• Title/Summary/Keyword: 근거 기반 치료

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Evidence-Based Practice(EBP) Among Korean Occupational Therapists : Use of Resources, Perceptions, and Barriers (한국 작업치료사들의 근거기반 치료(Evidence-Based Practice; EBP) : 인식도, 근거자원 사용과 방해요인 조사)

  • Kim, Jung-Ran;Kim, Sun-Hee;Yang, No-Yul
    • Therapeutic Science for Rehabilitation
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    • v.1 no.2
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    • pp.41-53
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    • 2012
  • Objective : The purpose of the research is to investigate Korean occupational therapists' awareness of Evidence-Based Practice(EBP), basis of clinical decision making, barrier factors of EBP execution. Methods : Form December 2009 to March 2010, 500 questionnaires were sent out to clinical occupational therapists and 160 questionnaire which are returned by the therapists were analyzed through descriptive statistics. Results : There are more female respondents than male. More than 90% of them had less than 5 years experience. Most of respondents hadn't experienced education concerning EBP(76%), and the education is not periodically conducted(55%). Moreover, treatment was being tailored based on subjective judgement. On the other hand, the degree of recognition showed that the professionalism of occupational therapists can be improved through EBP(96%), and be helpful to make clinical decision(88%). Most of the therapists answered that guaranteeing enough time to search the basis of treatment(90%) and participating in the education course(92%) is needed to make EBP applicable. This result shows that while the application rate of EBP is low, the recognition rate of EBP is high, which means it is necessary to revitalize EBP education program. Conclusions : In order to provide quality service, education course and instructor training program is needed. We should also make a great effort to offer evidence-based education to occupational therapy students. Furthermore, EBP has to be carried out to improve the professionalism of occupational therapists, and the research about education program and its effect has to be executed.

An Implementation of Art-Therapy Service Based on Multi-Agent Technology (멀티 에이전트 기술을 이용한 Art-Therapy 서비스의 구현)

  • Ha, J.L.;Bae, J.S.;Yoon, S.I.;Kim, S.H.
    • Electronics and Telecommunications Trends
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    • v.19 no.3 s.87
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    • pp.107-116
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    • 2004
  • 지금까지의 정보통신 서비스는 사용자에게 필요한 정보를 제공하거나 사용자와 사용자를 연결해주는 통로로서의 서비스를 제공하여 왔으나, 유비쿼터스 컴퓨팅과 유비쿼터스 네트워크 기술을 기반으로 한 유비쿼터스 서비스는 사용자가 처한 상황에 기반하여 정보 제공은 물론 필요한 행위까지도 제공하여 사용자의 욕구에 가장 근접한 서비스 제공에 초점을 두는 컨시어지형 서비스가 될 것이다. 이러한 서비스는 사용자의 기호 및 상태, 또는 상황 등의 다양한 정보에 근거하여 서비스를 제공할 수 있어야 하며, 이를 위한 효과적인 접근 방법으로는 사용자의 다양한 정보를 각각의 대리자에게 처리를 하게 하는 멀티 에이전트 기술일 것이다. 본 연구에서는 음악이나 그림을 활용하여 신체적, 정신적 질환을 치료하는 음악 치료나 그림 치료인 Art-Therapy를 유비쿼터스 서비스의 구현 사례로 기술한다. 사용자의 신체적 또는 정신적 상태 및 환경 정보를 센서를 활용하여 측정하고 그 측정된 데이터에 근거하여 사용자의 상태를 판단하고 이에 따라 음악 및 미술 작품을 시청각으로 제공함으로써 치료 효과를 얻는다. 본 연구에서의 Art-Therapy 서비스는 FIPA에서 제안한 멀티 에이전트 기반 구조인 에이전트 플랫폼을 기반으로 구현하였다.

The Reviews of Occupation Based Intervention in Neurorehabilitation (신경계 재활에서의 작업기반중재(occupation based intervention)에 관한 고찰)

  • Lee, Mi-Ji
    • Therapeutic Science for Rehabilitation
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    • v.6 no.2
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    • pp.29-36
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    • 2017
  • Introduction: Occupation based intervention is effective intervention of nervous system clients. So, this study investigated theoretical background, definition, and domain of occupation based intervention through literature reviews. And the study suggested neurological references to apply it in realistic occupation therapy area. Body: Occupation based intervention is performed in occupation based practice. Client's proper performance in natural environments is important. That is application of meaningful occupation in client's realistic environment is occupation based intervention. At this point, meaningful occupation is included client's motivation, selective task, and habituation of performance. Conclusion: Occupation based intervention were included motivation, habituation, and realistic environment of clients. The reviews identified that each factor is based on neurological basis. Therefore occupation based intervention need to use in realistic neurorehabilitation.

