• Title/Summary/Keyword: 행동중재

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Proactive Music Activities Focused on Exploring Musical Emotion to Enhance Self-Awareness and Intrinsic Motivation in Patients With Schizophrenia (음악적 정서 탐색 기반의 주도적 음악 활동을 통한 조현병 환자의 자기 인식 및 내재적 동기 향상)

  • Kim, Hyun-Ju
    • Journal of Music and Human Behavior
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    • v.21 no.1
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    • pp.115-132
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    • 2024
  • The purpose of this study was to explore the impact of music therapy on enhancing self-awareness and intrinsic motivation among patients with schizophrenia, particularly those experiencing motivational deficits. This study, primarily based on quantitative analyses supplemented by qualitative insights, included six adults (three males and three females) across 8 weekly sessions proactive music activities based on the exploration of musical emotion, each lasting 60 minutes, from October 5 to November 16, 2023. Data collection and analysis focused on the last five sessions, from the fourth to the eighth. Although no statistically significant changes were detected, likely due to the study's short duration, qualitative data from in-depth interviews indicate that music therapy contributed to enhanced motivation and improved self-perception in participants. They demonstrated better emotional articulation, self-awareness, and communication skills, which not only increased their intrinsic motivation but also led to an improved perception of their life quality. Individual variability was noted, however, indicating that these outcomes could differ among participants. These results highlight music therapy's potential as a valuable intervention for enhancing self-awareness and reigniting motivation in individuals with schizophrenia, suggesting a further research to corroborate these findings over longer periods.

An Exploratory Study on Narrative Elements-Based Therapeutic Rap Protocol for Enhancing Discourse Skills in Adolescents With Mild Intellectual Disabilities (경도 지적장애 청소년의 담화기술 향상을 위한 이야기 구성요소 기반 치료적 랩 프로토콜의 탐색적 연구)

  • Kim, Sol E
    • Journal of Music and Human Behavior
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    • v.21 no.2
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    • pp.51-75
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    • 2024
  • This case study aimed to develop a therapeutic rap protocol based on narrative components for improving discourse skills of adolescents with mild intellectual disability (ID) and to explore its applicability. The protocol matched narrative elements (background, initiating event, internal response, attempts, and reaction) with rap components (verse, hook, and interjections), guiding participants to narrate their experiences in a connected discourse form. The protocol was also structured to gradually increase in difficulty, considering the developmental levels of adolescents with ID and it included steps for understanding discourse structures, applying narrative elements to content creation, and expanding narratives. Post-intervention analysis of the stories and rap lyrics created by participants to express their real-life experiences showed that participants increased the length of their stories and rap compositions, with notable improvements in rhythmicity and the inclusion of narrative elements. These findings suggest that, instead of constructing rap from random utterances, providing a structured framework reflecting discourse structure enhanced participants' understanding of event context and logical connections. Furthermore, the various elements and rhythmic features of rap can strengthen motivation and organization in discourse. This study highlights the therapeutic potential of rap in addressing the unique developmental needs of adolescents with mild ID, thereby diversifying and systematizing music therapy interventions for this population.

The effect of group sociality play in sociality of autistic adolescent (집단사회성놀이가 자폐청소년의 사회성에 미치는 효과)

  • Woo, Hee-Soon;Won, Sung-Yoon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.6
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    • pp.98-105
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    • 2016
  • Group play for sociality is a therapeutic method involving a mixture of various factors, such as targeted activities, perceptions, and physical mobility required in daily life, through group activities to encourage self-expression for the purpose of facilitating sociality. This study was conducted in order to verify its effects by applying it to autistic adolescents who lack communicative ability with others and ultimately to improve their interpersonal relationships and sociality. This study applied a single pre- and post-test experiment design to 8 autistic adolescents with lack of sociality who use a daycare center in Daejeon. The group play for sociality program consisted of two sessions a week for 7 weeks from October to December 2013 for a total of 14 sessions. The sociality of the adolescents before and after the intervention was analyzed by the Wilcoxon signed-rank test. As a result of the study, the total grades of the E-CLAC and social maturity test showed significant changes from $39.88{\pm}6.78$ to $47.00{\pm}4.28$ and $49.96{\pm}28.00$ to $61.36{\pm}21.75$, respectively. In detail, there were significant changes in the sub-items, such as adjustment in group, following guidance, and increasing behavioral frequency. In conclusion, it was shown that the combined effect of the group activities, including group play for sociality and play activities taking into consideration the developmental stage of the participants, led to a significant improvement in the sociality of the autistic adolescents.

