• Title/Summary/Keyword: Person with a disability

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Computer Adaptive Testing Method for Measuring Disability in Patients With Back Pain

  • Choi, Bongsam
    • Physical Therapy Korea
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    • v.19 no.3
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    • pp.124-131
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    • 2012
  • Most conventional instruments measuring disability rely on total score by simply adding individual item responses, which is dependent on the items chosen to represent the underlying construct (test-dependent) and a test statistic, such as coefficient alpha for the estimate of reliability, varying from sample to sample (sample-dependent). By contrast, item response theory (IRT) method focuses on the psychometric properties of the test items instead of the instrument as a whole. By estimating probability that a respondent will select a particular rating for an item, item difficulty and person ability (or disability) can be placed on same linear continuum. These estimates are invariant regardless of the item used (test-free measurement) and the ability of sample applied (sample-free measurement). These advantages of IRT allow the creation of invariantly calibrated large item banks that precisely discriminate the disability levels of individuals. Computer adaptive testing (CAT) method often requiring a testing algorithm promise a means for administering items in a way that is both efficient and precise. This method permits selectively administering items that are closely matched to the ability level of individuals (measurement precision) and measuring the ability without the loss of precision provided by the full item bank (measurement efficiency). These measurement properties can reasonably be achieved using IRT and CAT method. This article aims to investigate comprehensive overview of the existing disability instrument for back pain and to inform physical therapists of an alternative innovative way overcoming the shortcomings of conventional disability instruments. An understanding of IRT and CAT method will equip physical therapist with skills in interpreting the measurement properties of disability instruments developed using the methods.

A Study on Influencing Factors of Disabled Person's fear of crime: Focused on the person with physical disability (장애인의 범죄두려움에 미치는 영향에 대한 연구: 지체장애인을 중심으로)

  • Lee, Sang-Yeol
    • Korean Security Journal
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    • no.46
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    • pp.141-169
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    • 2016
  • This study aims to analyze the causes of the disabled people's fear of crimes and to provide the implication to relevant policies. For this, we scrutinize how the disabled perceive the fear toward felonies and the police action. Further, we empirically tested how police action and their recognition toward it affects the fear toward crimes, on the basis of collective efficacy and victimization which is believed to have effects on people's fear of crimes. As the physically disabled are incompetent to respond to the questions, we survey 122 person with physical disability for 25 branches of Seoul Association of Person Physically Disabled. Our regression results show negative correlations between collective efficacy and fear of crimes, which is in accord with preceding researches of the non-handicapped. While indirect victimization shows positive correlations with their fear toward crime, it is ot statistically significant in conventional confidence level. Contrarily, direct victimization shows positive correlation with it, and the coefficient is different from zero in conventional level. As it is proven from preceding studies, confidence in police action and their perception toward it has negative correlations with their fear of crimes.

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A Study of Current Tendency of Universal Design (유니버설 디자인의 최근 성향 분석 연구)

  • 황주희
    • Proceedings of the Korean Institute of Interior Design Conference
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    • 1999.04a
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    • pp.23-26
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    • 1999
  • The purpose of this study was to scrutinize the current tendency of Universal Design. The analysis unit was presentation in the proceeding of "The first International Universal Design Conference" which was held at New York in June, 1998. Sixty the presentations in the conference were analyzed using Content Analysis technique. The analysis criteria were academic vs. practical, themes, subjects, levels of UD concepts, design principles applied, and type of disability. The results were as follows. Compared with its early characteristics such as practical approach, architectural living environment, barrier free for the disabled, especially for person with mobile disability using wheelchair, and the emphasis of accessibility, UD characteristics shown in the conference evidenced a dramatic shift from them toward the new century : Its subjects became a wide range of people including the disabled departing from 'the disabled' only; The range of disability was expanded to include visual and audial disability departing from mobility only; Themes appeared very diverse such as both small and large scale environments, products, dissemination, and theory from the 'architectural environment'; Various design principles were added to early accessibility ; Commercialism was added to early Welfarism. Therefore, this conference provided empirical evidence that UD changed considerably from its early development in many aspects. It indicated the potential of UD as a big wave in the 21st century design.

