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pISSN : 1226-0134 / eISSN : 2671-4450

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2016, Vol.24, No.3

  • 1.

    A Study on the Development of a Model for Regional Comprehensive Center Focusing on Occupation

    Kiyeon Chang | Kim Hee Jung | Seulgee Kim and 4other persons | 2016, 24(3) | pp.1~19 | number of Cited : 4
    Abstract
    Objective : This study aims at suggesting how to build a Korean model for regional comprehensive center focusing on occupation in order to solve problems such as omitting and overlapping in the subjects for healthcare and social welfare for the elderly in Korea, blank in long­term care for the elderly, scattered services in both public and private sectors in local communities, and exclusion of patients with mild disability. Methods : Based on the analysis on the laws and policies related to social welfare services in Korea and abroad, their current status and problems, and the case studies from the developed countries, a model for regional comprehensive service focusing on occupation, suitable to the Korean circumstances was developed. To confirm the model's appropriateness, its feasibility in Korea, and its effectiveness, contents validity by experts and consulting by focus group interview(FGI) were conducted and then the final model was developed. Results : The regional comprehensive model focusing on occupation was developed as a system to provide continuously and comprehensively five services. As a result of the verification of the content validity, the entire average of validity per question was 7.16 of 9, showing the higher point. Conclusion : Regional comprehensive center focusing on occupation will contribute to enhance quality of life by providing medical, preventative, housing, and living support services required for aging in place in longtime familiar local society as possible, keeping dignity through activities and participations by elderly and aged people in local society. In addition, occupational therapist will play a role of care manager and be recognized as regional social rehabilitation expert, becoming the legitimate beginning to entry into the sector.
  • 2.

    The Effects of Cognitive Training of Integrated Psychological Therapy in Persons With Chronic Schizophrenia by Assessing Cognitive Function and Activities of Daily Living Performance Ability Improvement

    Jo Hoon | Jung, Min-Ye | Yoo, Eun-Young and 2other persons | 2016, 24(3) | pp.21~33 | number of Cited : 1
    Abstract
    Objective : The purpose of this research was to investigate the effects of cognitive training of Integrated Psychological Therapy on cognitive function and activities of daily living performance ability in persons with chronic schizophrenia. Methods : Nineteen subjects who were diagnosed with chronic schizophrenia participated in this study. As an intervention, the cognitive training of Integrated Psychological Therapy was conducted three times per week during six-week period, eighteen times in total. The design of this study was pre-test and post-test study. To ascertain whether this program could improve the cognitive function, Trail Making Test as executive function assessment, Word List Memory Test, and thinking operation sub-test of Loewenstein Occupational Therapy Cognitive Assessment were used. Results : Executive function(p<.01), memory(p<.01), and thinking operation(p<.01) in cognitive abilities demonstrated significant improvement. In changes of activities of daily living performance ability, there were significant improvements in motor(p<.05) and process(p<.01) skills. Conclusion : The cognitive training of Integrated Psychological Therapy in this study have been positive effects on cognitive ability and performance ability in activities of daily living. For the further study, researchers need to consider control group experimental study of persons with schizophrenia and verification research whether these improvements remain.
  • 3.

    A Systematic Review of the Occupational Therapy Interventions Applied to Patients With Schizophrenia

    김주희 | 고석범 | HAE YEAN PARK | 2016, 24(3) | pp.35~53 | number of Cited : 4
    Abstract
    Objective : The objective of this study is to analyze the interventions for patients with schizophrenia carried out by domestic and foreign occupational therapists to provide evidence for occupational therapy in psychiatric rehabilitation. Methods : Scopus, Pubmed, Google Scholar, RISS, KISS and National Library of Korea were searched from 2005 to 2015. Key search terms were used 󰡒Schizophrenia AND Occupational therapy󰡓. After the secondary classification, the exclusion criteria were applied. A total of 12 papers were used in the analysis. Results : The results revealed the level of quality and trends of study, the types of interventions and the environment, dependent variables and assessment tool. The number of papers tended to be increasing and the study design has become more diverse. Most frequently conducted interventions applied to Schizophrenia were Activities, Client-centered approach and Cognitive training interventions and more than half of the interventions were conducted in the hospitals. Symptom was the most selected dependent variable and 󰡐Scale for Assessment for Negative Symptoms(SANS)󰡑 was the most used assessment tool in studies. Conclusion : Through this study, we provided evidence for occupational therapy in mental rehabilitation. In the future, researchers should clarify the role of the occupational therapist in mental rehabilitation. In addition, studies are needed for a variety of intervention.
  • 4.

