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Current Status and Actual Conditions of the Use of Occupational Therapy Evaluation Tools in Relation to the Type of Therapy Institution

국내 아동작업치료 기관별 평가도구 사용 현황 및 실태에 관한 연구

  • Gil, Young-Suk (Dept. of Occupational Therapy, Graduate School, Konyang University) ;
  • Yoo, Doo-Han (Dept. of Occupational Therapy, Konyang University)
  • 길영숙 (건양대학교 대학원 작업치료학과) ;
  • 유두한 (건양대학교 작업치료학과)
  • Received : 2023.01.05
  • Accepted : 2023.06.22
  • Published : 2023.06.30

Abstract

Objective : This study aimed to investigate the current status and actual use of assessment tools by institutions in the field of occupational therapy with children in Korea. Methods : The study was conducted with 67 occupational therapists working with children in Korea. To investigate the use of evaluation tools by area, knowledge of the evaluation tools, and desire to participate in further education, the questionnaires used in studies by Lee, Hong, and Park (2018) and Kim (2015) were modified and supplemented according to the child evaluation tools currently in usein institutions in Korea. For data collection, we distributed Google questionnaires to child occupational therapists for 3 weeks using convenience sampling. Excel was used to analyze the use of the evaluation tools according to institution. Technical statistics and frequency analyses were used to verify the general characteristics, evaluation-related information, status of evaluation tool use, knowledge levels relating to evaluation tools, and desire to participate in education. A t-test was used for the evaluation tool status. Results : Welfare centers used the most evaluation tools, with an average of 11.1, followed by university hospitals, rehabilitation hospitals, clinics, and daycare centers. There were differences in the choice of tools used, hospital with the Jebsen-Taylor hand function test and the Wee-FIM (Functional Independence Measure) being the most frequently applied. Centers, daycare centers, and welfare center the Sensory Profile test and clinical observation were also used often. Regarding the level of knowledge of evaluation tools and the desire to participate further in education, 30 (44.8%) of the respondents had not completed their education, and 42 (62.7%) rated their knowledge level as generally low. When asked about the importance of using a manual to guide them in their use of evaluation tools, 66 (98.6%) answered positively, and 66 (98.6%) answered that they needed specialized training in the use of evaluation tools. Conclusion : This study makes it possible to understand the use and status of evaluation tools as used by different institutions in Korea in the field of child occupational therapy It is anticipated that it will provide the basis for introducing existing evaluation tools and preparing new evaluation tools to be used in this field in Korea.

목적 : 본 연구는 국내 아동 작업치료영역에서 기관별 사용하고 있는 평가도구 사용 현황 및 실태에 대하여 조사하고자 하였다. 연구방법 : 본 연구는 국내 아동작업치료사 67명을 대상으로 진행하였다. 설문지구성은 Lee, Hong과 Park(2018)와 Kim(2015)의 연구에서 사용된 설문문항을 아동평가도구 내용에 맞추어 수정·보완하여 사용하였다. 데이터 수집은 편의표본추출방법을 사용하여 3주 동안 Google 설문지를 배포하였다. 연구 분석은 일반적 특성, 평가관련정보, 평가도구 사용현황, 지식수준 및 교육 참여 욕구를 검증하기 위해 기술통계와 빈도분석을 사용하였으며, 평가도구 현황은 t-test를 사용하였다. 기관별 평가도구 사용은 Excel을 통해 분석하였다. 결과 : 기관별 사용하는 평가도구 수는 복지관이 11.1개로 가장 많았고 기관별 평가도구 사용 현황의 경우 대학병원이 Jebsen-Taylor hand function test를 재활병원은 Functional Independence Measure for children을 가장 많이 사용하였으며 의원, 센터, 복지관, 어린이집은 순서 간의 차이는 있으나 Sensory Profile과 임상관찰 사용빈도가 많았다. 평가도구에 대한 지식수준과 교육참여 욕구에 대한 문항에서는 응답자의 30명(44.8%)이 교육을 이수하지 않았으며, 42명(62.7%)이 대체로 자신의 지식수준을 낮게 평가하고 있었다. 매뉴얼 기반에 평가도구 사용의 중요성 질문에 66명(98.6%)이 긍정적인 답변에 응하였고, 66명(98.6%)이 평가도구 전문교육이 필요하다고 응답하였다. 결론 : 본 연구를 통하여 국내 아동작업치료영역 기관별 사용되고 있는 평가도구의 사용 현황 및 실태를 파악할 수 있었으며 이를 통해 기관별 다양한 평가도구 도입 및 다양한 평가도구 교육 마련을 위한 기초적인 근거자료가 될 것으로 기대된다.

