• Title/Summary/Keyword: 활동중심중재

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Convergence Study on the Recognition and Need of Spinal Cord Injury Occupational Therapy Guidelines (척수손상 작업치료 가이드라인 인식 및 요구에 대한 융합연구)

  • Ha, Sung-Kyu;Park, Hae-Yean
    • Journal of the Korea Convergence Society
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    • v.11 no.6
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    • pp.69-74
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    • 2020
  • Prior to the development of guidelines for occupational therapy for spinal cord injury, this study explored the actual condition of occupational therapy applied to patients with spinal cord injury and the range of guidelines required by the clinic, thereby raising the necessity and establishing an evidence-based rehabilitation intervention service system. It is thought that it will be used for research in the same field. As a survey method, a total of 15 days of surveys were conducted from October 3 to 17, 2019, among 112 occupational therapists, focusing on the organizations currently employed by occupational therapists. As a result, there are 106 physical activity training (94.6%), daily life movement training (85.7%), education-counseling-information 44 (39.3%), and guardian education 39 (34.8). %). The research results confirmed the recognition and clinical needs of occupational therapy guidelines.

Semiotic mediation through technology: The case of fraction reasoning (초등학생들의 측정으로서 분수에 대한 이해 : 공학도구를 활용한 기호적 중재)

  • Yeo, Sheunghyun
    • The Mathematical Education
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    • v.60 no.1
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    • pp.1-19
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    • 2021
  • This study investigates students' conceptions of fractions from a measurement approach while providing a technological environment designed to support students' understanding of the relationships between quantities and adjustable units. 13 third-graders participated in this study and they were involved in a series of measurement tasks through task-based interviews. The tasks were devised to investigate the relationship between units and quantity through manipulations. Screencasting videos were collected including verbal explanations and manipulations. Drawing upon the theory of semiotic mediation, students' constructed concepts during interviews were coded as mathematical words and visual mediators to identify conceptual profiles using a fine-grained analysis. Two students changed their strategies to solve the tasks were selected as a representative case of the two profiles: from guessing to recursive partitioning; from using random units to making a relation to the given unit. Dragging mathematical objects plays a critical role to mediate and formulate fraction understandings such as unitizing and partitioning. In addition, static and dynamic representations influence the development of unit concepts in measurement situations. The findings will contribute to the field's understanding of how students come to understand the concept of fraction as measure and the role of technology, which result in a theory-driven, empirically-tested set of tasks that can be used to introduce fractions as an alternative way.

Experience of spinal stenosis, herniation of intervertebral disk patients with low back pain under non-surgical treatment (비수술적 요법을 받는 척추관협착증, 추간판탈출증 환자의 요통 경험)

  • Kang, Myoung-Mi;Kim, Ae-Kyung
    • Journal of Digital Convergence
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    • v.19 no.8
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    • pp.385-396
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    • 2021
  • The purpose of the study was to explore the process of experience of spinal stenosis, herniation of intervertebral disk patients with low back pain under non-surgical treatment. 10 participants attended in-depth individual interview. Data analyzed using the Grounded theory methodology of Corbin and Strauss(2015). A core category emerged as 'Compromise with my body in the swamp of pain'. Central phenomenon was 'Constrained life by severe pain'. The process of the low back pain experience included three phases: 'cognition', 'coping', and 'adaptation'. This finding will be helpful for understanding the low back pain experience and be as fundamental data as for developing and applying nursing intervention program according to the low back pain experience process.

Study of General Characteristics of the Korean Elderly and Their Leisure Time Spending : Analyzing the Data of Hours of Living 2014 (한국노인의 일반적 특성과 여가생활시간에 관한 연구 : 2014년 생활시간조사자료 분석 중심으로)

