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PHRP : Osong Public Health and Research Perspectives

OPEN ACCESS. pISSN: 2210-9099. eISSN: 2233-6052

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Original Articles
A machine learning approach for predicting suicidal ideation among family members of persons with disabilities: a cross-sectional study in the Republic of Korea
Objectives
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.
Methods
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.
Results
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.
Conclusion
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.
  • 1,918 View
  • 86 Download
Deep learning-based prognosis of major adverse cardiac events in patients with acute myocardial infarction: a retrospective observational study in the Republic of Korea
Objectives
This study developed deep neural network (DNN) models capable of accurately classifying major adverse cardiac events (MACE) in patients with acute myocardial infarction (AMI) after hospital discharge, across 3 follow-up intervals: 1, 6, and 12 months. Methods: DNN models were constructed to predict post-discharge MACE across 4 categories. Multiple traditional machine learning models were implemented as controls to benchmark the performance of our DNN approach. All models were evaluated based on their ability to predict MACE occurrence during the specified follow-up periods. Results: The DNN models demonstrated superior predictive performance over conventional machine learning methods, achieving high accuracies of 0.922, 0.884, and 0.913 for the 1-month, 6-month, and 12-month follow-up periods, respectively. Conclusion: The high accuracy of our DNN models highlights their practical advantages for AMI diagnosis and guidance of follow-up treatment. These models can serve as valuable decision support tools, enabling clinicians to optimize the overall management of AMI patients and potentially enhance their hospitalization experience.

Citations

Citations to this article as recorded by  Crossref logo
  • Artificial intelligence and biohealth: the Republic of Korea’s emerging priorities in health care R&D
    Jong-Koo Lee
    Osong Public Health and Research Perspectives.2025; 16(4): 309.     CrossRef
  • 3,140 View
  • 106 Download
  • Crossref
AI-powered COVID-19 forecasting: a comprehensive comparison of advanced deep learning methods
Muhammad Usman Tariq, Shuhaida Binti Ismail
Osong Public Health Res Perspect 2024;15(2):115-136.
Published online March 28, 2024
DOI: https://doi.org/10.24171/j.phrp.2023.0287
AI-powered COVID-19 forecasting: a comprehensive comparison of advanced deep learning methods
Objectives
The coronavirus disease 2019 (COVID-19) pandemic continues to pose significant challenges to the public health sector, including that of the United Arab Emirates (UAE). The objective of this study was to assess the efficiency and accuracy of various deep-learning models in forecasting COVID-19 cases within the UAE, thereby aiding the nation’s public health authorities in informed decision-making. Methods: This study utilized a comprehensive dataset encompassing confirmed COVID-19 cases, demographic statistics, and socioeconomic indicators. Several advanced deep learning models, including long short-term memory (LSTM), bidirectional LSTM, convolutional neural network (CNN), CNN-LSTM, multilayer perceptron, and recurrent neural network (RNN) models, were trained and evaluated. Bayesian optimization was also implemented to fine-tune these models. Results: The evaluation framework revealed that each model exhibited different levels of predictive accuracy and precision. Specifically, the RNN model outperformed the other architectures even without optimization. Comprehensive predictive and perspective analytics were conducted to scrutinize the COVID-19 dataset. Conclusion: This study transcends academic boundaries by offering critical insights that enable public health authorities in the UAE to deploy targeted data-driven interventions. The RNN model, which was identified as the most reliable and accurate for this specific context, can significantly influence public health decisions. Moreover, the broader implications of this research validate the capability of deep learning techniques in handling complex datasets, thus offering the transformative potential for predictive accuracy in the public health and healthcare sectors.

