• Title/Summary/Keyword: 조기중재 프로그램

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Systematic Review on Effect of Comprehensive Early Intervention for Pre-school Children With Autism Spectrum Disorder(ASD) (자폐스펙트럼장애 아동들의 효과적인 조기 중재에 대한 체계적 고찰)

  • Jeong, Byoung-Lock
    • Therapeutic Science for Rehabilitation
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    • v.7 no.3
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    • pp.9-21
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    • 2018
  • Objective : This systematic review aimed to evaluate the global literature on the effect of early intervention for preschool children with autism spectrum disorder (ASD). Methods : A literature search of the PubMed database identified 10 studies published up to December 2017, using the following search terms: autism, autism spectrum disorder, ASD, high-function autism, high-function ASD, Asperger syndrome, pervasive developmental disorder, PDDNOS, intervention, and early intervention. Results : Early intervention for children with ASD used Applied Behavior Analysis in 8 of the 10 selected studies. The other two studies used a Sensory Integration approach and Technology-based intervention. Most studies reported positive effects on communication skills, social interaction skills, intelligence, adaptive behavior, and improved attention through early intervention. Conclusions : These results suggested a basis for early intervention for children with ASD. Further research is needed to determine the effectiveness of early intervention.

Effect of Neonatal Developmental Intervention Program (NDT) on Motor Development and Growth in Premature Infants

  • Park, Geun-Hwa;Choi, Sang-Youn;Kim, Sung-Mi;Kim, Mi-Ae;Lee, Eun-Ju
    • Neonatal Medicine
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    • v.17 no.2
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    • pp.207-216
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    • 2010
  • Purpose: The aim of this study was to identify the effects of neonatal developmental intervention program (NDT) in promoting motor development and growth and to determine the usefulness of Hammersmith Neonatal Neurological Examination (HNNE) and Neonatal Behavioral Assessment Scale (NBAS) in premature infants. Methods: We performed NDT on selected premature infants (PI, n=42) and compared them with the full term control group (FC, n=20). NDT protocol and development assessment (HNNE, NBAS) were manipulated by the physical therapist in the neonatal intensive care unit. The data of this study were collected prospectively. Results: The PI with GA <34 weeks (VPI) subgroup showed a more use of mechanical ventilator and surfactant, severe bronchopulmonary dysplasia and intraventricular hemorrhage, and patent ductus arteriosus treated surgically than the PI with GA $\geq$34 weeks but less than 37 weeks (LPI) subgroup. The average scores improved significantly in the PI group between the 1st, 2nd, and 3rd assessment by repeated measure (P=0.000). Also, the PI group showed significantly higher total scores and average score at 40 weeks postmenstrual age, P=0.000, respectively than in the FC group. The LPI subgroup showed more weight gain and change in the head circumference between the 1st and 3rd assessment by repeated measure, respectively, P<0.05. The PI group showed no apnea, bradycardia and late sepsis associated with intervention and assessment. Conclusion: The NDT might be a safe and useful intervention to promote motor and growth outcomes in premature infants. Also, the HNNE and NBAS might be safe and useful tools for assessing neurodevelopment in premature infants.

Effectiveness of stages-matched educational program for cervical cancer screening among adult women in a community (일개 지역사회 여성 주민의 자궁경부암 조기검진 수검에 관한 행동변화단계별 교육 프로그램의 효과)

  • Kim, Young-Bok
    • Korean Journal of Health Education and Promotion
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    • v.24 no.5
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    • pp.23-37
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    • 2007
  • Background: Even though cervical cancer poses a significant global cancer burden, successful implementations for early detection offer an opportunity to prevent deaths and reduce the cancer burden. In Korea, cervical cancer is the most prevalent type of cancer among adult women, but it is one of the few cancers in which a consensus-approved screening test exists for early diagnosis, Pap test, that can be combined with highly efficacious treatment regimens for early-stage disease. Purpose: This study was carried out to identify the cognitive-behavioral factors associated with cervical cancer screening behavior among adult women, aged 40 to 59, and to develop tailored messages and to evaluate the effectiveness of stage-matched educational program. Method: A total of 283 women who aged 40 years or older was recruited in Seoul, from September, 1st to November, 14th, 2003. The intervention group (N=162) and the control group (N=121) were selected from five sub-districts in Seocho-gu, Seoul. Building on the TTM, a quasi-experimental study was conducted to test the effectiveness of stages-matched intervention addressed at the five stages of cervical cancer screening behavior. Women in the intervention group were randomly assigned to one of two conditions, internet or postal services. Results: In our results, 88.9% of participants had received a Pap test at least once in their life-time, and 65.4% had got it in the past two years. With regard to cognitive-behavioral factors, the stages-matched educational program increased attitude and process of change for cervical cancer screening. The percentage changed was the largest in maintenance stage. With regard to delivery methods for tailored messages, the print materials were more effective at increasing screening adherence than the e-mail. Whereas the postal service group showed remarkable the change of behavior stage, the internet service group did not. Also it was not shown any difference of the satisfaction with stages-matched educational program between internet and postal service groups. Conclusion: This study suggested that cervical cancer screening behavior could be changed by tailored messages which had developed with cognitive-behavioral factors. The stages-matched educational program was effective to promote the screening adherence for cervical cancer.

