• Title/Summary/Keyword: Community based occupational therapy

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The Service of Community-Based Rehabilitation in Stroke Patient: A Case Study (뇌졸중 환자의 지역사회중심재활서비스: 사례연구)

  • Kim, Ji-hyun
    • The Journal of Korean society of community based occupational therapy
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    • v.1 no.2
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    • pp.31-43
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    • 2011
  • Objective : The purpose of this case study was to proposed a introduction and result of the disabled with stroke in community using services of Community-Based Rehabilitation. Methods : The subject was a 63-years old female patient with stroke who first visit to Public health center in July. She was evaluated on activity daily living action level by using the Modified Barthel Index(MBI) and depression level by using Beck Depression Inventory(BDI). The intervention that was suggested by WHO were Community-Based Rehabilitation(CBR) and general occupational therapy. We were applied from April, 27th 2011, to November 30th, 2011 by occupational therapist. Results : The patient's total MBI score increased from 35 to 55, it means that activity daily living performance capacity was improved. And BDI score decreased from 26 to 14, it means that depressed symptoms were in great decline. She could stand until 5-10 minutes at first, but later stand over 30minutes now. It means her muscle strength and endurance level was increased. The patient's mood condition also was stabilized and then she often showed her smiling face during the therapy. And her protector feels the client's change too. Conclusion : We could know that function level and quality of life of the patient with stroke who return to the community was improved through service of community-based rehabilitation.

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Systematic Review of the Research Evidence Examining the Effectiveness of Occupational Therapy Using a Sensory Integration Approach (감각통합에 기반을 둔 작업치료효과에 관한 체계적 고찰)

  • Choi, Jeong-Sil
    • The Journal of Korean society of community based occupational therapy
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    • v.1 no.2
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    • pp.71-79
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    • 2011
  • Objective : This study aimed to systematically reviewed to identify, evaluate, synthesize the research literature and suggested to the research direction on the effectiveness of occupational therapy using a sensory integration approach. Methods : We analyzed 10 studies that identified the effectiveness of occupational therapy using a sensory integration approach for children and adolescents offering in MEDLINE/PubMed and http://ajot.aotapress.net between 1993 and 2011. Results : The subjects were the sensory modulation disorder and autism spectrum. The different intervention strategies were similar to a previous studies. Intervention dosage was over 20 sessions, 2~3days per week more than 10weeks. Occupational therapy using a sensory integration approach may result in positive outcome in motor performance, behavioral outcomes, academic and psychoeducational outcomes and tried to currently identify the effect of intervention outcomes in sensory processing and occupational performance using the GAS. Conclusion : Clinicians have a minimal idea planing a research design and a evidence running a study.

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The Effect of a Community-Based Group Exercise in Chronic Stroke

  • Won, Jong-Im
    • Physical Therapy Korea
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    • v.12 no.4
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    • pp.1-6
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    • 2005
  • Community-based group exercise programs for people with chronic stroke are relatively uncommon in Korea. In addition, it is currently not known whether a community-based group exercise program is effective or not. The purpose of this study was to evaluate an 8 week community-based functional exercise program for its effects on balance performance and occupational performance in persons with chronic stroke. Twenty-five community-dwelling individuals with stroke participated in this program. Outcome of the program was assessed by the Berg Balance Scale and the Canadian Occupational Performance Measure (COPM). The functional exercise program lasted for eight weeks, with a 1-hour program twice per week and it consisted of mobility, stability, balance, functional strength, and gait training. The subjects were trained by one physical therapist but were under one-to-one supervision from students. The data of sixteen individuals who scored more than 24 on the Mini-Mental State Examination (MMSE) were analyzed. There was a significant effect both in terms of the COPM Performance Score & the Satisfaction Score (p=.002) and with the Berg Balance Score (p=.001). It was found that a short-term community-based exercise program could improve both performance of activities and balance. Further, all subjects reported that they were satisfied with this program.

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A Fundamental Study on the Development of the Educational Operation Platform for the Training of Professional Occupational Therapists (전문적 작업치료사 양성을 위한 교육운영 플랫폼 개발의 기초 연구)

  • Lee, Chun-Yeop;Jung, Nam-Hae;Kim, Hee-Jung
    • The Journal of Korean society of community based occupational therapy
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    • v.11 no.1
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    • pp.23-43
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    • 2021
  • Objective : The purpose of this study was to establish a systematic educational operation platform by collecting expert opinions so that occupational therapists can use continuing education well as a means to become professional occupational therapists in a particular field. Methods : A Delphi study was conducted with 23 experts on continuing education courses in common areas, elderly or dementia, community-based, physical rehabilitation, and developmental disabilities conducted in 2019 and 2020. The first Delphi investigated the suitability of the course as a professional continuing education and the appropriate level of education. In the second Delphi, we derived the final platform by verifying its suitability with verification of its content validity. Results : As a result, 87 items were derived for common areas, 53 items for elderly or dementia, 66 items for community-based, 66 items for physical rehabilitation, and 85 items for developmental disabilities. The main contents included the expertise needed by occupational therapists, the role in various fields, the solution of difficulties in clinical practice, and the topic of preparing for the future. Conclusion : This study was meaningful in presenting an educational operation platform for training professional occupational therapists as a basic study. It is hoped that the optimal education operation platform will be developed to strengthen professional skills of occupational therapists efficiently through future research.

