대한감각통합치료학회지 (The Journal of Korean Academy of Sensory Integration)

  • 제22권1호
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  • Pages.25-42
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  • 2024
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  • 1738-0405(pISSN)
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  • 2384-115X(eISSN)
대한감각통합치료학회 (Korean Academy of Sensory Integration)
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감각통합중재와 가족중심코칭 병행중재가 발달지연 아동의 감각처리, 자세조절과 부모의 양육효능감에 미치는 효과

Effects of Sensory Integration and Family-centered Coaching Interventions on Sensory Processing, Posture Control, and Parenting Efficacy Among Children with Developmental Delays

  • 손지원 (대구대학교 재활과학대학원 재활과학과) ;
  • 이혜림 (대구대학교 재활과학대학 작업치료학과)
  • Son, Ji-Won (Dept. of Rehabilitation Sciences, Graduate School of Rehabilitation Sciences, Daegu University ) ;
  • Lee, Hye-Rim (Dept. of Occupational Therapy, College of Rehabilitation Sciences, Daegu University)
  • 투고 : 2024.04.30
  • 심사 : 2024.06.19
  • 발행 : 2024.06.30
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초록

목적 : 감각통합중재와 가족중심코칭 병행중재가 발달지연 아동의 감각처리, 자세조절과 부모의 양육효능감에 미치는 영향에 대해 알아보고자 하였다. 연구방법 : 본 연구는 5~6세 발달지연 아동 4명과 부모를 대상으로 단일대상연구 대상자간 중다 간헐 기초선 설계로 진행하였으며, 단일대상연구 대상자간 중다 간헐 기초선 설계로 진행하였으며, 감각통합중재와 가족중심코칭은 대상자별로 각 8주간 주 2회씩 총 16회기 동안 시행하였다. 사전과 사후에 감각프로파일, 한국판부모 양육효능감 평가를 실시하였고, Biorescue 장비를 사용하여 중재 후 자세조절의 변화를 측정하였다. 결과 : 중재 후 대상자 모두 감각처리가 상승하였다. Biorescue 장비를 통해 평가한 중재 기간에 앉은 자세, 눈 감고 앉은 자세, 선 자세에서 체중지지가 기초선 기간의 ±2 표준편차보다 높게 나타났다. 모든 대상자의 주 양육자 부모의 양육효능감이 상승되었다. 결론 : 본 연구의 결과를 통해 감각통합중재와 가족중심코칭이 발달지연 아동의 감각처리, 자세조절, 부모의 양육효능감에 효과적인 중재 방법을 제시하였다는 점에 의의가 있다.

Objective : The aim of this study was to investigate the effects of a sensory integration intervention on the sensory processing and posture control of children with developmental delays and a simultaneous family-centered coaching intervention on their parents' parenting efficacy. Methods : This study adopted a multiple probe design across four children aged five to six with developmental delays and their parents. A sensory integration intervention and a family-centered coaching intervention were employed twice a week in a total of 16 sessions over 8 weeks. Sensory profiles were evaluated, and the Korean version of the Parenting Sense of Competence was used before and after the interventions, and changes in post-intervention posture control were measured using Biorescue equipment. Results : During the intervention period, weight support in the sitting, Sitting with eyes closed, and standing positions evaluated using Biorescue was higher than two standard deviations from the baseline. After the interventions, all children showed enhanced sensory processing. Conclusion : Sensory integration and family centered coaching interventions have positive effects on the sensory processing and posture control of children with developmental delays and on their parents' parenting efficacy.