Keywords

References

  1. Asher, I. E. (2014). Asher's occupational therapy assessment tools: An annotated index. American Occupational Therapy Association, Incorporated.
  2. Bundy, A. C., Lane, S. J., & Murray, E. A. (2002). Sensory integration: Theory and practice. Philadelphia: Davis Company.
  3. Choi, J. S., & Hong, E. (2017). Job analysis of pediatric occupational therapists in Korea: Focused on sensory integration intervention. Journal of Korean Academy of Sensory Integration, 15(2), 1-21. doi:10.18064/JKASI.2017.15.2.001
  4. Custers, J. W., Van der Net, J., Hoijtink, H., Wassenberg-Severijnen, J. E., Vermeer, A., & Helders, P. J. (2002). Discriminative validity of the dutch pediatric evaluation of disability inventory. Archives of Physical Medicine and Rehabilitation, 83(10), 1437-1441. doi:10.1053/apmr.2002.34831
  5. Faul, F., Erdfelder, E., Buchner, A., & Lang, A. G. (2009). Statistical power analyses using G*Power G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41, 1149-1160. https://doi.org/10.3758/BRM.41.4.1149
  6. Health Insurance Review & Assessment Service. (2021). Medical review.evaluation guide. Wonju: Health Insurance Review & Assessment Service.
  7. Hong, E. K., & Kim, K. M. (2012). A phenomenological study on the experience of novice pediatric occupational therapists. Journal of Korean Society of Occupational Therapy, 20(4), 29-42.
  8. Jo, E. M., Jeong, Y. J., Choi, Y. M., & Yoo, E. Y. (2015). Current trends of occupational therapy assessment tool by Korean pediatric occupational therapist. Journal of Korean Society of Occupational Therapy for Child and School, 16, 22-33.
  9. Jung, H., & Lee, J. H. (2022). Investigating professional competency and the needs of training for occupational therapists using sensory integration interventions. Journal of Korean Academy of Sensory Integration, 20(1), 26-38. doi:10.18064/JKASI.2022.20.1.26
  10. Kim, B. R., Kim, K. M., Jang, K. Y., & Hong, E. K. (2021). Study of construct validity and test-retest reliability of the Korean version peabody developmental motor scales-second edition (PDMS-2). Journal of Korean Academy of Sensory Integration, 19(3), 32-43. doi:10.18064/JKASI.2021.19.3.32
  11. Kim, I. S. (2015). A survey on a status of sensory integration therapy in Korea. Journal of Korean Academy of Sensory Integration, 13(2), 1-19. doi:10.18064/JKASI.2015.13.2.001
  12. Kim, K. M., Chang, K. Y., Lee, H. S., Chang, M. Y., Kim, H., & Hong, E. K. (2017). The education of occupational therapy clinical practice in Korea. Korean Journal of Occupational Therapy, 25(4), 87-100. doi:10.14519/jksot.2017.25.4.07
  13. Kim, K. M., Lee, J. H., Jung, H., Choi, J. S., & Hong, E. (2021). A translation and construct validity study of the evaluation in Ayres Sensory Integration®(EASI). Journal of Korean Academy of Sensory Integration, 19(1), 24-38. doi:10.18064/JKASI.2021.19.1.24
  14. Kim, S. Y. (2019). The validity of activity participation assessment for school-age children. Journal of Korean Academy of Sensory Integration, 17(1), 19-29. doi:10.18064/JKASI.2019.17.1.019
  15. Kim, S. Y., & Min, Y. S. (2016). Literature review of Korean occupational therapy research for children and youth regarding the international classification of functioning: Focusing on the Korean society of occupational therapy. Journal of Korean Society of Occupational Therapy, 24(4), 161-174. doi:10.14519/jksot.2016.24.4.12
  16. Korea Academy of Sensory Integration. (2021. 4. 7). Training schedule for 2021. 7 February, 2023. Retrieved from http://www.kasiorg.org
  17. Korea Health Personnel Licensing Examination. (2021. 12. 21). Announcement of successful candidates for the 49th occupational therapist, 38th health and medical information manager and 10th level 1 and 2 speech rehabilitation examination in 2021. 15 May, 2022. Retrieved from https://www.kuksiwon.or.kr
