{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T06:07:26Z","timestamp":1792130846070,"version":"4.4.0"},"reference-count":37,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,7,7]],"date-time":"2016-07-07T00:00:00Z","timestamp":1467849600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Nursing Policy Research Institute"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Japan Journal Nursing Sci"],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>This study developed a self\u2010efficacy enhancement program and evaluated its effects on the self\u2010care behaviors, self\u2010care knowledge, and self\u2010efficacy regarding pressure ulcer prevention in patients with a spinal cord injury.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a multicenter randomized controlled trial. Six hospitals were invited to recruit patients with a spinal cord injury who were undergoing rehabilitation after receiving acute treatment. These hospitals were randomly allocated into experimental (three hospitals) or control (three hospitals) groups and 47 patients participated (24 in the experimental group and 23 in the control group). The experimental group was given an 8\u2009week self\u2010efficacy enhancement program for pressure ulcer prevention. The self\u2010efficacy enhancement program consisted of small\u2010group face\u2010to\u2010face intervention (education and skills training), education with computer animation, phone counseling, face\u2010to\u2010face counseling, and self\u2010management records. The control group only received a pressure ulcer prevention information booklet. Self\u2010care knowledge, self\u2010efficacy, self\u2010care behaviors, and pressure ulcer incidence were measured at baseline and after the 8\u2009week self\u2010efficacy enhancement program.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The experimental group showed a significantly greater improvement in self\u2010care knowledge, self\u2010efficacy, and self\u2010care behaviors for pressure ulcer prevention than did the control group. One participant in the control group developed a pressure ulcer, while none of the participants in the experimental group developed a pressure ulcer; this difference was not statistically significant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The self\u2010efficacy enhancement program enabled patients with a spinal cord injury to engage in continued self\u2010care behaviors and helped them to improve their knowledge and self\u2010efficacy concerning pressure ulcer prevention.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jjns.12136","type":"journal-article","created":{"date-parts":[[2016,7,7]],"date-time":"2016-07-07T13:46:21Z","timestamp":1467899181000},"page":"76-86","source":"Crossref","is-referenced-by-count":44,"title":["Evaluation of a self\u2010efficacy enhancement program to prevent pressure ulcers in patients with a spinal cord injury"],"prefix":"10.1111","volume":"14","author":[{"given":"Jung Yoon","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Nursing Seoul National University Bundang Hospital  Seongnam South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eunhee","family":"Cho","sequence":"additional","affiliation":[{"name":"College of Nursing and Mo-Im Kim Nursing Research Institute Yonsei University  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,7,7]]},"reference":[{"key":"e_1_2_9_2_1","first-page":"1","article-title":"A study on the user's satisfaction of agriculture information system","volume":"1","author":"Ahn S.","year":"1999","journal-title":"AgroInformatics"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2009.06.019"},{"key":"e_1_2_9_4_1","volume-title":"Social foundations of thought and action: A social cognitive theory","author":"Bandura A.","year":"1986"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0749-5978(91)90022-L"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3101460"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.132.4.381"},{"key":"e_1_2_9_8_1","first-page":"40","article-title":"A prospective evaluation of a pressure ulcer prevention and management E\u2010Learning Program for adults with spinal cord injury","volume":"56","author":"Brace J. 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