키워드

참고문헌

  1. Ayres, A. J. (2006). Sensory integration and the child. Seoul, South Korea: Koonja Publishing. 
  2. Brown, J. A., & Woods, J. J. (2016). Parent-implemented communication intervention: Sequential analysis of triadic relationships. Topics in Early Childhood Special Education, 36(2), 115-124. doi:10.1177/0271121416628200 
  3. Bulkeley, K., Bundy, A., Roberts, J., & Einfeld, S. (2016). Family-centered management of sensory challenges of children with autism: Single-case experimental design. American Journal of Occupational Therapy, 70(5), 7005220040p1-700 5220040p8. doi:10.5014/ajot.2016.017822 
  4. Bundy, A. C., Lane, S. J., & Murray, E. A. (2023). Sensory integration theory and practice (3rd ed). Seoul, South Korea: Yeongmunsa. 
  5. Choo, Y. Y., Agarwal, P., How, C. H., & Yeleswarapu, S. P. (2019). Developmental delay: Identification and management at primary care level. Singapore Medical Journal, 60(3), 119. doi:10.11622/smedj.2019025 
  6. Delbroek, T., Vermeylen, W., & Spildooren, J. (2017). The effect of cognitive-motor dual task training with the biorescue force platform on cognition, balance and dual task performance in institutionalized older adults: A randomized controlled trial. Journal of Physical Therapy Science, 29(7), 1137-1143. doi:10.1589/jpts.29.1137 
  7. Dunn, W. (1999). Sensory profile user's manual. San Antonio, Spain: Psychological Corporation. 
  8. Foster, C., & Heeks, R. (2013). Conceptualising inclusive innovation: Modifying systems of innovation frameworks to understand diffusion of new technology to low-income consumers. European Journal of Development Research, 25, 333-355. doi:10.1057/ejdr.2013.7 
  9. Gibbs, V., & Toth-Cohen, S. (2011). Family-centered occupational therapy and telerehabilitation for children with autism spectrum disorders. Occupational Therapy in Health Care, 25(4), 298-314. doi:10.3109/07380577.2011.606460 
  10. Graham, F., Rodger, S., & Ziviani, J. (2013). Effectiveness of occupational performance coaching in improving children's and mothers' performance and mothers' self-competence. American Journal of Occupational Therapy, 67(1), 10-18. doi:10.3109/07380577.2011.606460 
  11. Health Insurance Review and Assessment Service Center. (2024). Healthcare Bigdata. Retrieved 19 May, 2024, from http://opendata.hira.or.kr/home 
  12. Hwang, K. C., Chang, M. Y., & Ro, H. L. (2008). A Study on the cognition of rehabilitation practitioners working at community rehabilitation centers toward sensory integration therapy. Journal of Korean Academy of Sensory Integration, 6(1), 13-23. 
  13. Jung, H. R., Choi, Y. W., & Kim, K. M. (2013). A systematic review on sensory integration intervention in Korea: Focusing on Ayres Sensory Integration (ASI). Journal of Korean Society of Sensory Integration Therapists, 11(2), 27-40. 
  14. Kim, B. H., An, K. B., Lee, S. Y., & Chang, W. N. (2022). Effects of backward walking training on balance and gait in patients with hemiplegia. Journal of Korea Society for Neurotheapy, 27(3), 1. doi:10.17817/2023.09.21.1111834 
  15. Kim, J. M., Lim, H. S., & Hu, S. H. (2014). A validation study of the Korean version of the parenting sense of competence and the parenting alliance inventory. Korean Journal of Developmental Psychology, 27(2), 1-21. 
  16. Kim, J. Y., Kim, J. H., Lee, C. Y., & Jung, H. R. (2023). The effect of parental education on sensory integration home-program on the sensory control and social adaptation ability of children with autism spectrum disorder. Journal of Special Education & Rehabilitation Science, 62(1), 211-227. doi:10.23944/Jsers.2023.03.62.1.8 
  17. Kim, Y. S., Kim, K. M., Chang, M. Y., & Hong, S. Y. (2021). The effect of family-centered coaching based on sensory integration on the performance of children with autism spectrum disorder. Journal of Korean Academy of Sensory Integration, 19(2), 12-25. doi:10.18064/JKASI.2021.19.2.12 
  18. Lee, J. H., Bang, Y. S., Hwang, M. J., & Son, B. Y. (2017). The effects of sensory integration exercise program on postural control, balance, and attention of the child with developmental delay. Journal of the Korea Entertainment Industry Association. 11(2), 111-126. doi:10.21184/jkeia. 2017.02.11.2.111 
