• 대한물리치료과학회지
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• 제30권4호
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• pp.92-110
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• 2023

Background: Digital therapeutics are software medical devices that provide evidence-based treatments to prevent, manage, and treat disease. Digital therapies have recently been shown to be effective in motivating children with cerebral palsy as a tool in neuropsychological therapy. Digital therapies improve postural control, balance and gait in children with cerebral palsy. Therefore, this study aims to investigate the effects of digital therapies on balance and gait in children with cerebral palsy and to provide guidelines for prescribing digital therapies for children with cerebral palsy. Design: A Systematic Review Methods: This study searched for English-language articles published in medical journals from January 2000 to July 2023 using PubMed and MEDLINE based on the year of initiation of the digital therapy. The search terms used in the study were 'digital technology' OR 'digital therapeutic' OR 'mobile application' OR 'mobile health' OR 'virtual reality' OR 'game' AND 'cerebral palsy', 'balance' 'gait' as the main keywords. The final article was assigned an evidence level and a Physiotherapy Evidence Database (PEDro) score to assess the quality of clinical trials studies. Results: The digital therapies applied to improve balance and gait in children with cerebral palsy are game-based virtual reality training and the Nintendo Wii Fit program. Both digital therapy interventions had a significant effect on improving balance in children with cerebral palsy, and virtual reality training significantly improved balance and gait. However, there were no significant improvements in balance and gait within two weeks of treatment, regardless of the type of digital intervention. Conclusion: The study suggests that this data will be important in building the evidence base for the effectiveness of digital therapies on balance and gait in children with cerebral palsy and in advancing clinical protocols.

• Asian Pacific Journal of Cancer Prevention
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• 제13권2호
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• pp.527-532
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• 2012

Background: Tobacco control and cessation interventions are among the most cost effective medical interventions but health systems in low resource countries lack the infrastructure to promote prevention and cessation among tobacco users. Workplace settings have the potential to provide opportunities and access for tobacco prevention interventions. Methods: This is a single group study evaluating tobacco use prevention and cessation through a structured three stage intervention program for tobacco users comprising education on harmful effects of tobacco, oral cancer screening and behavior therapy for tobacco cessation at the worksite. Results: All the 739 workers who were invited participated in tobacco awareness program and were screened for oral pre cancer lesions. 291 (39.4%) workers were found to be users of tobacco in some form. Education, gender and alcohol use (p<0.0001) were some of the factors associated with tobacco user status. The prevalence of clinical oral precancer lesions among tobacco users was 21.6%. Alcohol consumption (p<0.001), the type of tobacco consumed (p<0.018), personal medical history of chronic diseases (p<0.007) and combined use of alcohol and tobacco (p<0.001) were some factors found to be associated with presence of oral pre cancer lesions. Conclusion: An integrated approach for worksite based tobacco use prevention with oral cancer screening program showed good acceptance and participation and was effective in addressing the problem of tobacco consumption among the factory workers.

• The Journal of Korean Physical Therapy
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• 제22권4호
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• pp.73-81
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• 2010

Purpose: The purpose of this study was (1) to examine the effects of a Health Promotion Exercise Program (HPEP) on functional improvement, physical strength (PS) and muscle activation (MA), and the interactive influence with activities of daily living (ADL) and instrumental activities of daily living (IDAL) in the elderly, and (2) to develop and provide a HPEP for the elderly in order to prevent declines and impairments in integrated nerve function and physical capacity. Methods: Our study included relatively healthy elderly people aged 65 years or older. The experimental group, which was composed of 30 people, participated in a HPEP 50~60 minutes a day, 3 times a week, for a total of 12 weeks. Results: Confirmatory factor analysis (CFA) validated the measurement models for MA, physical strength, ADL and IADL with a p<0.01. This confirms (i) the beneficial effects of the ADFP on their MA and PS, and (ii) that their improvement in PS, in turn, can improve their IADL. The results of this study indicates that ADFP can help Korean seniors 65 years or older improve their MA, PS, ADL, and IADL, and do so synergistically. Conclusion: An HPEP, when organized in such a way that the elderly can easily do it, and when exercise items and intensity can be programmed and reorganized accordingly to individual physical and physiological characteristics by presenting 5 categorized health domains of physical strength, may be useful, especially because it can be practiced irrespective of time and place.