    Effects of Interventions on Driving for Community Older Adults: A Meta-Analysis

    LEE YU NA | Yoo, Eun-Young | 2016, 24(3) | pp.55~65 | number of Cited : 2
    Abstract
    Objective : The aim of this study was to determine the clinical effectiveness of intervention on driving for community older adults through a meta-analysis. Methods : Data were collected from online search engines from foreign article databases and from a manual search from related journals. Two researchers carried out the literature selection independently and evaluated literature quality using Jadad score. 6 selected articles was determined using the Comprehensive Meta-Analysis 2.0 program. Results : There were a total of 1,232 participants in the 6 selected articles. The effective sizes for driving behavior, driving skill were 0.07 and 0.42 respectively. The effective size of driving skill was statistically significant (p<0.05), which demonstrates a 󰡐medium effect size󰡑. This result is reliable, as significant statistical heterogeneity and publications bias were not found. Conclusion : The results of this study show that interventions on driving for community older adults is effectively. This can be utilized effectively in evidence-based occupational therapy for older drivers.
  • 5.

    A Systematic Review on the Effect of Tablet PC for Children with Intellectual Disabilities

    Hong Mi Young | Jung, Bong-Keun | 2016, 24(3) | pp.67~79 | number of Cited : 2
    Abstract
    Objective : This study was conducted through systematic review of studies that involve intervention based on training programs with table PC of usage type and outcome for children with intellectual disabilities. Methods : Data from Jan. 2010 to Dec. 2015 in foreign research database was used and key words search terms were 'tablet PC’, ' intellectual disabilities’. Total 9 studies were selected through additional keywords; 'iPad’, 'iPod’, 'Portable multimedia device’ and 'tablet computer’. Results : The result of analyzing usage type of tablet PC was presented as mobile application(55.5%), Custom designed multimedia resources(22.2%), video modeling(11.1%) and digital textbook(11.1%). The outcome from PC intervention was presented such academic skill(33.3%), task performance(22.2%), in class participation(11.1%), communication(11.1%) social interaction(11.1%) and learning to self-schedule(11.1%). Conclusion : This study has provided information to using tablet PC for intervention through presenting usage type and intervention result for children with intellectual disabilities and would be an evidence for intervention goal.
  • 6.

    A Review of Prism Adaptation Treatment in Stroke Patients with Spatial Neglect

    Jeong, Eun Hwa | Park,Ji-Hyuk | 2016, 24(3) | pp.81~96 | number of Cited : 4
    Abstract
    Objective : This study was conducted to examine the theories, intervention method, and clinical effects of the prism adaptation treatment in stroke patients with spatial neglect. Methods : We systematically searched published studies related to prism adaptation treatment in the SCOPUS and EBSCOhost databases from 2000 to 2015. The key words used in the search were“prism adaptation neglect”and“prism adaptation stroke.”Twenty studies were selected and analyzed out of 230 studies reviewed during a preliminary search in accordance with the inclusion and exclusion criteria. Results : The shift angle used in the prism adaptation treatment in the 20 analyzed studies has a mean of 10.7°. Assessments were at the functional level of daily living such as FIM and transitional test of spatial neglect, such as a line bisection and cancellation. The intervention periods were different in accordance with the study designs, from 1 day to 8 weeks. The duration of the effects differed according to the study designs, from 1 day to 6 months. In a study on the chronic stage, the result showed the effects of prism adaptation for more than 3 years. Most studies of prism adaptation showed a determined effect on spatial neglect recovery, and improved cognitive functions such as environment exploration or mental imagery, as well as improved eye movements, and functional improvements such as activities of daily living. Conclusion : This study provided evidence regarding intervention methods and clinical effects related to prism adaptation treatment in stroke patients with spatial neglect. It is necessary to make use of the prism adaptation treatment for national clinical occupational therapy, in that various interventions have different effects for stroke patients with spatial neglect.
  • 7.

    The Effects of Occupational Reminiscence Therapy Using Fairy Tale Flash Animation on Cognition, Social Interaction and Behavior Problems of the Elderly With Dementia

    Mi-hwa Kwon | kim su kyoung | Lee Jaeshin and 1other persons | 2016, 24(3) | pp.97~109 | number of Cited : 9
    Abstract
    Objective : The purpose of this study was to examine the effectiveness of occupational reminiscence therapy using fairy tale flash animation on cognitive function, social interaction, and behavior problems of hospitalized patients with dementia. Methods : In this study, 24 elderly people with dementia were divided into experimental and control groups. The program was performed three time a week in August to September 2013, for 40 minutes each time, and 18 times in total. The subjects were evaluated through MMSE-K, LOTCA-G, SBS, and NPI-Q. The intervention results were from descriptive statistics and a non-parametric test. Results : The experimental group of elderly with dementia, which applied reminiscence therapy using fairy tale flash animation, had a significant increase in cognitive function and social interaction scores compared with the control group. However, the control group showed a reduction in MMSE-K, LOTCA-G, and SBS scores. The NPI-Q scores showed no significant change in the control group, but statistically significant changes in the experimental group. Conclusion : According to the results of this study, an easing effect was confirmed regarding occupational reminiscence therapy for the elderly with dementia using fairy tale flash animation when applied to the improvement of cognitive function, social interaction, and behavioral problems.
  • 8.

