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pISSN : 1226-0134 / eISSN : 2671-4450

2020 KCI Impact Factor : 0.94
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2020, Vol.28, No.3

  • 1.

    Systematic Review of Home Safety Assessments for Community-Dwelling Elderly

    Ju Yumi | Jeong Eun Hwa | 2020, 28(3) | pp.1~14 | number of Cited : 0
    Abstract
    Objective: This study aims to analyze the trends, item contents, and scoring system of a home safety assessmentby systematically reviewing published articles on using home safety assessment tools. Methods: Articles on the home safety assessment of the elderly in the community published from January 2000 toDecember 2019 were searched using Embase, NDSL, and PubMed databases. Based on the selection criteria andexclusion criteria of the 394 articles, a total of 11 articles were finally selected and analyzed. Results: As a result, seven (63.6%) articles of the one group pre-and post-group studies of evidence level IIIwere the most common. A total of 10 home environment assessment tools were used in 11 studies, and the SafetyAssessment of Function and the Environment for Rehabilitation (SAFER-HOME) was the most commonly applied(23.1%). Occupational therapists (81.8%) were the most frequently asked to assess the home environment. Mostof the home environment assessment tools analyzed in this study aimed to assess the risk factors of the home andthe outside environment and to promote a safe occupational performance. Conclusion: A total of 10 home safety assessments were analyzed among 11 articles. They generally consist ofitems related to falls, safety, disaster plans, and medication environments. A home safety assessment byoccupational therapists includes factors regarding occupational performance within the surrounding environment aswell as the physical environment. The items in a home safety assessment reflected the house and lifestyle ofwestern culture, and thus it will be necessary to develop our own culture-based home assessment in the future.
  • 2.

    Effects of Work Environment on the Job Satisfaction of Occupational Therapists: Mediating Effect of Empowerment

    Son, Bo-Young | Bang, Yo-Soon | Lee, Jae-Hyeon | 2020, 28(3) | pp.15~26 | number of Cited : 0
    Abstract
    Objective: This study analyzes the relationship between an occupational therapist’s work environment, job satisfaction,and empowerment in a hospital-level medical institution. Basic data on the mediating effect of empowerment on therelationship between work environment and job satisfaction are established. Methods: The study period was from November 10 to December 28, 2018, and the subjects were 205 occupationaltherapists working in a hospital in G metropolitan city. The correlations between work environment, job satisfaction,and empowerment were analyzed using a Pearson’s correlation. The mediating effects of the work environment, jobsatisfaction, and empowerment were verified using model 4 of the PROCESS macro. The significance of the indirecteffects was verified through a non-parametric resampling method, which is also known as bootstrapping. Results: There is a statistically significant correlation between work environment, empowerment, and job satisfactionof the occupational therapists, and the work environment had both direct and indirect effects on job satisfaction withempowerment as a mediator. Conclusion: High-quality occupational therapy services can only be expected in an environment in which horizontal,supportive, and flexible relationships that are not characterized by an order and delivery system are combinedwith empowerment to guarantee both autonomy and authority.
  • 3.

    Development and Validation of Competency Indicators for School-Based Occupational Therapists

    Hong, Min-kyung | Kim, Jung-Ran | Choi, Kang-Mi | 2020, 28(3) | pp.27~38 | number of Cited : 0
    Abstract
    Objective: The purpose of this study is to develop competency indicators for school-based occupational therapists(SBOT). Identification of core competencies which includes knowledge, skills, and characteristics is required forsuccessful performance of school-based occupational therapy. Method: A delphi study was conducted in two parts with eight occupational therapists with SBOT background. Fivetherapists with more than 10 years of clinical experience with pediatric to adolescent population were selectedfrom the Delphi responses. Competency indicators for SBOT in Korea were developed through collection andmodification of the final Delphi data. Result: A total of 36 indicators were developed as competency indicators for SBOT. Three competency clusters—expertise knowledge, job skills, and personal characteristics—each consisting of 14, 11, and 11 competencyindicators were identified. Conclusion: This study demonstrates the competencies needed as SBOT on expertise knowledge and job skills, aswell as personal characteristics needed to communicate with professionals from other disciplines. The competencyindicators for school-based occupational therapists developed in this study derives from socio-educational model,not medical model. Thus, this indicators are expected to provide basic foundation for the development ofschool-based occupational therapy school curriculum.
  • 4.

