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pISSN : 1226-0134 / eISSN : 2671-4450

2020 KCI Impact Factor : 0.94
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2018, Vol.26, No.4

  • 1.

    Emotional Labor Factors Affecting Depressive Mood in Occupational Therapists

    Oh, Seo-Yeon | Jung-Wan Koo | 2018, 26(4) | pp.1~11 | number of Cited : 5
    Abstract
    Objective : This study was conducted to determine the emotional labor of occupational therapists and the level oftheir feelings of depression and to examine the impact of their emotional labor on their depressive mood. Methods : Subjects of this study were clinical occupational therapists working at hospitals and clinics in Seoul andGyeonggi regions. The factors of emotional labor were set as independent variables, the general characteristicvariable and job characteristic variable which showed significant results in the chi-square test was set as theadjusted variable and whether the depression happens or not was set as the dependent variable, after which amultivariate logistic regression analysis was conducted. Results : Components of emotional labor, including frequency of emotional display(OR 1.699, 95% CI 1.202-2.401),attentiveness to required display rules(OR 1.436, 95% CI 1.070-1.982), and emotional dissonance(OR 1.866, 95%CI 1.336-2.607) all had a significant effect on depression. The possibility of depression was significantly higherin women than men(OR 5.736, 95% CI 1.746-18.846), those working for more than 8 hours per day than lessthan 8 hours per day(OR 8.609, 95% CI 2.306-32.137), and those working with children than those working withadults(OR 4.249, 95% CI 1.668-10.824). Conclusion : This study revealed that the emotional labor that occupational therapists are exposed to whileinteracting with patients and their caregivers exerts an influence on their feelings of depression. This suggests theneed for developing various preventive intervention programs designed to alleviate the depressive symptoms ofoccupational therapists and formulating appropriate policies.
  • 2.

    A Systematic Review of the Application Nonpharmacological Cognitive Interventions in Patients With Dementia

    Kwak, Ho-Soung | Park,Ji-Hyuk | 2018, 26(4) | pp.13~26 | number of Cited : 6
    Abstract
    Objective : The aim of the study was to investigate the application of nonpharmacological cognitive interventions inpatients with dementia. Methods : We searched published studies in KISS, PubMed, and Sciencedirect databases from January 2013 toDecember 2017. The main keywords used were “Dementia” AND “Cognitive stimulation OR Cognitiverehabilitation OR Cognitive training” and a total of ten studies were selected for analysis from 753 searchedarticles. Results : Seven of the ten selected studies showed significant improvements in cognitive function after intervention,whereas three studies showed no improvement in cognitive function; however, activation of brain waves,improvement in the relationship between care givers and patients, improvement in the quality of life of care givers,and improvements in visual motor skills were shown. Mini-Mental State Examination(MMSE) was used as theassessment tool for identifying the effects of the cognitive function improvement, and in four studies the qualityof life of dementia patients was measured as an intervention effect. The main subject of the cognitive interventionis patients with mild to moderate dementia. Conclusion : The results of this study can be used as a basis for the selection of intervention methods, as well astheir duration and assessment, according to the characteristics of dementia patients.
  • 3.

    Application of Occupation-Based Practice for Neurodevelopmental Children's Subway Use

    Ra, Dae-Yeop | Kong, Myung-Ja | Kiyeon Chang | 2018, 26(4) | pp.27~41 | number of Cited : 0
    Abstract
    Objective : This study implemented occupation-based practice as a group program for children withneurodevelopmental disabilities, and investigated the quality of occupational performance, performance andsatisfaction, and efficacy levels of the program. Methods : ADOC-S(Aid for Decision making in Occupation Choice-School) and COPM(Canadian OccupationalPerformance Measure) were used to establish common meaningful occupational goals for 10 children withneurodevelopmental disabilities. After occupational analysis of the ‘subway use’, the Performance Quality RatingScale(PQRS) were used to evaluate the quality of occupational performance. Occupation-based interventions wereimplemented by participants individually performing meaningful occupations in the most natural and real-lifeenvironments as possible. The trial consisted of 1 session of pre-intervention assessments, 8 sessions ofintervention, where a single session of 100 minutes is provided once a week. Post-intervention evaluation wasconducted over one session. Results : The quality of occupational performance by PQRS was 38.10 higher than before intervention. Theoccupation-based intervention as a group program used the maintain and modify(compensation, adaptation)approaches and acquisition model. In the early stages of intervention (1 to 4 sessions), the occupationalperformance was greatly improved. The performance level of COPM increased by 5.80 and the satisfaction levelwas increased by 7.00. In addition, high scores were found in program satisfaction through parental interview. Conclusion : The results of implementing occupation-based interventions to children with neurodevelopmentaldisabilities showed increase in quality of occupational performance, performance, and satisfaction along withpositive effects of satisfaction levels for the program.
  • 4.

