• Title/Summary/Keyword: Intervention level

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A study on the experience of the victim about spouse who completed domestic violence offender intervention program (배우자의 가해자 교정·치료 프로그램 이수에 대한 피해자의 경험연구)

  • Kang, Jina;Shin, Jiyoung;Lee, Hyunsook;Je, Obok;Cho, Myungsook;Jin, Heekyung
    • Journal of Family Relations
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    • v.23 no.3
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    • pp.31-50
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    • 2018
  • Objectives: The purpose of this study was to focus on the phenomenon of spouses experienced by offenders after completing the offender intervention program. Method: For this purpose, among the offenders who received the decision of counsel (counseling order) accused by domestic violence, who the other spouse selected case without counseling. After the in - depth interviews with the 9 participants, the collected data were analyzed by Colazzi 's phenomenological study method. Results: Major research findings can be summarized as follows. Category 1 was "Experiences about causes of violence", category 2 was "Experiences with forms of violence", category 3 was "What I wanted about my spouse when I called the police", category 4 was "What I wanted for myself when I reported to the police", category 5 was "the situation of the offender after completing the offender intervention program", category 6 was "what I experienced after completing the offender intervention program" and category 7 was "Experiences for Follow-up consultation needs". Conclusions: Based on the results of the research, counseling for perpetrators who are violent actors needed a therapeutic approach not only to strengthen the temporary punishment but also to help the family recovery on a continuous and sustainable level. Therefore, the implications of policy intervention for domestic violence were suggested.

An Unconventional Approach Considering Flexor Spasticity and Flexion Synergies of the Upper Extremity Following a Stroke: A Randomized Double-blind Pilot Study

  • Rha, Young Hyoun;Lee, Keun Hee;Shin, Jun Bum;Park, Kang Hui;Kim, Byung Sun;Ha, Jae Chan
    • Physical Therapy Korea
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    • v.29 no.2
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    • pp.147-155
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    • 2022
  • Background: Although various conventional approaches have been employed to reduce spasticity in neurological rehabilitation, only a few studies have shown scientific evidence for its effectiveness. Thus, we introduced a different concept (Ueda method) of rehabilitation therapy that can complement the limitations of conventional therapy. Objects: This study aimed to investigate the immediate effects of the application of the Ueda method on patients with spasticity after stroke via an electrophysiological study. Methods: We conducted a randomized double-blind pilot study in two rehabilitation hospitals involving 30 stroke patients who were randomly allocated to the Ueda (n = 15) and convention (n = 15) groups. Electromyographic data of six examined muscles in both upper extremities of all patients were recorded. The A-ApA index and activation ratios of upper extremity muscles were evaluated and compared between the groups to confirm post-intervention changes in upper-extremity flexor spasticity and flexion synergies. Repeated-measures analysis of variance was conducted to confirm the therapeutic effect (2 × 2) as a function of group (Ueda vs. convention) and time (pre-/post-intervention) on all outcome measures (p < 0.05). Results: In the Ueda group, the mean A-ApA index values differed significantly before and after the intervention (p = 0.041), indicating a weak evidence level; however, the effect size was medium (d = -0.503). The interaction effects of the A-ApA index between the Ueda and convention groups and between pre-intervention and post-intervention stages were significant (p = 0.012). The effect size was large (np2 = 0.220). In the Ueda group, the activation ratios of the anterior deltoid fiber significantly decreased after the intervention in all reaching tasks. Conclusion: The Ueda method reduces upper-extremity flexor spasticity and changes its synergy in stroke patients and should be considered a rehabilitation therapy for spastic stroke patients.