    Analysis of Occupational Therapy-Related Keywords Using Text Mining

    Eun-Ju Jo | Kyung-Yoon Kam | 2020, 28(3) | pp.39~51 | number of Cited : 0
    Abstract
    Objective: The purpose of this study is to analyze the keywords related to occupational therapy on popular websites of major portal sites. According to an analysis of the most frequent keywords, we tried to describe the stateand general awareness of occupational therapy in Korea. Methods: For this purpose, news, blogs, cafes, and Jishik-in/Daum tips provided by Naver, Daum, and Google wereselected as channels for analysis. The keyword to be extracted from texts in these channels was “occupationaltherapy.” The semantic network including degree centrality, betweenness centrality, community, and co-currentwords were analyzed using the Netminer program (ver. 4). Only nouns were subjected to the analyses. Results: “Occupational therapy” (14,624), “therapy” (13,530), “occupation” (7,470), “hospital” (4,618), “occupationaltherapist” (3,612), and “rehabilitation” (3,193) were the top-5 frequently appearing keywords. There were similarresults in the degree centrality and the betweenness centrality. Occupational therapy/physical therapy (997),convalescence/hospital (783), occupational therapy/speech therapy (564), and occupational therapy/program (510)were shown in most of the frequent co-current keywords. Seven groups were clustered in the communityanalysis. Conclusion: Through this study, it was found that occupational therapy is recognized as a “rehabilitation” for“disabled people” in “hospitals” in Korea, and the role of occupational therapy for “dementia” is expected. Therecognition that it is closely related to other rehabilitation areas suggests that occupational therapy needs toestablish its status in the rehabilitation field.
  • 5.

    Developing Items of Korean Home Safety and Falls Assessment for Elderly (Korean Home-SFA): A Delphi Study

    Ju Yumi | Jeong Eun Hwa | Kim, Se-Yun and 2other persons | 2020, 28(3) | pp.53~69 | number of Cited : 0
    Abstract
    Aim: This study aims to develop items of a home modification assessment based on Korean home and life stylesbased on a Delphi survey. Methods: A literature review regarding a home modification assessment was conducted and a professionalfocus-group was established. The participants went through a review of items, descriptive opinions werecollected, and the items were scrutinized through an active discussion. A modified Delphi method was applied inthis study. The first Delphi was conducted for a total of 13 of the occupational therapists and professors who arecurrently working in the home modification field. Finally, the final items were selected and the stability,convergence, consensus and content validity ratio (CVR) were calculated. Results: At the initial item construction, the items were separated into multi-unit and detached house types. Therewere no deleted items after the first Delphi, the expressions were polished, and some of the items were immergedand a new item was added. Finally, 56 items of 9 domains for the multi-unit type were confirmed and 62 itemsof the 10 domains for the detached house type were confirmed after the second Delphi survey. The average CVRwas 0.99; stability, 0.12; convergence, 0.26; and consensus, 0.89 among the multi-unit type items. In addition, theaverage CVR was 1.00; stability, 0.11; convergence, 0.28; and consensus, 0.72 among the detached house typeitems. Conclusion: This study was conducted to develop the items of home safety and fall issues based on Korean homeand life styles. The items established through a validation by a Delphi survey were highly valid and stable for usein clinical practice in Korea.
  • 6.

    Methodological Quality Assessment of Meta-Analyses in the Field of Korean Occupational Therapy Using the Korean Journal of Occupational Therapy

    Choi. Yoo-Im | Kim, Se-Yun | 2020, 28(3) | pp.71~81 | number of Cited : 0
    Abstract
    Objective: The purpose of this study was to assess the methodological quality of meta-analyses published in theKorean Journal of Occupational Therapy (KJOT) and provide guidelines for future meta-analysis research. Methods: Among the papers published in the KJOT from the first issue until 2019, meta-analyses were searchedand seven papers were selected. The methodological quality of the papers were analyzed according to the criteriaof the AMSTAR evaluation tool. Results: The overall methodological quality average score of the meta-analyses was 6.71 (SD = 0.70), which is amoderate level. Analytical papers were all at a moderate level (100%), and there were no high or low levelstudies. All of the studies faithfully implemented 7 out of 11 items of AMSTAR. However, it was found that fouritems (use of grey literature, presentation of included and excluded study lists, use of the quality of the individualstudies in formulating conclusions, and conflicts of interest) were rarely commonly conducted in all studies. Conclusion: Meta-analyses in the Korean occupational therapy field were found to faithfully apply themethodological analysis process at above a moderate level. However, it is necessary to continue efforts toimprove the quality of meta-analyses by using the grey literature, reflecting the results of a quality evaluation ofindividual studies in the conclusions and describing conflicts of interest.
  • 7.