• 인간행동과 음악연구
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• 제2권1호
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• pp.17-33
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• 2005

음악은 가장 오래되고 자연스러운 자기 표현의 수단으로 인간의 역사 속에서 현재까지 내려와 인간과 관계 맺고 있다. 이는 음악이 개인의 감정을 자유롭게 표현할 수 있는 통로의 역할을 하면서도 그 내용에 대해 직접적인 판단을 받지 않은 음악이라는 매체의 특성 때문인데, 이는 클라이언트에게 자유롭고 비위협적인 안전한 환경을 조성해 주기 때문이다. 이러한 음악의 특성들은 사회적 위축감과 무기력감으로 인해 수동적이거나 공격적인 부적절한 감정 표현의 양상을 보이는 정신지체인들에게 긍정적인 도구가 될 것이다. 본 연구에서는 정신지체를 가진 성인들에게 기존의 감정 표현 훈련에 음악을 활용할 경우 정신지체를 가진 성인들의 자기 감정 표현 및 사회생활기술에 음악이 긍정적인 영향성을 미치는지 알아 보기 위함이다. 각 3명의 실험집단과 통제집단으로 나누어 실시하였으며, 실시한 프로그램의 효과를 분석하기 위해, 자기 표현 평정 척도 및 사회 생활 기술 척도 도구를 사용하여 사전 사후 검사를 실시하였다. 연구 결과 기존의 감정 표현 훈련보다 음악을 활용한 감정 표현 훈련이 성인정신지체인들의 말할 때의 내용표현, 음성 표현, 신체 및 비언어적 표현력을 모두 포함한 자기 감정 표현력에서 긍정적인 영향을 미치는 것으로 나타났고, 이는 전반적인 정신지체인들의 사회생활기술의 향상에도 긍정적인 영향을 주었다고 해석할 수 있다. 이는 전반적인 사회생활기술의 향상과 자기 감정 표현의 불가분의 관계를 보여주는 것과 동시에 음악을 활용한 감정 표현 훈련이 정신지체를 가진 성인들의 효과적인 감정 표현 훈련의 방법으로 사용될 수 있다는 것을 제시했다고 볼 수 있다.

• 한국융합학회논문지
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• 제13권1호
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• pp.1-12
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• 2022

본 연구에서는 웹기반 인지재구조화 교육과 결합된 VR 노출 프로그램이 사회 불안 감소에 미치는 영향을 확인하였다. 실험 집단(n=12)은 웹기반 인지 재구조화 교육과 가상현실노출 프로그램(VRET)에 4회기 참석하였고, 비교집단(n=15)은 동일한 가상현실노출 프로그램(VRET) 이외에 연설기법에 대한 교육을 받았다. 두 집단 모두 프로그램 참여 전,후에 자기보고식 증상심각도 척도와 암묵적 해석 편향을 측정하였으며, 4주 후에 추후평가를 실시하였다. 프로그램 직후 실험집단과 비교집단 모두 사회적 불안 수준이 감소하였으나, 4주가 지난 후 실험집단에서만 긍정적인 해석 편향이 증가하였고, 부정적인 해석 편향이 감소하였으며, 감소된 사회불안 수준이 유지되었다. 이러한 결과는 VRET 치료효과를 증진시키기 위해서 자신의 생각에 대한 객관적 점검을 시도해 볼 수 있는 인지적 개입이 결합될 필요가 있음을 시사한다.

• Perspectives in Nursing Science
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• 제16권2호
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• pp.75-83
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• 2019

Purpose: This study aimed to identify the characteristics of an intervention program for school-aged overweight and obese children through an integrated literature review. Methods: We used five databases (MEDLINE [PubMed], CINAHL, Embase, DBpia, and RISS) to search for studies published between January 1, 2013, and April 18, 2018. The studies were reviewed according to specific inclusion and exclusion criteria. Results: Finally, nine studies were selected and classified into three types: school-based, community-based, and home-based. Specific intervention methods were identified, including exercise, diet, exercise and diet, and cognitive behavioral therapy. Conclusion: Most studies have shown the effectiveness of obesity intervention programs. However, the variables, tools, and methods of measuring the effectiveness of intervention varied, making it difficult to compare the intervention studies. Therefore, future studies should develop objective and integrated measurement tools and evaluate the effects with long-term follow-up.