  • Kim, Hyeong-Min;Kim, Dong-Hyun
    • The Journal of Korean society of community based occupational therapy
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    • v.9 no.1
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    • pp.57-67
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    • 2019
  • Objective : This study aimed to identify types of leisure time spending of the Korean elderly according to the data of Hours of Living 2014 from National Statistical Office, and compare and analyze features of leisure time spending based on general characteristics of the elderly. Method : This study has only adopted the data of 9228 elder people whose ages were above 65, and their general characteristics and time spending features form the data of Hours of Living 2014. The final comparison and analysis has been made through behavior classification (1 major classification, 7 medium classification, 39 minor classification), which reflects how the elderly spend their leisure time according to their household and personal characteristics. Result : Firstly, the Korean elderly were found to spend most of their leisure time with media. Secondly, analyzing the features of leisure time spending based on household characteristics of the elderly, their gender and household income showed significant differences in all types of leisure time activities except for cultural and sightseeing activity. And their marital status showed significant differences in most of the leisure time activities excluding leisure time activity with media and cultural and sightseeing activity. Thirdly, analyzing the features of leisure time spending based on personal characteristics of the elderly, their education level has made significant differences in all types of leisure time activities. As for their economic activity status and average monthly income, they showed meaningful differences in most of the leisure time activities excluding cultural and sightseeing activity and ritual activity. Conclusion : We should help to find meaningful occupation within personal contexts and arrange it properly with balanced leisure time spending. Moreover, it is highly important to have appropriate occupational approach to prevent social isolation of the Korean elderly, and ensure their fruitful and successful later life.

Convergence effectiveness verification for developing practice guidelines for dementia patients cognitive programs (치매환자 인지프로그램 실무지침 개발을 위한 융합적 효과검증)

  • Ham, Min-Joo
    • Journal of the Korea Convergence Society
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    • v.12 no.5
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    • pp.85-91
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    • 2021
  • This study is a methodological study that explains the procedure for verifying effectiveness in developing practical guidelines for cognitive programs suitable for dementia patients. Based on the development of evidence-based new clinical practice guidelines, a preliminary recommendation for the domestic dementia patient care guidelines was developed. The practical guidelines consisted of the final four types, and the content validity score of the configuration items was 0.87 to 1 point. In the sub-categories of field applicability, appropriateness score was 3.95 to 4.34 points, applicability score was 3.57 to 4.27 points, and predicted effect score was 3.84 to 4.22 points. Through the examination of the content validity and field applicability of experts, it was confirmed that the practical guidelines developed in this study can be used as the basis for establishing an intervention plan for dementia cognitive program managers engaged in clinical practice. In future studies should further facilitate the development of evidence-based treatment guidelines to select appropriate treatment activities for dementia patients.

The Relation among Adolescents Metabolic Syndrome, Dietary Life, Physical Activity and Mental Health - Using 7th National Nutrition Survey of 1st Year(2016) - (청소년의 대사증후군과 식생활, 신체활동 및 정신건강 관련성 연구 - 국민건강영양조사 제7기 1차년도(2016년) 자료를 이용하여 -)

  • Moon, Woo-Jin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.6
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    • pp.158-168
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    • 2019
  • This study has researched and analyzed the relation among adolescents metabolic syndrome, dietary life, physical activity and mental health using $7^{th}$ National Nutrition Survey of $1^{st}$ year(2016) to provide the base data for the prevention of adolescent metabolic syndrome and the promotion of mental health. The subjects have been aimed at 13-18 year-old adolescents. The normal group consists of 201 males(56.4%) and 187 females(47.4%) and the adolescents with metabolic syndrome are composed of 9 males(56.4%) and 6 females(43.6%), totally 403 subjects. As a result of analyzing on the relation among adolescents' metabolic syndrome, dietary life, physical activity and mental health, the main influencing factors of metabolic syndrome are as follows. First, with regard to physical features, as BMI increases 1, the prevalence rate of metabolic syndrome multiplies 1.746 times. Second, when eating breakfast once to twice a week, the prevalence rate of metabolic syndrome decreases 0.87 times. Third, with regard to physical activity, as usual sitting hours a day increase 1 hour, the prevalence rate of metabolic syndrome multiplies 1.054 times. Fourth, the relation between metabolic syndrome and mental health of adolescents is not significant at all. Thus, the further study on metabolic syndrome focused on adolescents should be extended through the development of various variables of dietary life, physical activity and mental health focused on adolescents. In addition, the development of effective intervention program combining with dietary life, physical activity and mental health factors is necessary.