The effect of a Cognitive Occupational Therapy program on cognition and hand functions in patients with dementia living in a community (지역 요양시설 치매환자에서 인지작업치료프로그램의 인지와 손기능에 대한 효과)

  • Kang, Eun-Yeong;Chong, Bok-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.7
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    • pp.4798-4804
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    • 2015
  • The aim of this study is evaluate the effect of a cognitive occupational therapy program on cognitive function, depression and hands function for patients with dementia living in a local community. A cognitive rehabilitation program of 10 weeks focusing on the occupational therapy is conducted from September to December 2012 on 21 patents (experimental group: 12, control group: 9) with dementia who are admitted to nursing homes in a metropolitan region. In the experimental group, the cognitive function, depression level, hand strength, and hand coordination ability is significantly improved after the application of the cognitive program (p<.05). In conclusion, the cognitive occupational therapy program may be a useful intervention for dementia. Because the therapeutic goal for dementia treatment is mainly concentrated on the amelioration of dementia symptoms, thus it is necessary to develop a various cognition training program that can be maintained the patient's residual functional capacity and returned to the social community through the early detection and the early intervention.

Development and Evaluation of a Dysphagia Assessment Tool and an Intervention Program for the Elderly in the Long-Term Care Facilities (노인요양시설 노인의 연하곤란 사정도구, 중재프로그램 개발 및 평가)

  • Kim, Chi-Young;Lee, Young-Mi;Ha, Eun-Ho
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.2
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    • pp.685-693
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    • 2012
  • The purpose of this study was to develop a dysphagia assessment tool and a intervention program for elderly in the long-term care facilities and to evaluate its effect. The dysphagia assessment tool consists of 20 items was developed through literature review, previous studies and discussion with nursing/medical members. The intervention program consisted of 72 items and participants for evaluation were 50 elders who were registered at long-term care facilities in 4 regions of Seoul. Collected data were analyzed using SPSS Statistics 18.0 and Spearman's Correlation, t-test, and $x^2$-test. After the application of the dysphagia assessment tool and intervention program, the weight in experimental group was increased (t=4.913, p=.000) and the total time of swallowing was reduced (t=-4.557, p=.000) than control group. These findings were statistically significant. Considering these results, by applying the dysphagia assessment tool and the intervention program, the lives of the elderly in long-term care facilities are expected to be improved and emergency situations such as aspiration pneumonia and asphyxia will be decreased.

Management of Preterm Labor (조기 진통의 처치)

  • Park, Yoon-Ki
    • Journal of Yeungnam Medical Science
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    • v.16 no.2
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    • pp.141-154
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    • 1999
  • Premature birth is the single largest cause of perinatal mortality and morbidity nonanomalous infants in developing countries. Advances in neonatal care have lead to increase survival and reduced short and long term morbidity for preterm infants, but the rate of preter birth has actually increased. This review provides recent multifactorial approaches to treatme and prevention of preterm birth.

