• Therapeutic Science for Rehabilitation
• /
• v.12 no.1
• /
• pp.51-63
• /
• 2023

Objective : This study aimed to analyze the association between lifestyle and medical expenses of older adults with mental illness using claims data. Methods : We conducted secondary data analysis using the older adult cohort database provided by the Korea National Health Insurance Service. The lifestyle and medical expense variables were extracted from the cohort database. We used a generalized linear model to examine the association between lifestyle and medical expenses. Results : In total, 32,853 records were extracted. The results showed that smokers had medical expenses (estimate = -218,255, p = .037). As the number of days of walking increased, medical expenses significantly decreased (estimate = -58,843, p < .0001). Furthermore, as the number of days of drinking decreased, medical expenses increased (estimate = 692,289, p < .0001). Conclusion : This study analyzed the estimates of medical expenses according to lifestyle among older adults with mental illness. Smoking and exercise were negatively associated with medical expenses. These results suggest the importance of a healthy lifestyle for older adults with mental illness. In addition, this study can be used as clinical evidence for lifestyle management programs to improve physical and mental health.

• Therapeutic Science for Rehabilitation
• /
• v.11 no.1
• /
• pp.21-33
• /
• 2022

Purpose : The purpose of this study was to establish scientific evidence though a systematic review, of the existing interventional methods and their respective effects, for swallowing disorders among dementia patients. The interventional methods were based on patient characteristics. Methods : An electronic literature search was performed using five electronic databases from 2010 to 2020. The keywords were 'Dementia', 'Alzheimer disease', 'Deglutition disorder', 'Swallowing disorder', 'Dysphagia'. Five articles met the inclusion criteria. Results : One study with moderate-to-severe and four studies with severe dementia patients were included. The interventions consisted of one remedial intervention, three compensatory interventions, and one comprehensive intervention. Compensatory intervention, including behavioral and psychological management, were used in moderate-to-severe patients. For the severe patients, remedial, compensatory, and comprehensive intervention were used to address the feeding tube problem. The interventions used in each study had a positive effect on the outcome variables associated with swallowing ability. Conclusion : The purpose of the intervention and the intervention factors changed depending on the patient's dementia stage. The intervention was effective when considering the progressive stage of the patient. These results may serve as a guide in designing effective interventions for swallowing disorders in dementia patients.

• Therapeutic Science for Rehabilitation
• /
• v.13 no.3
• /
• pp.23-36
• /
• 2024

Objective : This study investigated the mediating effect of social networks on the relationship between social networking service (SNS) dependence and healthy lifestyle among university students. Methods : Data from 374 university students were collected via online surveys. Sociodemographic data, SNS dependence, social networks, and healthy lifestyle were assessed. Mediation analysis using bootstrapping was conducted to examine the mediating effect of social networks on the relationship between SNS dependence and healthy lifestyle. Results : A total of 374 university students participated in this study. The average age of the participants was 21.8 years (standard deviation = 2.1), and 70.3% were females. Mediation analysis revealed that SNS dependence had a direct effect on healthy lifestyle (β = -.078, standard error [SE] = .052, p = .128), which was not statistically significant. However, a statistically significant indirect effect was observed through social networks (β = -.052, SE = .020, p = .011). The total effect of SNS dependence on a healthy lifestyle was significant (β = -.130, SE = .053, p = .014). Conclusion : Social networks play a critical role in promoting a healthy lifestyle. Health professionals should prioritize interventions to address SNS dependence and leverage social networks to encourage healthier behaviors.

• Therapeutic Science for Rehabilitation
• /
• v.13 no.3
• /
• pp.69-83
• /
• 2024

Objective : This study investigated the prevalence of dysphagia in older adults in Gangwon Special Self-Governing Province and its impact on Quality of Life (QoL) and educational needs. Methods : A cross-sectional survey was conducted from August 1 to 15, 2023, with 207 cognitively normal older adults from three senior welfare centers. Data included general characteristics, Korean-version of the Eating Assessment Tool (K-EAT-10), Swallowing-QoL, and educational needs related to swallowing disorders. Dysphagia was defined by a K-EAT-10 score of 3 or higher. Participants were divided into normal and risk groups for analysis using chi-square and Independent t-test. Results : The prevalence of dysphagia risk (K-EAT-10 score of 3 or higher) was 41.5% (86 individuals). Among the 92 individuals reporting dysphagia symptoms, 64 (69.6%) were at risk. QoL was significantly lower in the risk group, especially among those living alone or with denture discomfort. The most preferred educational need was training in eating solid foods (Mean = 4.27), with higher needs in the dysphagia risk group. Conclusion : This study underscores the prevalence of dysphagia, its impact on QoL, and the need for educational programs. Emphasizing prevention, public awareness, and early detection, along with the role of dysphagia rehabilitation experts and community collaboration, is essential for supporting healthy aging.

• Journal of Digital Convergence
• /
• v.19 no.10
• /
• pp.367-376
• /
• 2021

The aimed of this research was to identify the influence of perception of the vocational ethics and education on job stress and job commitment in occupational therapists. 173 occupational therapists measure for perception of vocational ethics and education, job stress and job commitment, the findings of the study were as follows. First, perception of vocational ethics and education was correlated with job stress, job commitment(p<.01). Second, perception of vocational ethics and education sub-factor of education experience(p<.01), seriousness of ethical issues(p<.05) was found to have affected the job stress. Third, perception of vocational ethics and education sub-factor of education experience(p<.05) was found to have affected the job commitment. Through the results of this study, systematic education will be needed to recognize the importance of vocational ethics and improve it.