Differences in the social presence of instructor by instructor's social intervention and its effects on learning satisfaction in an online university (온라인대학에서 교수자의 사회적 촉진활동에 따른 교수자 사회적 실재감의 차이 및 이들의 관계가 학습만족도에 미치는 영향)

  • Lee, Euikil;Kim, Yun-Jung
    • The Journal of Korean Association of Computer Education
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    • v.18 no.3
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    • pp.69-78
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    • 2015
  • This study aims to analyze differences in the social presence of instructor by instructor's social intervention, the effects of the social presence of instructor on learning satisfaction, and learner characteristics related to the social presence of instructor. Data including subjects' demographic information, interactions, social presence of instructor, social presence of the course, and learning satisfaction were collected from 119 adult learners in an online university in Korea. The main findings of this study are as follows. First, the social presence of instructor was higher in the higher-aged group or active group on intranet message board than the lower-aged group or inactive group on the board. Second, instructor's social intervention increased the level of perceived social presence of instructor. However, the active group on the board has shown the highest level of perceived social presence of instructor, without instructor's social intervention. Third, there was a high correlation between instructor's social intervention and the social presence of instructor, while the variables affecting learning satisfaction were the social presence of instructor and social presence of the course. From the results of this study, it is suggested that instructors' social interventions be provided systematically for those who are not active in social interaction to enhance their learning satisfaction.

A Systematic Review on the Present Condition of the Internal Robot Therapy (국내 로봇치료 연구 현황에 대한 체계적 고찰)

  • Song, Ji-Hyeon;Sim, Eun-Ji;Yom, Ji-Yun;Oh, Min-Kyeong;Yi, Hu-Shin;Yoo, Doo-Han
    • The Journal of Korean society of community based occupational therapy
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    • v.6 no.1
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    • pp.49-60
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    • 2016
  • Objective : By organizing systematically the study case that use Robot Therapy as intervention tool according to PICO (Patient, Intervention, Comparison, Outcome), This study aims to investigate the domestic Robot Therapy's present condition. Methods : We searched 710 pieces of domestic scientific journal and master's thesis during the past nine years in 'Research Information Sharing Service' and 'National Digital Science Library' database using the keyword 'Robot therapy'. We finally chose 15 pieces of domestic scientific journal and master's thesis among the domestic studies that based on the full text which is affordable and used robot by therapeutic intervention tool. Chosen studies were layed out by PICO that could organize the resources systematically. Results : The quality of study tool was used to the method of evidence-based study level of 5 step classification. More than three stages of quality level study was 13. Result of dividing the studies using robot therapy by intervention field, language, lower extremity(gait), cognition, development and study for the region of the upper extremity of five is advancing. Conclusion : Nationally, the robot therapy has been used in various area that include the upper extremity and lower extremity's intervention of language, cognition, growth and others. We hope that this study for baseline data will be utilized in various area engaging to domestic robot therapy.

The Effect of Group Treatment Based on Occupational Therapy for Children : A Systematic Review (아동 그룹 작업치료의 효과 : 체계적 고찰)

  • Lee, Ga-Young;Lee, Ji-Ho;Kim, Bo-Ram;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.14 no.2
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    • pp.33-45
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    • 2016
  • Objective : The purpose of this article is to study the effectiveness of a group occupational therapy for children via systematic review, and to provide clinical evidences. Methods : The systematic review initially included articles in Pubmed, Ovid, RISS, KISS, and DBpia, published until 2014. Total 14 articles have been chosen, using different keyword of each domestic/foreign studies. Selected articles were divided depending on the level of evidence, and eventually been organized into group PICO (Patient, Intervention, Comparison, Outcome). Results : The results indicated that there are more diagnosed children than normal in participants and especially children with sensory integration disorder (28.6%) appeared to be the most common. In intervention, group sensory integrative intervention had the largest frequency, and instruments measuring social skills were used most for analyzing the intervention results. The effectiveness of interventions showing statistically significant results were 40.7% of Total. Conclusion : Group occupational therapy for children should be provided to various diagnosis with widely better quality of interventions providing the enough support for the evidence level.

Effects of Nursing Interventions on Anxiety and / or Stress : A Meta-Analysis (불안 및 스트레스에 대한 간호중재 효과의 메타 분석)

