• Therapeutic Science for Rehabilitation
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• v.7 no.3
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• pp.35-45
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• 2018

Objective : Questionnaires completed by occupational therapists and patients in institutions conducting a "Pilot Project of Rehabilitation Medical Institutions" were used to determine whether occupational therapy was able to establish appropriate patient support systems for return to home and community. Methods : The questionnaire was completed by 293 occupational therapists from 13 institutions conducting pilot projects and 296 patients from 8 institutions who were able to respond. Results : Although the Pilot Project of Rehabilitation Medical Institutions is being implemented to enable early return of patients to activities of daily living, the most important therapeutic goal is not efficiently applied. In addition, since the health insurance systems utilized in medical institutions are applied as in the pilot project, there is no basis for evaluation and mediation of practical daily activities and vocational rehabilitation for actual return to the community. Conclusion : Through a detailed review of the pilot project, it will be necessary to improve the quality of life through the early return of patients to social activity, and to make practical improvements to reduce unnecessary societal expenditures.

• The Journal of Korean society of community based occupational therapy
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• v.7 no.1
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• pp.49-57
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• 2017

Objective : The purpose of this study to create a translation of Life Space Assessment(LSA) for elderly, which was then tested for content related validity and understanding test. Methods : The translation and content validation process involved direct and backward translation, and the collection of content-related evidence from 6 expert panels and 13 clinician panels. A content validity indices (CVI), means, and standard deviations were used for the analysis of the content validity. Results : The results of the comparison between the original LSA and the Korean LSA with the expert panels were I-CVI showed a very high value of .93. and 1.00, and S-CVI/Ave 0.99. The results of the understanding test were showed a very high value of .92 and 1.00, and S-CVI/Ave 0.97. Conclusion : Korean LSA showed content related validity and understanding test, and illustrated the applicability of LSA in a Korean clinical setting. The results showed LSA can be used a useful tool for evaluating the community mobility of elderly.

• Korean Journal of Occupational Therapy
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• v.26 no.4
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• pp.57-72
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• 2018

Objective : This study aims to identify the self-reported driving abilities of elderly drivers and their correlations to the demographic factors that influence them, and to verify the adequacy of the hypothetical model, constructed based on vision, auditory, cognition, motor, and psychological factors, in order to present a path model on the self-reported driving abilities of elderly drivers. Methods : The participants in this study were 122 elderly drivers aged 65 years or older residing in the community. This study evaluated the following factors of the participants: Vision and hearing, motor ability, cognitive ability, depression, self-reported driving abilities. Results : The results of this study are as follows. In the case of men, the self-reported driving ability score was higher than for women, and those driving 6-7 days per week had higher scores than those driving 3 days or less. The period of holding a driver's license and driving experience positively correlated with self-reported driving abilities. The final model of factors influencing the self-reported driving abilities of elderly drivers had a p value (.911) exceeding .05; TLI (1.202), NFI (.949), and CFI (1.000) of over .90; and RMSEA (.000) of lower than 0.1, indicating that the hypothesis model fit the data well. First, the directly influential factors on the self-reported driving abilities of elderly drivers were depression, decreased hearing, and grip strength. Second, age was found to have a direct influence on depression and grip strength; moreover, depression and grip strength as a mediator indirectly influenced their self-reported driving abilities. Third, depression was found to have a direct influence on their delayed cognitive processing and grip strength. Conclusion : The significance of this study is in the identification of direct and indirect factors influencing the self-reported driving abilities of elderly drivers in regional communities, and in the verification of multi-dimensional effects of diverse factors influencing such abilities.

• The Journal of the Korea Contents Association
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• v.19 no.7
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• pp.628-637
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• 2019

The purpose of this study was to investigate the systematic review and meta analysis the effect of community based rehabilitation on elderly people with mild cognitive impairment by ICF factors. This study used PubMed MEDLINE, Cochrane CENTRAL database from January 2009 to January 2019. As a result, a total of 5 studies were selected. The ICF factor effect size of the community based rehabilitation was 4.77 for physical function and structure, and 6.17 for activity and participation. The results of this study showed that the effect of community based rehabilitation of the elderly with mild cognitive impairment is effective on physical function, structure, activities and participation.

• The Journal of Korean society of community based occupational therapy
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• v.7 no.3
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• pp.1-12
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• 2017

Objective : The purpose of this study is to provide basic data on effective manpower management by analyzing the influence of occupational therapists' work experience satisfaction, organizational commitment and turnover intention. Methods : Throughout the working hours of occupational therapists working in occupational therapy rooms nationwide, the questionnaire was examined by Google, Empowerment, Job Satisfaction, Organizational Commitment and Turnover. Results : Empowerment perception level of the subjects was 3.52, Job satisfaction was 3.05, Organizational commitment 3.02, and turnover intention 3.19. The analysis of empowerment according to the general characteristics of the subjects revealed significant differences in gender, age, education level, and work experience. There was a significant difference in the organizational commitment age, education level, and patient type. The age and education level of the general characteristics of the subjects were different significantly in the empowerment and organizational commitment. Empowerment showed a positive correlation with job satisfaction and organizational commitment. Conclusion : The empowerment is an important variable affecting job satisfaction, organizational commitment, and turnover intention, which are important factors for effective job performance of occupational therapist.

