Baekseok Culture University

Although family members of persons with disabilities face elevated suicide risk, predictive models remain underdeveloped in Korean contexts. This study aimed to develop machine learning-based predictive models for suicidal ideation among family members of persons with disabilities and examine differential risk patterns by disability onset type. This cross-sectional study analyzed 124,783 adult family members (59.9% spouses, 20.3% parents/ascendants, 14.6% adult children, 5.2% extended family) from the 2018 Korean Disability and Life Dynamics Panel using survey weights. Four predictive models, including machine learning approaches, were compared using 31 variables. The dataset was divided into training (70%) and test (30%) sets, with stratified analyses comparing congenital and acquired disability groups. Among the 124,783 family members analyzed, least absolute shrinkage and selection operator (LASSO) with cross-validation achieved optimal performance (area under the receiver operating characteristic curve, 0.875 training; 0.853 test). LASSO selected 16 of 31 variables for the total sample, with family members' depression as the strongest predictor (β=0.554), followed by disabled persons' suicidal ideation (β=0.425). Stratified LASSO analyses revealed that national basic livelihood beneficiary status was the strongest predictor for families with congenital disability (β=0.541), while family members' depression was the strongest predictor for families with acquired disability (β=0.562), demonstrating distinct predictive patterns by disability onset. These findings show that predictive factors differ substantially by disability onset type, indicating the need for tailored intervention approaches and offering an evidence-based foundation for targeted suicide prevention strategies.

BackgroundThis study examined the impact of pet food selection attributes, including price, quality, reliability, and convenience, on customer satisfaction and loyalty in South Korea’s evolving pet food market. The pet industry in South Korea is expanding rapidly, driven by changes in demographics like the rise of single-person households and aging populations. It is essential to understand consumer preferences in pet food attributes.MethodsA survey of 365 pet owners was conducted, and data were analyzed using path analysis.ResultsThe analysis showed that reliability and convenience play a significant role in increasing customer satisfaction and loyalty, while price and quality do not have a significant effect. Consumers value trust in product origins, brand credibility, and practical features like easy-to-store packaging. These results underscore the importance of attributes that simplify daily routines and build trust in pet food products.DiscussionThese findings stress the importance of transparency in production processes and consumer-oriented product designs that meet modern demands for convenience. By prioritizing these attributes, pet food manufacturers can better align their products with changing consumer expectations, improving loyalty and strengthening their competitive position in a dynamic market. This study offers insights into how selection attributes affect customer satisfaction and loyalty, with practical implications for product development and marketing strategies in the rapidly growing pet food sector. However, the study is limited by its sample representativeness and the scope of analyzed attributes, suggesting considerable scope for future research to broaden demographic coverage and explore additional influencing factors.

The purpose of this study was to evaluate the effectiveness of a suicide prevention program based on Rational Emotive Behavior Therapy (REBT) for individuals with Alcohol Use Disorder. Theoretical Framework: The study is grounded in the Rational Emotive Behavior Therapy (REBT) framework, which aims to reduce irrational beliefs, one of the root causes of emotional disturbances, including depression and suicidal ideation. Methods: A nonequivalent quasi-experimental design was employed, involving participants from two Addiction Management Integrated Support Centers in K Province, South Korea. Forty-eight individuals were divided into two groups: 24 in the experimental group and 24 in the control group, each assigned to a different center. The experimental group underwent 10 REBT sessions over 5 weeks, in addition to standard interventions. The control group received only the usual interventions. Outcome variables measured included irrational beliefs, depression, suicidal ideation, and problem-solving ability. Data were collected at baseline and again five weeks after the program ended. Statistical analyses were conducted using chi-square, Fisher's exact test, and independent t-tests. Results: Prior to the intervention, no significant differences in demographic characteristics or baseline outcome variables were observed between the two groups. After the intervention, the experimental group exhibited a significant reduction in irrational beliefs (t=2.36, p=.023), depression (t=3.80, p<.001), and suicidal ideation (t=4.59, p<.001) compared to the control group. Additionally, the experimental group demonstrated a significant improvement in problem-solving ability (t=4.59, p<.001). Discussion/Implications: The study demonstrates that the REBT-based suicide prevention program was effective in reducing irrational beliefs, depression, and suicidal ideation, while also enhancing problem-solving ability in individuals with Alcohol Use Disorder. These results underscore the potential benefits of integrating cognitive-behavioral approaches like REBT into suicide prevention programs for this population. Originality/Value: This research contributes to the limited literature on suicide prevention programs tailored for individuals with Alcohol Use Disorder and offers valuable insights into the applicability of REBT in community-based mental health interventions. The findings suggest the importance of developing structured therapeutic programs that address both cognitive distortions and emotional well-being to prevent suicide in vulnerable populations.

Purpose: Resilience is an essential concept used to describe the ability to cope and adapt effectively in the face of loss, hardship, or adversity by patients, nurses, and nursing students. The purpose of this study was to identify research trends on resilience related to nursing and patients.Methods: The Web of Science Core Collection database was searched on February 21, 2023, with the terms “resilienc*” in the title and “nurs* and “patient* in the topic. A total of 361 documents were extracted. A web-based analysis in R prepared using web-r.org was used to generate visualizations of publishing trends, journal ranks, authorship analysis, the most prolific nations, author collaboration patterns, a KeyWords Plus analysis, trend themes, and the most cited articles.Results: Research reports on resilience related to nursing and patients were first published in 2007 and have shown a substantial increase since 2019, with more than 30 publications per year. The largest amount of related literature was published in the <i>Journal of Nursing Management</i>, and the <i>Journal of Advanced Nursing</i> included the largest number of citations. Rushton CH was the most prolific author, with six publications, and she was the author of the most cited study. The most productive country was the United States. The most frequently encountered KeyWords Plus terms were “burnout,” “stress,” and “health.”Conclusion: The findings of this study can offer information to future researchers as well as the opportunity to conduct more novel studies on resilience in nursing.

