• Title/Summary/Keyword: 활동중심중재

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Survey on Preference of Musical Types and Activities for Improving Elderly Music Therapy (노인의 음악치료 효과 증진을 위한 음악적 유형과 활동에 대한 선호도 조사)

  • Geum Na Hong;Seong Chan Kim;Min Joo Choi
    • Journal of Naturopathy
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    • v.12 no.1
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    • pp.16-23
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    • 2023
  • Background: There is a need for index research on music therapy activities for the elderly in Korea. Purposes: This study aims to suggest application standards in music therapy by surveying the elderly's preference for music therapy activities. Methods: A survey of music-related actions and musical instrument preferences was conducted with 91 older people in 4 nursing homes. The questionnaire consisted of information about music activities, genres of songs, types of instruments, methods of movement, and purpose of participation in activities. Results: The preference for musical activities was for playing musical instruments, followed by singing, music appreciation, flowing movements, and concert-oriented activities. Music genres appeared in the order of popular songs, folk songs, and children's songs. The instrument type preferred drums, followed by shakers and woodblocks. As a movement application method, movement using themes is preferred. Participating in music activities was leisure, followed by stress relief and emotional cultivation. Conclusion: When applying music therapy to the elderly, it predicted that the treatment effect would be high when the elderly focus on playing musical instruments and singing activities preferred by the elderly. Music genres selected from popular music and folk songs, and musical instruments are drums and shakers. Therefore, if you use it, you can expect a more significant effect.

Systematic Review of Evidence-Based Intervention for Gait in Dementia Patient (치매환자의 보행에 관한 근거기반 중재에 대한 체계적 고찰)

  • Kwon, Ae-Lyeong;Jung, Hai-Ik
    • The Journal of the Korea Contents Association
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    • v.21 no.2
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    • pp.667-675
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    • 2021
  • This study conducted a systematic review of evidence-based interventions to confirm the importance of gait in dementia patients and to inform the necessity of various interventions necessary for gait. Based on PRISMA's guidelines and evidence-based intervention, a systematic review were conducted, and papers published in domestic journals for the past 10years were collected, and the dependent variables measured along with the intervention type and gait were analyzed. For data search, research papers from January 2011 to June 2020 were collected through RISS, KISS, the National Library of Korea, and the Library of Congress. The main search terms were 'dementia patient', 'walking', and 'walking ability'. Searched 57 papers on dementia patients and gait that meet the literature selection criteria. Among them, papers overlapping with papers before 2010, papers whose dependent variable is not related to gait ability were excluded, and finally, other than dementia diseases. As for the type of gait intervention, there were many programs related to exercise such as fall prevention and physical activity, and the dependent variables measured along with gait were physically and psychologically diverse. Although domestic studies for dementia patients are conducted in a variety of directions and methods, there are few studies on the improvement of function and gait of the lower extremity part of the body. Therefore, it is necessary to study the multifaceted and various intervention methods for walking in dementia patients.

The Influence of Elderly Stress upon Life Satisfaction - Focused on mediating effects of leisure activities participation - (노인의 스트레스가 생활만족도에 미치는 영향 - 여가활동 참여의 매개효과를 중심으로 -)

  • Kim, Eun-Hye
    • Industry Promotion Research
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    • v.9 no.1
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    • pp.133-148
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    • 2024
  • The purpose of this study was to verify the influence of stress upon life satisfaction and the mediating effects of leisure activities participation in terms of this relationship. The results of this study are as follows. First, out of the elderly stress, the family stress, economic stress and health issues stress had a significant negative effect on life satisfaction. Second, out of the elderly stress, the family stress, economic stress and health issues stress had a significant negative effect on leisure activities participation. Third, the leisure activities participation had a meaningful positive impact on life satisfaction. Lastly, the leisure activities participation appeared to have a significant mediation effect in the influential relationship between elderly stress and life satisfaction. Through the results of this study, the leisure activities participation was indicated to mediate the influential relationship between elderly stress and life satisfaction, thereby having been able to be confirmed significance as alternative resource. Hence, the elderly's leisure activities participation alleviates a negative impact on stress, thereby seeming to be likely capable of being used as an intervention measure to improve elderly people's life satisfaction.

Occupational Therapy in Hypoxic-Ischemic Brain Injury Patient by Suicidal Attempt: Case Report (자살시도로 인한 저산소성 허혈성 뇌손상 환자의 재활치료 - 인지 재활과 연하 재활을 중심으로: 사례연구)