Cognitive Processing Therapy as a First-line Treatment for Post-Traumatic Stress Disorder (인지처리치료: 외상후 스트레스 장애의 일차 치료)

  • Jin-Hee, Choi;Hyung-Seok, So;Soonjo, Hwang;Ji-Woo, Suk;Hayun, Choi;Seung-Hoon, Lee;EunYoung, Lee
    • Korean Journal of Psychosomatic Medicine
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    • v.30 no.2
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    • pp.80-98
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    • 2022
  • Posttraumatic stress disorder (PTSD) is well known to have a limited response to drug treatment. Many recently published clinical care guidelines recommend trauma-focused psychotherapies such as cognitive processing therapy (CPT) and prolonged exposure therapy (PE) as first-line treatment and medication such as serotonin reuptake inhibitors and venlafaxine as second-line treatment. Current review introduces the session composition and contents of CPT and presents various CPT studies that show therapeutic effect for civilian and veterans/military with PTSD. In order for clinicians to help effectively patients with PTSD, it is necessary to learn and actively use evidence-based trauma-focused psychotherapies including CPT and PE.

A Systematic Review on Effects of School-Based Occupational Therapy (학교기반 작업치료에 관한 체계적 고찰)

  • Jung, Nam-Hae
    • The Journal of Korean Academy of Sensory Integration
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    • v.12 no.1
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    • pp.25-38
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    • 2014
  • Objective : This study was conducted to determine effects of school-based occupational therapy through a systematic review Methods : We systematically reviewed studies published in PubMed and Ovid from 2000 to June 2014 using keyword 'school' or 'children' and 'occupational therapy'. Fourteen studies were selected. The level of evidence, participants, assessment, intervention area, method and effects were analyzed by reviewing full text. Results : The most group and age of participants were normal child with fine motor difficulties and 6~8 years old in selected studies. The most target area of intervention was handwriting, fine motor and visuo-motor integration (68.8%) and the most method was direct treatment (71.4%). The top on the assessment was Beery-Buktenica Test of Visual-Motor Integration (14.9%) and next was Bruininks-Oseretsky Test of Motor Proficiency (11.1%). Effects of school based occupational therapy were founded in the visual motor integration, learning skill, level of participation, fine motor, play and behavioral problem. Conclusion : This systematic review provides evidence concerning the participants, intervention, assessment and effects of school based occupational therapy. It should be used for basic data for the research and practice of school-based occupational therapy.

Bibliotherapy as an 'Therapuetic' Enforced Readers' Advisory and the Roles of a Librarian as a Therapist ('치료적' 독자상담으로서의 독서치료와 사서의 역할)

  • Lee, Kee-Myung;Lee, Jae-Whoan
    • Journal of Korean Library and Information Science Society
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    • v.42 no.4
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    • pp.159-179
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    • 2011
  • This article intends to locate the logical basis to apply bibliotherapy as a library service in Korean libraries. To the end, investigated and discussed are the historical relationship between bibliotherapy and RAS(readers' advisory service), and the theoretical base and practical experiences that enabled bibliotherapy to be practical in the U.S. library community. This article introduces a concept of 'therapeutic' RAS as a similar concept to 'developmental' bibliotherapy, and suggests the roles of a librarian as a therapist, based on the "Zones of Intervention" by Carol Kuhlthau.

The Effect of Parent Education on Feeding Problems in Children With Autism Spectrum Disorder: A Systematic Review (자폐 스펙트럼 장애 아동의 섭식 문제를 위한 부모교육의 효과: 체계적 고찰)

  • Choi, Yeon-Woo;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.18 no.3
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    • pp.39-52
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    • 2020
  • Objective : The purpose of this study was to investigate the effect of parent education on feeding problems in children with autism spectrum disorder. Method : Articles published between 2000 and May 2019 were identified through a database search of Cochrane Library, Embase, Ovid-Medline, and PubMed as well as through additional manual searches. A total of six articles were selected and qualitatively analyzed according to the level of evidence of the study and arranged according to PICO (Patient, Intervention, Comparison, Outcome). Results : Six articles were used for the data analysis; four articles were at evidence level 1 and two articles were at evidence level 3. Behavioral therapy was the most common interventional approach to parent education, and all of the articles based on behavioral therapy had evidence level 1. Conclusion : This study examines the various ways of parenting to help families with autism spectrum children with feeding problems in order to find directions for parent education that can be applied in clinical practice.

