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

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

doi:https://doi.org/10.14519/jksot.2018.26.4.03

Korean Journal of Occupational Therapy

Abbr : Korean J of Occup Ther
2018, 26(4), pp.27-41
DOI :https://doi.org/10.14519/jksot.2018.26.4.03
Publisher : Korean Society Of Occupational Therapy
Research Area : Working Therapeutics

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

¹ 솔파란아동연구소
² 우송대학교 보건복지대학 작업치료학과
³ 우송대학교

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
REFERENCES (47)

[book] 장기연 / 2018 / 작업으로 이야기하는 작업치료 / 현문사

[journal] Amini, D. A. / 2014 / Occupational therapy practice framework:Domain & process (3rd ed.) / American Journal of Occupational Therapy 68 : S1~S48

[book] Boyt Schell, B. A. / 2013 / Willard and Spackman’s occupational therapy / Lippincott Williams & Wilkins

[journal] Linda Carpenter / 2016 / The Use of the Canadian Occupational Performance Measure as an Outcome of a Pain Management Program / Canadian Journal of Occupational Therapy / SAGE Publications 68 (1) : 16~22 / 10.1177/000841740106800102

[book] Case-Smith, J. / 2014 / Occupational therapy for children and adolescents / Elsevier : 1~26

[journal] 장기연 / 2017 / A Study of Awareness and Implementation of OBP(Occupation-Based Practice) / 대한지역사회작업치료학회지 / 대한지역사회작업치료학회 7 (2) : 19~31 / https://doi.org/10.18598/kcbot.2017.07.02.03

[journal] Chang, K. Y. / 2014 / The relationships between the auditory behavioral characteristic and the sociality of children with autism spectrum disorder / Journal Korean Academy of Sensory Integration 12 (2) : 1~12

[thesis] Choi, E. J. / 2018 / A study on occupational performance activity items of elementary school students / master's / Woosong University

[journal] Donna Colaianni / 2010 / The Benefits of and Challenges to the Use of Occupation in Hand Therapy / Occupational Therapy In Health Care / Informa UK Limited 24 (2) : 130~146 / 10.3109/07380570903349378

[book] Dunn, M. L. / 2014 / Occupational therapy for children and adolescents / Elsevier : 461~482

[journal] Joanne Estes / 2011 / Pediatric therapists' perspectives on occupation-based practice / Scandinavian Journal of Occupational Therapy / Informa UK Limited 19 (1) : 17~25 / 10.3109/11038128.2010.547598

[book] Fisher, A. / 2009 / Occupational therapy intervention process model / Three Star Press Inc

[journal] Anne G. Fisher / 2014 / Occupation-centred, occupation-based, occupation-focused: Same, same or different? / Scandinavian Journal of Occupational Therapy / Informa UK Limited 21 (sup1) : 96~107 / 10.3109/11038128.2014.952912

[book] Goldstein-Lohman, H. / 2003 / Occupation by design: Building therapeutic power / F. A. Davis : 239~261

[book] Hilton, C. L. / 2014 / Occupational Therapy for Children and Adolescents / Elsevier : 193~219

[journal] C. Hocking / 2001 / Implementing Occupation-Based Assessment / American Journal of Occupational Therapy / AOTA Press 55 (4) : 463~469 / 10.5014/ajot.55.4.463

[book] James, A. B. / 2014 / Willard and Spackman’s occupational therapy / Lippincott Williams & Wilkins : 610~

[journal] 강대혁 / 2012 / Utility of the Canadian Occupational Performance Measure in Evaluating the Outcome of Rehabilitation Services for People With Mental Disorders / 대한작업치료학회지 / 대한작업치료학회 20 (4) : 125~136

[journal] 권회연 / 2016 / The Change of Diagonstic Criteria on DSM-5: Based on Neurodevelopmental Disorders / 지적장애연구 / 한국지적장애교육학회 18 (2) : 117~139

[book] Law, M. / 2014 / Canadian occupational performance measure / CAOT Publications

[book] Law, M. / 1997 / Enabling occupation: An occupational therapy perspective / CAOT Publications : 29~56

[journal] Mary Law / 2016 / Pilot Testing of the Canadian Occupational Performance Measure: Clinical and Measurement Issues / Canadian Journal of Occupational Therapy / SAGE Publications 61 (4) : 191~197 / 10.1177/000841749406100403

[journal] Natalie E. Leland / 2016 / Napping and Nighttime Sleep: Findings From an Occupation-Based Intervention / American Journal of Occupational Therapy / AOTA Press 70 (4) : 7004270010p1~ / 10.5014/ajot.2016.017657

[book] Lexues Incorporaed / 2013 / Aid for Decisionmaking in Occupation Choice-S (ADOC-S) user manual (version 1.0) / Lexues Incorporaed

[book] Loukas, K. M. / 2010 / Occupational therapy for children / Mosby : 518~539

[journal] Rose Martini / 2014 / The performance quality rating scale (PQRS): reliability, convergent validity, and internal responsiveness for two scoring systems / Disability and Rehabilitation / Informa UK Limited 37 (3) : 231~238 / 10.3109/09638288.2014.913702

