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2010, Vol.18, No.2

  • 1.

    Survey of Job Characteristics and Practice Analysis Among Korean Occupational Therapists

    Lee Hyang Sook | MINYE JUNG | Bo-In Chung and 3other persons | 2010, 18(2) | pp.1~21 | number of Cited : 36
    Abstract
    Purpose : The aims of the present study were to investigate the job characteristics and priorities of job tasks for Korean occupational therapists, and to offer appropriate ratios for test items of the national licensing examination based on a practice analysis. Methods : A survey was conducted for four months beginning in December 2008, and consisted of two domains: job characteristics (clinical training, work settings, population of patients), and a practice analysis (importance and frequency of tasks). Questionnaires were mailed to 430 occupational therapists registered as members of the Korean Association of Occupational Therapists. A total of 359 responses were returned,but 14 responses had missing data and were excluded in the statistical analysis. Results : The results of the study revealed that most occupational therapists were trained in university hospitals, where the major populations were patients with physical disabilities. According to the survey, most occupational therapists were working at rehabilitation hospitals and their main diagnoses were for patients with neurological disorders. The order of importance for four domains was "professional standards and responsibilities," "interventions," "evaluation," and "treatment plan." The importance weights were "evaluation"(12.2%), "treatment plan" (24.7%), "interventions" (33.6%), and "professional standards and responsibilities" (29.6%), respectively. Conclusion : The results of the study will contribute toward providing a basis for establishing a model of Korean occupational therapy practice and to supply basic data that can be utilized for offering direction in occupational therapy education as well as the national licensing examination.
  • 2.

    Working Conditions and Job Satisfaction of Therapy Support Service Professionals at Schools and Support Centers for Special Education: Centered on Occupational Therapy Majors

    Oh Hye Won | Kim Se Yun | 2010, 18(2) | pp.23~37 | number of Cited : 12
    Abstract
    Objective : This study was used to identify the working conditions and job satisfaction of therapy support service professionals based at schools and support centers for special education. The study was also conducted to provide substantial materials for the welfare improvement of service professionals and the best possible service for children with disabilities. Methods : This study analyzed 60 questionnaires distributed to therapy support service professionals working in schools and support centers for special education. The questionnaires were collected by telephone, mail,and e-mail from January 4th to 20th, 2010. Results : The highest percentage of satisfaction was found in contracted occupational therapists earning 1.5 to 2 million won a month, working 40 hours a week at 1 itinerant place with students with intellectual disabilities,who were ambivalent about their equipped devices, are a special teacher or related service member, and are responsible for less than 5 elementary student aged children. The total job satisfaction was higher in those working in schools, while the reward satisfaction was higher in permanent workers treating fewer children per day and at a higher salary. The task satisfaction showed a significant difference based on the condition of the equipped devices. Recognition and autonomy satisfaction showed a significant difference based on the number of children attended to per day. There was positive relation between task satisfaction and reward and autonomy satisfaction, and also between relationship satisfaction and recognition satisfaction. Conclusion : It is necessary to create a policy and plan for the improvement of working conditions and job satisfaction of therapy support service professionals working in schools and support centers for special education. Various seminars and school-based occupational-therapy-related research for school-based occupational therapists’roles and professionalism are also needed.
  • 3.

    Delphi Method on Course Subjects for Occupational Therapists as Assistive Technology Practitioners: Assistive Technology Services in General and for the Aged

    Moonyoung Chang | Jung Hye Young | 2010, 18(2) | pp.39~62 | number of Cited : 6
    Abstract
    Purpose : This study aims to examine what subjects of focus are necessary for assistive technology (AT)practitioners, both in general practice and for those working with the aged, thereby identifying the expert qualifications of occupational therapists. This study also aims to come up with the subjects required for advanced courses for AT practitioners. Methods : This study was conducted a total of three times on a group of nine AT practitioners using the Delphi method. A final questionnaire was prepared based on the following: (1) expert opinions collected through the first round of a questionnaire, and (2) educational courses opened in the domestic departments of occupational therapy and rehabilitation technology. The period of study was from August 17th to December 18th, 2009, and the rate of replies from the participants was 100% in all three rounds of the questionnaire survey. Results : Among the available subjects of focus in occupational therapy departments, fourteen, including assistive technology, functional anatomy, activities of daily living, and splint, were in the first quartile as those that provide occupational therapists with AT practitioner qualifications. For such subjects for AT service practitioners working with the aged, seven, including geriatric occupational therapy, musculoskeletal occupational therapy, and cognitive rehabilitation, were in the first quartile. The most essential subject of advanced courses for AT practitioners in both general practice (88.9%) and for those working with the aged (77.8%) turned out to be house and work place remodeling. Conclusion : This study ascertained that occupational therapists are obtaining the necessary subjects as AT practitioners in their school courses. Given the evidence above, an effort to embody the roles of occupational therapists in a variety of AT services, including payment for assistive devices, is required. In addition, more advanced courses that enhance the capabilities of occupational therapists as AT practitioners need to be established. The results of this study are expected to be utilized as the basic data for future AT practitioner courses.
  • 4.

