Therapeutic Science for Rehabilitation (재활치료과학)

Korean Society of Neurological Occupational Therapy (대한신경계작업치료학회)
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Identifying Common Daily Activities Performed by Older Adults in the United States and South Korea and Changes in Activity Participation Across the Adult Lifespan in South Korea

미국성인과 한국성인의 공통적 일상활동과 한국인의 생애주기 변동에 따른 활동참여 변화

  • Park, Sangmi (Department of Occupational Therapy, College of Software and Digital Healthcare Convergence, Yonsei University) ;
  • Connor, Lisa Tabor (Program in Occupational Therapy & Department of Neurology, Washington University School of Medicine) ;
  • Lee, Yejin (Program in Occupational Therapy, Washington University School of Medicine)
  • 박상미 (연세대학교 소프트웨어디지털헬스케어융합대학 작업치료학과) ;
  • ;
  • 이예진 (워싱턴대학교 의과대학 작업치료학과)
  • Received : 2024.01.06
  • Accepted : 2024.03.18
  • Published : 2024.05.31
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Abstract

Objective : This study aimed to identify common activities with similar participation levels between community-dwelling individuals in the United States (US) and South Korea (Study 1), and analyze the changes in activity participation patterns across the adult lifespan in South Korea (Study 2). Methods : We administered the online survey-based Activity Card Sort version 3 (ACS-3) to adults living in the US and South Korea. In Study 1, we computed the average participation level and visualized 100 activities of the ACS-3 from both the US and Korean samples. The average participation level across the four age groups in Study 2 was calculated and visualized to understand the changes in patterns of involvement across the four ACS-3 domains in a Korean sample. Results : In Study 1, data from 161 Americans and 163 Koreans were analyzed. Of the 100 activities, 48 (instrumental: 20; leisure: 13; fitness/health: 6; social: 9) demonstrated similar levels of participation between the two samples. In Study 2, data from 420 Koreans were analyzed and a tendency for decreased participation with age was found in all domains, except for the instrumental domain. Conclusion : Common daily activities may be used as a means of intervention across cultures in occupational therapy. Protective approaches and support are recommended to optimize older adults' participation in daily life.

목적 : 이 연구의 목적은 지역사회에 거주하는 미국인과 한국인이 참여하는 일상적 활동 중 공통된 활동을 도출하는 것과(연구 1) 생애주기 변동에 따라 한국인의 활동 참여 패턴의 변화를 분석하는 것이다(연구 2). 연구방법 : 온라인 조사를 통해 Activity Card Sort version 3 (ACS-3)를 미국인과 한국인에게 적용하였다. 연구 1에서는 100개 활동에 대한 참여수준의 평균을 분석하고 결과를 시각자료로 제시했다. 연구 2에서는 4개 연령집단의 참여수준의 평균이 ACS-3의 4개 도매인별로 어떻게 변화하는지를 분석하고 시각자료로 제시했다. 결과 : 연구 1에서는, 161건의 미국인 자료와 163건의 한국인 자료를 분석하였다. 100개 활동 중, 48개 활동(수단적 활동: 20개, 여가 활동: 13개, 건강 활동: 6개, 사회활동: 9개)에서 두 국가간 유사한 참여수준을 확인하였다. 연구 2에서는, 420건의 한국인 자료를 분석하였다. 나이가 들어감에 따라 모든 수단적 활동을 제외한 모든 도매인에서 참여수준이 저하되는 경향을 확인하였다. 결론 : 서로 다른 문화권에서도 공통적인 일상활동은 작업치료에서 문화의 제한을 받지 않는 치료적 수단으로 활용할 수 있다. 노인의 일상활동 참여를 최적화하기 위한 보호적 접근과 지지가 제안된다.

Keywords

Acknowledgement

This research was supported by the BK21 FOUR (Fostering Outstanding Universities for Research) funded by the Ministry of Education (MOE) of the Republic of Korea and National Research Foundation of Korea (NRF) (Big data specialized education and research team for cognitive health and social integration of community-dwelling older adults).