    Validity and Reliability of the Korean Version of the Reintegration to Normal Living Index (K-RNLI) for Stroke Patients

    Kim Eun Joo | Kyeong-Mi Kim | 2016, 24(3) | pp.111~119 | number of Cited : 7
    Abstract
    Objective : This study aimed at the development of a Korean version of the Reintegration to Normal Living Index (K-RNLI) for social participation and to examine its validity and reliability. Methods : RNLI was cross-culturally adapted into the Korean language by adapting a forward/backward translation by an expert panel review to verify the content validity. The face validity was determined to evaluate the understanding of the questions. In addition, the K-RNLI was compared to the Frenchay Activities Index (FAI) and the Satisfaction with Life Scale (SWLS) for criterion-related validity. In addition, the internal consistency and test-retest reliability of the content were measured. Results : K-RNLI verified the translation content validity and face validity. The value of the Content Validity Index(CVI) showed a very high value of .85. and .98. The criterion-related validity showed a positive correlation with K-RNLI using a FAI (γ=.74) and SWLS (γ=.54). In addition, the value of internal consistency of Cronbach’s α was .99, indicating a high correlation. The test-retest reliability was very high and statistically significant (γ=.99)(p<.01). Conclusion : In the results used as a tool for evaluating the social participation of stroke patients, K-RNLI showed validity and verified reliability, and illustrated the applicability of K-RNLI in a Korean clinical setting. We suggest that this type of social participation may be effectively utilized as a valid instrument.
  • 9.

    Analysis of Occupational Goals According to Participation and Functional Status in Stroke Patients

    안시내 | 2016, 24(3) | pp.121~131 | number of Cited : 8
    Abstract
    Objective : This study aimed at analyzing occupational goal activities consistent with the general and functional status and level of participation in stoke patients. Methods : This study evaluated the general and functional status and level of participation of stroke patients, and interviews were conducted to ask them about what goal activity they want to participate in. The frequencies of the goal activities based on each patient’s general, functional, and participating level were analyzed and classified based on their occupation. Results : Based on gender, the most desired goal activity was driving for male patients and preparing a meal for female patients. Based on the affected sides, the most desired goal activity was using chopsticks for right-side affected patients, and preparing a meal for left-side affected patients. Based on the level of dependency, the most desired goal activity was driving for patients with a low dependency level and toilet use and functional ambulation for patients with a high dependency level. The most desired activity was using public transportation for patients who have a high level of participation in activities of daily living, gardening for patients who have a high level of participation in social activities, and driving for patients who have high level of participation in leisure activities. Conclusion : This study was conducted to provide basic information that can be used to set goals in occupational therapy by analyzing the occupational goals for each of the patients based on their general and functional status and level of participation.
  • 10.

    Changes in the Job Market for Occupational Therapists as Detected Through a Help-Wanted Index of Job Advertisements

    Park,Ji-Hyuk | Han, Dae-Sung | 박상미 | 2016, 24(3) | pp.133~144 | number of Cited : 1
    Abstract
    Objective : The purpose of this study is to investigate the job market for occupational therapists by analyzing job advertisements. Methods : Data were collected from an online community site. A total of 8,753 job advertisements from 2011 to 2015 were analyzed according to region, employment pattern, pay level, month, and field of recruitment. Results : According to the region, the number of job advertisements was 5,272 (60.2%) in Seoul, Gyeonggi-do, and concentrated metropolitan areas. According to the employment pattern, the number of regular workers who responded to the job advertisements was 6,467 (73.9%). The highest percentage of full-time recruitment appeared in Daegu (86.1%). According to the pay level, less than 25,000,000 won was paid in 6,944 of the cases (79.8%). According to time, the job advertisements were most frequently published from December to January. According to the field of recruitment, jobs for adult/elderly care units were at more than 80%. Conclusion : This study showed a changing job market in the field of occupational therapy, and further research on demand and supply for various fields is needed for helping make a policy for occupational therapy supplements in Korea.