Citations

Citations to this article as recorded by  Crossref logo
  • Opportunities and challenges of artificial intelligence in public health: a systematic review on technological efficacy, ethical dilemmas, and governance pathways
    Qin Gao, Lin Chen, Zhenyu Huang
    Frontiers in Public Health.2026;[Epub]     CrossRef
  • Enhancing Influenza-Like Illness forecasting: An ensemble approach combining mathematical and deep learning models amidst the COVID-19 pandemic
    Ganghyun Yoon, Amanda Bleichrodt, Gerardo Chowell, Sunmi Lee
    Epidemics.2026; 54: 100901.     CrossRef
  • Artificial Intelligence during a Public Health Crisis: A Trend Analysis of COVID-19 Research
    Sunghye Choi, Chang Kil Lee, Dohyeong Kim
    Journal of Environmental Health Sciences.2025; 51(3): 109.     CrossRef
  • Detecting outbreaks using a spatial latent field
    Cosmin Safta, Jaideep Ray, Wyatt Bridgman, Yoo Min Park
    PLOS One.2025; 20(7): e0328770.     CrossRef
  • Wastewater as an early indicator for short-term forecasting COVID-19 hospitalization in Germany
    Jonas Radermacher, Steffen Thiel, Aimo Kannt, Holger Fröhlich
    BMC Public Health.2025;[Epub]     CrossRef
  • Potential impacts of socio-economic changes on urban acoustic environment: evidence from 20 cities in Southern China
    Ping Lu, Kai Yuan Zhan, Wei Zhen Xu, Wei Ren, Jiang Liu, Xin-Chen Hong
    Environment, Development and Sustainability.2025;[Epub]     CrossRef
  • Bridging statistics and deep learning: a causal data-fusion framework for epidemic prediction
    Vasileios E. Papageorgiou, Georgios Petmezas, Aristeidis Georgakis, Nicos Maglaveras, George Tsaklidis
    Communications in Statistics - Simulation and Comp.2025; : 1.     CrossRef
  • 11,148 View
  • 181 Download
  • 7 Web of Science
  • Crossref
Impact of Mixed Cognitive Intervention Training on Early Onset Dementia
Bo-Ra Jeon, Deok-Ju Kim
Osong Public Health Res Perspect 2021;12(1):29-36.
Published online February 23, 2021
DOI: https://doi.org/10.24171/j.phrp.2021.12.1.05
<sec> <title>Objectives</title> <p>The aim of this study was to investigate the impact of mixed cognitive intervention training using spaced retrieval training, and errorless learning in participants with early onset dementia. This was based on reality orientation therapy for cognitive function, depression, and occupational performance of patients.</p></sec> <sec> <title>Methods</title> <p>Two early onset vascular dementia patients (> 65 years) with mild or moderate impairment were enrolled in a pre-test - post-test single-subject research design study. Prior to the study, the caregivers were interviewed about meaningful times, people, places, and areas of interest for the participant. A list of individual training words were selected based upon this information, and the participant was instructed to recall them after a 45-second, 90-second, 6-minute, and 12-minute delay. Baseline (3 sessions), intervention (20 sessions), and a second baseline period (3 sessions) were conducted. Activities of daily living were measured, and cognition was measured using the Consortium to Establish a Registry of Alzheimer’s Disease Korean version, whilst depression was measured using the Korean Form Geriatric Depression Scale, and task performance and satisfaction measured by the Canadian Occupational Performance Measure.</p></sec> <sec> <title>Results</title> <p>After intervention, both participants showed improvements in activities of daily living (ADL), word list memory/recognition, trail making A, occupational performance, and satisfaction improvement, which was clinically significant in 1 participant who also had a reduced score in the scale of depression classifying him as not depressed.</p></sec> <sec> <title>Conclusion</title> <p>Spaced retrieval training and errorless learning based on reality orientation therapy is an effective intervention in patients with early onset dementia and mild or moderate impairment.</p></sec>