Purpose: The purpose of this study was to evaluate the validity and reliability of the Korean version of the Pain Assessment in Impaired Cognition (KPAIC-15) for people with dementia.Methods: Participants in this study were 200 patients with dementia in two long-term care hospitals in the Republic of Korea. The PAIC-15 was translated into Korean using the process for the translation and adaptation of instruments developed by the World Health Organization. Three bilingual nursing professionals carried out this process. The construct validity, convergent validity, Cronbach’s ⍺, inter-rater reliability, and test-retest reliability of the translated instrument were evaluated. IBM SPSS Statistics 25.0 and AMOS 26.0 were used for data analysis.Results: In the confirmatory and exploratory factor analyses, the KPAIC-15 exhibited an adequate model fit, with three factors accounting for 72.13% of the total variance. The confirmatory factor analysis supported the validity of the KPAIC-15. The scale had a Cronbach’s ⍺ of .91, an inter-rater reliability of .75 (p<.001), and a test-retest reliability of .71 (p<.001).Conclusion: The findings show the KPAIC-15 is valid and reliable for use in the pain assessment of people diagnosed with dementia in the Republic of Korea.

Patients’ beliefs about medications are important predictors of medication adherence; however, the relationship between patient beliefs and adjuvant endocrine therapy (AET) adherence in patients with breast cancer remains unclear. In this study, we aimed to determine the association between patient beliefs and adherence to AET. Self-reported questionnaires covering necessity beliefs (NB), concerns beliefs (CB), and adherence were completed by 210 Korean patients with breast cancer. The rate of nonadherence was determined by calculating necessity-concern (N-C) differentials and attitudinal subgroup analysis. Multivariate logistic regression analysis was performed to determine the independent impact of patient beliefs on nonadherence. Nonadherence (Morisky Medication Adherence Scale < 8) was reported in 74.3% (n = 156) of patients and predicted by a negative balance regarding AET [odds ratio (OR) = 0.89; 95% confidence interval (CI): 0.83–0.96] and strong concerns about AET such as those in the Ambivalent (OR = 5.41; 95% CI: 1.84–15.92) and Skeptical (OR = 3.48, 95% CI: 1.14–10.65) subgroups. Patient beliefs are significantly associated with adherence to AET in Korean patients with breast cancer. NB, CB, and N-C differentials may be useful intervention targets to improve medication adherence.

The existing ego-integrity assessment tools are mostly self-report tools for elderly community-dwelling individuals. The tools do not sufficiently reflect the various characteristics of elders residing in nursing homes. It is necessary to develop a valid and reliable assessment scale that nursing home nurses can use to measure the ego-integrity of residents. Methods: The assessment tool was tested on 200 elders residing in nursing homes. The 22 nurses in each facility assessed the scale as a measure of ego-integrity in residents in nursing homes. Data were analyzed using SPSS and AMOS 21.0. Results: Through an explorative factor analysis of the ego-integrity assessment tool items, the following 3 factors were extracted: 'development of relationships with others', 'fulfillment of basic needs', and 'attitude towards life in general'; and with the cumulative variance of 68.2%, the tool consisting of 3 factors was found to have a sufficient explanatory power. Further confirmatory factor analysis was performed to examine how well the components were evaluated through the items. Testing showed for items' construct-concept validity through a discriminant-convergent validity analysis, 18 items were found to correspond to each of the 3 factors targeted. The scale's Cronbach's coefficient was .89, and it had a test-retest reliability coefficient of .88 (p<.001), and analysis of inter-observer reliability coefficient was .94 (p<.001).

Purpose: The amis of this study were to examine the suicide traumatic experiences and attitudes toward suicide and examine their associations with depression, self-efficacy, and social support in general adults. Methods: In this descriptive cross-sectional study, data were collected through a web-based survey (N=500). We analyzed 441 respondents considering missing data. A structured questionnaire included Attitude Toward Suicide (ATTS), experiences and characteristics related to suicide, depression, self-efficacy, and social support. The data were analyzed using descriptive statistics, one-way ANOVA with Scheffe tests, Fisher's exact tests, and Pearson's correlation coefficients with SPSS/WIN 23. Results: Among study participants, 34.9% reported suicide traumatic experiences. When they had more ‘acceptability’ and ‘understandability’ in the attitudes toward suicide, they were younger, more depressive, and at the lower level of self-efficacy. There were somewhat differences of associations of ‘understandability’ in the attitudes toward suicide with depression, suicide attempt, suicide thought, and experience counseling between the suicide trauma and non-trauma groups. There were positive correlations for ‘acceptability’, ‘understandability’, ‘tabooing’, and depression and negative correlations for ‘acceptability’, self-efficacy, and social support. Conclusion: Our study findings suggest that educational programs need to improve nurse's ability in suicide-related practices considering psychological factors and development of comprehensive nursing interventions.