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pISSN : 1226-0134 / eISSN : 2671-4450

2020 KCI Impact Factor : 0.94
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2019, Vol.27, No.2

  • 1.

    Analysis of Factors Restricting Return to Work for Stroke: Based on ICF

    Nam, Ji-Hye | kim su kyoung | Jaeshin Lee and 1other persons | 2019, 27(2) | pp.1~12 | number of Cited : 0
    Abstract
    Objective: This study analyzes factors restricting return to work using ICF core set-vocational rehabilitation forstroke patient living in the community. Methods: Questionnaires used ICF core set-vocational rehabilitation modified questionnaires used by Kim(2007). Two hundred questionnaires were distributed. 144(72.00%) were collected. Results: When we compared factors related activity and participation factors to analyze restricting stroke patients'return to work, found a positive correlation in b1(mental function), b7(neuromuscular skeleton and motor relatedfunction), e3(support and relationship). Conclusion: To induce community participation via return to work of stroke patients, occupational therapyinterventions to improve patients’ physical, mental function based on family, therapist and social support andencouragement are necessary.
  • 2.

    The Effects of a Personalized Reminiscence Therapy Program on Cognitive Function, Depression, Quality of Life and Work Performance in Patients With Dementia

    Mi-hwa Kwon | kim su kyoung | 2019, 27(2) | pp.13~23 | number of Cited : 4
    Abstract
    Purpose: The purpose of this study was to investigate the effect of personalized reminiscence therapy on cognitivefunction, depression, quality of life and work performance on patients with dementia in the community. Methods: Total 24 patients with mild cognitive impairment(12 patients) and patients with mild dementia(12 patients)were randomly assigned to each group. Personalized reminiscence therapy was given to the experimental groupand group reminiscence therapy was applied to the control group, intervention was applied to once a week for 60minutes for 12 weeks. In order to verify the effectiveness of the cognitive function, the Seoul Verbal LearningTest-Eldery(SVLT-E), the Digit Span Test(DST), and the short-form Korean Version Boston NamingTest(S-K-BNT) were used. Depression, quality of life, work performance was assessed by the Short-form ofGeriatric Depression Sclae(SGDS), Geriatric Quality of Life-Dementia(GQOL-D), Canadian OccupationalPerformance Measure(COPM). Results: In the immediate recall and delayed recall of SVLT-E, the scores of both groups were significantlyimproved, whereas the delayed recognition was significantly different only in the experimental group. DST did notshow any significant change in both groups, and S-K-BNT and COPM showed a significant change only in theexperimental group. In SGDS and GQOL-D, both groups showed significant scores before and after intervention. Conclusion: Personalized reminiscence therapy to patients with mild cognitive impairment and mild dementia waseffective in cognitive function, quality of life, work performance, and depression. Therefore, it is expected thatvarious individual approaches will be utilized in the application of community occupational therapy for dementiapatients.
  • 3.

    Literature Review on Necessity of Occupational Therapist as Member of Early Screening Team at Center for Dementia Safety

    Park, Ju-Won | Kim, Jun-A | Yoon, Do-Hyun and 4other persons | 2019, 27(2) | pp.25~36 | number of Cited : 6
    Abstract
    Purpose: Recently, the need should establish a dementia safety center and provide dementia care service is on therise. As a team of early screening, occupational therapists have been excluded. Therefore, the purpose of thisstudy was to investigate that an occupational therapist is an evaluation expert. Method: This study collected data on assessment tools and areas conducted by occupational therapists throughdomestic and foreign studies and guide books on dementia policy of the Ministry of Health and Welfare. This studycompared the evaluation tools used by early screening teams and clinical occupational therapists. Result: The evaluation and treatment of the cognitive and perceptual domains in the occupational therapy are at thetop in side of importance and performance. Assessment of the dementia safety center and evaluation of clinicaluse by occupational therapists are used in six different cognitive areas: memory, visuospatial, concentration,execution, calculation and language. Conclusion: This study suggested that occupational therapist could be a professional who has sufficientqualifications in the evaluation domain, This study will be usefully used in the future when submitting opinions tothe Ministry of Health and Welfare for amendments to the dementia policy series.
  • 4.