• 인간행동과 음악연구
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• 제15권1호
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• pp.25-49
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• 2018

본 연구는 노래중심 집단음악치료가 유소년축구선수의 운동스트레스와 긍정심리자원에 영향을 미치는지 알아보는 데 목적이 있다. 연구 대상은 수도권에 위치한 중학교 소속 유소년축구선수 80명(실험집단 39명, 통제집단 41명)으로, 편의적 표집방법을 통해 모집되었다. 실험집단은 소규모(8-11명)로 나누어 주 4회, 45분씩, 15회기의 노래중심 집단음악치료를 실시하였고, 통제집단은 별도의 처치 없이 휴식을 취하였다. 노래중심 집단음악치료 효과검정을 위해 프로그램 실시 전 후에 운동스트레스척도와 운동선수 긍정심리자원척도를 사용한 검사를 실시하였다. 수집된 데이터는 독립 표본 t 검정을 통해 동질성검정과 집단 간 사후점수를 비교하였고, 대응표본 t 검정을 통해 집단 내 사전 사후점수를 비교하였다. 분석 결과는 다음과 같다. 첫째, 운동스트레스 사후점수에서 실험집단은 통제집단에 비해 통계적으로 유의하게 점수가 낮았다(p < .01). 운동스트레스 사전 사후점수 비교에서 실험집단은 통계적으로 유의한 변화를 보이지 않은 반면, 통제집단은 유의한 증가를 보였다(p < .05), 둘째, 긍정심리자원 사후점수에서 실험집단은 통제집단에 비해 통계적으로 유의하게 점수가 높았다(p < .01). 긍정심리자원 사전 사후점수비교에서 실험집단은 점수가 소폭 상승한 반면, 통제집단은 통계적으로 유의한 감소를 보였다(p < .05). 이러한 연구 결과를 통해 노래중심 집단음악치료가 유소년 운동선수들의 심리적 자원 지지와 긍정정서 유도를 통한 운동스트레스 감소가 가능함을 시사하며, 향후 긍정심리자원 형성에 초점을 맞춘 후속연구가 지속될 필요가 있다.

• 재활치료과학
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• 제1권1호
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• pp.29-38
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• 2012

서론 : 본 연구는 인지재활의 주요영역인 실행 장애, 기억력 장애, 지각 장애, 주의력 장애, 일상생활활동 영역에서의 가상현실의 적용 사례를 문헌고찰 함으로써, 작업치료 적용을 위한 기초자료로 활용하고자 한다. 본론 : 가상현실을 바탕으로 한 인지프로그램은 평가 뿐 만이 아니라 전반적인 인지 요소의 훈련용으로 사용되어지고 있다. 가상현실을 이용한 인지 프로그램은 실제 환경에서의 평가이자 훈련이기에 기존 컴퓨터에 기초한 평가 및 훈련과 비교하여 실제 환경으로 전이효과가 큰 것으로 밝혀지고 있다. 가상현실의 재활 프로그램에 적용은 최신 기술의 발전과 더불어 보다 큰 발전을 가져올 것으로 예상되며, 이는 곧 혁신적인 치료 기술의 발전을 가져 올 수 있다. 이 과정에 가상현실은 미래에 보다 많이 연구 되어질 것으로 예상되며, 특히 인지영역에서 가상현실은 기존의 평가들 보다 향상된 실제 환경으로의 전이효과에 주목할 필요가 있다. 결론 : 인지영역에서 가상현실의 적용은 무한한 잠재력을 가지고 있으며, 평가 뿐 만 아니라 훈련이 통합된 재활 프로그램으로 활용도가 광범위 할 것으로 기대된다.