Job Characteristics and Status of Community Occupational Therapist : Focus on OTs in Public Health Centers (지역사회 작업치료사의 업무 특성 및 실태 조사 : 보건소 근무 작업치료사를 중심으로)

  • Min, Kyoung-chul;Kim, Eun-hee;Woo, Hee-soon
    • The Journal of Korean society of community based occupational therapy
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    • v.10 no.3
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    • pp.37-52
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    • 2020
  • Objective : This study was conducted to identify occupational therapists working in public health centers, the characteristics and actual conditions of occupational therapists in the community, and use them as basic data on occupational therapists in the community as of 2020. Methods : 77 questionnaires were replied by e-mail from OTs work at nationwide health public centers. Job characteristics and status were analysed by descriptive statistics and check correlation between job satisfaction and other factors. Results : Most survey respondents were female(77.9%) and 20-30(96.1%).. Some occupational therapists worked for dementia related team(72.7%) and others worked for like visiting care, health care, and rehabilitation center etc. Rate of experiences of public health center was 1-2 years(67.5%), the most common type of contract was flexible part-time worker(61%) and work intensity(94.8%) and satisfaction of work was very high(85.7%). The highest difficulty of their job was budget administrative work(26.7%) and of non-work difficulty was inequality under contracts(27.2%). They usually participated at dementia shelter, visiting OT, group OT. Difficulty of their job was high in budget administration, dementia shelters, and visiting work treatments. Goals of treatment were high in improvement of cognitive ability and, family support. Frequency of treatment was high in improvement of cognitive therapy, family support, and evaluation. Occupational therapy targets for health centers were dementia, the general elderly, and adult brain lesions, including those for ordinary people, psychiatric disorders and children. It was found that the primary occupations for evaluation were nurses (35.7%) and occupational therapists (33.7%), and that MMSE-DS, SGDS, and SMCQ were used a lot. Conclusion : This study could identify the job characteristics and status of community OTs. We hope that this result could be basic data for building expertise and role for community OTs in changing situations like community cares.

Character of Achievement Goal and Learning Styles of the First year Students in Department of Occupational Therapy and Physical Therapy (작업치료학과와 물리치료학과 1학년 학생들의 학습유형과 성취목표 지향성의 특성)

  • Roh, Hyo-Lyun;Kang, Shin-Wook
    • The Journal of Korean society of community based occupational therapy
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    • v.2 no.1
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    • pp.65-73
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    • 2012
  • Objective : The purpose of this study is to provide basic information for professional education by investigating to learning styles and achievement goal of the first year students in the department of occupational therapy and physical therapy. Methods : 123 first year students of the department of occupational therapy and physical therapy filled out a questionnaire in Gyeongbuk and Kangwon Province. In this study, Kolb's Learning Styles and Elliot & Church's Achievement Goal were used, and to analyze, Pearson correlation, chi-square were used. Results : The results of the study were as follows. 'Accommodator' was the preferred learning type for students, while 'diverger' was not. Collage students differed from university students in learning styles. A mastery level was the preference in the academic goal types of the students. Male students received higher grades on performance approach goals than female and student of department of physical therapy received higher grades on performance avoidance goals than students in the department of occupational therapy. There is a coefficient of correlation between performance avoidance goal and converger learning type. Therefore, first year students in the department of occupational therapy were not differed from the department of physical therapy in academic achievement but collage students differed from university students in learning styles. Conclusion : From these results, we suggested some effective teaching/learning methods based on the mastery achievement goal. An educational approach is necessary for understanding of the students' individual learning styles and achievement goal characteristics are account for students' individual negative/positive characteristics.