Effects of Hearing Recorded Mother's Voice on Physiological Reactions and Behavioral State of Sleep, Weight of Very Low Birth Weight Infants (녹음된 엄마목소리 들려주기가 극소저체중출생아의 생리적 반응, 수면행동상태 및 체중에 미치는 영향)

  • Choi, Mi-Hyang;Kang, In-Soon;Kim, Young-Hae
    • Child Health Nursing Research
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    • v.20 no.3
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    • pp.185-195
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    • 2014
  • Purpose: The purpose of this study was to identify whether hearing a recording of mother's voice affected physiological reactions, behavioral state related to sleep and weight of very low birth weight (VLBW) infants. Methods: This was a nonequivalent control group pre-post test quasiexperimental design. The participants were 11 VLBW infants in the experimental group and 11 in the control group. In the experimental group, a recording of mother's voice was played to her infant by voice recorder four times each day for five minutes over 10 consecutive days in the incubator. Results: For physiological response (heart rate, respiration rate, oxygen saturation), there were statistically significant differences between the experimental and control groups. Behavioral state during sleep was more very quiet and quiet in the experimental group. In the daily weight change, there was no significant difference between the experimental and control groups. Conclusion: The findings suggest that, for VLBW infants, the intervention of hearing a recording of mother's voice had some significance as a nursing intervention having a positive impact. Such interventions can help pediatric nurses to stabilize the physiological response and maintenance more very quiet sleep state and improve VLBW infants' growth.

A Case Study of Music Therapy with Song for the Improvement of Mentally Disable Children's Communications (정신지체아동의 의사소통 증진을 위한 노래활동 사례 분석)

  • Kang, Sung-Mi
    • Journal of Music and Human Behavior
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    • v.1 no.1
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    • pp.33-46
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    • 2004
  • Mentally disable children feel as failure because they have difficulty in restricted and undifferentiated communications with others. It also makes the counter-partner feel frustrated. Therefore, in the aspects of language acquirement and communication activities, it is essential to let the disable children learn and communicate voluntarily. Music provides the unthreatening and interesting stimulus as non-language communication vehicle. Musical experiences for mentally disable children's are multi-stimulating experiences that make a positive influence in speech and language development and development of variety of talents. There are many communication intervention and method to treat the mentally disable children. One of the most effective treatments for mentally disable children to acquire communication techniques by expressing the language more naturally and joyfully is the musical therapy. This study analyzes children's communication technique referring to response action and attempt action through video tape observation. Also, this study measured the receptive and expressive language by PRES(Preschool Receptive-Expressive Language Scale) as a test tool in order to examine the pre-post language ability for respective children as pre-post period of therapy activity. First result of this study showed that music therapy with song was effective for mentally disable children in enhancing the communication techniques centered with communication response and in attempt action by increasing the communication action incidence. Secondly, pre-post comparison test with PRES showed that the music therapy with song was effective on improvement the receptive and expressive language ability of 4 children.

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Effects of Support from Spouse and Family on the Child Rearing among Marriage Immigrant Women (결혼이주여성의 배우자지지와 가족지지가 자녀양육에 미치는 영향)

  • Kim, Soon-Ok;Kim, HyeonSuk
    • The Journal of the Korea Contents Association
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    • v.16 no.6
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    • pp.462-473
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    • 2016
  • This study was proposed in obtaining basic data for an intervention programs of the stable child care by identifying the effects of support from the spouse and family on the child rearing among marriage immigrant women. Subjects consisted of 110 marriage immigrant women in Gyeonggi-do in December, 2014. SPSS/WIN 22.0 program was used for ANOVA, Pearson's correlation and multiple regression analysis to figure out burden and efficacy of child rearing through the general characteristics. The increased burden of child rearing was statistically significant with young age, lower level of education, low income and less spending time to raise their children by husband. Additionally, the increased efficacy of child rearing was statistically significant with young age and using two languages. The pressure of the child rearing showed a negative correlation with spouse support, income, and old age. The efficacy of child rearing had a positive correlation with spouse support, spending time to take care of their children by family, and ages. In the regression analysis, the burden of child rearing among immigrant women increased by old age (${\beta}=-2.097$, p<.05) and less time to raise their children by husband (${\beta}=-2.165$, p<.05). It is important to provide spouse and family support to encourage desirable child rearing behavior. These results may provide to improve intervention programs for child rearing among marriage immigrant women.