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The Effects of the Seesaw & Swing Early Intervention Program on the Adaptive Behaviors of Young Children from Low-Income Families (시소와그네 교육중재 프로그램이 저소득가정 유아의 적응행동에 미치는 영향)

  • Hwang, Hye-Jung
    • Korean Journal of Child Studies
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    • v.32 no.4
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    • pp.185-202
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    • 2011
  • The purpose of this study was to examine the effects of the Seesaw & Swing Early Intervention Program on the positive changes of young children from low-income families. The Seesaw & Swing program was developed by the Community Chest of Korea (Hwang et al., 2009). The subjects for this study consisted of 534 3~6-year olds (177 in the service group, 357 in the control group) from low-income families. The instrument used was the Vineland Adaptive Behavior Scales, second edition (Sparrow, Cicchetti, & Balla, 2005). The results of this study indicated that the Seesaw & Swing intervention program produced positive effects in all of the domain areas under examination : namely, the communication abilities, life skills, socialization, physical development, and adaptive behaviors of young children. In conclusion, the Seesaw & Swing Early Intervention Program for young children from low-income families can be said to be an effective early intervention program which goes some way towards ending the intergenerational transition of poverty in Korea.

Effects of an Early Nursing Intervention Program for Infants' Development and Mother's Child Rearing in Poverty (빈곤계층 영유아의 발달과 어머니의 양육을 위한 조기간호중재 프로그램의 효과)

  • Bang, Kyung-Sook
    • Journal of Korean Academy of Nursing
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    • v.39 no.6
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    • pp.796-804
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    • 2009
  • Purpose: This quasi-experimental study was performed to evaluate the effectiveness of an early nursing intervention program to support mothers of children aged 0-3 yr living in poverty. Methods: In this study, mothers who received financial support from the government were recruited from one city and assigned to an intervention group (24) and comparison group (18). They completed a baseline questionnaire about depression, child rearing burden, agreement on physical punishment, and child temperament. Also, Denver II screening of the children was performed by the researcher. Mothers in the intervention group received a home visit intervention every two weeks for three months. At 3-months post-baseline, questionnaire and Denver II screening were reused to compare these two groups. Results: Mother's depression, child rearing burden, agreement on physical punishment, and child temperament were not significantly different between the two groups. However, the percentage of depression declined only in the intervention group. Mothers in the intervention group showed higher Home Observation for Measurement of the Environment (HOME) scores than mothers in the comparison group. Conclusion: The findings of the study show that this nursing intervention is an effective parenting program. The early nursing program for mothers with infant and toddlers in poverty is effective in promoting HOME, the child rearing home environment.

Systematic Review of Educational Programs for Multicultural Families in South Korea (다문화가정 구성원 대상 교육프로그램 중재에 대한 체계적 고찰)

  • Lee, sang hun;Park, Kyung Min;Shon, Soonyoung
    • Journal of Digital Convergence
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    • v.19 no.4
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    • pp.457-466
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    • 2021
  • This study was a systematic review that aimed to assess the effectiveness of educational programs for members of multicultural families. Therefore, 21 studies from domestic databases - RISS, KISS, NDSL, DBia, and nanet - were analyzed and the data were compiled and encoded by three researchers. Regarding the characteristics of the educational programs for multicultural families, 12 programs were developed for children, eight, for parents, and one, for both parents and children. While most intervention programs included topics on health, responsive care, and early education, none included topics on nutrition and safe space or targeted all members of multicultural families. This study identified the need for developing educational programs for all members of multicultural families and for developing and evaluating programs that can address, on a theoretical basis, the problems encountered by multicultural families.

The effect of computer based cognitive rehabilitation program on the improvement of generative naming in the elderly with mild dementia: preliminary study (한국형 전산화 인지재활프로그램이 초기 치매노인의 생성 이름대기 수행에 미치는 효과에 관한 예비연구)

  • Byeon, Haewon
    • Journal of the Korea Convergence Society
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    • v.10 no.9
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    • pp.167-172
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    • 2019
  • The purpose of this study was to investigate the effect of computer based cognitive rehabilitation program on the generative naming. Twenty - one patients were assigned to the CoTras program and eight were treated with traditional face - to - face language rehabilitation such as paper and table activities. The experimental group and the control group performed sequential language recall memory training, association memory recall training, language categorization memory training, and language integrated memory training for 12 weeks. The Welch's robust ANCOVA showed significant differences in mean fluency and MMSE-K changes (p<0.05). On the other hand, phonemic fluency increased significantly after 12 weeks of treatment compared to baseline in both experimental and control groups, but there was no statistically significant difference between treatment groups. The results of this study suggest that the computer based cognitive rehabilitation program may be more effective in improving the semantic fluency than the conventional cognitive-linguistic rehabilitation.