• 대한작업치료학회지
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• 제26권4호
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• pp.27-41
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• 2018

목적 : 본 연구는 신경발달 장애 아동들에게 작업기반(occupation-based) 중재를 그룹 프로그램으로 적용하여 작업 수행의 질, 수행도 및 만족도, 프로그램에 대한 만족도의 효과를 알아보고자 하였다. 연구방법 : 신경발달 장애 아동 10명을 대상으로, ADOC-S(Aid for Decision making in Occupation Choice-School) 및 COPM(Canadian Occupational Performance Measure)을 사용하여, 모든 클라이언트에게 의미 있고 공통된 작업 목표를 수립 하였다. '지하철 이용' 작업수행 분석한 후에 PQRS(Performance Quality Rating Scale)를 사용하여 작업수행의 질 변화를 조사하였다. 작업기반 중재는 가장 자연스럽고 실제생활과 비슷한 상황에서 의미 있는 작업을 직접 수행하며 진행되었다. 실험은 사전 평가 1회기, 중재기는 주 1회, 회기당 100분, 8주간, 총 8회기 진행되었고 사후 평가 1회기 실시되었다. 결과 : 작업수행의 질인 PQRS에서는 중재 전에 비해 중재 후 38.10의 증가를 보였다. 유지, 보상 및 적응접근을 적용하여 초기 회기(1~4회기)에 큰 증가율이 나타났다. COPM의 수행도는 중재 전에 비해 5.80, 만족도는 7.00의 증가가 나타났다. 또한 보호자 인터뷰를 통한 프로그램 만족도에서 높은 점수가 나타났다. 결론 : 작업기반 중재는 신경발달장애 아동의 작업수행을 향상시킬 수 있는 중재방법이며, 수행도 및 만족도, 프로그램 만족도에 긍정적인 결과를 도출할 수 있었다.

• 디지털융복합연구
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• 제14권10호
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• pp.33-43
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• 2016

이 연구는 현재 교육현장에서 실시되고 있는 학교폭력 예방 프로그램의 효과에 대한 메타분석을 실시하였다. 메타분석은 체계적이고 객관적인 방법을 활용하여 개입의 크기와 방향을 제시한다는 장점을 가지고 있는 분석방법으로, 개입에 대한 종합적 분석이 가능하다. 논문의 선정기준을 통해 총 33편의 연구물을 분석 대상으로 선정하였다. 선정된 33편의 연구물에서 129개의 효과크기를 종합하여 분석한 결과 학교폭력 예방 프로그램의 전체 효과크기는 0.624로 나타났다. 인간특성 영역에 따라 학교폭력 예방 프로그램의 효과크기를 비교한 결과, 정의적 영역, 운동적 영역, 인지적 영역, 사회적 영역, 복합적 영역 순으로 효과가 있었다. 참가자의 연령에 따른 효과크기를 비교한 결과 초등학교 고학년, 고등학생, 중학생, 초등학교 저학년 순으로 효과크기가 나타났다. 개입시기에 따른 효과크기를 분석한 결과 3차 예방, 2차 예방, 1차 예방 순으로 효과크기를 나타났다. 이러한 연구 결과를 바탕으로 후속연구와 향후 프로그램 운영에 대한 시사점을 논의하였다.

• Asian Pacific Journal of Cancer Prevention
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• 제17권3호
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• pp.1157-1162
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• 2016