• Journal of The Korean Society of Integrative Medicine
• /
• v.12 no.1
• /
• pp.11-26
• /
• 2024

Purpose : This study investigated the empowerment, burnout, and job satisfaction levels among occupational therapists, and to ascertained the effects of empowerment and burnout on job satisfaction. The study aimed to provide foundational data to help increase job satisfaction among occupational therapists. Methods : We surveyed 180 occupational therapists working in the Jeollabuk-do. The survey included 49 questions covering general characteristics, empowerment, burnout, and job satisfaction. Differences in empowerment, burnout, and job satisfaction levels based on general characteristics were analyzed using independent sample t-tests and one-way ANOVA. We performed multiple regression analyses to ascertain the effects of empowerment and burnout on job satisfaction. Results : The average scores for job satisfaction, burnout, and empowerment were 40.32, 58.40, 41.82, respectively. Job satisfaction according to general characteristics showed statistically significant differences based on the annual income and the most difficult treatment. We found that empowerment factors such as perceived importance of the job confidence in one's abilities, and independence and autonomy in job performance, significantly affected job satisfaction. However, the most significant factor influencing job satisfaction was daily fatigue and stress. Conclusion : Job empowerment and burnout of significantly affected job satisfaction among occupational therapists. Occupational therapists have a effect on the daily lives of their clients through interventions, playing a crucial role for each individual client. Thus, increasing the empowerment and job satisfaction levels of occupational therapists and reducing their burnout levels can help improve the quality of life of the clients and enable occupational therapists to provide high-quality services.

• Therapeutic Science for Rehabilitation
• /
• v.12 no.2
• /
• pp.25-42
• /
• 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.

• The Journal of Korean Academy of Sensory Integration
• /
• v.19 no.2
• /
• pp.1-11
• /
• 2021

Objective : The purpose of this study was to compare sensory processing ability by smartphone addiction levels in preschool children, and to investigate the correlation between smartphone addiction level and sensory processing ability within smartphone addiction group. Method : The subjects of this study were 324 persons, with 124 persons in the addiction group and 200 in the normal user group. Measurements in this study were a questionnaire about general characteristics of subject, smartphone addiction scale, and short sensory profile. Methods for the data analysis included descriptive statistics, independent t-test, Pearson correlation analysis of SPSS 22.0. Results : There was a significant difference in the total Short Sensory Profile (SSP) score and in all sub-domains between the addiction and normal use groups (p<0.05). In the smartphone addiction group, there was a negative correlation between the SSP total score (r=-.278), auditory filtering (r=-.293), visual/auditory sensitivity (r=-.393) and smartphone addiction level. Conclusion : This study confirmed that there was a difference in smartphone addiction and sensory processing ability between the preschool children addiction and normal use groups. It has been proven that there is an interrelationship between sensory processing ability and smartphone addiction in the addiction group. It is significant in that it provides basic data to prevent smartphone addiction.

• Therapeutic Science for Rehabilitation
• /
• v.10 no.3
• /
• pp.83-96
• /
• 2021

Objective : This study aimed to determine Korea-type family function factors that affect individual growth and social activities, and examine check the appropriate contents and domestic culture components based on the McMaster model, a family function evaluation tool, through the Delphi technique. Methods : The Delphi technique was applied to 12 expert panels in fields related to family function. The period lasted 9 weeks, from May to June 2020. The Delphi survey was conducted twice. In the first survey, the domestic culture and appropriate contents of the McMaster model were selected and localized, and expert' opinions about the components were collected using closed and open-ended questions. In the second survey, the fitness and importance of the components were investigated. Results : As a result of the first Delphi investigation, 18 items were deleted from the 53 items presented. After adding 11 items and excluding any overlapping items, a total of 40 items were selected. Subsequently, sentences that were difficult to understand were revised to familiar vocabulary. A second survey was constructed, with an example sentence. In the second Delphi investigation, 33 items were selected. The average content validity ratio for the final selected component was 0.76, and the stability was 0.28. Conclusion : Family function and the factors influencing domestic family function identified though this study can be used to conduct family function evaluations and interventions in clinical sites or relevant research studies.

• Therapeutic Science for Rehabilitation
• /
• v.13 no.3
• /
• pp.51-67
• /
• 2024

Objective : This study investigated trends in the use of assessment tools by occupational therapists working with adults and older adults. Methods : Occupational therapists were surveyed to gather data on general characteristics, assessment tool usage, assessment time and frequency, usage trends by area, and education. The tools were categorized by the Occupational Therapy Practice Framework (OTPF) into Activities of Daily Living (ADL), Instrumental Activities of Daily Living (IADL), and play and leisure for occupations, and cognitive functions, motor functions, and psychosocial aspects for client factors. Data from 98 respondents were analyzed using frequency analysis and one-way ANOVA with SAS. Results : Most surveyed occupational therapists worked in university or general hospitals (40.82%). The assessment time per patient was under 30 min (62.25%), and re-assessment frequency was one~three months (68.38%). The most frequently used assessment tools by the OTPF were as follows: ADL: Modified Barthel Index (94.90%), IADL: Canadian Occupational Performance Measure (31.63%), cognitive functions: Mini-Mental Status Examination (89.80%), visual perception: Motor-free Visual Perception Test (56.12%), dementia: Global Deterioration Scale (63.27%), motor functions: Jamar Dynamometer & Pinch Gauge (59.18%), dysphagia: Video Fluoroscopic Swallowing Study (28.57%), physical examination: Range of Motion (59.18%), and psychosocial: Geriatric Depression Scale (33.67%). Conclusion : This study identified the use and rationale of assessment tools for occupational therapy in adults and older adults. These findings aim to enhance the curriculum and continuing education of occupational therapists.