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SEVERE-EARLY CHILDHOOD CARIES IN CHILDREN WITH GRADE 1 NEUROLOGICAL DISORDER (뇌병변장애 1급 아동에서 발생한 중증유아기우식증)

  • Lee, Hyo-Seol;Baek, Seung-Ho
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.7 no.1
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    • pp.15-20
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    • 2011
  • A person with neurological disorder is defined as a person with limitation of ambulation or basic life activity due to the cerebral palsy or traumatic brain damage, stroke. Recently, the DMFT of the children with neurological disorders is similar or lower than the DMFT of the children with no disability. But, this article is about the severe-early childhood caries in children with grade 1 neurological disorder. It is supposed that the primary motor impairment and secondary physical weakness, frequent hospitalization, sugar- rich food and drugs, lack of oral care, delayed dental visit made high caries susceptibility. In case of treatment of the children with severe neurological disorders, dentists should make a thorough caries preventive plan based on individualized caries risk assessment. Also parents and medical doctors should recognize the importance of oral care and do the early dental visit and home care.

Definitions of Disability to Realize Social Model of Disability : A Suggestion for Amendment of the Definition of Disability in Current Act (사회적 모델의 실현을 위한 장애정의 고찰: 현행 장애인차별금지법의 장애정의의 수정을 위하여)

  • Nam, Chan-Seob
    • Korean Journal of Social Welfare
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    • v.61 no.2
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    • pp.161-187
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    • 2009
  • Disability Discrimination Act(DDA) is generally recognized as the institutional frame to realize social model of disability. However social model is not automatically realized via the enactment of DDA. The realization of social model is influenced by various factors among which the definition of disability in DDA is very important factor. Paradoxically definitions of disability based on social model may push DDA into contradictory situation. This is caused by the fact that on the one hand definitions of based on social model exclude impairment and on the other hand they mixes characteristics and treatment. Because of these, when definitions of disability based on social model is reflected into definitions of disability in DDA, they may not be helpful to realize social model against original intention of advocates of the model. We can consider two approaches to resolve this paradox; one is to partially reform current definition of disability in DDA, the other is to totally amend current definition of disability. The former may pragmatic and worth to pursue but it cannot solve fundamental problems and may cause some new problems. The most consistent resolution with social model is to amend current definitions of disability into radically new one which excludes substantial limits and definition of disabled person from definition of disability. This new definition may called characteristics based definition or impairment based definition. Some people may think this new definition as one based on medical model but it is not. What we need is not to carve definition of disability based on social model into DDA but to make institutional frame for DDA to operate without contradictions and to develop social model of both impairment and disability. This model which does not exclude impairment could takes part in realization of the social model disability.

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The Association among Activity of Daily Living, Instrumental Activities of Daily Living, Depression and Isolation in Disabled People (장애인의 일상생활동작, 도구적 일상생활동작, 우울 및 고립감의 관계)

  • Choi, Young-Soon;Kim, Hyun-Li;Kim, Young-Hee;Lim, Jae-Ran
    • The Korean Journal of Rehabilitation Nursing
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    • v.14 no.1
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    • pp.5-12
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    • 2011
  • Purpose: The purpose of this study was to evaluate the association among of Activity of Daily Living (ADL), Instrumental Activities of Daily Living (IADL), depression and isolation in disabled people. Method: The subjects consisted of 761 disabled people in Korea. Data were analyzed using descriptive statistics, t-test, ANOVA, and Pearson's correlational statistics. Results: There were significant differences in age, cause of disability, type of disability, degree of disability, education, job, perceived health condition, and economic status between disabled people with high and low levels of ADL and IADL. Depression showed significant differences in type of disability, degree of disability, education, job, perceived health condition, and economic state; isolation showed significant differences in age, cause of disability, type of disability, education, job, residence, perceived health condition, and economic status. A significant association was identified between depression and isolation (r=.69, p<.001). Conclusion: There was a high incidence of depression in disabled men with high levels of isolation and ADL and IADL dependence. An effort to increase disabled people's ADL, IADL, and independence levels is needed, and nursing interventions should be designed and tested to increase their community involvement and decrease the sense of isolation and depression.