Background: Cervical cancer is known as one of the most prevalent types of cancers and a major public health problem in developing countries which can be detected by Pap test, prevented, and treated. Despite the effective role of Pap test in decreasing the incidence and mortality due to cervical cancer, it is still one the most common causes of cancer-related deaths among women, especially in developing countries. Thus, this study aimed to examine the effect of educational interventions implemented by health volunteers based on protection motivation theory (PMT) on promoting Pap test use among women. Materials and Methods: This quasi-experimental study was conducted on 60 health volunteers and 420 women. The study participants were divided into an intervention and a control group. Data were collected using a valid self-reported questionnaire including demographic variables and PMT constructs which was completed by both groups before and 2 months after the intervention. Then, the data were entered into the SPSS statistical software, version 19 and were analyzed using Chi-square test, independent T-test, and descriptive statistical methods. P<0.05 was considered as statistically significant. Results: The findings of this study showed that the mean scores of PMT constructs (i.e. perceived vulnerability, perceived severity, fear, response-costs, self-efficacy, and intention) increased in the intervention group after the intervention (P<0.001). However, no significant difference was found between the two groups regarding response efficacy after the intervention (P=0.06). The rate of Pap test use also increased by about 62.9% among the study women. Conclusions: This study showed a significant positive relationship between PMT-based training and Pap test use. The results also revealed the successful contribution of health volunteers to training cervical cancer screening. Thus, training interventions based on PMT are suggested to be designed and implemented and health volunteers are recommended to be employed for educational purposes and promoting the community's, especially women's, health.

• 대한물리치료과학회지
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• 제16권2호
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• pp.45-55
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• 2009

Background: This thesis aims at suggesting the direction for the introduction of public free treatment support system according to the establishment of [Special Education Law] and the right settlement of therapeutic support service. Method: It introduced the characteristics and the contents of school based PT & OT, diagnosis and evaluation, and operation method. It set up question items and presented intervention plan, and substantial intervention, beginning from the request of whole process. The diagnostic evaluation was described from 4 aspects, which are consideration matters in the time of document drawing and diagnostic evaluation, chiefly centering around SOAP. The flow of overall treatment support service, the allocation of 16 handicapped children for 1 therapist, and the weekly treatment frequency according to the treatment support location and environment were suggested in the concrete operation method. Result: The concrete method should be explored in order to provide handicapped students with requisite services, which are offered by various experts in the amended 'Special Education Law'. In addition, work condition and social welfare, which are equal to school teachers, should be provided for all experts. Conclusion: Along with these things, special education support center should establish the road-map for the education rehabilitation of the handicapped children from the evaluation of early diagnosis of the handicapped children to treatment support and lifelong education.

• 한국사회복지학
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• 제64권1호
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• pp.79-100
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• 2012

본 연구는 대구광역시 중학교 교사를 연구 대상으로 학교폭력 발생시 교사의 원조개입효능감에 직 간접적으로 영향을 미치는 효과변인들을 검증하였다. 분석방법으로는 AMOS를 이용해서 구조방정식 모형을 토대로 변수간의 인과관계를 분석하였고, 전체매개, 개별매개 그리고 개별매개간의 차이검증은 Mplus를 사용하여 비선형분석을 하였다. '사회적 책임감'과 '가해 피해자에 대한 올바른 인식' 그리고 '교칙공정성'등 세 효과변인들은 직 간접적으로 교사의 '원조개입 효능감'(SMC, 64%, 총효과, .452)에 매우 긍정적인 효과를 미치는 요인이라는 사실을 실증적으로 확인하였다. '사회적 책임성'이 교사의 '원조개입효능감'에 미칠 수 있는 직접효과(.203)보다는, 두 매개변인('가해 피해자에 대한 올바른 인식' '교칙공정성')의 전체간접효과(.249)의 영향이 더 컸다. 두 매개변인들 중에서는 '가해 피해자에 대한 교사의 인식'(.224)이 '교칙 공정성'(.025)보다 훨씬 더 강한 매개효과를 가지고 있는 것으로 밝혀졌다. 학교폭력 '가해 피해자에 대한 교사의 인식'수준은 '사회적 책임성'이 교사의 '원조개입효능감'에 미치는 긍정적인 영향을 크게 증폭 또는 감소시킬 수 있는 강력한 매개변인이라는 사실을 실증적으로 규명하였다. 분석결과를 토대로, 학교폭력에 대한 교사들의 원조개입효능감을 강화할 수 있는 방안을 모색하였다.