Effect of Home-Visit Occupational Therapy on Community Dwelling Stroke Survivors: A Case Study (지역사회 거주 뇌졸중 환자의 가정방문 작업치료 효과: 사례 연구)

  • Jeong, Eun-Hwa
    • Therapeutic Science for Rehabilitation
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    • v.9 no.2
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    • pp.87-98
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    • 2020
  • Objective : The purpose of this study was to verify the effectiveness of home-visit occupational therapy in stroke patients. Methods : Two patients with stroke who applied for home-based occupational therapy services at a health center in Seoul were enrolled. The home-visit occupational therapy program evaluates the subject's daily living, task performance, cognitive, and emotional functions, sets occupational therapy goals and plans interventions based on a client-centered approach. Occupational therapy programs consisted of 12 sessions based on the client's major problems. Results : COPM scores improved in both cases, there was an improvement in COPM scores, and in Case 2 there were improvements in MBI and K-MMSE scores. There was also an improvement in KGDS scores in Case 1. Conclusion : Home-visit occupational therapy was found to be effective in improving daily activities, cognition, and mental function of stroke patients. During home and community integration, continuous and continuous rehabilitation services need to be activated from institutional rehabilitation to community-based rehabilitation. Active home-visit occupational therapy is needed to promote physical, cognitive, mental and social access in stroke patients discharged from hospitals.

Short-term Effects of a Lifestyle Intervention Program on Eating Behaviors, Physical Activity and Cardiovascular Risks in Korean Adults (생활습관개선 프로그램이 성인의 식이행동과 신체활동 및 심혈관위험요인에 미치는 효과: 중재 3개월 결과를 중심으로)

  • Park, Jiyeon;Kim, Hyekyeong
    • Korean Journal of Health Education and Promotion
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    • v.31 no.4
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    • pp.37-49
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    • 2014
  • Objectives: The aim of this study was to evaluate the effects of a lifestyle modification program for Korean adults with cardiovascular disease risk factors on their health behaviors and health status. Methods: A total of 448 adults with abdominal obesity and additional cardiovascular disease risk factors(high blood pressure, low HDL-cholesterol, high triglyceride or high blood glucose) were randomly assigned to either an intensive intervention group (IIG, n=216) or a minimal intervention group(MIG, n=232). Participants in the IIG received lifestyle modification program which consisted of health counseling with nutrition assessment, health booklet and health diary, while those in MIG received minimal information. Results: The participants in the IIG significantly improved dietary habits(p<.05), retrained eating(p<.001), external eating(p<.01) behaviors, leisure time physical activity(p<.05), dietary self-efficacy(p<.01), exercise self-efficacy(p<.01) and MetS score(p<.001) after 3 months. In addition, the participants in the IIG showed more improvement in dietary habits(p<.05) compared with those in the MIG. Conclusion: The lifestyle modification program was effective in improving some health behaviors, behavioral determinants and cardiovascular risk factors for a short term.

Analysis of time use by occupation domain according to the general characteristics and care need reasons of the Korean elderly with disablilities : Focused on the 2019 Time Use Survey (국내 장애노인의 일반적 특성과 돌봄 필요 사유에 따른 작업영역별 시간사용 분석 : 2019년 생활시간조사 중심으로)

  • Hong, Seojin;Cha, Tae-Hyun;Yu, Young-Bin
    • Journal of the Korea Convergence Society
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    • v.12 no.12
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    • pp.355-363
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    • 2021
  • In this study, after reclassifying the behavioral classification of '2019 Time Use Survey' according to occupation domain of OTPF-4. Time use of occupation domain was examined according to general characteristics and care need reasons were performed Independent t-test and one-way ANOVA. As a result, according to gender, IADL(P<.001), Leisure(P<.001), Social participation(P<.001) and according to marital status, ADL(P<.01), IADL(P<.001), Play(P<.05), Leisure(P<.001) and according to education level, ADL(P<.05), Education(P<.001), Social participation(P<.01) were differences. According to care need reasons, ADL(P<.01), IADL(P<.001), Rest and Sleep(P<.01), Leisure(P<.001), Social participation(P<.001) showed difference. This study will be used to identify time use by occupation domain and to plan interventions for a balanced and efficient lifestyle of korean disabled elderly.

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.