    Effects of Fidget Spinner Training Targeted on Hand Function and Handwriting Legibility of Elementary Lower Grades

    Jang Woo Hyuk | Won, Chang-Youn | Eo, Seok-Jin and 2other persons | 2018, 26(4) | pp.43~55 | number of Cited : 2
    Abstract
    Objective : The purpose of this study was to investigate the effects of fidget spinner training on the hand functionand handwriting legibility of lower grade elementary school studens. Methods : This study randomly assigned a study group of 12 children and control group of 12 children from 24children in grade 1 and 2 (ages 7 through 8), whose are dominantly right handed. The study used was a pre-postprocess. The intervention was conducted only on the study group twice a week for 5 weeks and for 40 minutesper session, for a total of ten sessions. The measuring instruments used to compare the hand functions andhandwriting legibility were the Jebsen-Taylor Hand Function Test, Grip Strength Test, and Legibility Test. Thedata analysis used a Wilcoxon signed rank, Mann-Whitney U and Chi-Square cross analysis. Results : The fidget spinner training showed significant improvement in the study group’s hand function(grip strengthand handwriting legibility) and a significant difference was shown between the control and study groups. Conclusion : This study confirmed the value and utility of a fidget spinner as a tool for improving the hand functionand handwriting legibility of elementary school students in lower grades. Future studies are expected to verify theeffectiveness of the fidget spinner training based on the present study.
  • 5.

    Path Analysis of the Self-Reported Driving Abilities of Elderly Drivers

    LEE YU NA | Yoo, Eun-Young | Jung, Min-Ye and 3other persons | 2018, 26(4) | pp.57~72 | number of Cited : 0
    Abstract
    Objective : This study aims to identify the self-reported driving abilities of elderly drivers and their correlations tothe demographic factors that influence them, and to verify the adequacy of the hypothetical model, constructedbased on vision, auditory, cognition, motor, and psychological factors, in order to present a path model on theself-reported driving abilities of elderly drivers. Methods : The participants in this study were 122 elderly drivers aged 65 years or older residing in the community. This study evaluated the following factors of the participants: Vision and hearing, motor ability, cognitive ability,depression, self-reported driving abilities. Results : The results of this study are as follows. In the case of men, the self-reported driving ability score washigher than for women, and those driving 6-7 days per week had higher scores than those driving 3 days or less. The period of holding a driver's license and driving experience positively correlated with self-reported drivingabilities. The final model of factors influencing the self-reported driving abilities of elderly drivers had a p value(.911) exceeding .05; TLI (1.202), NFI (.949), and CFI (1.000) of over .90; and RMSEA (.000) of lower than 0.1,indicating that the hypothesis model fit the data well. First, the directly influential factors on the self-reporteddriving abilities of elderly drivers were depression, decreased hearing, and grip strength. Second, age was foundto have a direct influence on depression and grip strength; moreover, depression and grip strength as a mediatorindirectly influenced their self-reported driving abilities. Third, depression was found to have a direct influence ontheir delayed cognitive processing and grip strength. Conclusion : The significance of this study is in the identification of direct and indirect factors influencing theself-reported driving abilities of elderly drivers in regional communities, and in the verification of multi–dimensional effects of diverse factors influencing such abilities.
  • 6.

    Evaluation of Musculoskeletal Disease Risk Assessment and User Satisfaction in Accordance With Using Front-Entry Sitting Toilet for Wheelchair Users

    Jemo Park | Hwang, Do-Yeon | Kim Hee Dong and 2other persons | 2018, 26(4) | pp.73~84 | number of Cited : 0
    Abstract
    Objective : The purpose of this study was to promote R&D of toilet design for the disabled by evaluating theFront-entry sitting toilet applied it to actual wheelchair users to examine the possibility of their application as atoilet that is low physical demanding and high satisfaction. Methods : Forty wheelchair users were asked to demonstrate using Front-entry sitting toilet after collecting thegeneral characteristics and their current wheelchair usage information. Musculoskeletal disease risk assessmentand user satisfaction were evaluated throughout Rapid Entire Body Assessment(REBA), Quebec Evaluation ofSatisfaction with assistive Technology 2.0(QUEST) and subjective opinion questionnaire. Results : Statistical result showed that REBA scores(3.18±.38) of Front-Entry Sitting Toilet were significantlylower(z=-5.930, p<.05) than the conventional toilet(6.53±1.15). Overall, user satisfaction ratings were high withdetailed scores were high in order of durability(4.48±.62), safety(4.38±.63), necessity(4.33±.73) and universal(4.3±.61). Subjective opinion survey showed most were 'it was convenient to not have to rotate(30.8%).'Conclusion : This study found that Front-entry sitting toilet was highly likely to reduce the risk of musculoskeletaldisorders and users' satisfactions were high. Through this study, we hope to expand the scope of occupationaltherapists and contribute to the physical, mental and social health in the daily activities of the people by applyingvarious approaches.
  • 7.

