• Title/Summary/Keyword: 중재통합화

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Cognitive-Motor Interaction-Based Instrument Playing for Improving Early Social Skills of Children With Autism Spectrum Disorder (ASD 아동의 초기 사회기술 향상을 위한 인지-운동 통합 기반 악기연주 중재)

  • Yu, Hyun Kyung
    • Journal of Music and Human Behavior
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    • v.20 no.1
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    • pp.75-97
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    • 2023
  • This study aimed to investigate the effect of cognitive-motor interaction-based instrument playing on the early social skills of children with autism spectrum disorder (ASD). Nine children with ASD, averaging 5.6 years of age, participated in twelve individual sessions lasting 30 minutes each. The intervention comprised five stages: self-regulation, motivation to engage in social interaction, acceptance of a partner in co-playing activities, interpersonal coordination with a partner, and engagement in joint music playing. To evaluate changes in early social skills, joint attention and social interaction behaviors were observed, and the Social Responsiveness Scale (SRS-2) was administered pre- and post-intervention. Social synchronization was measured through a dyadic drum task, measuring synchronization accuracy, duration, and timing. Following the intervention, all nine children demonstrated increased early social behaviors, although there were no significant differences in SRS scores. Moreover, synchronized movement improved significantly in accuracy and maintained duration but not in reaction time. This study highlights the significance of recognizing the cognitive-motor interplay as crucial element in facilitating early social skills development in children with ASD.

Differences in Cognitive Function, Self-esteem, and Life Satisfaction of the Elderly with Mild Dementia according to Cognitive Intervention Programs (인지 중재프로그램에 따른 경증치매노인의 인지기능, 자아존중감, 생활만족도 차이)

  • Lee, Yun-Jeong;Kim, Jeong-Ja;Oh, Myung-Hwa
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.6
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    • pp.209-219
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    • 2020
  • This study was conducted to find out the differences in cognitive function, self-esteem, and life satisfaction of the elderly with mild dementia according to the cognitive intervention program. From July to October 2018, 30 minutes of computerization, cognitive integration program, computer recognition program, and cognitive integration program were applied to 30 patients in a nursing hospital located in G city for a total of 12 weeks, and 15 minutes of computerization recognition program and cognitive integration program were applied at the same time, 15 minutes of computerization recognition program and 15 minutes of cognitive integration program were applied. Pre- and post-evaluation tests were conducted for cognitive function, self-esteem, and life satisfaction of living. After examining the three groups' cognitive functions, self-esteem, and life satisfaction by applying the cognitive intervention program, it was improved to a significant level in all categories. As a result of examining the differences in cognitive function, self-esteem, and life satisfaction of the elderly with mild dementia according to the cognitive intervention program, the group applied both computerized and cognitive integration programs in all categories showed high effects. Therefore, if various cognitive intervention programs are applied according to the characteristics of the subjects to improve the cognitive function, self-esteem, and life satisfaction of the elderly, it will be an effective intervention in occupational therapy.

Sensory Integration and Occupational Therapy for Elementary Students Collaborative Group Program : Implementing School AMPS (초등학생집단 다전문가 협업프로그램에서의 School AMPS 분석을 통한 작업치료와 감각통합접근의 의미)

  • Ji, Seok-Yeon;Lee, Seong-A;Park, So-Yeon;Hong, Min-Kyung
    • The Journal of Korean Academy of Sensory Integration
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    • v.11 no.1
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    • pp.11-27
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    • 2013
  • Objective : This is a descriptive study using a program review collaborative group program by special educator and occupational therapist for supporting children's school tasks, and it is designed to explore how changed school performance skills and to analyze how applied intervention methods including sensory integrative approach. Methods : Participants were 6 male elementary students(5 = 1st grade, 1 = 2nd grade). Pilot program had reviewed and its results used as base for planning main program. Main program was implemented by collaborative process with teacher and occupational therapist for 1 year. School AMPS was used to assess school task participants, and informal motor and process skill observation was used to assess self-help activities. Description of records by professions about intervention strategies through assessments was described as qualitative way. Japanese sensory inventory was used by parents. Results : Through the collaborative process, assessing children, planning and modifying program, establishing intervention strategies were implemented. Self-help abilities in group program were increased much more independently. School task abilities were increased slightly but skills changed irregularly and unexpectedly and their reasons became considered more complex from sensory processing reasons to social and emotional reasons. Conclusion : Sensory integration had benefits for primary group program and more complex intervention strategies became to emerge demands for person- environment-task challenges. Collaborative practice with teacher and occupational therapist was supplement and synergic effect for children and group dynamics. More objective and comprehensive methods for measure collaboration and group effect would be needed in further study.