    Effect of Working Environment on the Job Satisfaction of Workers With Physical Disabilities: Focused on Convenience Facilities and Reasonable Accommodation

    Do, Ji-Hye | Eun Young Yoo | 2020, 28(3) | pp.83~95 | number of Cited : 0
    Abstract
    Objective: The purpose of this study was to analyze the status of convenience facilities and accommodation forworkers with physical disabilities, and to examine the differences in job satisfaction and the effects of conveniencefacilities and accommodation for workers with physical disabilities on their job satisfaction. Methods: This study analyzed the data of 927 people with physical disabilities working as wage workers at the timeof the third survey, utilizing raw materials for the second Wave third Panel Survey of Employment for theDisabled (PSED) conducted by the Korea Employment Agency for Persons with Disabilities in 2018. Anindependent sample t-test, a one-way variance analysis, and a multiple regression analysis were selected bychoosing only the items needed for this study. Results: Significant differences were found in terms of job satisfaction according to gender, age, education, andphysical disability type of workers with physical disabilities. When the convenience facilities were installed for all5 items, the job satisfaction of workers with physical disabilities was significantly higher. In terms ofaccommodation, job satisfaction was significantly higher when the working hours were adjusted, assistance wasgiven from others when performing tasks, guidance and counseling were given at work, and facilities for thedisabled were installed. Workers with physical disabilities showed that job satisfaction increased significantly asthe number of convenience facilities increased and the number of accommodations increased. Conclusion: Based on the results of a big data analysis of the PSED, the importance of the working environment ofworkers with physical disabilities was confirmed, and the need for experts in the field of vocational rehabilitationto improve job satisfaction of workers with physical disabilities was confirmed. The results of this study may beused as basic data for vocational rehabilitation tasks of occupational therapists.
  • 8.

    Effects of Online and Offline-Based Lifestyle Interventions for the Elderly in the Community: A Systematic Review and Meta-Analysis

    Won, Kyung-A | Park, Kang-Hyun | Park Ji-Hyuk | 2020, 28(3) | pp.97~115 | number of Cited : 0
    Abstract
    Objective: The purpose of this study is to investigate the effects of offline (face to face) and online (mobile health)lifestyle interventions for the elderly. Methods: Using the PubMed, Cochrane, Embase, and NDSL databases, we searched for articles published in journalsfrom January 2010 to February 2020. Six offline intervention studies and four online intervention (mobile health)studies were systematically reviewed, and a meta-analysis was conducted using the Comprehensive MetaAnalysis 3.0 program. Results: The average PEDro scale of 10 selected papers was 6.3, which was relatively high. Of the 10 studies,there were 8 focusing mainly on physical activity and diet, and 2 studies focused on occupations of participants. As a result of the meta-analysis, the effect size of the offline and online lifestyle interventions were 0.13 (p =0.035) and 0.27 (p = 0.001), respectively, and both methods were statistically significant with a small effect size. Conclusion: This study confirmed that offline and online lifestyle interventions can be useful approaches topositively affect the health of the elderly. Therefore, the results of this study may be helpful when selecting alifestyle-related intervention.
  • 9.

    Animal-Assisted Interventions for Improving Psychosocial Well-being and Quality of Life in Pediatric Oncology: A Systematic Review

    Amy Sitabkhan | Kaela Verbeck | Pamela Ruz and 4other persons | 2020, 28(3) | pp.117~133 | number of Cited : 0
    Abstract
    Objectives: This systematic review examined the association of animal-assisted interventions (AAI) with qualityof life (QoL) for pediatric oncology patients, for potential use in occupational therapy practice. Methods: Articles published in peer-reviewed journals between 2002-2019 from PubMed, MEDLINE, CINAHL,American Journal of Occupational Therapy (AJOT), Journal of Oncology, SCOPUS, and OTSeeker were selectedfor AAI with therapy dogs specific to the target population of pediatric oncology patients undergoing treatmentin clinical settings. Results: Moderate evidence was found for AAI and mood improvement, pain reduction, and stress relief; andlow-level evidence supported AAI for decreasing anxiety. The most significant AAI improvements were seen inperceptions of pain, stress levels, and mood. Discussion: Evidence suggests that occupational therapists may want to consider incorporating AAI into therapysessions as it serves as a distraction and short-term coping strategy for children undergoing oncologicaltreatment.
  • 10.

    Adverse Childhood Experiences and Quality of Sleep in Children: A Systematic Review

    Teara Kelly | Krista Pon | Bella Abril and 2other persons | 2020, 28(3) | pp.135~154 | number of Cited : 0
    Abstract
    Objectives: This systematic review sought to examine existing studies addressing the relationship betweenAdverse Childhood Experiences (ACEs) and children’s sleep quality. Methods: An exhaustive literature search was performed using the Preferred Reporting Items for SystematicReviews and Meta-Analyses (PRISMA) guidelines. Records were identified through PubMed, CINAHL, Scopus,and Ovid. Results: Fourteen studies were reviewed showing moderate evidence supporting the relationship between ACEsand sleep problems. Child sexual abuse was the most frequently reported form of maltreatment and wassignificantly linked to sleep problems. Common sleep problems included difficulty falling asleep, nocturnalawakening, nightmares, daytime sleepiness, and poor quality of sleep. Discussion: Occupational therapy practitioners are encouraged to include evaluation and interventions for sleepdisturbances in children who have known or suspected traumatic experiences. More specific studies are neededto further understand differences between ages and sexes and whether type of abuse makes a difference in thisrelationship.