Citations

Citations to this article as recorded by  Crossref logo
  • Medical professionals’ perspectives and experiences in disclosing a dementia diagnosis: a grounded theory study
    Miao-Chuan Chen, Cheng-I Chu, Hung-Ru Lin
    BMC Geriatrics.2026;[Epub]     CrossRef
  • Linguistic-cognitive intervention in a case of early-onset Alzheimer’s disease
    Beatriz Andrade de Souza, Maria Isabel D’Ávila Freitas
    CoDAS.2026;[Epub]     CrossRef
  • Intervenção linguístico-cognitiva em um caso de doença de Alzheimer de início precoce
    Beatriz Andrade de Souza, Maria Isabel D’Ávila Freitas
    CoDAS.2026;[Epub]     CrossRef
  • Non‐pharmacological interventions for people living with young‐onset dementia and their carers: A scoping review focussing on the support of participants' needs
    Iktae Kim, Yoosun Yang, Hongjin Cheon, Jiyeon Kim, Jun‐Ah Song
    Journal of Psychiatric and Mental Health Nursing.2024; 31(1): 14.     CrossRef
  • Interventions for Persons with Young-Onset Dementia and Their Families: A Scoping Review
    Xiaoyan Cui, Junqiao Wang, Bei Wu, Qianhua Zhao, Xueting Tang, Jing Wang
    Journal of Alzheimer’s Disease.2024; 97(4): 1519.     CrossRef
  • 10,923 View
  • 342 Download
  • 3 Web of Science
  • Crossref
Risk Assessment Program of Highly Pathogenic Avian Influenza with Deep Learning Algorithm
Hachung Yoon, Ah-Reum Jang, Chungsik Jung, Hunseok Ko, Kwang-Nyeong Lee, Eunesub Lee
Osong Public Health Res Perspect 2020;11(4):239-244.
Published online August 31, 2020
DOI: https://doi.org/10.24171/j.phrp.2020.11.4.13
<sec> <title>Objectives</title> <p>This study presents the development and validation of a risk assessment program of highly pathogenic avian influenza (HPAI). This program was developed by the Korean government (Animal and Plant Quarantine Agency) and a private corporation (Korea Telecom, KT), using a national database (Korean animal health integrated system, KAHIS).</p></sec> <sec> <title>Methods</title> <p>Our risk assessment program was developed using the multilayer perceptron method using R Language. HPAI outbreaks on 544 poultry farms (307 with H5N6, and 237 with H5N8) that had available visit records of livestock-related vehicles amongst the 812 HPAI outbreaks that were confirmed between January 2014 and June 2017 were involved in this study.</p></sec> <sec> <title>Results</title> <p>After 140,000 iterations without drop-out, a model with 3 hidden layers and 10 nodes per layer, were selected. The activation function of the model was hyperbolic tangent. Precision and recall of the test gave F1 measures of 0.41, 0.68 and 0.51, respectively, at validation. The predicted risk values were higher for the “outbreak” (average ± SD, 0.20 ± 0.31) than “non-outbreak” (0.18 ± 0.30) farms (<italic>p</italic> < 0.001).</p></sec> <sec> <title>Conclusion</title> <p>The risk assessment model developed was employed during the epidemics of 2016/2017 (pilot version) and 2017/2018 (complementary version). This risk assessment model enhanced risk management activities by enabling preemptive control measures to prevent the spread of diseases.</p></sec>