    Developing a Model for the Establishment of Criteria Concerning Korean Style Activities of Daily Living Training Rooms in the Field of Occupational Therapy

    김원진 | Moonyoung Chang | Hyuk-Cheol Kwon and 1other persons | 2010, 18(2) | pp.63~77 | number of Cited : 4
    Abstract
    Objective : This study was used to develop a new model in establishing a standard for Korean ADL training rooms required at occupational therapy sites. Methods : Using the Delphi technique, we questioned related experts on their opinions on three different occasions. The group of experts was composed of ten professors of occupational therapy and twenty occupational therapists with more than 3 years of experience. Through a frequency analysis, the results of this survey show items in the upper quartile. Results : According to the hospital size, the units required for an ADL training room are as follows. For a general hospital, a living room, bedroom, bathroom, kitchen, and dining room are required. In university hospitals, a bedroom, bathroom, kitchen, and dining room are needed. It was shown that in the case of private hospitals, the installation of a bathroom, kitchen, and dining room is a high priority, while for medical practitioner’s offices, the response rates for bathrooms, kitchens, and dining rooms were similar. For the installation of an ADL training room, the furniture and equipment that should be installed in each unit are as follows: in each living room, six items including a chair and television; for the bedroom, seven items including a clothes chest and bed; for the bathroom, nine items including a toilet and toilet safety bar; for the kitchen and dining room, nine items including a sink and kitchen table; and for the corridor, six items including a safety bar for slide prevention. The installation standard for each piece of furniture and equipment was either almost the same as the evaluation standard suggested, or had an enhanced item other than that suggested in the evaluation standard. Conclusion : The results of this study can be used as reference materials in order to promote the efficiency of occupational therapy by intervention in a proper occupational environment and to install a reasonable ADL training room.
  • 5.

    A Task-Oriented Approach Consisting of Modified Constraint - Induced Movement Therapy(m-CIMT) and Bimanual Activity Effects on Upper Extremity Function and Activities of Daily Living(ADL) in Stroke Patients

    Paik Young Rim | kim su kyoung | 2010, 18(2) | pp.79~94 | number of Cited : 9
    Abstract
    Objective : The purpose of this study was to investigate a task-oriented approach program consisting of modified Constraint-Induced Movement Therapy (m-CIMT) and bimanual activities used to impact the affected upper extremity function and activities of daily living (ADL) performance for five stroke patients. Methods : Five subjects, each suffering from stroke hemiplegia, wore a glove to create limited movement on their unaffected hand during a three-week period during their most active 5 hours of the day, and performed tasks for a limited period of time. Their bimanual movement activity was non-limited on their unaffected side,and bimanual ADL tasks were performed during one week. An assessment of their upper extremity function was made using an adapted Manual Function Test (MFT), while their changes of ADL functions were measured using an Assessment of Motor and Process Skills (AMPS). A Friedman test with repeated measurements was used to verify the significant differences of the analysis results, and a Wilcoxon matchpaired sign-rank test was used to ascertain the differences between the subjects before and after treatment. Results : The subjects’upper extremity function and ADL performance function were significantly improved after Modified Constrain-induced Movement therapy (m-CIMT) and bimanual activity. After m-CIMT, the upper extremity function and ADL performance function of hemiplegia patients were significantly improved,even after a task-oriented approach, but no positive effects were shown at significant levels. Conclusion : Through these study results, it was found that carrying out m-CIMT and bimanual activities in an applied task-oriented approach improved the functional use of the affected side of stroke patients. This treatment program was found to effectively improve the patients’upper extremity and ADL functions.
  • 6.