• 여성건강간호학회지
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• 제27권1호
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• pp.14-26
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• 2021

Purpose: This study aimed to identify the effects of nursing intervention programs for women with gestational diabetes mellitus (GDM) through a critical review of recent studies. Methods: Studies related to effects of nursing intervention programs for women with GDM published in English or Korean between 2000 and 2019 were extracted from 10 electronic databases. The quality of the studies was evaluated and double-checked for accuracy by two reviewers using the Revised Cochrane Risk-of-Bias tool for randomized controlled trials. Results: Twenty studies were selected, of which 19 had a low risk of bias and one had a high risk of bias. Interventions fell into six main groups: (1) integrated interventions, (2) self-monitoring of blood glucose levels, (3) dietary interventions, (4) exercise, (5) psychotherapy, and (6) complementary therapy. This review found that nursing interventions for GDM were of many types, and integrated interventions were the most common. However, low-carbohydrate diets and blood glucose monitoring interventions did not show statistically significant results. Evidence shows that various nursing intervention programs applied to GDM improved diverse aspects of maternal, fetal, and neonatal health, including both physical and psychological aspects. Conclusion: The composition and delivery of integrated interventions continue to evolve, and these interventions affect physical and psychological indicators. Although interventions affecting physical health indicators (e.g., blood glucose levels, diet, and exercise) are important, many studies have shown that programs including psycho-emotional nursing interventions related to anxiety, depression, stress, self- efficacy, and self-management are also highly useful.

• Asian Pacific Journal of Cancer Prevention
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• 제16권14호
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• pp.6033-6038
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• 2015

Background: Experience of lung cancer includes negative impacts on both physical and psychological health. Pain is one of the negative experiences of lung cancer. Cognitive behavioral therapy techniques are often recommended as treatments for lung cancer pain. The objective of this review was to synthesize the evidence on the effectiveness of cognitive behavioral therapy techniques in treating lung cancer pain. This review considered studies that included lung cancer patients who were required to 1) be at least 18 years old; 2) speak and read English or Thai; 3) have a life expectancy of at least two months; 4) experience daily cancer pain requiring an opioid medication; 5) have a positive response to opioid medication; 6) have "average or usual" pain between 4 and 7 on a scale of 0-10 for the day before the clinic visit or for a typical day; and 7) able to participate in a pain evaluation and treatment program. This review considered studies to examine interventions for use in treatment of pain in lung cancer patients, including: biofeedback, cognitive/attentional distraction, imagery, hypnosis, and meditation. Any randomized controlled trials (RCTs) that examined cognitive behavioral therapy techniques for pain specifically in lung cancer patients were included. In the absence of RCTs, quasi-experimental designs were reviewed for possible conclusion in a narrative summary. Outcome measures were pain intensity before and after cognitive behavioural therapy techniques. The search strategy aimed to find both published and unpublished literature. A three-step search was utilised by using identified keywords and text term. An initial limited search of MEDLINE and CINAHL was undertaken followed by analysis of the text words contained in the title and abstract, and of the index terms used to describe the article. A second search using all the identified keywords and index terms was then undertaken across all included databases. Thirdly, the reference list of all identified reports and articles were searched for additional studies. Searches were conducted during January 1991- March 2014 limited to English and Thai languages with no date restriction. Materials and Methods: All studies that met the inclusion criteria were assessed for methodological quality by three reviewers using a standardized critical appraisal tool from the Joanna Briggs Institute (JBI). Three reviewers extracted data independently, using a standardized data extraction tool from the Joanna Briggs Institute (JBI). Ideally for quantitative data meta-analysis was to be conducted where all results were subject to double data entry. Odds ratios (for categorical data) and weighted mean differences (for continuous data) and their 95% confidence intervals were to be calculated for analysis and heterogeneity was to be assessed using the standard Chi-square. Where statistical pooling was not possible the finding were be presented in narrative form. Results: There were no studies located that met the inclusion requirements of this review. There were also no text and opinion pieces that were specific to cognitive behavioral therapy techniques pain and lung cancer patients.Conclusions: There is currently no evidence available to determine the effectiveness of cognitive behavioural therapy techniques for pain in lung cancer patients.