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Effects of Gamified Disability Awareness Program on the Peers' Disability (게임화된 장애체험활동이 비장애아동의 장애인식에 미치는 영향)

  • Kwon, Jungmin
    • Journal of Korea Game Society
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    • v.19 no.2
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    • pp.45-54
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    • 2019
  • In this study, the effect of gamified disability awareness program was researched to examine its potential to be used as a disability awareness curriculum particular to Korean schools. The gamified program consisted of lessons related to disability skiing such as learning about Paralympic skier, experiencing mono skis, and participating in cooperative games. To examine its effectiveness, Multidimensional Attitudes Scale towards persons with disabilities (MAS) was used. Results indicate that the attitude of the experiment group showed significant change.

The Effect of Paired-Group Sensory Integration Therapy on Sensory Processing, Peer Interaction, and Play in Children With Developmental Delay: A Case Study (짝 그룹 감각통합치료가 발달지연 아동의 감각처리, 또래와의 상호작용, 놀이발달에 미치는 영향: 사례보고)

  • Park, Mi-rae;Park, Yun-Yi;Kim, Eun-Ji
    • The Journal of Korean Academy of Sensory Integration
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    • v.19 no.1
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    • pp.1-12
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    • 2021
  • Objective : The purpose of this study was to investigate the effects of paired-group sensory integration therapy on sensory processing, peer interaction, and play development of four-year-old children. Methods : This study involved 13 weekly sessions of a four-minute intervention as well as an initial 10 minutes of parental counseling for those without experience of paired-group sensory integration therapy. The intervention consisted of sensory processing activities and various occupational activities, and the children's Short Sensory Profile (SSP), Penn Interactive Peer Play Scale (PIPPS), and Knox Preschool Play Scale-Revised (KPPS-R) were measured before and after the sessions for comparison. The results are presented using visualized data. Results : After the paired-group interventions, all subjects showed improved sensory processing ability according to their SSP scores and improved play development on the KPPS-R. Moreover, the frequency of negative interactions decreased in the PIPPS measure. Conclusion : This paired-group sensory integration therapy had a positive effect on sensory processing, peer interaction, and play for children with developmental delay. In the future, research that applies this kind of paired-group intervention in various age groups would be useful.

A Decomposition Based MDO by Coordination of Disciplinary Subspace Optimization (분야별 하부시스템의 최적화를 통합한 분해기반 MDO 방법론)

  • Jeong, Hui-Seok;Lee, Jong-Su
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.26 no.9
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    • pp.1822-1830
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    • 2002
  • The paper describes the development of a decomposition based multidisciplinary design optimization (MDO) method that coordinates each of disciplinary subspace optimization (DSO). A multidisciplinary design system considered in the present study is decomposed into a number of subspaces based on their own design objective and constraints associated with engineering discipline. The coupled relations among subspaces are identified by interdisciplinary design variables. Each of subsystem level optimization, that is DSO would be performed in parallel, and the system level coordination is determined by the first order optimal sensitivities of subspace objective functions with respect to interdisciplinary design variables. The central of the present work resides on the formulation of system level coordination strategy and its capability in decomposition based MDO. A fluid-structure coupled design problem is explored as a test-bed to support the proposed MDO method.

System Decomposition Techniques in Multidisciplinary Design Optimization Problems Using Genetic Algorithms and Neural Networks (유전알고리즘 및 신경회로망을 이용한 다분야통합최적설계문제의 시스템분리기법 연구)

  • 김우석;이종수
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.12 no.4
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    • pp.619-627
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    • 1999
  • 다분야 통합 시스템의 설계문제는 다량의 설계변수와 구속조건으로 구성되며 다수의 공학적 현상으로 연관되어 있다. 다분야 통합 최적설계 문제를 효과적으로 다루기 위해서는 다양한 해석분야의 공학적 설계원리를 동시에 고려하여 균형 있고 유기적인 방법으로 최적의 설계를 결정하는 체계적인 설계자동화기술이 요구된다. 다분야 통합 설계문제를 위한 효율적인 설계방법론으로 분리기반 최적화 기법이 적용되는데 이 방법은 한 단위의 대규모 설계문제를 여러 개의 하부시스템으로 분리하여 독립적으로 최적화를 수행하고 각 하부 시스템으로부터의 설계해 사이의 중재 및 통합화를 거쳐 최종적으로 수렴된 최적설계를 찾는 방법이다. 본 논문에서는 분리기반 최적화기법을 다분야 통합최적 설계문제에 적용하는데 필요한 시스템분리기법을 유전알고리즘 및 다층 역전 파 신경회로망을 이용하여 정립하였다. 시스템분리기법을 검증하기 위해 최근 미국 Boeing사에서 개발중인 고속 민간항공기인 HSCT의 시뮬레이션기반 설계문제를 이용하였다. 대규모 설계시스템의 분리결과는 전체 설계문제의 특성을 파악하기 위한 자료로 활용되며 향후, 분리기반 최적화과정에서 최종적으로 통합된 최적설계를 탐색하는데 필요한 기반구조를 제공한다.

