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Development and Evaluation of Prenatal Education for Environmental Health Behavior Using Cartoon Comics
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Hyun Kyoung Kim, Hee Kyung Kim, Mirim Kim, Seohwa Park
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J Korean Acad Nurs 2021;51(4):478-488. Published online August 31, 2021
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DOI: https://doi.org/10.4040/jkan.21083
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 Abstract
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- Purpose
This study aimed to develop and examine the effects of a prenatal program on environmental health behavior using cartoon comics among Korean pregnant women.
Methods
This study used a non-equivalent control group pre-test/post-test design. The program used cartoon comics to explore environmental health behaviors during pregnancy. The program consisted of the following four components: environmental toxicants during pregnancy, avoiding particulate matter during pregnancy, environmental toxicants during baby care, and making a healthy environment for children. In total, 35 pregnant women participated in the study: 18 in the experimental group and 17 in the control group. Data collection and program adaptation were conducted between November 3, 2020 and January 19, 2021. The effect of the prenatal education program was evaluated by t-test and repeated measures ANOVA.
Results
Learning experience (t = - 2.35, p = .025), feasibility (t = - 2.46, p = .019), satisfaction (t = - 2.23, p = .032) were higher in the experimental group than in the control group in the first post-test. Feasibility (t = - 2.40, p = .022) was higher in the experimental group than in the control group in the second post-test. Repeated-measures ANOVA showed significant interactions between time and group in environmental susceptibility (F = 9.31, p < .001), self-efficacy (F = 3.60, p = .033), and community behavior (F = 5.41, p = .007).
Conclusion
This study demonstrates the need for a prenatal education program to promote environmental health perceptions and behavior during pregnancy. We suggest a prenatal class adopting the creative cartoon comics to promote the maternal environmental health behaviors.
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Citations
Citations to this article as recorded by  - The effect of DECO-MOM mobile application for a prenatal environmental health program on environmental health behaviors: a pilot test
Hae Kyung Jo, Hyun Kyoung Kim
BMC Pregnancy and Childbirth.2025;[Epub] CrossRef - Development and evaluation of a quasi-experimental sexual and reproductive health literacy (SRHL) programme for marriage immigrants in South Korea: focus on Vietnamese women
Heeran Chun, Young Sook Lee, Hyeran Yoon
BMJ Public Health.2025; 3(2): e002473. CrossRef - Examining the Effectiveness of Interactive Webtoons for Premature Birth Prevention: Protocol for a Randomized Controlled Trial
Sun-Hee Kim, Jennie C De Gagne
JMIR Research Protocols.2024; 13: e58326. CrossRef - Development and effects of a webtoon education program on preventive self-management related to premature labor for women of childbearing age: a randomized controlled trial
Sun-Hee Kim
Korean Journal of Women Health Nursing.2022; 28(3): 250. CrossRef - The effects of environmental prenatal program on environmental health perception and behavior using internet-based intervention in South Korea: A non-randomized controlled study
Hyun Kyoung Kim, Geum Hee Jeong, Hye Young Min, George Vousden
PLOS ONE.2022; 17(11): e0277501. CrossRef
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