  • 이은옥;송혜향;김주현;이병숙;이은희;이은주;박재순;전경자;정면숙
    • Journal of Korean Academy of Nursing
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    • v.22 no.4
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    • pp.526-551
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    • 1992
  • The purpose of this study was to identify the commonalities of various nursing interventions and effective intervention methods in each intervention through analysis and synthesis of many accumulated research papers. The study analyzed the effects of various nursing interventions on anxiety and /or stress. For this purpose, 64 experimental studies with randomized or nonequivalent control group pre-test-posttest design were selected from journals of medical and nursing schools, the Korean Nurse, the Korean Nurses' Academic Society Journal, the Cetnral Journal of Medicine, the New Medical Journal, the Nurse Monthly, and from theses and dissertations conducted from 1970 to 1991. The selected studies nor classified according to three characteristics : 1) the research samuel, 2) types and methods of nursing interventions, and 3) statistical tests. The following analysis was done : 1) Confirmation of the accuracy of data drawn from each study by paired review, 2) Estimation of the homogenity of pre-test scores of the dependent variable between control and experimental groups warranted the effect size of post-scores, 3) If the homogenity of pre-test scores did not warrant, the change scores from pre-test to post-test were used to estimate the effect size, 4) Use of the effect size of each study among homogenious studies was tested for each intervention method, such as relaxation, information, and touch and /or support. Finally, for the studies not showing homogenity, an ANOVA test was used to identify patterns for each intervention. Some findings are summarized as follow : The effect sizes for relaxation and information were greater than those for touch and /or supportive technique. Studies using random assignment had greater effect sizes than nonrandomized sample studies using the same intervention. For healthy people, group education was more effective than individual teaching. However, for patients, relaxation and touch and /or supportive techniques given on individual basis were more effective than when given in a group situation. Measuring anxiety and stress by biological indicators was less effective than by self-report. Budzynski's relaxation method was the most effective. The more frequently the techniques applied, the larger the effect size. On the bases of these findings, the following recommendations were made : 1. A combination of information, relaxtion, and touch-supportive techniques should be used for greater effect in reducing the level of anxiety and /or stress. 2. Information is the first choice of intervention to reduce the level of anxiety and /or stress of healthy People : other interventions may be added depending on the conditions of the subjects.

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A Systematic Review on the Intervention Program of Smartphone Addiction (스마트폰 중독의 중재 프로그램에 관한 체계적 고찰)

  • Kim, Deok Ju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.3
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    • pp.276-288
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    • 2020
  • This study analyzed the intervention program of smartphone addiction. The literature used for this research analysis was published from Jan. 2010 to Jul. 2019. The foreign literature was searched for in 'Pubmed and Science Direct', and the domestic literature was found in 'RISS, Keris, and KISS'. A total of 310 studies were found and analyzed on the basis of our inclusion and exclusion criteria. Finally, 16 theses were analyzed. Thirteen theses (81%) meet the required evidence level, and three theses (19%) had level III. As a result of analysis on the intervention methods of smartphone addiction, art therapy was found in 6 theses (37.5%), exercise therapy in four theses (25.0%), and cognitive behavior therapy in three theses (18.6%). After the intervention of most of the programs, there were reduced withdrawal symptoms of smartphone addiction, reduced negative feelings like depression, anxiety, and impulsiveness, and increased positive feelings like self-esteem. A smartphone addiction evaluation scale was mostly applied in terms of the evaluated items, along with psychological evaluation. These studies are expected to be effectively used as intervention tools for treating smartphone addiction.

Application of Occupation-Based Practice for Neurodevelopmental Children's Subway Use (신경발달 장애 아동의 지하철 이용하기 작업에 대한 작업기반 중재의 적용)

  • Ra, Dae-Yeop;Kong, Myung-Ja;Chang, Ki-Yeon
    • Korean Journal of Occupational Therapy
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    • v.26 no.4
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    • pp.27-41
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    • 2018
  • Objective : This study implemented occupation-based practice as a group program for children with neurodevelopmental disabilities, and investigated the quality of occupational performance, performance and satisfaction, and efficacy levels of the program. Methods : ADOC-S(Aid for Decision making in Occupation Choice-School) and COPM(Canadian Occupational Performance Measure) were used to establish common meaningful occupational goals for 10 children with neurodevelopmental disabilities. After occupational analysis of the 'subway use', the Performance Quality Rating Scale(PQRS) were used to evaluate the quality of occupational performance. Occupation-based interventions were implemented by participants individually performing meaningful occupations in the most natural and real-life environments as possible. The trial consisted of 1 session of pre-intervention assessments, 8 sessions of intervention, where a single session of 100 minutes is provided once a week. Post-intervention evaluation was conducted over one session. Results : The quality of occupational performance by PQRS was 38.10 higher than before intervention. The occupation-based intervention as a group program used the maintain and modify(compensation, adaptation) approaches and acquisition model. In the early stages of intervention (1 to 4 sessions), the occupational performance was greatly improved. The performance level of COPM increased by 5.80 and the satisfaction level was increased by 7.00. In addition, high scores were found in program satisfaction through parental interview. Conclusion : The results of implementing occupation-based interventions to children with neurodevelopmental disabilities showed increase in quality of occupational performance, performance, and satisfaction along with positive effects of satisfaction levels for the program.