    A Study of the Quality of Life and Participation in Everyday Activities for Schoolaged Children With Cerebral Palsy

    조성미 | 오덕원 | 김선엽 and 1other persons | 2010, 18(2) | pp.95~106 | number of Cited : 7
    Abstract
    Purpose : This study aimed to determine whether the quality of life (QOL) and participation in everyday activities of school-aged children with cerebral palsy (CP) differ according to the children’s individual characteristics. Methods : Sixty-nine subjects 8-15 years in age were selected for this study. Their QOL and participation in everyday activities were assessed using the Korean version of KIDSCREEN 52-HRQOL and a frequency of participation questionnaire. The characteristics of the subjects include their gender, age, classification of CP,paralytic type, intellectual quotient (IQ), gross motor functional classification system (GMFCS), bimanual fine-motor function (BFMF), and level of pain. Results : The QOL scores were significantly higher for those with a good functional level of GMFCS, high IQ,and the absence of pain (p<.05). The scores for everyday activity participation were significantly higher for those with a good functional level of GMFCS, a high BFMF, high IQ, and the absence of pain (p<.05). Finally,children with spastic diplegia had better scores than those with other types of diplegia (p<.05). Conclusion : The findings indicate that the QOL and participation in daily activities of school-aged children with cerebral palsy can be influenced by a variety of individual factors. Such findings may be used as specific considerations in planning efficient therapeutic strategies and in executing an actual treatment plan. Further studies will be continued in this field.
  • 7.

    Factors Affecting the Occupational Performance Capacities in Persons With Schizophrenia

    김용섭 | 강대혁 | 박소연 | 2010, 18(2) | pp.107~120 | number of Cited : 5
    Abstract
    Objective : The aims of this study were to investigate the relationships among work personality, role identification, cognitive function, and psychiatric symptoms and to identify the factors that predict occupational performance capacity of a person with schizophrenia. Methods : Twenty participants with schizophrenia who were enrolled in a community mental health center were recruited. Data were collected between June and September in 2009. Spearman rank correlation coefficients were used to see whether there were correlations between occupational performance capacity and the following three factors: role identification, cognitive function, and psychiatric symptoms. Finally,stepwise multiple regression analysis was conducted to identify the factors affecting occupational performance capacity. Results : There were high correlations between sub-categories of WPP and those of WRI and BASIS-32. Among them, habits and daily life and role function were found to be significant factors which would predict changes of social skills and work motivation. Conclusion : This study identified the factors predicting occupational performance capacities in persons with schizophrenia and emphasized the necessity of the effective vocational rehabilitation programs. The future study needs to focus on validating the effectiveness of various occupational therapy programs relevant to vocational rehabilitation for people with schizophrenia.
  • 8.

    The Effects of Submerged Constraint-Induced Movement Therapy on Upper Limb Function and Activities of Daily Living for Children With Hemiplegic Cerebral Palsy

    Chon Seung-Chul | 오덕원 | 2010, 18(2) | pp.121~131 | number of Cited : 7
    Abstract
    Objective : This study aimed to determine the effects of submerged constraint-induced movement therapy (CIMT) on the upper limb function and activities of daily living for subjects with hemiplegic cerebral palsy. Methods : This study used a single-subject experimental design, alternating with multiple baselines across individuals. Three children with hemiplegic cerebral palsy volunteered for the study. Participants1, 2, and 3performed 4, 7, and 10 sessions each during the baseline phase, and 14, 11, and 8 sessions during the intervention phase, respectively. An outcome assessment was made using a Box and Block Test (BBT) and Pediatric Motor Activity Log (PMAL). Results : The BBT scores of participants 1, 2, and 3 improved 27%, 14%, and 7.6% during a submerged CIMT, respectively; however, there was not much improvement, 16%, 6%, and 0%, with conventional CIMT. The PMAL scores improved 8%, 31%, and 17% for submerged CIMT, and 25%, 15%, and 11% with conventional CIMT. In addition, there were significant differences in the BBT and PMAL scores between the two CIMT types (p<.01). Conclusion : The findings suggest that submerged CIMT has a more adaptable effect than conventional CIMT. Future studies are required in this field.
  • 9.

    The Relationship of Achievement Goal, Learning Styles, and Academic Achievement in Students in the Department of Occupational Therapy

    황기철 | 노효련 | 2010, 18(2) | pp.133~145 | number of Cited : 3
    Abstract
    Objective : The purpose of this study was to investigate the achievements related to the achievement goals and learning styles of students at K University’s Department of Occupational Therapy and to assess their implications on teaching/learning methods. Methods : A total of 105 students in all years of study at the Department of Occupational Therapy were invited to complete a questionnaire. For this study, Kolb's Learning Styles and Elliot & Church's Achievement Goal were used. The subjects’GPAs from the previous semester were used as indicators of academic achievement. Results : The results of this study are as follows. There is no coefficient of correlation between learning styles, but there is a coefficient of correlation between achievement goal and academic achievement. A mastery level was the preference in the academic goal types of the students. Kolb's‘ Accommodator' was the preferred learning type for students, while‘ assimilator' was not preferred. Students also preferred‘ diverger'as a higher grade. Conclusion : From these results, we suggested some effective teaching/learning methods based on the students' achievement goals. Learning styles and achievement goals are expected to be helpful in designing effective learning strategies and thereby enhancing the performance of medical students.