  19. Lee, K. J., Kim, S. J., & Song, C. H. (2012). Effects of cognitive task balance training using BIORescue program on static balance, dynamic balance and visual perception in elderly. Journal of Special Education & Rehabilitation Science, 51(1), 211-229. 
  20. Little, L. M., Pope, E., Wallisch, A., & Dunn, W. (2018). Occupation-based coaching by means of telehealth for families of young children with autism spectrum disorder. American Journal of Occupational Therapy, 72(2), 7202205020p1-7202205020p7. doi:10.5014/ajot.2018.024786 
  21. Na, H. S., Kwon, Y. D., & Noh, J. W. (2014). Evaluation for satisfaction of doctor coaching program. Journal of the Korean Contents Association, 14(12), 895-903. doi:10.5392/JKCA.2014.14.12.895 
  22. Nam, S. H., & Kim, H. S. (2014). The effect of the cooperation from husbands and mother-child Interaction on mothers' marital satisfaction in the family of children for developmental delays: Focusing on mediating effects of parenting stress and marital conflict. Journal of Rehabilitation Research, 18(2), 151-179. 
  23. O'Brien, J. C., & Kuhaneck, H. (2020). Case-Smith's occupational therapy for children and adolescents (8th ed). Seoul, South Korea: Elsevier. 
  24. Oh, H. W., & Kang, B. R. (2021). Effects of sensory integration therapy and home program centered on vestibulo-proprioceptive sensory on COPM, COMPS-II, and VMI-VI of children with autism spectrum disorder. Korean Society of Medicine & Therapy Science, 13(1), 43-52. doi:10.31321/kmts.2021.13.1.43 
  25. Park, H. S., Lee, N. H., Kim, K. M., & Chang, M. Y. (2013). The effects of proprioceptive-vestibular based sensory integration intervention on drooling and postural control of the child with developmental delay: Single subject research design. Journal of Special Education & Rehabilitation Science, 52(1), 337. 
  26. Park, H., & Kim, K. M. (2019). The effect of Ayres sensory integrationⓇ intervention on sensory processing ability and motor development in children with developmental delay. Journal of Korean Academy of Sensory Integration, 17(2), 18-30. doi:10.18064/JKASI.2019.17.2.018 
  27. Park, S. Y., & Kang, B. R. (2022). Effects of the connection between Ayres SI intervention and home-based SI on sensory processing, interaction and task performance in children with developmental delays. Korean Society of Medicine & Therapy Science, 14(1), 25-35. doi:10.31321/KMTS.2022.14.1.25. 
  28. Parker, R. I., Vannest, K. J., & Brown, L. (2009). The improvement rate difference for single-case research. Exceptional Children, 75(2), 135-150. 
  29. Reiko, T., Taskahiro, I., & Takemi, O. (2020). Sensory integration Q & A revised (2nd ed). Seoul, South Korea: Hakjisa Medical. 
  30. Rush, D., & Shelden, M. (2011). The early childhood coaching handbook. Baltimore, USA: Paul H. Brookes. 
  31. Ryu, S. U., Kim, I. S., & Kim, K. M. (2013). Effect of sensory integrative intervention on postural control and occupational performance (Play) of the preschool child with postural disorder: Case study using Goal Attainment Scale (GAS). Journal of Korean Academy of Sensory Integration, 11(2), 1-11. 
  32. Shin, H. S., Han, K. J., Oh, K. S., Oh, J. J., & Ha, M. N. (2002). Korean Denver development screening test II. Seoul: Hyunmunsa. 
  33. Shin, S. J., & Chung, M. J. (1998). Effects of stress, social support and efficacy on mothers' parenting behaviors. Korean Journal of Child Studies, 19(1), 27-42. 
  34. Smoot, R. S., Jackson, K., & Bigelow, K. (2015). Using posturography to examine the immediate effects of vestibular therapy for children with autism spectrum disorders: A feasibility study. Physical & Occupational Therapy in Pediatrics, 35(4), 365-380. doi:10.3109/01942638.2014.975313 
  35. Song, G. B., & Park, E. C. (2016). The effects of balance training on balance pad and sand on balance and gait ability in stroke patients. Journal of the Korean Society of Physical Medicine, 11(1), 45-52. doi:10.13066/kspm.2016.11.1.45 
  36. Woo, Y. J. (2006). Concept of developmental disability and the role of a pediatrician. Clinical and Experimental Pediatrics, 49(10), 1031-1036. 
  37. Yoo, D. H., Hong, D. G., & Hwang, S. J. (2014). Construct validation of the sensory profile for children with congenital cerebral palsy. Journal of Rehabilitation & Inclusion Research, 18(4), 315-330. doi:10.16884/JRR.2014.18.4.315