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The Concurrent Validity of the Korean Occupational Balance Assessment(OBA) Tool (한국형 작업균형 평가(Occupational Balance Assessment)의 동시타당도 연구)

  • Hong, So-Young;Hong, Deok-Gi
    • The Journal of Korean society of community based occupational therapy
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    • v.10 no.2
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    • pp.1-9
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    • 2020
  • Objective : The purpose of this study was to establish the concurrent validity of the Korean Occupational Balance Assessment(OBA) tool. Methods : This study was conducted on 1016 people from October 1 to October 25, 2019. Data collection was performed using OBA and Occupational Balance Questionnaire11(OBQ11). The data were analyzed by descriptive statistics, Pearson correlation. Results : There was a significant correlation between the scores of the three areas of OBA and the total score of OBQ11(p<.01). All three areas were analyzed with positive correlations. The time use area (r = .554) and occupation frequency area (r = .574) were found to be correlated. Most of the sub-factors in the occupation characteristics area (importance r = .582, goal achievement r = .633, enjoyment r = .649, health r = .650) were analyzed with high correlation. Conclusion : OBA has proven to be a valid and reliable assessment tool for measuring occupational balance. Further research needs to provide guideline on occupational balance for usefulness in clinical area.

The Correlations Between Job-Stress And Job-Relation Feature in Occupational Therapist Working in Nursing Home Facility (노인요양시설에 근무하는 작업치료사의 근무관련 특성과 직무스트레스와 상관성 연구)

  • Choi, Jeong-Sil;Song, Byung-Nam
    • The Journal of Korean society of community based occupational therapy
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    • v.2 no.2
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    • pp.51-60
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    • 2012
  • Objective : This study investigates correlations between job-stress and job-relation feture in occupational therapists in nursing home. Method : For this study, self-reported questionnaires were distributed by online and offline survey to 237 occupational therapist from May to June in 2012. Fifty two of the questionnaires were returned, acceptable 46 survey responses were analyzed, expect 6 unclearly answered. Result : The results correlations between the 6 job-stress factors(confliction of professional role, lack of professional knowledge and skills, problem of personal relationship, disagreement with predecessor(manager, chief, etc), limitation of medical system, inappropriate salary) and 4 job-relation feature(period of job, annual salary, work out of therapy, job stability). Conclusion : This study demonstrates correlations between job-stress factors and job-relation feature in occupational therapist working in nursing home. Job-stress average 3.52points of 5points contributes more affecting the stress. Further research is necessary to more sample occupational therapist in nursing home.

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Comparison of Time-Management Ability and ADL between Elderly People Living Alone and Living with Family (독거노인과 가족동거 노인의 시간관리능력과 일상생활활동의 비교)

  • Yoon, Jeong-Ae;Lee, Hyang-Sook;Cha, Jung-Jin;Noh, Jong-Su;Park, Ji-Hoon;Oh, Dong-Hwan
    • The Journal of Korean society of community based occupational therapy
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    • v.3 no.2
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    • pp.1-12
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    • 2013
  • Objective : The objective of this study is to present basic data to find health care plans for the elderly by comparing time-management ability and ADL and identifying the relationships between groups with subjects of elderly people living alone and living with family in Daejeon Metropolitan City. Method : A total of 80 elders who lived alone or with family that were aged 65 or older were selected with MMSE-K, 40 people were selected as subjects for each group. For time-management ability, a questionnaire was used. ADL were assessed by using FIM. The study period was May to June 2013. Result : Comparison of scores for time-management ability and FIM of the elderly who live alone or living with family did not show any statistically significant difference. In comparison of detailed scores between groups, there were statistically significant differences between the two groups being social interaction, problem solving and memory in social cognition items among detailed items. Conclusion : Through this study, we understood that social cognitive function of the aged living alone who had less opportunity of interaction compared to that of the aged living with family was lowered. Based on this, development and study on various programs should be made with consideration of sociodemographic characteristics of the elderly within community-based occupational therapy in the future.

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Awareness of the Job Task Importance and Performance of Occupational Therapists in the Elderly Community Care System (노인 커뮤니티케어제도 내 작업치료사의 업무중요도와 수행에 대한 인식)

  • Hong, So-Young
    • The Journal of Korean society of community based occupational therapy
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    • v.9 no.3
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    • pp.11-19
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    • 2019
  • Objective : The purpose of this study was to investigate the awareness of job task importance and performance of occupational therapists in the community care system for the elderly. Methods : We conducted an online questionnaire survey of 152 occupational therapists nationwide from May 31, to June 24, 2019. General characteristics and institutional awareness, role and performance awareness were analyzed by descriptive statistics. One way ANOVA were conducted to compare the differences of working days, working places, and the field of work. Results : The recognition of the community care system for the elderly was low at 2.93 ± 1.0 but the importance of the community care system was 3.94 ± 0.7 and the importance of the occupational therapist in the system was 4.34 ± 0.7. Fall prevention (4.63 ± 0.7) was the most important in occupational therapist's jobs, and performance was high in instrumental activity daily living training (3.94 ± 0.8) and physical function training (3.94 ± 0.8). Conclusion : This study can be presented as basic data on job task importance and performance awareness of occupational therapists in the elderly community care system. In addition, it is expected to be used as basic data for establishing the role of occupational therapist in the elderly community care system.