  18. Korean Association of Occupational Therapists. (2022). Occupational therapist work status. 5 May, 2022. Retrieved from https://www.kaot.org/pds/stat.jsp
  19. Korean Society of Occupational Therapy for Child and School. (2022. 3. 14). Training schedule for 2022. 10 February, 2023. Retrieved from http://child.tium.co.kr
  20. Lee, H. S. (2011). A survey of the core job of occupational therapists and their different job tasks depending on the therapist's experience in years and different treatment areas. Journal of Korean Society of Occupational Therapy, 19(1), 1-14.
  21. Lee, H. S., Park, S. H., Kim, Y. J., Noh, C. S., Yoon, Y. Y., & Lee, K. M. (2015). Practice analysis among Korean school based occupational therapists. Journal of Korean Society of Occupational Therapy, 23(4), 17-33. doi:10.14519/jksot.2015.23.4.02
  22. Lee, J. H., & Jung, H. (2022). Educational needs and self-assessment for competency of newly employed therapists using sensory integration intervention. Journal of Korean Academy of Sensory Integration, 20(2), 1-10. doi:10.18064/JKASI.2022.20.2.01
  23. Lee, S. H., Hong, C. R., & Park, H. Y. (2018). Current trend in use of occupational therapy assessment tool by pediatric occupational therapist. Journal of Korean Academy of Sensory Integration, 16(3), 23-33. doi:10.18064/JKASI.2018.16.3.023
  24. Lee, S. H., Yoo, E. Y., Jung, M. Y., Park, S. H., Lee, J. S., & Lee, T. Y. (2010). Development of the Korean activity card sort. Korean Society of Occupational Therapy, 18(3), 103-117. doi:10.1023/A:1005160717081
  25. Min, K. C., Kim, E. H., & Woo, H. S. (2020). Job characteristics and status of community occupational therapist: Focus on OTs in public health centers. Journal of Korean Society of Community Based Occupational Therapy, 10(3), 37-52. doi:10.18598/kcbot.2020.10.3.04
  26. Myers, N. A., Smith, K., Pope, A., Alolayan, Y., Broussard, B., Haynes, N., ... Compton, M. T. (2016). A mixed-methods study of the recovery concept, "a meaningful day," in community mental health services for individuals with serious mental illnesses. Community Mental Health Journal, 52, 747-756. doi:10.1007/s10597-015-9971-4
  27. Nam, K. Y., Kim, K. M., Kim, M., & Lee, J. (2019). A study on the development of a competency-based intervention course curriculum of the Korean academy of sensory integration. Journal of Korean Academy of Sensory Integration, 17(3), 26-45. doi:10.18064/JKASI.2019.17.3.026
  28. Park, J. Y., & Bae, W. J. (2019). The use of occupational therapy assessment tool by occupational therapists in long-term care hospital. Society of Occupational Therapy for The Aged and Dementia, 13(1), 23-31. doi:10.34263/jsotad.2019.13.1.23
  29. Park, S. Y., & Yoo, E. Y. (2002). The use of occupational therapy assessment tool by Korean occupational therapist. Journal of Korean Society of Occupational Therapy, 10(2), 99-108.
  30. Woo, H. S., Chang, K. Y., Cha, T. H., & Oh, J. C.(2009). A study of the status of dysphagia rehabilitation conducted by occupational therapists in Korea. Journal of Korean Society of Occupational Therapy, 17(3), 66-77.
  31. Yoo, E. Y., Jung, M. Y., Park, S. Y., & Choi, E. H. (2006). Current trends of occupational therapy assessment tool by Korean occupational therapist. Journal of Korean Society of Occupational Therapy, 14(3), 27-37.
  32. Yoo, E. Y., Lee, J. Y., Kim, J. R., Cha, Y. J., & Park, H. Y. (2012). A study on a rehabilitation service system for children with disabilities: A preliminary survey based on occupational therapy. Journal of Korean Society of Occupational Therapy, 20(3), 1-14.