Predictive Factors to Health Promotion Behaviors in Breast Cancer Patients Using Pender's Health Promotion Model (Pender의 모형을 적용한 유방암 환자의 건강증진행위 예측요인)

  • So, In-Suk;Jeong, Hye-Sun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.3
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    • pp.258-269
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    • 2017
  • This study was conducted to examine the predictive factors for health promotion behaviors of breast cancer patients, focusing on Pender's health promotion model (1996). Data were collected from 121 patients using a structured questionnaire from September 18 to October 26 in 2015. The data were analyzed with a t-test, ANOVA, Pearson's correlation coefficients, and hierarchical multiple regression analysis using SPSS 20.0 for Windows. The predictive factors for the health promotion behavior of the participants were social support, commitment to a plan of action, prior behavior, activity related effects, perceived self-efficacy, family function, perceived benefits of action, and situational influences. The total explanatory power of these factors was 57.8%. Development and application of a nursing intervention plan that enhances patient compliance with health promotion behavior is needed to enable breast cancer patients undergoing rehabilitation to maintain their optimal health and live a high-quality life. Patients who showed a low degree of predictive factors identified in this study are in particular need of attention.

COMPARATIVE STUDY OF RORSCHACH RESPONSE CHARACTERISTICS BETWEEN ADHD WITHOUT DEPRESSION AND ADHD WITH DEPRESSION (우울 동반 여부에 따른 ADHD의 Rorschach 반응 특성 비교)

  • Lee, Sun-Mi;Lee, Moon-Suk;Cho, Eun-Cheong
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.14 no.2
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    • pp.174-182
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    • 2003
  • Objective:Present study compared the Rorschach responses characteristics between ADHD without depression and ADHD with depression. Method:60 children diagnosed ADHD(30 ADHD without depression and 30 ADHD with depression) were assessed with The Rorschach. Responses characteristics between two groups were compared by t test and ${\chi}^2$ test. Results:ADHD without depression had more Rorschach response ration and frequency, with statical significance, in m, M-, DV, (3r+(2)/R>.44 and Fr+rF=0, OR(3r+(2)/R>.33)=YES, pure H<2=YES, H+(H)+Hd+(Hd), FQ none, Sc than ADHD with depression. ADHD with depression had more Rorschach response ration and frequency, with statical significance, in p, H+(H)+Hd+(Hd), (Hd), M than ADHD without depression. Conclusion:This results suggest that we had better consider the impulsivity of idation and cognition for ADHD without depression, preferred introversive coping style for ADHD with depression in diagnosing and intervening.