[journal] Mohd Suleiman Murad / 2016 / Impact of Occupationally Based Intervention Program in Relation to Quality of Life of Spinal Injury People / Procedia - Social and Behavioral Sciences / Elsevier BV 222 : 442~449 / 10.1016/j.sbspro.2016.05.134

[book] O'Brien, J. / 2014 / Occupational therapy for children and adolescents / Elsevier : 193~219

[thesis] Oh, S. I. / 2015 / The effects of improved quality of daily life activities through a occupationbased intervention on the depression of stroke patient / Master's / Hanseo University

[journal] E. Orellano / 2012 / Effect of Occupation- and Activity-Based Interventions on Instrumental Activities of Daily Living Performance Among Community-Dwelling Older Adults: A Systematic Review / American Journal of Occupational Therapy / AOTA Press 66 (3) : 292~300 / 10.5014/ajot.2012.003053

[journal] 박지윤 / 2015 / The Effects of Video Self-Modeling on the Use of Subway Skills for Students with Intellectual Disabilities / 특수교육학연구 / 한국특수교육학회 50 (3) : 1~21

[thesis] 박선자 / 2008 / 장애아동부모의 작업치료 서비스 만족도에 미치는 요인분석 : 경남·경북지역을 중심으로 / 석사 / 대구대학교 재활과학대학원

[journal] Beth Pfeiffer / 2018 / Effectiveness of Cognitive and Occupation-Based Interventions for Children With Challenges in Sensory Processing and Integration: A Systematic Review / American Journal of Occupational Therapy / AOTA Press 72 (1) : 7201190020p1~ / 10.5014/ajot.2018.028233

[book] Polatajko, H. J. / 2004 / Enabling occupation in children: The Cognitive Orientation to daily Occupational Performance (CO-OP)approach / CAOT Publications

[journal] HeleneJ Polatajko / 2012 / Advancing occupation-based practice: Interpreting the rhetoric / Canadian Journal of Occupational Therapy / SAGE Publications 79 (5) : 259~260 / 10.2182/CJOT.2012.79.5.1

[journal] Tatiana Barcelos Pontes / 2016 / HABILITANDO OCUPAÇÕES: PRÁTICA BASEADA NA OCUPAÇÃO E CENTRADA NO CLIENTE NA TERAPIA OCUPACIONAL / Cadernos de Terapia Ocupacional da UFSCar / Editora Cubo Multimidia 24 (2) : 403~412 / 10.4322/0104-4931.ctoARF0709

[journal] Sylvia Rodger / 2009 / Cognitive Orientation to (daily) Occupational Performance (CO-OP) with children with Asperger's syndrome who have motor-based occupational performance goals / Australian Occupational Therapy Journal / Wiley 56 (1) : 41~50 / 10.1111/j.1440-1630.2008.00739.x

[journal] Keiko Shikako-Thomas / 2013 / Picture me playing—A portrait of participation and enjoyment of leisure activities in adolescents with cerebral palsy / Research in Developmental Disabilities / Elsevier BV 34 (3) : 1001~1010 / 10.1016/j.ridd.2012.11.026

[journal] Anita Thapar / 2017 / Neurodevelopmental disorders / The Lancet Psychiatry / Elsevier BV 4 (4) : 339~346 / 10.1016/S2215-0366(16)30376-5

[journal] Kounosuke Tomori / 2014 / Comparison of occupation-based and impairment-based occupational therapy for subacute stroke: a randomized controlled feasibility study / Clinical Rehabilitation / SAGE Publications 29 (8) : 752~762 / 10.1177/0269215514555876

[journal] Kounosuke Tomori / 2013 / Examination of a cut-off score to express the meaningful activity of people with dementia using iPad application (ADOC) / Disability and Rehabilitation: Assistive Technology / Informa UK Limited 10 (2) : 126~131 / 10.3109/17483107.2013.871074

[journal] Kounosuke Tomori / 2012 / Reliability and validity of individualized satisfaction score in aid for decision-making in occupation choice / Disability and Rehabilitation / Informa UK Limited 35 (2) : 113~117 / 10.3109/09638288.2012.689919

[journal] Kounosuke Tomori / 2012 / Utilization of the iPad Application: Aid for Decision-making in Occupation Choice / Occupational Therapy International / Wiley 19 (2) : 88~97 / 10.1002/oti.325

[journal] Sally Wasmuth / 2016 / Occupation-Based Intervention for Addictive Disorders: A Systematic Review / Journal of Substance Abuse Treatment / Elsevier BV 62 : 1~9 / 10.1016/j.jsat.2015.11.011

[journal] G. Weinstock-Zlotnick / 2004 / Bottom-Up or Top-Down Evaluation: Is One Better Than the Other? / American Journal of Occupational Therapy / AOTA Press 58 (5) : 594~599 / 10.5014/ajot.58.5.594

[book] Wilcock, A. A. / 2014 / Willard and Spackman’s occupational therapy / Lippincott Williams & Wilkins : 541~552

[journal] Timothy J. Wolf / 2015 / Effectiveness of Occupation-Based Interventions to Improve Areas of Occupation and Social Participation After Stroke: An Evidence-Based Review / American Journal of Occupational Therapy / AOTA Press 69 (1) : 6901180060p1~ / 10.5014/ajot.2015.012195
KCI Citation (0)

KJC Korea
Journal Central

Statistics

Tools