References

  1. Agner, J. (2017). Understanding and applying empowerment theory to promote occupational justice. Journal of Occupational Science, 24(3), 280-289. https://doi.org/10.1080/14427591.2017.1338191
  2. Baltes, M. M., & Carstensen, L. L. (2003). The process of successful aging: Selection, optimization, and compensation. In U. M. Staudinger, & U. Lindenberger (Eds.), Understanding human development: Dialogues with lifespan psychology (pp. 81-104). Springer. https://doi.org/10.1007/978-1-4615-0357-6_5
  3. Bardhoshi, G., Jordre, B. D., Schweinle, W. E., & Shervey, S. W. (2016). Understanding exercise practices and depression, anxiety, and stress in senior games athletes: A mixed-methods exploration. Topics in Geriatric Rehabilitation, 32(1), 63-71. https://doi.org/10.1097/TGR.0000000000000092
  4. Baum, C. M., & Edwards, D. F. (2008). ACS: Activity Card Sort. AOTA Press.
  5. Belza, B., Walwick, J., Schwartz, S., LoGerfo, J., Shiu-Thornton, S., & Taylor, M. (2004). Older adult perspectives on physical activity and exercise: Voices from multiple cultures. Preventing Chronic Disease, 1(4). A09.
  6. Bonder, B., & Anetzberger, G. J. (2018). Culture, ethics, and elder abuse. In B. Bonder, & V. D. Bello-Haas (Eds.), Functional performance in older adults (4th ed., pp. 75-90). McGraw-Hill Education. https://fadavispt.mhmedical.com/content.aspx?bookid=2302§ionid=179706685
  7. Boone, A. E., Wolf, T. J., & Baum, C. M. (2022). Development and initial testing of the electronic activity card sort (ACS3) among community-dwelling adults. American Journal of Occupational Therapy, 76(3), 7603345030. https://doi.org/10.5014/ajot.2022.047522
  8. Chan, V. W., Chung, J. C., & Packer, T. L. (2006). Validity and reliability of the Activity Card Sort-Hong Kong version. OTJR: Occupation, Participation and Health, 26(4), 152-158. https://doi.org/10.1177/153944920602600405
  9. Dahan-Oliel, N., Mazer, B., Gelinas, I., Dobbs, B., & Lefebvre, H. (2010). Transportation use in community-dwelling older adults: Association with participation and leisure activities. Canadian Journal on Aging/La Revue Canadienne du Vieillissement, 29(4), 491-502. https://doi.org/10.1017/S0714980810000516
  10. Doney, R. M., & Packer, T. L. (2008). Measuring changes in activity participation of older Australians: Validation of the Activity Card Sort-Australia. Australasian Journal on Ageing, 27(1), 33-37. https://doi.org/10.1111/j.1741-6612.2007.00265.x
  11. Eriksson, G. M., Chung, J. C., Beng, L. H., Hartman-Maeir, A., Yoo, E., Orellano, E. M., Van Nes, F., De Jonge, D., & Baum, C. M. (2011). Occupations of older adults: A cross cultural description. OTJR: Occupation, Participation and Health, 31(4), 182-192. http://doi.org/10.3928/15394492-20110318-01
  12. Farmer, N., Touchton-Leonard, K., & Ross, A. (2018). Psychosocial benefits of cooking interventions: A systematic review. Health Education & Behavior, 45(2), 167-180. http://doi.org/10.1177/1090198117736352
  13. Hasselkus, B. R. (2011). The meaning of everyday occupation. Slack Incorporated.
  14. Havighurst, R. J. (1968). Personality and patterns of aging. Gerontologist, 8(1_Part_2), 20-23. https://doi.org/10.1093/geront/8.1_Part_2.20
  15. Heo, J., Chun, S., Lee, S., Lee, K. H., & Kim, J. (2015). Internet use and well-being in older adults. Cyberpsychology, Behavior, and Social Networking, 18(5), 268-272. https://doi.org/10.1089/cyber.2014.0549
  16. Heo, J., & Lee, Y. (2010). Serious leisure, health perception, dispositional optimism, and life satisfaction among senior games participants. Educational Gerontology, 36(2), 112-126. https://doi.org/10.1080/03601270903058523
  17. Hocking, C. (2017). Occupational justice as social justice: The moral claim for inclusion. Journal of Occupational Science, 24(1), 29-42. https://doi.org/10.1080/14427591.2017.1294016
  18. Humbert, T. K., Burket, A., Deveney, R., & Kennedy, K. (2011). Occupational therapy practitioners' perspectives regarding international cross-cultural work. Australian Occupational Therapy Journal, 58(4), 300-309. https://doi.org/10.1111/j.1440-1630.2010.00915.x
  19. Jung, C. I., Kim, Y. S., Lee, H. W., & Kim, G. C. (2011). The effect of cooking and art activities on cognitive function and depression of dementia patients. Journal of Korean Institute of Oriental Medical Diagnostics, 15(1), 67-76.
  20. Kim, J. K., Kim, H. S., & Park, S. J. (2017). The effect of occupational participation on the quality of life and self-esteem of the elderly. Journal of Occupational Therapy for the Aged and Dementia, 11(1), 21-28.