    A Survey on Awareness and Availability on Items of 2018 Assistive Devices Distribution Program for the Disabled in the Occupational Therapists

    Kim, Jeong-Eun | Park, Je-Min | Bae, Su-Yeong and 1other persons | 2018, 26(4) | pp.85~95 | number of Cited : 8
    Abstract
    Objective : The purpose of this study was to investigate the awareness and availability on items of 2018 assistivedevices distribution program for the disabled in the occupational therapists. Methods : A total of 132 occupational therapists participated in the survey from May 1 to May 31. Results : 96.2% of the occupational therapists responded that assistive device is helpful in lives of the disabledpeople. Especially, they responded that assistive device is the most helpful in 'movement and mobility'. Awarenesson an angle spoon/fork with built-up handle and universal cuff was the highest, while a visual signaling indicatorwas the lowest. Availability on an air cushion was the highest, while a visual signaling indicator and a voiceguidance system were the lowest. 67.4% responded that 'sometimes' they use the assistive device and 77.3%responded they will utilize the assistive device. To improve awareness and availability, 43.2% needed financialsupport, 32.6% needed to add insurance bill and 22.7% needed related education. Conclusion : In the future, this result will be available as a basic data for the education about assistive device for theoccupational therapists.
  • 8.

    The Effects of Group Occupational Therapy Including Education Programs on Depression, Anxiety, and Participation of Activities in People With Dementia

    HAMMINJOO | Kim, Hee | 2018, 26(4) | pp.97~109 | number of Cited : 1
    Abstract
    Objective : The purpose of this study was to examine the effect of group occupational therapy including educationregarding depression, anxiety, and activity participation in people with dementia. Methods : Nineteen people with dementia were randomly assigned to experimental(n=10) and control group(n=9). The participants in experimental group conducted occupational therapy including education, whereas the controlgroup occupational therapy only. Pre- and post- assessments were applied using Korean form of GeriatricDepression Scale(K-GDS), Hamilton Anxiety Scale(HAM-A), State Trait Anxiety Inventory(STAI-X-1), andKorean Activity Card Sort (K-ACS). Results : When comparing the differences between pre- and post- of the intervention, the depression and anxietyof occupational therapy group including the educational program decreased statistically(p<.05). Conclusion : This study has shown that occupational therapy including education has significant effects on reducingdepression and anxiety in people with dementia. In the future, it will be necessary to develop an interventionprogram to strengthen the psychological and emotional aspects of people with dementia, and various studies in thefield of occupational therapy focusing on care giver education should be conducted.
  • 9.

    Effect of Sensory Integration Group Therapy on Sensory Processing, Peer Interaction and Task Performance of Children With Intellectual Disabilities

    Choi, Ji-Hyun | Kim, Hee | Lee Jaeshin and 1other persons | 2018, 26(4) | pp.111~125 | number of Cited : 1
    Abstract
    Objective : This study was designed to determine the effects of sensory integration group therapy with regard tothe sensory processing, peer interactions, and task performance, and whether they continue. Methods : Twelve children aged 7 to 13 years enrolled in this study for 60 minutes per session, three times a weekfor 8 weeks. Sensory integration group therapy consisted of a total of 24 activities that included sensoryprocessing, play skills, and interaction with peers. Short Sensory Profile was used to select subjects. In order tomeasure the outcome, we used the Short Sensory Profile, Penn Interactive Peer Play Scale and CanadianOccupational Performance Measure at pre, post, and follow-up evaluations. The results were analyzed by meansof repeated measures analysis, and the pre-test, post-test, and follow-up tests were compared using theWilcoxon matched-pair signed rank test. Results : After sensory integration group therapy, sensory processing, peer interaction, and task performancesignificantly improved(p<.05). In addition, we confirmed that the effects of treatment were maintained in the 4weeks follow-up test. Conclusion : Sensory integration group therapy is an effective way of mediating effects not only by improvingsensory processing skills, but also by providing imitation and training in groups for children in need of peerinteraction and linking them to daily life.
  • 10.

    Comparing Effects of Driving Simulator and Dynavision Training on Cognitive Ability and Driving Performance After Stroke

    Choi Seong-Youl | Lee Jaeshin | kim su kyoung and 1other persons | 2018, 26(4) | pp.127~143 | number of Cited : 0
    Abstract
    Objective : The purpose of this study was to compare with the effects of driving simulator and Dynavision trainingafter stroke through the test of cognitive ability and driving performance. Methods : Twenty-one stroke patients were randomly classified to the driving simulator training group (N=11) andDynavision training group (N=10), and were carried out respectively training for 15 times. The drivingperformances was measured by the driving simulator test, and cognitive-perceptive abilities was measured by theDriveABLE Cognitive Assessment Tool, Trail Making Test-A, Trail Making Test-B and Mini Mental StateExamination-K. Results : The driving simulator training group showed significant changes in all cognitive tests and most of drivingperformances. The Dynavision training group also showed significant changes in all cognitive tests except for TrailMaking Test-A and some driving performances. The significant differences on both groups were found regardingthe estimated degree of results on the on-road evaluation, the number of off road accidents and collisions. Inaddition, the causal influence of the two training methods on these variables was analyzed to be more than 20%. Conclusion : The driving simulator and Dynavision training were found to be effective intervention in the drivingrehabilitation after stroke. In particular, it was confirmed that the driving simulator is an effective training toimprove overall driving ability of stroke patients. In addition, the difference in training effect between the twotraining methods was found to be more than 20%.