of client health behavior," we searched the PubMed, MEDLINE, Embase, and RISS databases for studies on ...
This study aimed to evaluate Cox's interaction model of client health behavior (IMCHB) as used in studies on women's health. Using keyword combinations of "women" and "IMCHB" or "interaction model of client health behavior," we searched the PubMed, MEDLINE, Embase, and RISS databases for studies on the promotion of women's health published from January 2009 to April 2019. Finally, 11 studies were selected and evaluated according to seven criteria for theory evaluation, which combined Fawcett's theory evaluation criteria and Chinn and Kramer's criteria. We found that the IMCHB corresponds to a verifiable practical level of a middle-range theory, although it may be partially abstract. It contains all four concepts of the metaparadigm of nursing, in terms of a holistic philosophical approach. A theoretical evaluation demonstrated that the IMCHB has significance, generality, testability, empirical adequacy, and pragmatic adequacy for nursing practice and research. However, the lack of clear conceptual definitions and the presence of complex relationships among concepts resulted in a lack of internal consistency and parsimony. According to an in-depth verification through a review of the literature, the IMCHB has been used as a health promotion intervention strategy for various populations of women and has led to useful results in nursing practice. The IMCHB was confirmed to be a suitable theory for experimental and clinical research. Future research can build on this middle-range theory for women's health research and practice.
This study aimed to evaluate Cox's interaction model of client health behavior (IMCHB) as used in studies on women's health. Using keyword combinations of "women" and "IMCHB" or "interaction model of client health behavior," we searched the PubMed, MEDLINE, Embase, and RISS databases for studies on the promotion of women's health published from January 2009 to April 2019. Finally, 11 studies were selected and evaluated according to seven criteria for theory evaluation, which combined Fawcett's theory evaluation criteria and Chinn and Kramer's criteria. We found that the IMCHB corresponds to a verifiable practical level of a middle-range theory, although it may be partially abstract. It contains all four concepts of the metaparadigm of nursing, in terms of a holistic philosophical approach. A theoretical evaluation demonstrated that the IMCHB has significance, generality, testability, empirical adequacy, and pragmatic adequacy for nursing practice and research. However, the lack of clear conceptual definitions and the presence of complex relationships among concepts resulted in a lack of internal consistency and parsimony. According to an in-depth verification through a review of the literature, the IMCHB has been used as a health promotion intervention strategy for various populations of women and has led to useful results in nursing practice. The IMCHB was confirmed to be a suitable theory for experimental and clinical research. Future research can build on this middle-range theory for women's health research and practice.
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문제 정의
Moreover, based on the results of the evaluation, this study aimed to present certain directions to be considered when providing and evaluating nursing interventions that apply the IMCHB in future women’s health research.
제안 방법
Therefore, we added the generality criterion of Chinn and Kramer [11] to Fawcett’s evaluation criteria to analyze the IMCHB from various viewpoints. Consequently, in this study, the theory and literature were evaluated according to seven criteria: importance, internal consistency, parsimony, generality, testability, empirical adequacy, and practical adequacy.
It contains seven concepts regarding the client’s singularity, four concepts relating to patient-professional interactions, and five concepts involving the client’s health outcomes (Table 2).
The literature selection criteria for this study were: (1) the IMCHB was applied, and (2) the participants were adult women. The criteria for exclusion were: (1) the IMCHB application was not clearly explained, or the participants were (2) inpatients or (3) children and adolescents.
대상 데이터
According to the results obtained by searching the international databases using the search terms, 52 studies were found (nine in PubMed, 10 in MEDLINE, 24 in Embase, seven in RISS, and two via hand-searching). After duplicates were removed (n = 18), two reviewers (YK and GWR) independently screened a total of 34 articles focusing on titles and abstracts. The same reviewers then independently reviewed the full-text articles to determine whether each article was appropriate for inclusion in this analysis.
The same reviewers then independently reviewed the full-text articles to determine whether each article was appropriate for inclusion in this analysis. One study was excluded because the original text was inaccessible and 22 articles met the exclusion criteria (6 studies did not apply the IMCHB, four studies involved inpatients, and 12 studies sampled non-adult women), so 11 studies were included in the analysis (Figure 1).
The generality of a theory refers to whether it is applicable to various population groups [11]. The participants of the reviewed studies were women of various groups, including minorities (immigrants or multicultural women) and low-income women [17,19,23,24,26], pregnant women [22,25], postpartum women [27], women with gynecological cancer [18], women with osteoarthritis [21], and older adults [20], suggesting adequate generality.
The reviewed studies included five international studies (45.5%) and six studies from South Korea (54.5%) (Table 1). Ten studies (90.
This study was a literature review analyzing papers on women’s health that applied Cox’s IMCHB and were published in domestic and international journals within the past 11 years, from January 2009 to April 2019.
데이터처리
The studies used the following statistical methods: the chisquare test; the t-test; analysis of variance (ANOVA), analysis of covariance, and repeated-measures ANOVA; the Mann-Whitney U-test; the Kruskal-Wallis test; correlation analysis; regression analysis; and survival analysis.
이론/모형
In this study, Fawcett’s theory analysis and evaluation steps were used as the main theoretical evaluation criteria [10].
The authors would like to thank the Oncology Nursing Society for allowing us to use the figure presenting Cox’s theory.
Therefore, we added the generality criterion of Chinn and Kramer [11] to Fawcett’s evaluation criteria to analyze the IMCHB from various viewpoints.
참고문헌 (29)
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![Figure 2. Interaction model of client health behavior. Adapted from Cox et al. [16] (Oncol Nurs Forum 2003;30(5):E92-E99) with original copyright holder's permission.](http://ocean.kisti.re.kr/downfile/bibText/whn/SGGGBS/2020/v26n2/SGGGBS_2020_v26n2_120_f0002.png "Figure 2. Interaction model of client health behavior. Adapted from Cox et al. [16] (Oncol Nurs Forum 2003;30(5):E92-E99) with original copyright holder's permission.")
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