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Occupational Therapy for Activity and Participation of Children and Adolescents With Developmental Disability: A Systematic Review

국내 발달장애 아동·청소년의 작업치료 목표에 대한 체계적 고찰: ICF-CY 모델의 활동과 참여를 중심으로

  • Park, Jihoon (Oullim Children's Development Institute) ;
  • Choi, Jeong-sil (Dept. of Occupational Therapy, Chungbuk Health & Science University) ;
  • Hong, Eunkyoung (Dept. of Occupational Therapy, Shinsung University)
  • 박지훈 (어울림아동발달연구소) ;
  • 최정실 (충북보건과학대학교 작업치료과) ;
  • 홍은경 (신성대학교 작업치료과)
  • Received : 2019.08.06
  • Accepted : 2019.09.20
  • Published : 2019.09.30

Abstract

Objective : The purpose of this study is to provide evidence for a systematic analysis of occupational therapy interventions for the activity and participation of children and adolescents with developmental disabilities. Methods : The articles used in this study were collected from the RISS, KISS, and DBpia databases. The key words used were "children and occupational therapy" "children and sensory integration," "adolescent and occupational therapy," "adolescent and sensory integration," "developmental disorder and occupational therapy," and "developmental disorder and sensory integration." The research period was limited to January 2008 to August 2018. Seven articles in total were selected for systematic analysis. Results : Most of the included works were single-case studies, and most subjects dealt with the autism spectrum disorder. The majority of the interventions used involved sensory integration. Occupational therapy interventions were self-care (33%), major life area (33%), learning and application (11%), communication (11%), and mobility (11%). Conclusion : This study will help with understanding the current state of occupational therapy interventions for the activity and participation. On the basis of this understanding, various studies on this subject are expected to be conducted in the future.

목적 : 본 연구는 발달장애 아동과 청소년을 대상으로 한 국내 작업치료의 중재 목표를 International Classification of Functioning, Disability and Health-Children and Youth version(ICF-CY)의 용어를 사용하여 체계적으로 분석하고자 하였다. 연구방법 : Riss, KISS, DBpia를 통하여 2008년 1월부터 2018년 9월까지의 국내 논문을 검색하였다. 검색어는 "아동작업치료", "아동감각통합", "청소년작업치료", "청소년감각통합", "발달장애작업치료", "발달장애감각통합"을 사용하였다. 2차 분류를 통해 최종 7편의 연구를 분석하였다. 연구결과 : 분석 대상 연구의 근거 수준은 개별 실험연구가 가장 많았으며, 중재 대상은 자폐스펙트럼 장애가 가장 많았고, 중재 방법은 감각통합 중재를 가장 많이 적용하였다. ICF-CY의 활동과 참여에 대한 작업치료 목표는 자기관리(33%)와 주요 생활영역(33%), 학습과 지식 적용(11%), 의사소통(11%), 이동(11%) 에서 진행되었다. 결론 : 발달장애 아동과 청소년을 대상으로 한 국내 작업치료 목표는 활동과 참여 영역의 많은 부분에서 진행됨을 확인할 수 있었다. 이를 기반으로 ICF-CY의 활동과 참여 영역에 대한 전문가 중 하나로써 작업치료사의 전문성을 설명할 수 있는 근거가 될 것으로 보인다.

Keywords

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