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A Systematic Review of Group Programs for Community-dwelling Elderly

지역사회 거주 노인 대상의 그룹 프로그램에 대한 체계적 고찰

  • Jeong, Eun-Hwa (Dept. of Occupational Therapy, College of Health Science, Far East University) ;
  • Ju, Yumi (Dept. of Occupational Therapy, College of Health Science, Far East University)
  • 정은화 (극동대학교 의료보건과학대학 작업치료학과) ;
  • 주유미 (극동대학교 의료보건과학대학 작업치료학과)
  • Received : 2020.03.23
  • Accepted : 2020.04.23
  • Published : 2021.05.31

Abstract

Objective : The purpose of this study was to analyze group programs for the elderly living in communities and to provide basic data for applying effective occupational therapy programs for the elderly in the community. Methods : From January 2009 to December 2019, articles on group programs for the elderly in the community were searched for in the NDSL, DBPia, Riss, and PubMed databases. Based on the inclusion and exclusion criteria, a total 16 out of the 147 identified studies were selected and analyzed. This review analyzed the characteristics of the participants, contents of the group program, session and duration of the intervention, outcome measures, and effect of the group program. Results : Single group pre-post test studies with evidence level III were most common (8, 50.0%), and five (31.3%) of the studies were conducted on the community-dwelling elderly. Across all the 16 studies, there were 10 types of group programs, and the most frequently used was an exercise group program (25.0%). According to the analysis of the group program period, sessions and time, the intervention period was most commonly 12 weeks (37.5%), with 8 sessions or 12 sessions (25.0%). The intervention time in the group program was most commonly 60 minutes (43.8%). Conclusion : This study can be used as a basis for the development of effective group programs for the elderly and patients with dementia in community-based long-term care services.

목적 : 본 연구는 지역사회에 거주하는 노인 대상의 그룹 프로그램 연구를 체계적으로 고찰하여 분석하고자 한다. 연구방법 : 2009년부터 1월부터 2019년 12월까지 NDSL, DBPia, Riss, PubMed의 데이터베이스를 이용하여 지역사회 노인 대상의 그룹 프로그램에 대한 논문을 검색하였으며, 1차 검색된 147편의 논문 중 선정기준 및 배제기준에 따라 16편의 논문을 최종 선택하여 연구 대상자 특성, 그룹 프로그램의 세부내용, 중재기간 및 회기, 결과 측정방법, 그룹 프로그램의 효과를 분석하였다. 결과 : 총 16편의 선정된 연구 중 근거수준 III에 해당하는 단일 그룹 사전-사후 연구가 8편(50.0%)으로 가장 많았고, 지역사회 거주 일반 노인 대상의 연구가 5편(25.0%)이었다. 총 16편의 연구에서 적용한 그룹 프로그램의 유형은 10개로 구분되었고, 운동 그룹 프로그램이 4편(25.0%)이었다. 그룹 프로그램 중재 기간은 12주 동안의 중재 기간이 6편(37.5%)이었고, 회기는 8회기와 12회기가 4편(25.0%)이었으며, 그룹 프로그램의 적용 시간은 60분이 7편(43.8%)이었다. 결론 : 본 고찰 연구는 지역사회에서 다양한 인지수준의 노인을 위한 작업치료 그룹 프로그램 개발의 기초자료로 활용될 수 있다.