  21. Kim, J. R., Park, S., & Lee, C. D. (2023). Relationship between resilience, community participation, and successful aging among older adults in South Korea: Mediating role of community participation. Journal of Applied Gerontology, 42(11), 2233-2241. https://doi.org/10.1177/07334648231183772
  22. 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 Journal of Occupational Therapy, 18(3), 103-117. https://db.koreascholar.com/Article/Detail/376674
  23. Levy, L. L. (2018). Cognitive aging: Considerations for adults and older adults. In N. Katz, & J. Toglia (Eds.), Cognition, occupation, and participation across the lifespan: Neuroscience, neurorehabilitation and models of intervention in Occupational Therapy (pp. 29-49). AOTA Press. https://doi.org/10.7139/2017.978-1-56900-479-1
  24. Munoz, C. G. (2018). Challenges in occupational justice and social inclusion: Selected experiences within Valdivia's civil society. Journal of Occupational Science, 25(4), 486-496. https://doi.org/10.1080/14427591.2018.1517404
  25. Nedeljko, M., Bogataj, D., & Kaucic, B. M. (2021). The use of ICT in older adults strengthens their social network and reduces social isolation: Literature review and research agenda. IFAC-PapersOnLine, 54(13), 645-650. https://doi.org/10.1016/j.ifacol.2021.10.524
  26. Paek, Y., & Koh, M. (2022). Embracing migrants into the public medical system: The Involution of migration infrastructure in South Korea. Journal of the Korean Association of Regional Geographers, 28(2), 183-199. https://doi.org/10.26863/JKARG.2022.5.28.2.183
  27. Park, S., Lee, H. J., Jeon, B. J., Yoo, E. Y., Kim, J. B., & Park, J. H. (2021). Effects of occupational balance on subjective health, quality of life, and health-related variables in community-dwelling older adults: A structural equation modeling approach. Plos One, 16(2), e0246887. https://doi.org/10.1371/journal.pone.0246887
  28. Park, M. J., Yeo, K. H., & Park, B. H. (2010). Influential factors related to health promotion behaviors among community dwelling elderly with low economic status. Korean Journal of Gerontological Social Welfare, 48, 205-227. https://doi.org/10.21194/kjgsw..48.201006.205
  29. Pechishcheva, L. A., & Korneev, K. A. (2023). Civilizational space of orient countries in thr 21st century: Unique features and western influence. World Economy and International Relations, 67(9), 119-128. https://doi.org/10.20542/0131-2227-2023-67-9-119-128
  30. Pereira, R. B., & Whiteford, G. E. (2013). Understanding social inclusion as an international discourse: Implications for enabling participation. British Journal of Occupational Therapy, 76(2), 112-115. https://doi.org/10.4276/030802213X13603244419392
  31. Regier, N. G., & Parmelee, P. A. (2021). Selective optimization with compensation strategies utilized by older adults newly-transitioned to assisted living. Aging & Mental Health, 25(10), 1877-1886. https://doi.org/10.1080/13607863.2020.1856776
  32. Sachs, D., & Josman, N. (2003). The activity card sort: A factor analysis. OTJR: Occupation, Participation and Health, 23(4), 165-174. https://doi.org/10.1177/153944920302300404
  33. Sloane-Seale, A., & Kops, B. (2008). Older adults in lifelong learning: Participation and successful aging. Canadian Journal of University Continuing Education, 34(1), 37-62. https://doi.org/10.21225/D5PC7R
  34. Stevelink, S., & van Brakel, W. H. (2013). The cross-cultural equivalence of participation instruments: A systematic review. Disability and Rehabilitation, 35(15), 1256-1268. https://doi.org/10.3109/09638288.2012.731132
  35. Townsend, E. (2015). Critical occupational literacy: Thinking about occupational justice, ecological sustainability, and aging in everyday life. Journal of Occupational Science, 22(4), 389-402. https://doi.org/10.1080/14427591.2015.1071691
  36. World Health Organization. (2001). International classification of functioning, disability, and health (ICF). https://www.who.int/standards/classifications/international-classification-of-functioning-disability-and-health
  37. Zager Kocjan, G., Spes, T., Svetina, M., Plohl, N., Smrke, U., Mlakar, I., & Musil, B. (2023). Assistive digital technology to promote quality of life and independent living for older adults through improved self-regulation: A scoping review. Behaviour & Information Technology, 42(16), 2832-2851. https://doi.org/10.1080/0144929X.2022.2149423