The Stress of Patients in the Coronary Care Unit (심장내과 중한자실 입원 환자의 스트레스)

  • Yoo, Yang-Sook;Bong, Seung-Ok;Kim, Kyung-Lim;Choi, Kyung-Ok;Jeong, Hye-Sun
    • Journal of Korean Biological Nursing Science
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    • v.9 no.2
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    • pp.135-142
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    • 2007
  • Purpose: This study was conducted to investigate degree of stress level in CCU patients, and to give a baseline data in developing nursing intervention program to reduce the stress. Method: Subjects of this study were the 100 hospitalized patients of C University Hospital in Seoul City from February to December 2003. The collected data was analyzed by using the SAS program: t-test, Scheff$\acute{e}$ test, and ANOVA analysis were employed to find differences in stress level. Result: The highest stress factor was 'Concern', and next were 'Dependency & limitation', 'Uncertainty', 'Treatment procedure', 'Sleep disturbance', 'Environment' in order. The perceived stress level of CCU patients was 1.65 scores; the highest scored item was 'have to void urine and feces on the bed', next were 'have to use the toilet bowel lying on the bed' in order. The stress level according to characteristics of the subjects was significantly different with the marital status, the presence of religion, the hospitalized days, the economic status, and the admission experience. Conclusion: The stress level of patients in the coronary care unit was high in concern of a disease, family and economic state, in limitation and dependency, and in uncertainty about prognosis of a disease. Further researches are necessary to develop and apply the intervention method of reducing stress level of CCU patients. In addition studies on family members of CCU patients are also recommended.

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The Influence of Unloading Taping Method Using Non-elastic Tape on the Pain, Opening Mouth, Functional Level, Quality of Life in Patients With Temporomandibular Joint Disorder (비탄력 테이프를 이용한 무부하 테이핑 기법이 턱관절장애 환자의 통증 수준, 개구범위, 기능적 수준, 삶의 질에 미치는 영향)

  • Hwang, Jea-hoon;Kim, Suhn-yeop
    • Physical Therapy Korea
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    • v.23 no.3
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    • pp.29-39
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    • 2016
  • Background: In the treatment of temporomandibular joint (TMJ) disorder, the goals of traditional physical therapy are not only to reduce the inflammatory process leading to pain, but also to decrease joint overload and muscle hyperactivity. To achieve those goals, physical therapists generally use a photo-therapy, joint mobilization, and massage. Objects: To examine the impact of an unloading technique using non-elastic taping on the pain, opening mouth, functional level, and quality of life in patients with TMJ disorder. Method: Twenty patients with TMJ disorder were included in this study and randomly divided into the experimental ($n_1$=10), and control ($n_2$=10) groups. Traditional physical therapy including massage and stretching for 30 min was performed in both groups. Non-elastic taping was performed in the experimental group after traditional physical therapy, and they were recommended to keep the tape attached for 12 hours. Outcomes for pain, functional level, and quality of life were measured using a survey. The opening mouth was measured using a general ruler. Result: Significant differences were observed in the pain level, opening mouth, functional level, and quality of life after the intervention and on follow-up in both groups. However, we found that while the levels of all parameters were maintained throughout the follow-up period in the experimental group, the functional status level was not maintained throughout the follow-up period in the control group. Conclusion: Our unloading technique using non-elastic tape results comparable to those achieved by traditional physical therapy in the treatment of TMJ. However, the unloading taping method using non-elastic tape is more effective than traditional physical therapy in maintaining the impact of intervention.