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소아의 음성장애 및 치료 : 사례연구

  • 정옥란
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.7 no.1
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    • pp.128-131
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    • 1996
  • 소아들의 음성장애의 대부분은 음성과 기능에 의한 성대의 오용 및 남용으로부터 기인한다. 그러나 음성장애에 대한 인식의 부족으로 인하여 소아의 음성장애 발견율은 극히 낮은 수준에 머므르고 있다. 치료에 있어서도 행동의 통제가 그다지 쉽지 않기 때문에 많은 어려움이 따른다. 본 연구는 소아의 음성장애의 발생경위와 문제의 설명과 차팅에 의한 남용의 감소에 초점을 둔 치료사례이다. 5세 아동의 심한 음성장애로 의뢰되어졌다. 음성증후는 목쉰소리, 기식화된 소리, 일시적인 발성일탈(phonation break) 등이 두드러졌다. 이비인후과 전문의의 스트로보스코프(stroboscope) 검진결과 초기 양측성 성대결절이 성대 앞쪽으로부터 1/3 지점에서 발견되었으며 비지피치(Visi-Pitch)로 측정된 퍼터베이션(perturbation 수치가 16.8이었다. 사례사 조사 과정에서 아동이 활동적이며 자주 고함을 지르고 자동차놀이를 주로하며 많은 시간을 보낸다는 것이 밝혀졌다. 중재 프로그램은 우선 문제를 설명하고 인식시키는 것과 고함을 지르거나 자동차놀이를 하면서 자동차 소음을 흉내내는 등의 음성남용 회수를 감소시키는 것에 초점을 두었다 17회의 치료로 성대결절이 감소되었고 퍼터베이션은 3.8로 저하되었으며 아동 스스로 음성남용을 통제할 수 있다는 임상적 판단하에 치료를 종결하였다. 1개월 후 추후 검사에서 남용적인 습관이 여전히 나타나지 않았으며 음성상태도 양호하였다. 소아 음성장애의 치료는 소아가 이해할 수 있는 용어로 문제의 인식을 확실히 시키고 행동을 체계적으로 통제할 수 있는 치료프로그램을 실행시키는 임상가의 자질이 대단히 중요하다. 그러나 그에 못지 않게, 많은 시간을 아동과 함께 보내는 부모나 교사의 협력이 치료의 성패를 좌우할 수 있다.조구와 처리구간에 차이가 없었다. 그러나 유지방 함량의 경우 대조구가 3.22%, 처리구가 3.37%로 처리구가 0.15% point 증가했으나 유의차는 없었다. Fan + sprinkler가 설치된 시설에서 사육된 젖소에서 생산된 우유내 체세포수는 대조구에 비해 26.63%가 감소되었으나 유의차는 발견할 수 없었다. 이상의 시험 결과에서 볼 때 fan + sprinkler를 이용한 방서 방법은 고온 stress를 완화시켜 유생산성의 증가에 기여할 수 있는 하나의 방법이라고 본다.을 알 수가 있었다.없다. 본 논문의 대상은 바로 이러한 합성 동사성명사의 논항구조와 동사성명사에 의해 하위범주화된 논항들의 문법적 실현양상이다..그 결과 심리적 특성과 사용자 수용 특성은 아바타 수용도에 부분적으로 영향을 미친다는 것 결과가 나타났다.웨어 프로세스 평가와 개선 모델의 개발을 위한 기초적인 자료를 제공할 것으로 예상된다 또한, 본 연구 결과는, 우리나라 소프트웨어 조직들이 실제로 무엇을 필요로 하는지를 밝힘으로써, 우리나라의 소프트웨어 산업을 육성하기 위한 실효성 있는 정책 입안을 위한 기초 자료를 제공할 것으로 예상된다.다.를 검증하려고 한다. 협력체계 확립, ${\circled}3$ 전문인력 확보 및 인력구성 조정, 그리고 ${\circled}4$ 방문보건사업의 강화 등이다., 대사(代謝)와 관계(關係)있음을 시사(示唆)해 주고 있다.ble nutrient (TDN) was highest in booting stage (59.7%); however no significant difference was found among other stages. The concentrations of Ca and P were not

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Effect on Motivational Interviewing for Patients with Impaired Fasting Glucose (동기강화면담이 공복혈당장애 환자의 건강증진생활양식, 행동변화단계, 당화혈색소값에 미치는 효과)

  • Kim, Mi-Ok
    • The Journal of the Korea Contents Association
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    • v.15 no.11
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    • pp.338-346
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    • 2015
  • The purpose of this study was to develop a motivational enhancement therapy(MET) for impaired fasting glucose(IFG) patients in early stages of health behavior change and evaluate its effects on health promotion lifestyle, the stages of change and HbAlc. Data was collected in Health Center of U city, December 2011 to March 2012, conducted on 78 IFG patients who visited to the Health center, they randomized to intervention group(n=27) and control group(n=33). The intervention group received the MET, the control group received standard care. This MET programe was applied from MET programe. After developing, it confirmed content validity. Data was analyzed using descriptive statistics, $x^2-test$ and t-test with the SPSS WIN 20.0 program. Participants in the intervention group reported significantly increased scores of the stage of change(t=-20.224, p=.000) compared to those of the control group but no difference of health behaviors(t=-1.297, p=.200) and HbAlc(t=.794, p=.431). The findings indicate that the MET is an effective intervention in improving ealth behaviors and expect to be applied effectively to the preparation for implementation of health care interventions.