Keywords

References

  1. Arbesman, M., Scheer, J., & Lieberman, D. (2008). Using AOTA's critically appraised topic (CAT) and critically appraised paper (CAP) series to link evidence to practice. OT Practice, 13(12), 18-22. Retrieved from http://hsrc.himmelfarb.gwu.edu/sphhs_prev_facpubs/636
  2. Aveiro, M. C., Driusso, P., Santos, J. G. D., Kiyoto, V. D., & Oishi, J. (2013). Effects of a group-based exercise program on muscle strength and postural control among community-dwelling elderly women: A randomized-controlled trial. Revista Brasileira de Geriatria e Gerontologia, 16(3), 527-540. doi:10.1590/S1809-98232013000300011
  3. Bang, J. H., Bang, Y. S., Son, B. Y., & Oh, E. J. (2019). The effects of a cognitive stimulation activity program on the mild cognitive impairment elderly's cognitive function, self-efficacy, and depression. Journal of the Korea Entertainment Industry Association, 13(3), 231-248. doi:10.21184/jkela.2019.4.13.3.231
  4. Brach, J. S., Perera, S., Gilmore, S., VanSwearingen, J. M., Brodine, D., Nadkarni, N. K., & Ricci, E. (2017). Effectiveness of a timing and coordination group exercise program to improve mobility in community-dwelling older adults: A randomized clinical trial. JAMA Internal Medicine, 177(10), 1437-1444. doi:10.1001/jamainternmed.2017.3609
  5. Buchner, D. M., & Lateur, B. J. (1991). The importance of skeletal muscle strength to physical function in older adult. Annals of Behavioral Medicine, 13(3), 91-98. doi:10.1093/abm/13.3.91
  6. Cha, Y. J. (2016). A study on occupational reminiscence therapy (ORT) program for the elderly with mild cognitive impairment (MCI) in local community. Journal of the Korea Academia-Industrial Cooperation Society, 17(8), 605-614. doi:10.5762/KAIS.2016.17.8.605
  7. Choi, J. H., & Yoo, D. H. (2016). The effect of multi-sensory stimulation training on cognitive function and balance skill of the community resident elderly. The Journal of Korean Society of Occupational Therapy, 6(2), 1-10. doi:10.18598/kcbot.2016.06.02.01
  8. Graff, M. J., Vernoojj-Dassen, M. J., Thijssen, M., Decker, J., Hoefnagels, W. H., & Olderikkert, M. G. (2007). Effect of community occupational therapy on quality of life, mood and health status in dementia patients and their caregivers: A randomized controlled trial. Journal of Gerontology, 62(9), 1002-1009. doi:10.1093/gerona/62.9.1002
  9. Hong, S. P., & Lee, J. H. (2018). The survey on the need of education about assessment and intervention of cognitive function in the day care center for the elderly. The Journal of Korean Society of Cognitive Rehabilitation, 7(1), 33-47.
  10. Hoogenhout, E. M., de Groot, R. H., Van der Elst, W., & Jolles, J. (2012). Effects of a comprehensive educational group intervention in older women with cognitive complaints: A randomized controlled trial. Aging & Mental Health, 16(2), 135-144. doi:10.1080/13607863.2011.598846
  11. Jeon, Y. H., Brody, H., & Chesteron, J. (2005). Respite care for caregivers and people with severe mental illness: Literature review. Journal of Advanced Nursing, 49(3), 297-306. doi:10.1111/j.1365-2648.2004.03287.x
  12. Jeong, W. M. (2007). The effects of group occupational therapy program for improvement of cognitive abilities in mild case of dementia. The Journal of Occupational Therapy for the Aged and Dementia, 1(1), 46-55.
  13. Jung, S. Y., Kim, Y. C., & Kim, H. S. (2011). Effects of art therapy on visual self-expression, verbal self-expression and picture card recall of the aged with dementia. Korean Journal of Art Therapy, 18(3), 748-764. doi:10.35594/kata.2011.18.3.013
  14. Kim, D. J., Kim, M. K., Yoo, C. U., & Yang, Y. A. (2010). A study on the occupational therapists awareness on the elderly long-term care insurance system. Journal of Korea Association Occupational Therapy Policy for Aged Industry, 2(1), 51-60.
  15. Kim, H. H., & Jung, N. H. (2018). The effect of exercise combined with a cognitive-enhancement group training program on cognition and depression in the community-dwelling elderly. Journal of Physical Therapy Science, 30(2), 335-338. doi:10.1589/jpts.30.335
  16. Kim, H. J., & Lee, S. A. (2013). The compare of effects of a day-to-day living program for patients with dementia in the community-pilot study. Journal of the Korea Gerontological Society, 33(3), 637-645.
  17. Kim, H. K. (2010). The horticulture's effect on the reduction of elderly women's depression. Journal of Social Work Practice, 9, 119-145.
  18. Kim, H., Kim, S. K., Kim, J. I., Kim, S., Jung, Y. S., & Park, K. (2018). The converge effects of the BeHaS exercise program on health status, depression and suicidal ideation in female elderly who live alone in community. Journal of the Korea Convergence Society, 9(3), 111-119. doi:10.15207/JKCS.2018.9.3.111