    Participation Patterns of Korean Children and Environmental Factors in Community Settings

    Jeong Yunwha | 2019, 27(2) | pp.37~50 | number of Cited : 0
    Abstract
    Objectives: To identify the similarities and differences in community participation patterns and environmentalfactors that affect community participation between Korean children with and without disabilities. Methods: This study used the Korean version of Participation and Environment Measure for Children and Youth(KPEM-CY) for 184 Korean children with and without disabilities aged 5 to 13 years. Analyses of Covariance(ANCOVA) to control for age and family annual income and Pearson chi-square tests were applied to comparedifferences in KPEM-CY item-level scores between two groups. Results: Compared to typically developing children, children with disabilities lower frequency and extent ofinvolvement and their parents were less satisfied with their children’s community participation. Those parentsreported that there were many factors hindering their children’s participation: cognitive/social abilities needed forcommunity activities, relationship with peers, equipments and supplies, parent’s money and time. otherwise,personal/public transportation and community program/services were supports to community participation. Conclusion: Study findings help to identify limitation in participation of Korean children with disabilities incommunity activities and a lack of environmental factors supporting their participation. It provides occupationaltherapists with the fact that they need to have knowledge about participation concept and interaction betweenparticipation and environmental factors.
  • 5.

    A Study on Current State and Development Plan of Driving Assistance Center for the People With Disabilities

    Jeong, Mi-Kyeong | Seo, Ji-Hye | Kim-Tae-Hyun and 1other persons | 2019, 27(2) | pp.51~65 | number of Cited : 0
    Abstract
    Objective: The purpose of this study is to suggest the improvement plan of Driving Assistance Center for Peoplewith Disabilities(DACPD) based upon current state and survey. Method: Status survey of DACPD and a survey of 76 users of DACPD was conducted. The results were analyzedusing frequency and descriptive statistics, one way ANOVA. Result: First, most of the respondents wanted to obtain a class 2 regular driver’s license, but no plan to drive aftergetting driver’s license because of lack of car and driving ability. Second, information about DACPD spread mainlythrough the Internet, acquaintance, welfare centers, promotional materials. Third, the most difficult parts of drivingtraining were parking, checking the surrounding by rear view mirror/side view mirror, operation of steering wheeland shifting gears, lane keeping in that order. Fourth, the overall satisfaction level of DACPD is very high. Butsatisfaction level of geographical accessibility was the lowest. Fifth, the respondents required new opening ofDACPD, strengthen of promotion about DACPD, guidance on benefits for the drivers with disabilities, strengtheningof support after obtaining a driver’s license. Conclusion: This study was conducted to suggest improvement plan of DACPD to increase operational efficiency. We hope that this study will help to enhance satisfaction of DACPD and develop the various measures forself-driving for the People with Disabilities.
  • 6.

    Interventions for Caregivers of People With Dementia : A Systematic Review of Randomized Controlled Trials

    Yang, Min Ah | HONG HYEON | Areum Han | 2019, 27(2) | pp.67~78 | number of Cited : 1
    Abstract
    Objective: In Korea, there is a lack of studies on interventions for caregivers of people with dementia. The aim ofthis systematic review was to examine randomized controlled trial studies about interventions for caregivers ofpeople with dementia conducted outside Korea. Methods: This systematic review was conducted following the Preferred Reporting Items for systematic reviewsand meta-analyses(PRISMA) guideline. Database searches were done through PubMed, Medline(ProQuest),EBSCOhost(CINAHL Plus with full text), and PsycINFO. A total of 8 studies were included in this review. Each ofthe included studies was assessed for the quality using the PEDro Scale. Results: Interventions of the included studies involved home visits(4 studies), telephone counseling(2 studies),education(1 study), and meditation(1 study). Those studies were effective in improving caregivers’depression,stress, and quality of life. Conclusion: Since the included studies of this review were conducted in foreign countries, some interventions maynot be suitable for caregivers in Korea and the results may not be generalizable to Korean caregivers of peoplewith dementia. Studies about interventions for caregivers of people with dementia should be actively conducted inKorea. In particular, further studies about interventions by occupational therapists who are the experts in activityanalysis, task simplification, and environmental modifications are needed.
  • 7.

    A Study on the Improvement of Inter-Rater Reliability and Agreement of K-MBI Based on Activity Analysis and Process Mapping

    Song, Young-Jin | Choi, Min-Kyung | Kim, Jong-Sung and 2other persons | 2019, 27(2) | pp.79~92 | number of Cited : 0
    Abstract
    Objective: The purpose of this study was to verify the content validity and inter-rater reliability by producing theKorean version of Modified Barthel Index(K-MBI) guidebook based on activity analysis and processing mapping. Methods: This study developed the K-MBI guidebook based on activity analysis and process mapping. Thedeveloped the K-MBI guidebook was also investigated and revised to produce the final version of K-MBIguidebook. To verify the content validity was measured in forty occupational therapy. The daily activities of fivepatients were recorded to investigate reliability and agreement. In order to examine reliability and agreement, 84occupational therapists evaluated five patients in the same video pre and post the K-MBI guidebook training. Results: The content validity results showed a high level of validity with a CVI score of .93 or higher in all theK-MBI items. ICCs showed high levels of confidence. The change in the correct rate was improved from 48.37%prior to education to 69.48% after education, and the agreement was improved in all categories except fordressing. Conclusions: The results of this study confirm that the K-MBI guidebook, based on activity analysis and processmapping, improves the reliability and agreement of inter-rater.
  • 8.