Citations

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  • Farm-level transmission dynamics and risk assessment of H5 Avian Influenza
    Juan Zhang, Jialin Wang, Xiaomeng Wei, Li Li, Ming-Tao Li, Xin Pei, Zhen Jin
    Chaos, Solitons & Fractals.2026; 204: 117767.     CrossRef
  • Quantitative risk assessment of avian influenza: A scoping review
    Mina Khoshbazm, Kelsey Spence, Marzieh Soltani, Lauren Grant, Yan Yan, Shayan Sharif, Rozita Dara
    Infectious Disease Modelling.2026; 11(4): 1583.     CrossRef
  • A risk prediction model for HPAI outbreaks in Kuwait
    Musab Alshatti, Ali Al-Hemoud, Ahmad Othman, Hanan Al-Khalaifah
    Frontiers in Veterinary Science.2026;[Epub]     CrossRef
  • A systematic review of mathematical and machine learning models of Avian Influenza
    Shixun Huang, Nicola Luigi Bragazzi, Zahra Movahedi Nia, Murray Gillies, Emma Gardner, Doris Leung, Itlala Gizo, Jude D. Kong
    One Health.2025; 21: 101203.     CrossRef
  • Avian Influenza: Lessons from Past Outbreaks and an Inventory of Data Sources, Mathematical and AI Models, and Early Warning Systems for Forecasting and Hotspot Detection to Tackle Ongoing Outbreaks
    Emmanuel Musa, Zahra Movahhedi Nia, Nicola Luigi Bragazzi, Doris Leung, Nelson Lee, Jude Dzevela Kong
    Healthcare.2024; 12(19): 1959.     CrossRef
  • Big data-based risk assessment of poultry farms during the 2020/2021 highly pathogenic avian influenza epidemic in Korea
    Hachung Yoon, Ilseob Lee, Hyeonjeong Kang, Kyung-Sook Kim, Eunesub Lee, Mathilde Richard
    PLOS ONE.2022; 17(6): e0269311.     CrossRef
  • Artificial Intelligence Models for Zoonotic Pathogens: A Survey
    Nisha Pillai, Mahalingam Ramkumar, Bindu Nanduri
    Microorganisms.2022; 10(10): 1911.     CrossRef
  • 10,647 View
  • 133 Download
  • 7 Web of Science
  • Crossref
Effects of Smoking Cessation Intervention Education Program Based on Blended Learning among Nursing Students in South Korea
Sook-Hee Choi, Yun-Hee Kim
Osong Public Health Res Perspect 2018;9(4):185-191.
Published online August 31, 2018
DOI: https://doi.org/10.24171/j.phrp.2018.9.4.07
<sec> <title>Objectives</title> <p>This study was conducted to evaluate whether a “smoking cessation intervention” education program based on blended learning, was effective in improving nursing students’ perceived competence and motivation to perform a smoking cessation intervention for smokers.</p></sec> <sec> <title>Methods</title> <p>A quasi-experimental, pretest–posttest design was conducted. The smoking cessation intervention education program based on blended learning, was administered to the experimental group (<italic>n</italic> = 23) in 5 sessions, consisting of 2 courses of an e-learning program and 1 course of a face-to-face learning program per session. The control group (<italic>n</italic> = 21) received the opportunity to participate in an e-learning program as well as receiving material of a face-to-face learning program, after completion of the smoking cessation intervention education program.</p></sec> <sec> <title>Results</title> <p>The experimental group showed significant differences in autonomous motivation (<italic>t</italic> = −6.982, <italic>p</italic> < 0.001), controlled motivation (<italic>t</italic> = −3.729, <italic>p</italic> = 0.001), and perceived competence compared to the control group (<italic>t</italic> = −3.801, <italic>p</italic> < 0.001).</p></sec> <sec> <title>Conclusion</title> <p>This study showed that a smoking cessation intervention education program adopting blended learning, was significantly effective in enhancing nursing students’ autonomous motivation and perceived competence to conduct a smoking cessation intervention. Further studies are needed to confirm longitudinal effects of this program.</p></sec>

