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pISSN : 1226-0134 / eISSN : 2671-4450

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2016, Vol.24, No.2

  • 1.

    Research Trends in Pressure Ulcer Prevention Cushions for People With Disabilities Using a Wheelchair: A Systematic Review

    Jeonghyun Kim | Kim, Jongbae | 2016, 24(2) | pp.1~18 | number of Cited : 2
    Abstract
    Objective: This study examines the flow of research on pressure ulcer preventive cushions used for people with a disability using a wheelchair, as well as the trends in the types, effects, and measurement methods regarding such cushions. Methods: Electronic databases such as RISS, KISS, Scopus, PubMed, and Google Scholar from 2010 to 2015 were used to research various theses. “Pressure Ulcer AND Wheelchair AND Cushion” were used as the main search terminology. The theses researched were classified into three levels, and the final 13 theses were used for analysis purposes Results: The qualitative level of the dissertations most commonly involved one-group experimental studies, which numbered eight in total, and the research participants changed from non-disabled subjects to disabled subjects with spinal cord injuries. The studies on air cushions were most commonly focused on the type of pressure ulcer prevention cushion used, although newer studies on customized cushions are being actively conducted. The method for measuring the effect of pressure ulcer prevention cushions most commonly involved measuring the pressure of the seat contact area, although recent methods measuring the usability of the user and their subjective satisfaction are on the increase. Conclusion: The present study inquired into the research flow of pressure ulcer prevention cushions, and revealed the types of cushions being researched and the methods for verifying their effects. In the future, based on these research results, studies should be actively carried out for the development and research of pressure ulcer prevention cushions, and for establishing grounds for clinical services.
  • 2.

    A Systematic Review of Computerized Cognitive Function Tests for the Screening of Mild Cognitive Impairment

    Jin-Hyuck Park | Park,Ji-Hyuk | 2016, 24(2) | pp.19~31 | number of Cited : 10
    Abstract
    Objective: This study was conducted to systematically review computerized cognitive function tests for the screening of mild cognitive impairment (MCI). Methods: We searched papers published in Embase, PubMed, PsycINFO, and the Cochrane Library. The key words used in the search were󰡒computerized, "computer-based,󰡓󰡒cognitive assessment,󰡓󰡒screening test,󰡓 and 󰡒MCI.󰡓From a total of 12 papers, nine computerized cognitive function tests were extracted. Results: The evidence of the 12 papers ranged from level Ⅱ (91.7%) to level Ⅲ(8.3%), indicating that the overall evidence level was high. The total number of computerized cognitive function tests that can be used to screen Alzheimer's type dementia in addition to MCI was three. The subjects were selected using a variety of tests including a Mini-Mental State Examination. Most of the personal computer based tests were conducted within 3 to 30 minutes using a keyboard or mouse through a self administration. Although the test areas differ between the systems used, the memory area was included in all tests. The reliability of the tests was high and the sensitivity and specificity of the tests showed were shown to be similar to or lower than paper and pencil based tests. Conclusions: These results can be used as the basic data for developing a computerized cognitive function test for the screening of MCI.
  • 3.

    A Systematic Review of Interventions on Driving Performance in Older Drivers

    Moon Young Kim | 김연주 | 이예진 and 1other persons | 2016, 24(2) | pp.33~46 | number of Cited : 2
    Abstract
    Objective: The aim of this study is to investigate the effectiveness of different interventions applied to the driving performance of older drivers. Methods: Previous studies were found from an electronic database (e.g., MEDLINE and Google Scholar) published within a ten-year period from between January 2005 to April 2015. The following key terms were used: ‘automobile driving’ (MeSH term), ‘Aged’ (MeSH term), ‘Occupational Therapy’ (MeSH term) and ‘Treatment Outcome’ (MeSH term). Seven articles met the inclusion criteria. Results: The articles reviewed included five Level I evidence articles (71.4%) and two Level Ⅱ articles (28.6%). Five intervention themes emerged from the research: (1) cognitive training, (2) physical training, (3) education program, (4) simulator training, and (5) on-road driver training. Speed-of-processing and reasoning training resulted in lower rates of at-fault collision involvement than the controls during cognitive training. Only the education program theme did not show a significant improvement, and the effectiveness increased when carried out in conjunction with on-road driver training. Driving performance was improved through physical training, simulator training, and on-road driver training. Conclusion: The articles reviewed programs for various types of interventions. It is important for occupational therapy practitioners to provide an appropriate intervention for elderly drivers to improve their driving performance. Therefore, a variety of Korean training programs for driving rehabilitation are expected to be developed.
  • 4.

