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

Ra, Dae-Yeop; Kong， Myung-Ja; Kiyeon Chang

Korean Journal of Occupational Therapy

Abbr : Korean J of Occup Ther
2018, 26(4), pp.27-41
Publisher : Korean Society Of Occupational Therapy
Research Area : Working Therapeutics

Ra, Dae-Yeop ¹, Kong， Myung-Ja ², Kiyeon Chang ³

¹솔파란아동연구소
²우송대학교 보건복지대학 작업치료학과
³우송대학교

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.
KEYWORDS

ADOC-S, PQRS, Neurodevelopmental disorders, Occupation-based practice
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