Systematic Review of the Research Evidence Examining the Effectiveness of Occupational Therapy Using a Sensory Integration Approach (감각통합에 기반을 둔 작업치료효과에 관한 체계적 고찰)

  • Choi, Jeong-Sil
    • The Journal of Korean society of community based occupational therapy
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    • v.1 no.2
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    • pp.71-79
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    • 2011
  • Objective : This study aimed to systematically reviewed to identify, evaluate, synthesize the research literature and suggested to the research direction on the effectiveness of occupational therapy using a sensory integration approach. Methods : We analyzed 10 studies that identified the effectiveness of occupational therapy using a sensory integration approach for children and adolescents offering in MEDLINE/PubMed and http://ajot.aotapress.net between 1993 and 2011. Results : The subjects were the sensory modulation disorder and autism spectrum. The different intervention strategies were similar to a previous studies. Intervention dosage was over 20 sessions, 2~3days per week more than 10weeks. Occupational therapy using a sensory integration approach may result in positive outcome in motor performance, behavioral outcomes, academic and psychoeducational outcomes and tried to currently identify the effect of intervention outcomes in sensory processing and occupational performance using the GAS. Conclusion : Clinicians have a minimal idea planing a research design and a evidence running a study.

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Analysis of Individualized Education Support Team Intervention Objectives Using International Classification of Functioning, Disability and Health-Children and Youth Version and the Necessity of Occupational Therapists as IEP Members: A Systematic Review (국제기능장애 건강분류: 아동 청소년 버전을 이용한 개별화교육지원팀 중재목표 분석 및 개별화교육계획 구성원으로서 작업치료사의 필요성: 체계적 고찰)

  • Yun, Sohyeon;An, Hyunseo;Kim, Inhye;Park, Hae Yean
    • Therapeutic Science for Rehabilitation
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    • v.12 no.4
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    • pp.23-37
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    • 2023
  • Objective : This study systematically reviewed the collaborative team interventions of the Individualized Education Plan (IEP) using the International Classification of Functioning, Disability, and Health-Children and Youth (ICF-CY) framework to establish the professional domain of occupational therapists in Korea and their role as experts in IEP cooperative team interventions in special education. Methods : Articles were collected from the EBSCOhost, ProQuest, and PubMed databases. International search terms included "Special education," "Individualized education plan (IEP)," "IEP process," "IEP implementation," and "Occupational therapy." The study period was limited from January 2013 to February 2023, and the final 10 studies were analyzed using secondary classification. Results : Most studies were randomized experiments targeting individuals with autism, and often employed environmental improvements. The IEP collaborative team interventions using the ICF-CY framework emphasized goals related to activity (five studies), participation (four studies), and body structure/function (one study). Conclusion : Occupational therapists play a crucial role in collaborative IEP team interventions. This study established expertise in the context of special education in South Korea.

A Systematic Review of Occupational Therapy Interventions for Children With Cerebral Palsy: Focus on Single-Subject Research Design (뇌성마비 아동을 위한 작업치료 중재에 대한 체계적 고찰: 국내 단일대상연구를 중심으로)

  • Shin, Chae-Eun;Choi, Yoo-Im
    • Therapeutic Science for Rehabilitation
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    • v.12 no.2
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    • pp.25-42
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    • 2023
  • Objective : The purpose of this study was to identify the characteristics of a single-subject research study and qualitative levels in which occupational therapy interventions were performed on children with cerebral palsy. Methods : This study targeted papers, published in Research Information Sharing Service (RISS), National Digital Science Library (NDSL), Koreanstudies Information Service System (KISS), and E-article from May 20 to 29, 2022. The search terms were 'cerebral palsy' AND 'single subject research design' OR 'individual subject study'. Eleven papers, were finally selected and analyzed. Results : Most of the studies were medium in methodological quality, and the subjects were pre-school age and spastic hemiplegia. Among the single-subject designs, intervention-removal designs were the most common, and among them, ABA designs were the most common. Interventions included assistive devices, constraint-induced therapy, neurodevelopmental therapy, and sensory integration therapy were 2, and upper extremity exercise, interactive metronome, and CO-OP were 1. Dependent variables were measured with 2 to 4 measurement tools, Significant improvements were found in postural control ability, gait and balance, hand function, and upper extremity function. Conclusion : This study confirmed that it is helpful to apply cerebral palsy occupational therapy by presenting the characteristics of cerebral palsy, intervention sessions and effects, measurement tools and methodological quality levels.