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A Systematic Study of the Intervention Effect of Social Stories in Children with Sleep Disorders (수면장애 아동을 위한 사회적 이야기 중재 효과: 체계적 고찰)

  • Kim, Ji-Ho;Yoo, Eun-Young
    • The Journal of Korean Academy of Sensory Integration
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    • v.21 no.2
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    • pp.69-83
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    • 2023
  • Objective : This study sought to systematically examine the intervention effect of social stories when applied in relation to children with sleep disorders. Methods : Studies available in the SCOPUS, ScienceDirect, PsycArticles, and PubMed databases that were published from 2001 to 2022 were searched. The keywords used for the search were as follows: ("social story" OR "social stories") AND ("sleep" OR "sleep disorders" OR "sleep wake disorder bedtimes" OR "sleep initiation and maintenance disorders" OR "sleep wake disorder" OR "sleep arousal disorders"). Based on the selection criteria, six experimental studies were selected and analyzed. Results : The selected studies were two randomized controlled trials, three individual trials, and one case study. The subjects were mostly children diagnosed with autism spectrum disorder who were school-aged or adolescent. The intervention types were often complex interventions, including social stories and other interventions, while the durations of the interventions varied from one day to more than 40 days. The interventions had a positive effect on the subjects' sleep quality, with night wakings, sleep onset delay, and sleep anxiety all being improved. As standardized assessment tools to evaluate the effectiveness of social stories, the Child Sleep Habits Questionnaire and the Child Behavior Checklist were used in two papers each, and were the most commonly used. As non-standardized assessment tools, each of the four papers used turbulence and sleep diaries as assessment tools. Conclusion : The effect of social story mediation can be divided into sleep quality and sleep-related behavior. In terms of sleep quality, studies showing improvements in night wakings, sleep onset delay, and sleep anxiety accounted for a large proportion of the sample. The detailed effect area of sleep quality showed a significant improvement after the interventions in most studies, and in all six studies analyzed in the present study, the continuation of the effect after the intervention was confirmed via follow-up tests. Thus, the findings of this study are expected to be helpful when applying social stories in children with sleep disorders in clinical practice due to presenting the intervention effects, outcome evaluation tools, and intervention periods in children with sleep disorders in prior investigations involving social stories.

An Intervention Model to Help Clients to Seek Their Own Hope Experiences: The Narrative Communication Model of Hope Seeking Intervention

  • Kim, Dal Sook;Kim, Hesook Suzie;Thorne, Sally
    • Journal of Hospice and Palliative Care
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    • v.20 no.1
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    • pp.1-7
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    • 2017
  • The paper describes The Narrative Communication Model of Hope Seeking Intervention developed by the authors as an approach to help clients to have individually specific hope experiences. The Model is founded upon the existential conceptualization of hope that views hope as subjective, unique experiences of meaning and processes. The Model has been developed based on the findings both in the literature and the authors' work on the nature of hope and hope experiences and integrating the concept of hope as subjective meanings and experiences, the processes of story-telling and the concept of narrative configuration as a way to engage in person-specific experiences, and person-centered communication. The results of the experiences with the application of the model in a study are used to clarify the model further. The Model incorporating story-telling and narrative construction through person-centered communication is identified in three components-the story-telling, the narrative intervention, and the communication components. These components are processed as an intervention to culminate into person-specific hope experiences in which active participation of clients as the story-teller and of interventionist as the communicative facilitator is required to produce narratives of hope with individual specific thematic plots that become the basis for hope experiences. The application of the Model has shown positive outcomes in clients with successful seeking of own hope experiences. The success of the Model application seems to depend upon interventionists' understanding of the model and the competency with the application of person-centered communication strategies.

Integrative Review of Guidelines Related Symptom Management and Physical Activity for Developing of Self-Care Management Program for Cancer Survivors (암생존자의 자가관리 프로그램 개발을 위한 증상관리 및 신체적 활동 관련 가이드라인의 통합적 고찰)

  • Song, Chi Eun
    • The Journal of the Korea Contents Association
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    • v.18 no.4
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    • pp.586-600
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    • 2018
  • The purpose of this study attempted to collect basic data for development of an integrated self-management program for cancer survivors who completed cancer treatment. Self-management programs are divided into symptom management and physical activity management. Symptom management includes fatigue, sleep disturbance, pain, depression and anxiety. PubMed, CINAHL and EMBASE were used for searching guidelines. Based on the guideline quality evaluation, the final 8 guidelines were analyzed. The structured table was used to extract the screening subjects, timing, contents, subjects for comprehensive assessment and contents, and summarized contents related to the physical activity and exercise in non-pharmacological approach. As a result, after the completion of cancer treatment, all cancer survivors should be screened regularly using reliable and validated tools. In the case of fatigue, physical activity was recommended as the primary intervention, but it was recommended for other symptoms as adjuvant therapy. Therefore, Cancer survivors should be encouraged to be active in their physical activity, and maintain the moderate intensity physical activity as long as they have no complication related to the cancer treatment. Motivation strategies for physical activity need to be developed and applied.