  • Lee, Eui-Yun;Park, Ji-Hyuk
    • Therapeutic Science for Rehabilitation
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    • v.7 no.1
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    • pp.11-26
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    • 2018
  • Objective : This case study was to verify effects of cognitive rehabilitation and swallowing rehabilitation on Hypoxic-Ischemic Brain Injury patient by Suicidal Attempt. Methods : The subject was a 32-year old Hypoxic-ischemic brain injury patient by suicidal attempt. He received treatment once a day five times a week, for a half an hour for each session from September 8th to December 16th, 2016. Treatment were cognitive and swallowing rehabilitation. He was assessed based on Mini-Mental State Examination-Korean (MMSE-K), Korean-Modified Barthel Index (K-MBI), Computerized Neurocognitive Function Test (CNT), Videofluoroscopic Dysphagia Scale (VDS), American Speech-Language-Hearing Association National Outcomes Measurements System (ASHA-NOMS). Results : The patient's total MMSE-K score increased from 25 to 27. His K-MBI score increased from 74 to 88. His memory, attention span, and executive function (DST, VST, SWCT, WCST) by CNT scores were improved. VDS score has no changes to 34, 44.5 and 34. ASHA-NOMS score also has no change to 6, 2 and 6. Conclusion : The study showed that the application of the treatment of cognitive and swallowing in hypoxic-ischemic brain injury patient by suicidal attempt results has positive effects on cognitive functions, and swallowing function.

The Effect of Sensory Integrative Intervention on Postural Control and Occupational Performance (Play) of the Preschool Child With Postural Disorder: Case Study Using Goal Attainment Scale (GAS) (감각통합 중재가 취학 전 자세조절장애 아동의 자세조절과 작업수행(놀이)에 미치는 영향: 목표성취척도(Goal Attainment Scale)를 사용한 사례보고)

  • Ryu, Sung-Un;Kim, In-Sun;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.11 no.2
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    • pp.1-11
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    • 2013
  • Objective : The purpose of this study is to verify the effect of sensory integrative intervention on postural control and occupational performance (play) of the preschool child with postural disorder. Methods : Subject of this study was a 5 years and 8 month old boy. The subject underwent a sensory integration (SI) treatment which was part of the SI clinic course administered by the Korean Sensory Integration Society, in 2012. The treatment goal and treatment plan had established based on the evaluation results. Treatment was done with 11 sessions, the treatment activities and the adaptive responses of the subject were measured as outcome of the SI treatment. The goal of sessions were measured as Goal Attainment Scale, and re-evaluation was done on December in 2012. Results : During SI treatment, the subject was improved the stability of proximal body parts so that maintained Supine-Flexion Posture more than 20 seconds. He also showed increased attention span continuously about 1 activity on physical play. Conclusion : According to the results of this study, it was verified that sensory integrative intervention has positive effective on postural control and occupational performance (play) of the preschooler with postural disorder.

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Comparison of Retained Activity Level according to Activity Areas of the Elderly (노인의 일상 활동 범주에 따른 활동 보유 수준 비교)

  • Paik, Young-Rim
    • The Journal of Korean society of community based occupational therapy
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    • v.9 no.2
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    • pp.1-12
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    • 2019
  • Objective : The purpose of this study is to measure the level of activity possessed by the daily activities of the elderly. In addition, we attempted to compare the differences in the categories of daily activities. Methods : We used K-ACS to evaluate 30 older people who engaged in economic activity living in community, 30 older people who did not have economic activity living in community, and 30 older people living in facility. We compared the level of activity retention. Results : There was a significant difference of level of activity retention according to the daily activity category of the subjects(p <.001). There was a difference in the instrumental activities according to the category of each activity, while the three groups showed similar patterns in leisure activities and social activities. In particular, all three groups were most likely to rest and watch television in the leisure activities, so the leisure activities of the elderly in Korea were very limited. Among the general characteristics, it was analyzed that there was a correlation between the activity, the marital status, the religion and the cognitive level. Conclusion : According to the daily activities category of the elderly, there was a difference in level of activity retention and the characteristics of daily activities correlated with the activities of the elderly. This suggests that it may be a basic data for establishing a client - centered intervention plan by considering the characteristics affecting daily living and level of activity retention of the elderly in the occupational therapy.

Impact of a 'Proactive Self-Audit Program of Fraudulent Claims' on Healthcare Providers' Claims Patterns: Intravenous Injections (KK020) (부당청구 예방형 자율점검제가 의료기관의 청구행태에 미치는 영향: 정맥 내 일시주사(KK020)를 중심으로)

  • Hee-Hwa Lee;Young-Joo Won;Kwang-Soo Lee;Ki-Bong Yoo
    • Health Policy and Management
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    • v.34 no.2
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    • pp.163-177
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    • 2024
  • Background: This study aims to examine changes in fraudulent claim counts and total reimbursements before and after enhancements in counterfeit claim controls and monitoring of provider claim patterns under the "Proactive self-audit pilot program of fraudulent claims." Methods: This study used the claims data and hospital information (July 2021-February 2022) of the Health Insurance Review and Assessment Service. The data was collected from 1,129 hospitals assigned to the pilot program, selected from the providers who filed a claim for reimbursement for intravenous injections. Paired and independent t-tests, along with regression analysis, were utilized to analyze changing patterns and factors influencing claim behaviors. Results: This program led to a reduction in the number of fraudulent claims and the total amount of reimbursements across all levels of hospitals in the experimental groups (except for physicians below 40 years old). In the control group, general hospitals and hospitals demonstrated some significant decreases based on the duration since opening, while clinics showed significant reductions in specified subjects. Additionally, a notable increase was observed among male physicians over the age of 50 years. Overall, claims and reimbursements significantly declined after the intervention. Furthermore, a positive correlation was found between hospital opening duration and claim numbers, suggesting longer-established hospitals were more likely to file claims. Conclusion: The results indicate that the pilot program successfully encouraged providers to autonomously minimize fraudulent claims. Therefore, it is advised to extend further support, including promotional activities, training, seminars, and continuous monitoring, to nonparticipating hospitals to facilitate independent improvements in their claim practices.