  19. Kim, S. S., & Jo, H. M. (2018). Dementia prevention programs among Koreans: A systematic review. Journal of the Korean Contents Association, 18(4), 89-98. doi:10.5392/JKCA.2018.18.04.089
  20. Kim, Y. W., & Han, K. H. (2017). Meta-analysis of the effects of exercise on depression of the elderly. Korean Society of Sport and Leisure Studies, 70, 549-560. https://doi.org/10.51979/KSSLS.2017.11.70.549
  21. Ko, Y. W., Kim, Y. T., & Yoo, K, S. (2012). The effect of 12-weeks coaching exercise programs on body composition, blood pressure and physical activity fitness in elderly women for their local community. Journal of Coaching Development, 14(4), 93-101.
  22. Lee, J. Y., Kim, J. Y., Hong, M. Y., Kim, Y. S., & Lee, S. A. (2017). The recognition of occupational therapists role and the amended-act of long-term care insurance for the aged. Journal of Korean Society of Occupational Therapy, 25(2), 103-114. doi:10.14519/jksot.2017.25.2.07
  23. Lee, S. A., Jeong, W. M., Hwang, Y. J., & Park, C. A. (2015). A preliminary study on the effectiveness of group occupational therapy program for dementia patient in day-care center. Journal of the Korea Academia-Industrial Cooperation Society, 16(3), 2055-2063. doi:10.5762/KAIS.2015.16.3.2055
  24. Lee, Y. N., Park, J. H., & Lim, K. M. (2013). Effects of occupational therapy with physical exercise on demented old adult's executive function. Journal of the Korea Contents Association, 13(5), 322-331. doi:10.5392/JKCA.2013.13.05.322
  25. Lim, S. J., & Park, J. H. (2019). Systematic review of the characteristics of group-based intervention programs for depression in community-dwelling older adults. Korea Journal of Geriatric Occupational Therapy, 1(1), 27-40.
  26. Ministry of Health and Welfare. (2014). Act of long-term care insurance for the aged. Sejong, Korea: Ministry of Health-Welfare.
  27. Ministry of Health and Welfare. (2018a). A study on the concept of Korean community care through comparison with foreign cases. Retrieved from http://www.prism.go.kr/homepage/entire/retrieveEntireDetail.do;jsessionid=A6DBB46166ED3A300ECBB5388FBE946E.node02?cond_research_name=&cond_research_start_date=&cond_research_end_date=&research_id=1351000-201900079&pageIndex=240&leftMenuLevel=160
  28. Ministry of Health and Welfare. (2018b). Changes in day and night protection center facilities. Retrieved from http://www.mohw.go.kr/upload/viewer/skin/doc.html?fn=1571910307696_20191024184507.xlsx&rs=/upload/viewer/result/202001/
  29. Ministry of Health and Welfare. (2020). Information on the provision of 'Customized care service for the elderly'. Retrieved from http://www.bokjiro.go.kr/nwel/welfareinfo/livwelnews/news/retireveNewsDetail.do?boardSid=308&dataSid=6678254
  30. Schlicht, J., Camaione, D. N., & Owen, S. V. (2001). Effect of intense strength training on standing balance, walking speed, and sit-to-stand performance in older adults. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 56(5), 281-286. doi:10.1093/gerona/56.5.M281
  31. Shin, J. I., & Yang, Y. A. (2009). A study on the present status of occupational therapy and physical therapy present status in day care center for the elderly in Seoul. The Journal of Korea Aging Friendly Industry Association, 1(1), 11-19.
  32. Shin, S. J., Lee, J. S., Kim, S. K., & Jeon, B. J. (2013). The effect of a group occupational therapy on cognitive function and depression for mild dementia patients in a community. The Journal of Korean Society of Occupational Therapy, 21(3), 45-60.
  33. Statistics Korea. (2018). Population trend survey. Retrieved from http://kosis.kr/statisticsList/statisticsListIndex.do?menuId=M_01_01&vwcd=MT_ZTITLE&parmTabId=M_01_01&parentId=D.1;D3.2;101_11736.3;#SelectStatsBoxDiv
  34. Warren, S., Kerr, J. R., Smith, D., & Schalm, C. (2003). The impact of adult day programs on family caregivers of elderly relatives. Journal Community Health Nursing, 20(4), 209-221. doi:10.1207/S15327655JCHN2004_02
  35. Won, K. A., Park, J. H., & Kim, J. R. (2019). Effects of the cognitive stimulation group program combined with lifestyle education: For the elderly who use dementia care village in rural area. Korea Journal of Geriatric Occupational Therapy, 1(2), 17-27.
  36. Zijlstra, G. R., Van Haastregt, J. C., Ambergen, T., Van Rossum, E., Van Eijk, J. T. M., Tennstedt, S. L., & Kempen, G. I. (2009). Effects of a multicomponent cognitive behavioral group intervention on fear of falling and activity avoidance in community-dwelling older adults: Results of a randomized controlled trial. Journal of the American Geriatrics Society, 57(11), 2020-2028. doi:10.1111/j.1532-5415.2009.02489.x