Citations

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  • Systematic literature review on the effects of blended learning in nursing education
    Ruowei Wang, Arumugam Raman
    Nurse Education in Practice.2025; 82: 104238.     CrossRef
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    Eun-Hye Lee, Sung-Rae Shin
    BMC Nursing.2025;[Epub]     CrossRef
  • Effectiveness of debriefing after a short training on brief tobacco intervention for nursing students: A randomized clinical trial
    Antonio Jesús Ramos-Morcillo, César Leal-Costa, María Suárez-Cortés, Alonso Molina-Rodríguez, María Ruzafa-Martínez
    Nurse Education in Practice.2025; 86: 104393.     CrossRef
  • Educational interventions promoting modifiable lifestyle behaviours for cardiovascular disease in pre-registration nursing students: a scoping review
    Laura Creighton, Gemma Caughers, Gary Mitchell, James McMahon, Lis Neubeck, Donna Fitzsimons
    BMC Nursing.2025;[Epub]     CrossRef
  • The learning outcomes of smoking cessation training in undergraduate nursing students: A systematic review
    Guowen Zhang, Jie Zhou, Tzu Tsun Luk, Veronica Suk Fun Lam, Zhuangyan Yao, Man Ping Wang, Yee Tak Derek Cheung
    Nurse Education in Practice.2024; 75: 103907.     CrossRef
  • Effectiveness of digital tools for smoking cessation in Asian countries: a systematic review
    Khang Wen Goh, Long Chiau Ming, Yaser Mohammed Al-Worafi, Ching Siang Tan, Andi Hermansyah, Inayat Ur Rehman, Zahid Ali
    Annals of Medicine.2024;[Epub]     CrossRef
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    Adam Marawa'a
    Advances in Medical Education and Practice.2024; Volume 15: 369.     CrossRef
  • A Self-Applied Psychological Treatment for Gambling-Related Problems via The Internet: A Pilot, Feasibility Study
    Laura Diaz-Sanahuja, Carlos Suso-Ribera, Ignacio Lucas, Susana Jiménez-Murcia, Cintia Tur, Patricia Gual-Montolio, Macarena Paredes-Mealla, Azucena García-Palacios, Juana María Bretón-López
    Journal of Gambling Studies.2024; 40(3): 1623.     CrossRef
  • The effectiveness of a motivational text-messaging program for smoking cessation after coronary angioplasty: a quasi-experimental study
    Mohammad Sadegh Mobaraki, Zahra Khademian, Fatemeh Shirazi
    BMC Research Notes.2023;[Epub]     CrossRef
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    Hüsne YÜCESOY, Nülüfer ERBİL
    Middle Black Sea Journal of Health Science.2023; 9(3): 403.     CrossRef
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    BMC Medical Education.2022;[Epub]     CrossRef
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    Yein Lee, Yunhee Kim
    The Journal of Korean Academic Society of Nursing .2022; 28(2): 147.     CrossRef
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    Gülten OKUROĞLU, Şule ALPAR ECEVİT
    Clinical and Experimental Health Sciences.2022; 12(2): 507.     CrossRef
  • Covid-19 ile Hemşirelik Eğitiminde Yeni Bir Yaklaşım: Harmanlanmış Öğrenme
    Elif KOCAAĞALAR AKİNCE, Duygu Ceren GÜNGÖR, Nilay ÖZKÜTÜK, Fatma ORGUN
    Uluslararası Sosyal Bilimler Akademi Dergisi.2022; 4(10): 975.     CrossRef
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    Tobacco Induced Diseases.2021; 19(July): 1.     CrossRef
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    Nurse Education Today.2020; 86: 104318.     CrossRef
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    Nursing Open.2020; 7(4): 1129.     CrossRef
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  • 180 Download
  • Crossref
The Mediating Role of Organizational Learning in the Relationship of Organizational Intelligence and Organizational Agility
Mohammad Amin Bahrami, Mohammad Mehdi Kiani, Raziye Montazeralfaraj, Hossein Fallah Zadeh, Morteza Mohammad Zadeh
Osong Public Health Res Perspect 2016;7(3):190-196.
Published online June 30, 2016
DOI: https://doi.org/10.1016/j.phrp.2016.04.007
Objectives
Organizational learning is defined as creating, absorbing, retaining, transferring, and application of knowledge within an organization. This article aims to examine the mediating role of organizational learning in the relationship of organizational intelligence and organizational agility.
Methods
This analytical and cross-sectional study was conducted in 2015 at four teaching hospitals of Yazd city, Iran. A total of 370 administrative and medical staff contributed to the study. We used stratified-random method for sampling. Required data were gathered using three valid questionnaires including Alberkht (2003) organizational intelligence, Neefe (2001) organizational learning, and Sharifi and Zhang (1999) organizational agility questionnaires. Data analysis was done through R and SPSS 18 statistical software.
Results
The results showed that organizational learning acts as a mediator in the relationship of organizational intelligence and organizational agility (path coefficient = 0.943). Also, organizational learning has a statistical relationship with organizational agility (path coefficient = 0.382).
Conclusion
Our findings suggest that the improvement of organizational learning abilities can affect an organization's agility which is crucial for its survival.

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