The Effect of Family-Centered Coaching Based on Sensory Integration on the Performance of Children with Autism Spectrum Disorder (감각통합 기반의 가족중심코칭이 자폐스펙트럼장애 아동의 작업수행에 미치는 효과)

  • Kim, Yoon-Sung;Kim, Kyeong-Mi;Chang, Moon-Young;Hong, So Young
    • The Journal of Korean Academy of Sensory Integration
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    • v.19 no.2
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    • pp.12-25
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    • 2021
  • Objective : This study explored the effects of family-centered coaching using a sensory integration-based approach on the levels of performance and satisfaction for children with autism spectrum disorder (ASD). Methods : From April 16, 2020 to August 6, 2020, participants included 10 children with ASD, between the ages of three to six who met the inclusion criteria, and their guardians. I used the Canadian Occupational Performance Measure (COPM) to evaluate the children's levels of performance and satisfaction and the Goal Attainment Scaling (GAS) to evaluate their occupational performance. The experimental group (n=5) continued the sensory integration therapy while receiving their personalized family-centered coaching training for 60 minutes per week. This continued for four weeks via home visits and video calls. The control group (n=5) also continued to receive the sensory integration therapy while receiving sensory integration-based general counseling in relation to activity objectives. Results : Statistically significant differences were found in the scores of COPM performance and satisfaction and the GAS scores between the experimental group and the control group, before and after the intervention (p<.05). Statistically significant differences were found in score changes in COPM and GAS, between the two groups (p<.05). Cohen's d also showed a big effect size on the scores of COPM satisfaction (d=2.768) and the GAS scores (d=2.786). Conclusion : This study demonstrated that the sensory integration-based, family-centered coaching had more positive effects on the level of performance and satisfaction of children with ASD, than general counseling.

Case Study of Music Intervention for Supporting Maternal Transition (어머니로의 역할 전환 지원을 위한 음악중재 프로그램 사례연구)

  • Kim, Soo Ji
    • Journal of Music and Human Behavior
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    • v.7 no.1
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    • pp.61-77
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    • 2010
  • As a means to support maternal transition, a home-based music intervention was employed to facilitate mothers' singing to their infants. Four mothers were recruited as volunteers for this study their typically developing infants ranged in age from 2 months to 11 months. Interviews were conducted after the completion of the intervention. An educational music intervention was used to introduce the benefits of mothers' singing to their infants and to encourage four mothers to perform regular singing to their infants for the two-week period. In the interview, mothers provided valuable information regarding their personal experiences, thoughts, abilities to carry out the daily singing, and additional support needs in singing. All mothers demonstrated positive experiences and needs for future intervention development. Overall, the results showed that music-involved educational intervention is beneficial for mothers to support their maternal transition. The need emerged for future studies to develop music-involved educational intervention to support maternal transition.

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The Development of Intervention Program for Enhancing Elementary Science-Poor Students' Basic Science Process Skills - Focus on Eye Movement Analysis - (초등과학부진학생의 기초과학탐구능력 향상을 위한 중재프로그램 개발 -안구운동을 중심으로-)

  • Shin, Won-Sub;Shin, Dong-Hoon
    • Journal of The Korean Association For Science Education
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    • v.34 no.8
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    • pp.795-806
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    • 2014
  • The purpose of this study is to develop an intervention program for improvement of elementary science-poor students' Basic Science Process Skill (BSPS) and to validate the intervention program's effectiveness using eye-tracker. The participants of this study were 35 elementary science-poor students. This study's method was the analysis of real-time eye movements during basic science process skill problem solving. SMI's 120 Hz iView XTM RED was used to collect EMD (eye movement data). Experiment 3.4 and BeGaze 3.4 programs were used to design experiment and to analyze EMD. The results of this study are as follows. First, we developed an intervention program including BSPS instructional strategy, behavior of teachers & student according instructional strategy stage, teachinglearning plan and learning note. Second, science poor students' BSPS ability has improved statistically significantly through the application of intervention program and BSPS problem-solving time decreased statistically significantly. Third, AFT (average fixation time) of BSPS Question and keyword area decreased statistically significantly. Fourth, APD (average pupil diameter) of BSPS problem-solving process expanded statistically significantly. Fifth, AST (average saccade time) of BSPS problem-solving process increased statistically significantly. Sixth, AFET (average fixation entry time) of BSPS problem-clue area was accelerated statistically significantly, AFT of BSPS problem-clue area reduced statistically significantly.