    Development and Effectiveness Verification of Portable Bathing Assistive Device for the Bathing Service Providers

    Son, Young-Hyo | Chung Hyunae | Park Gemus and 4other persons | 2019, 27(2) | pp.93~106 | number of Cited : 0
    Abstract
    Objective: The aim of this study was to develop and verify the effectiveness of prototype portable bathing assistivedevice for the bathing service provider that can reduce the physical burden and increase their convenience andsafety. Methods: The prototype of portable bathing assistive device was developed after collecting opinions from thebathing service providers and experts. The subjects were 24 caregivers and nursing care workers in rehabilitationhospitals. The research tools used were the prototype portable bathing assistive device developed in this study. REBA, VAS, K-QUEST 2.0 were used as evaluation tools as well as subjective opinions of users after usingprototype portable bathing assistive device. Results: The result of REBA scores measured before and after using prototype portable bathing assistive devicerevealed that the action level was reduced from ‘high’ to ‘low’. Pain levels were lower in all items excepts forarms. There showed a significance in mean scores. K-QUEST score was found to be ‘normal’ in 6 items exceptdimension and weight. There showed no higher correlation between dependent variables and subjects’ generalcharacteristics. The final design of portable bathing assistive device presented after adopting subjects’ opinions. Conclusion: It is expected that portable bathing assistive device developed in this study can serve as an valuabledevice to reduce the physical burden of the bath service providers and increase their convenience, taskperformance, and safety as well.
  • 9.

    Factors Affecting the Type of Return-to-Work and Job Maintenance After Work-Related Injury

    Dong-hee Noh | Jo, Eun-Ju | Cha, Yun-Jun and 2other persons | 2019, 27(2) | pp.107~120 | number of Cited : 0
    Abstract
    Objective: The aim of this study is to investigate factors that affect job retention and reemployment in injuredworkers who returned to work and then analyze factors to maintain their job in job retention group. Methods: We used 4 years consecutive data from Panel Study of Worker’s Compensation Insurance. The data werecollected from 2000 injured workers in termination of medical service from January to December 2012. Thesamples were divided into job retention group(n=695) and reemployment group(n=642) on primary data andconfirmed the factors that affect the type of return-to-work. Additionally, we analyzed the factors influencing jobmaintenance in the job retention group, which divided into the successful group(n=418) and the failure group(n=152). Results: Job retention was shown more in subjects who maintained good relations with a company and worked fora long period, were a regular worker, were given any convenience from a company, worked in large company, andhad less pain. Moreover, the factors affecting job maintenance were ranked employment period, level of education,and gender. Conclusion: This study shows that job retention can lead job maintenance more efficiently than reemployment. Themain factor that affects job retention is workstation factor, and that affects job maintenance is the employmentperiod. We also suggest that institutional strategy related to workstation factor should be needed to make injuredworkers maintain their job.
  • 10.

    A Systematic Review of Randomized Controlled Trials(RCTs) With Home Based Occupational Therapy Intervention

    Jang Wanho | Su-Bin Hwang | Kwang-Tae Moon and 2other persons | 2019, 27(2) | pp.121~133 | number of Cited : 2
    Abstract
    Objective: The purpose of this study was to identify the effects, duration of intervention, outcome measurements,and subjects of home based occupational therapy with randomized controlled trialMethods: The literature selection process was conducted through the Preferred Reporting Items for SystematicReviews and Meta-Analyses(PRISMA) method. The databases were collected using Pubmed, Medline, CINAHL,and EMbase. The quality of the literature was assessed using a bias risk assessment tool. Finally, 8 RCTs studieswere selected for home based occupational therapy. Results: Among the randomized controlled studies that conducted interventions on home-based occupationaltherapy, there were two papers each for stroke, dementia, elderly person and one for spinal cord injury andtraumatic brain injury. The average duration of home-based occupational therapy was 10 weeks, and the averagenumber of visits was seven. Five outcome measurements were used for the motor function, four for falls, two foractivities of daily living, two for care giver burden, and one for depression, pressure ulcer, and quality of life. Thevarious effects of home-based occupational therapy were reported as improvements in motor functionality,activities of daily living, and prevention of falls, and a reduction of the depression symptoms and care giverburden. Conclusions: The systematic intervention and research methods of home based occupational therapy abroad arebeing conducted, and an institutional framework should be established in order to improve the quality and quantityof home based occupational therapy in Korea. This study is expected to be utilized not only as basic data forestablishing the intervention strategy for domestic home based occupational therapy but also as a basis forinstitutional evidence.