    A Survey on the Current State and Demand of Consultation of Parents Who have Children with Disabilities in the Area of Occupational Therapy

    전미린 | Yoo, Eun-Young | Jung, Min-Ye and 1other persons | 2016, 24(2) | pp.47~58 | number of Cited : 7
    Abstract
    Objective: This study was executed in order to apprehend the current state of consultation in the area of occupational therapy for parents who have children with disabilities, and to examine their desire for consultation. Methods: The participants were 177 parents and family members with children with a disability, who have consulted with an occupational therapist at least once a week in an occupational therapy clinic located in a pediatric psychiatrist clinic, welfare center, or private clinic based in the Seoul and Gyeonggi areas. The survey consisted of general information on the participants, their current state of consultation regarding occupational therapy for their children, and their desire for such consultation. Results: For the contents of the consultation, the participants reported in order the information regarding the therapy process and program, the behavior characteristics of their children with a disability and how to treat them, and the goal of occupational therapy. They reported that consultations helped them understand their children’s development level and the purpose of occupational therapy, and they vowed to continue treatment. Among the parents’ preferences regarding their consultation, the content, duration, and desired time were not at odds with the current status, but many desired to be consulted with both parents present together. Conclusion: The study results indicate that a consultation can be planned and processed more efficiently and applicably based on the desire of the parents.
  • 5.

    The Roles of Physiotherapists and Occupational Therapists Related to Implementing Comprehensive Nursing Care Services: Analysis of Cases in the US, the UK, and Australia

    Junghun Kim | 2016, 24(2) | pp.59~70 | number of Cited : 1
    Abstract
    Purpose: The Korean government established a system of comprehensive nursing care service in 2013 and plans to run at least one ward in all hospitals by 2018. This system is expected to support families by reducing their burden in taking care of a family member or having to hire a commercial caregiver. However, this system is concerned with the safety and higher risk of falls in a hospital owing to the absence of a caregiver. Thus, this study investigates a way to eliminate such concerns and to propose an appropriate initiative. Method: This study analyzes the hospital fall prevention guidelines from the United States of America, United Kingdom, and Australia. Results: In the fall prevention guidelines in the US, the UK, and Australia, multidisciplinary teams should be used. Each professional provides intervention related to fall risk factors. In particular, physiotherapists and occupational therapists play an important role in patient safety and reducing the risk factors of the elderly. Conclusion: Before fully implementing a comprehensive nursing care service, the Korean government should consider developing fall prevention guidelines for hospitals, including the specific roles of professional physical and occupational therapists in order to enhance the service quality and patient safety.
  • 6.

    A Survey on Occupational Therapy at Specialized Child-Care Centers for the Disabled in Korea

    강석구 | Lee, Chunyeop | Kim Hee Jung and 1other persons | 2016, 24(2) | pp.71~81 | number of Cited : 0
    Abstract
    Objective: The purpose of this study was to survey the status of occupational therapy at specialized child-care centers for the disabled in Korea and to present a way to proceed with them. Methods: A total of 51 occupational therapists in charge at a specialized child-care center for the disabled in Korea responded to a questionnaire by mail, and visited between July 21 to August 31 of2015. Results: The largest number of children in specialized child-care centers for the disabled was 31 to 60 (56.9%), and 84.3% of the children were found to be of preschool and school age. Based on the responses, the diagnosis of the children was in order of intellectual disability (100.0%), brain lesions, (96.1%), and autistic disorders (96.1%). The professionals were made up of child care teachers (44.1%), special education teachers (31.0%), language rehabilitation specialists (11.2%), and occupational therapists (8.7%). In the overall data for occupational therapy, the treatment time was 7 to 9 times (70.6%) daily on average, and the treatment time was 30 to 40 minutes (94.1%). As for the opinion regarding the status of occupational therapy, provisions for assigning therapists (100.0%), therapist personnel regulations (96.1%), and salary differential improvements (100.0%) are needed. Conclusion: It is necessary to set up systematic work of experts from each field and solve collaborative practices between therapy and education to help provide the disabled an optimal child care environment.
  • 7.

    Effect of Client-Centered Home-based Occupational Therapy Service on Activity Participation of Clients With a Special Dementia raings: A Case Study

    백다래 | Jung, Hyerim | 2016, 24(2) | pp.83~98 | number of Cited : 5
    Abstract
    Objective: This study aims to understand the effect of client-centric occupational therapy on the activity participation in subjects with a special dementia ratings, and to provide a model of an activity-centric program for such subjects. Methods: Three subjects were classified as having a special dementia ratings. Their ADL and levels of activities were investigated using a Modified Barthel Index, the Korean Instrumental Activities of Daily Living, and the Korean Activity Card Sort. The goals of their interventions were established using the Canadian Occupational Performance Measure. The activities selected were classified into 20 steps. The changes in activity implementation (correct response to the steps) during the intervention period were presented visually through a graph. Results: Their activity level scores were increased, and the task implementation rate, implementation level, and satisfaction level of the intervention activity were improved. Conclusion: The activity centric program used to apply client-centric occupational therapy suggested in this study can provide a practical model of occupational therapy for subjects with a special grade of dementia, and can contribute to securing the professionalism of occupational therapy in the field of dementia services.
  • 8.