An Investigation of Disability Awareness Between Occupational Therapists and None Therapists using SNS (SNS를 이용한 작업치료사와 일반인의 장애에 대한 인식 연구)

  • Hong, Deok-Gi;Bak, In-Hye;Moon, Jong-Hoon
    • The Journal of the Korea institute of electronic communication sciences
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    • v.13 no.5
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    • pp.1125-1134
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    • 2018
  • The purpose of this study was comparing the disability awareness of occupational therapists and none therapists, and investigating the disability awareness according to the demographic characteristics of the respondents. The questionnaire was distributed through the online with a questionnaire based on social network service, and analyzed 62 responses of none therapists and 60 responses of occupational therapists. In results, disability awareness was not significantly different between occupational therapists and none therapists(p>.05). But, in subscale of disability awareness item 4 and 7, occupational therapists were significantly higher than none therapists(p<.05). In all respondents, disability awareness was more positive in males than females(p<.05). Also, there was no difference in disability awareness according to presence of disabled persons among family members or relatives(p>.05). However, All respondents who answered 'Yes' in the presence of disabled persons among family members or relatives in responders were significantly higher than those who answered 'No' in item 4(p<.05). There was no correlation between age and disability awareness(p>.05). The authors discussed suggestions in results of this study.

The Effect of Interpersonal Skills on the Life Satisfaction of Employed Individuals with Disabilities in Single-Person Households: Self-Esteem Mediation Effect Analysis (취업 장애인 1인가구의 대인관계능력이 생활만족도에 미치는 영향 : 자아존중감 매개효과 분석)

  • Park, Su Sun;Shim, Da Yeon
    • Journal of Family Resource Management and Policy Review
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    • v.28 no.1
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    • pp.1-11
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    • 2024
  • The purpose of this study was to provide basic data to help individuals with disabilities in single-person households maintain a happy life by analyzing how interpersonal skills necessary for community adaptation and self-esteem, which are personal factors, affect life satisfaction. The self-esteem mediation effect was verified with SPSS Process Macro 4.3 using data on 828 single-person households sourced from the seventh wave of the Disability Employment Panel Survey(2022) conducted by the Employment Development Institute of the Korea Disability Employment Service. To examine the effects of interpersonal skills and self-esteem on life satisfaction, a multiple regression analysis was conducted. While it was found that higher self-esteem was associated with higher life satisfaction, interpersonal skills did not have a significant effect on this association. The path from interpersonal skills to life satisfaction via self-esteem was deemed statistically significant, suggesting that self-esteem mediates the relationship between interpersonal skills and life satisfaction. This study emphasizes the importance of interpersonal relationships for the life satisfaction of individuals with disabilities in single-person households in a modern society in which the problem of social isolation experienced by individuals in single-person households is emerging. Furthermore, it provides a direction for these individuals to become the main actors of their own lives.

Stiff-Person Syndrome: Diagnostic Difficulty (근육 강직 증후군: 진단적 어려움)

  • Lee, Jeong-Kil;Kang, Chan;Kim, Sang-Bum;An, Byung-Kuk;Lee, Gi-Soo
    • Journal of Korean Foot and Ankle Society
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    • v.23 no.3
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    • pp.131-134
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    • 2019
  • Stiff-person syndrome is a rare disorder, and the natural history of the syndrome has not been completely ascertained. The symptoms range from mild to severe and can progress over time: the final result can be significant disability. However, this syndrome is often misdiagnosed due to a lack of understanding of the clinical manifestations. We report the case of a patient who presented with slowly progressing gait disturbance and lower extremity pain and was later diagnosed as suffering from stiff-person syndrome. The patient experienced symptomatic improvement after the administration of benzodiazepines. No recurrence of symptoms has been reported. If the characteristic clinical features and electromyography findings of the syndrome are accurately interpreted, diagnosis of patients with abnormal muscle tension can be effectively done.

A Comparative Study of Oswestry Back Pain Disability Questionnaire Versus Computer Adaptive Testing for Measuring Back Pain

  • Choi, Bong-Sam
    • Physical Therapy Korea
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    • v.20 no.4
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    • pp.22-31
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    • 2013
  • The aim of the present study was to compare measurement precisions of the Oswestry Back Pain Disability Questionnaire (ODQ) and a computer adaptive testing (CAT) method. The ODQ has been regarded as one of the most reliable condition-specific measure for back pain for decades. Cross-sectional study was carried out with two independent convenient samples from two out-patient rehabilitation clinics for back pain ($n_1=42$) and non-back pain group ($n_2=42$). Participants were asked to fill out the ODQ and CAT of International Classification of Functioning, Disability and Health-Activity Measure (ICF-AM). A series of Rasch analyses were performed to calculate person ability measures. The CAT measures had greater relative precision in discriminating the groups than did the ODQ measure in comparisons of the relative precision. The CAT measure appears to be more effective than did the ODQ measure in terms of measurement precision. By administering test items calibrated in a way, CAT measures using item response theory may promise a means with measurement precision as well as efficiency.