• Therapeutic Science for Rehabilitation
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• v.8 no.1
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• pp.51-62
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• 2019

Objective: To develop and verify the usability of a cognitive rehabilitation system with diverse cognitive functional levels based on tangible objects for the elderly population. Methods: A study was conducted to investigate the system's strengths and weaknesses by upgrading it with responses from two groups of 15 patients and 4 occupational therapists. After undergoing three forms of training - regarding executive function, memory, and concentration for a total of 20-30 min, the participants were asked to answer a structured questionnaire about contents of the three forms of training, hardware including the tablet PC functioning as a CPU and display media and tangible objects, and satisfaction of experiential usage of the system. Results: Both groups responded that the most interesting training area was executive function while the least interesting was concentration. Six participants reported that the size of the screen of the tablet PC was inappropriate, and five responded that the size of the tool was inappropriate. All therapists and 40% of the patients responded that they were satisfied with this system. Conclusion: This system's features include easy manipulation of tangible tools for performing training tasks, easy selection of and training in cognitive areas based on users' needs, and automatic adjustment of difficulty level based on users' performance. The training environment was designed to be similar to the natural environment by using tangible objects in both hands as input devices for the system, and the system was considered as an alternative to the lack of community cognitive rehabilitation specialists.

• 재활복지
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• v.22 no.3
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• pp.169-188
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• 2018

The aims of this study was to investigate the effect of the Tele-rehabilitation service on health promotion and quality of life for individuals with disability. The subjects were 3 men who agreed with participating in service and were assessed of health promotion level with physical/psychological scales and quality of life. The service consists of 20 sessions for 13 weeks. The results are as follows: First, all participants improved psychosocial health promotion (subjective health level) factor. Second, physical health promotion (upper limb function, strength, range of motion) maintained and improved, but there was little change. Third, the quality of life was higher than before. In addition, qualitative research showed that participants experienced a positive change in subjective health status, emotional stability, benefit, and self efficacy, and they were satisfied with the service. Based on the results, it was shown that participation helps improve the health and quality of life of the individuals with disability in the community. This study can be used it as a basic data for establishing a Tele-rehabilitation service for individuals with disability in local community.

• The Journal of the Korea Contents Association
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• v.19 no.8
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• pp.323-331
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• 2019

The purpose of this study was to identify the emotional and stress factors of the stroke victims living in the community and to investigate the effect of these factors on the level of social participation. Data collection collected data on the level of emotional awareness, stress, and social participation in welfare centers, public health centers, and stroke disabled people using community services. The level of social participation according to general characteristics was analyzed by descriptive statistics and one-way ANOVA. Emotional factors, stress factors, and social participation levels were analyzed by pearson correlation analysis and multiple regression analysis. As a result, there were no statistically significant factors in the sub-domains of emotional factors that affect social participation performance and satisfaction. In the sub-areas of stress factors, personal internal stress and interpersonal stress were statistically significant variables. The explanatory power showed social participation accomplishment was 34% and satisfaction was 33%. Therefore, various approaches should be made considering stressful factors to achieve rehabilitation into the local community, and additional research is needed to identify psychosocial variables that affect social participation.

• The Journal of Korean society of community based occupational therapy
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• v.11 no.1
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• pp.1-10
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• 2021

Objective : This study is to know how the internal and external control of the elderly in care facilities affect the relational aggression's perception. Methods : I analyzed the internal and external control and the relational aggression's perception through a survey of the elderly in care facilities. For data collection, 148 of 165 questionnaires, excluding 17 questionnaires with missing questionnaire and middle-level abandonment, were used for the final analysis. Independent variables were the internal and external control, dependent variables were the relational aggression of negative and bullying behaviors, and controlled variables were general sociological characteristics of the elderly. Results : The results were as follows: First, there was a significant difference internal and external control depending on the length of a care facility. Second, there were significant differences in the recognition of relational aggression depending on the level of education, the period of admission, the presence of spouses, and the level of economy. Third, there was a significant difference in comparison of relational aggression perceptions according to internal and external control. Fourth, internal and external control affected the recognition of relational aggression. Conclusion : According to the demographic characteristics, there was a difference in the internal and external control and relational aggression perception of the elderly living in the facilities, and the internal and external control affected the level of relational aggression perception of the elderly in the facilities.

• Therapeutic Science for Rehabilitation
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• v.8 no.1
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• pp.73-84
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• 2019

Objective: The purpose of this study is to compare the effect of Lee Silverman Voice Treatment-BIG(LSVT-BIG) intervention which consisted of standardized exercise programs and occupation-based activities for people with Parkinson Disease(PD) on motor functions and quality of life Methods: This study applied a one group pretest-posttest design. The experiment was divided into two parts: pre intervention and post intervention period. Before and after LSVT-BIG intervention, Unified Parkinson's Disease Rating Scale(UPDRS), Time up and go(TUG), Parkinson's Disease Questionnaire-39(PDQ-39) were used to measure the participants' motor functions and quality of life. Based on the LSVT-BIG protocol, three participants received 16 one-hour sessions over 4 weeks by a certified occupational therapist. The results were analyzed by using SPSS. Results: There were improvements in UPDRS and TUG. Additionally, PDQ-39 scores decreased in all participants, which means that their quality of life was improved. Conclusions: The study demonstrated positive effects of LSVT-BIG intervention on motor functions and quality of life of patients with PD.