    Perception of Occupational Therapy Faculty Members on the National Accreditation of Occupational Therapy Education Program

    Lee Hyang Sook | Daehyuk Kang | Moonyoung Chang and 3other persons | 2016, 24(2) | pp.99~109 | number of Cited : 4
    Abstract
    Objective: The explosive increase in occupational therapy education programs calls for a reliable national accreditation system in Korea. The aim of this study was to investigate the perception of faculty members on the necessity for a national accreditation system, in addition to the minimum standards of the World Federation of Occupational Therapists (WFOT) for an occupational therapy education program. Method: A survey questionnaire was distributed to all faculty members of occupational therapy programs in Korea through e-mail between January 20 and April 25. A total of 103 responses were collected, and with the exception of eight incomplete responses, 95 of them were analyzed. Results: Eighty (84.2%) respondents agreed with the necessity of WFOT approval, and 73 (76.8%) people replied that a national accreditation system is necessary. Seventy-two (75.8%) respondents stated that they had the intention to be evaluated based on the national accreditation system. Conclusion: The results of this study indicate that the development of a national accreditation system is in great need in order to ensure the quality of occupational therapy education and consumer satisfaction in Korea. By establishing appropriate and reasonable standards for an occupational therapy education program, we can expect an improvement in the quality of occupational therapy education programs and more competent occupational therapists nationwide.
  • 9.

    A Study on Standard Terminology for Occupational Therapy Documentations Focusing on Korean-Type Medical Institutions

    Song, Young-Jin | Woo, Hee-Soon | Lee Hyang Sook and 3other persons | 2016, 24(2) | pp.111~124 | number of Cited : 10
    Abstract
    Objective: This study is a follow-up study to the standardization of a clinical terminology system for Occupational Therapy (OT), and aims at developing the standard terminology for OT documentations focusing on Korean-type medical institutions, by establishing terminologies regarding the classification of OT documentations and detailed treatment acts, determining its applicability through consultations with the experts, and verifying its validity. Methods: For medical institutions where occupational therapists work, based on the current results of occupational therapeutic actions in a clinical setting by case, standardization was developed by reflecting on the International Classification of Functioning, Disability and Health (ICF) classification system and the Occupational Therapy Practice Framework (OTPF). This study was conducted in five stages, a seminar with the consultants, consultations with experts, reviewing the focus group, and a validity investigation. For verifying the validity, the content validity index was calculated. Results: Nine broad classifications of OT documentations focusing on Korean-type medical institutions consist of sensitive therapy, perceptive therapy, cognitive therapy, neuromuscular skeletal system therapy, dysphagia rehabilitation, activities and participation-mobility, activities and participation-ADL, activities and participation-IADL, and activities and participation-other occupational therapies. As a result of the content validity verification, the entire content validity index on clinical OT terminologies was higher than 8.9. Conclusion: It is expected that standardization will be available for the documentation of OT focusing on activities and participation using standard terminologies for OT documentations focusing on Korean-type medical institutions and for applying it as evidence to develop and extend OT insurance costs using statistical data on frequency of usage of standard terminologies about OT documentations.
  • 10.

    Guidelines on the Main Work and Scope of Practice for Occupational Therapists in Korea

    Yoo DooHan | Jang, Jong-Sik | Choi Seong-Youl and 3other persons | 2016, 24(2) | pp.125~138 | number of Cited : 7
    Abstract
    Objective: This study proposes guidelines for occupational therapists to identify and clarify the scope of their main work and practice, based on legislative evidence. Main: Clear identification of their scope of practice can reduce confusion occurring during clinical practice. In addition, continuous promoting and education are needed to allow actual task performance to reflect the related regulations. The scope of occupational therapy practice aims to recover physical and psychological dysfunctions. In order to achieve this goal, occupational therapists utilize objects or instruments used in daily life as a means of practice. The unique tasks and roles of occupational therapists enable an individual to participate in the rehabilitation process through their own volition and capacity, and to live without disability. The expected performance of occupational therapists involves sensory activity training, occupational daily living training, cognitive rehabilitation treatment, dysphagia rehabilitation treatment, production and training of assistive devices for upper extremities, occupational performance analysis and evaluation, and some additional therapeutic-occupational training and treatment. Conclusion: The revised scope of occupational therapy practice may provide a positive contribution toward the development of insurance fees and to bring about positive changes in the policy of occupational therapy for public health in the future.