• Journal of Nutrition and Health
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• 제45권5호
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• pp.452-461
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• 2012

There is increasing evidence that dietary factors in plant-based diets are important for the prevention of chronic disease. Especially, phytonutrients in fruits and vegetables have been recognized as major contributors for the decreased level of oxidative stress. In this study, the effect of switching the dietary habit to high consumption of fruits and vegetables were evaluated on the parameters of serum antioxidant status in healthy high school students. Forty one students participated in a randomized controlled trial and were assigned to the control group (n = 18) or the intervention group (n = 23). The intervention group was provided for 8 weeks with the main food source being whole grain and vegetables. Anthropometric measurements, blood parameters and dietary intakes were measured, and compared before and after study. After 8 weeks, weight and BMI were significantly decreased in the intervention group (p = 0.000). The serum diacron reactive oxygen metabolites (d-ROMs) test resulted in a significantly decreased level only in the intervention group (p < 0.05) after 8 weeks, but serum biological antioxidant potential (BAP) was increased significantly in both groups (p < 0.001). Intake of energy, total fat, cholesterol and sodium in the intervention group were significantly decreased after 8 weeks (p < 0.05). Also, the intervention group had significantly increased vitamin and phytonutrient intakes of all-trans-${\beta}$-carotene, ${\alpha}$-carotene, ${\alpha}$-tocopherol, ascorbic acid, and total phenols (p < 0.05). Overall, the results of this study suggest that whole grain, fruits, and vegetables supplementation showed improvement of the adolescent health.

• Asian Pacific Journal of Cancer Prevention
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• 제17권1호
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• pp.305-310
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• 2016

Background: Given the association between drinking hot tea and the risk of esophageal squamous cell carcinoma, this study was designed to determine the effectiveness of an educational campaign based on the Theory of Planned Behavior (TPB) in reducing hot tea consumption among a sample of Iranian female students. Materials and Methods: In this quasi-experimental study, 130 primary-school female students in Salas Babajani, Kermanshah, Iran were randomly selected. A two-month campaign based on TPB constructs was developed and conducted for the intervention group. Combined mass media approaches (such as posters, pamphlet, and brochure) with small group and individual activities were used to transfer the campaign messages. Also, five 40-minute instructional sessions for the students and one session for their parents and teachers were held. The hot tea consumption, attitude, subjective norms, perceived behavioral control and no intention to drink hot tea were variables which were measured at baseline and again after 4 weeks. Results: There was a significant improvement in the perceived behavioral control and intention to drink no hot tea variables in the intervention group as compared to the control group following the campaign. In addition, significant reductions were found for the hot tea consumption and favorable attitude toward drinking hot tea in the intervention group as compared to the control group. Conclusions: Conducting educational campaigns based on TPB variables may reduce hot tea consumption among Iranian students.

• 한국학교보건학회지
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• 제30권3호
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• pp.295-305
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• 2017

Purpose: This study was conducted to evaluate the effect of Mindfulness-based Emotion Management Training for adolescents immersed in self-harm behaviors. Methods: The participants were 61 middle school students located in Seoul. Thirty students were assigned to the Mindfulness-based Emotion Management Training (M-EMT) group and the other 31 students were assigned to the waitlist group. The students in the M-EMT group participated in a total of 12 sessions, twice a week, for 6 weeks. The modules of the program comprised of mindfulness for emotion, mindfulness for behavior/impulse, mindfulness for thought, and coping with self-harming behavior. The Distress Tolerance Scale, Deliberate Self-Harm Inventory, Cognitive Emotion Regulation Questionnaire, and Scale Suicidal Ideation were assessed at baseline and post-intervention. Results: Compared to the waitlist group, the intervention group exhibited a statistically significant improvement in distress tolerance and cognitive emotion regulation and a statistically significant reduction in self-harming behaviors and suicidal ideation. Conclusion: These results support the hypothesis that mindfulness-based emotional management training has a positive effect on reducing self-harming behaviors and enhancing distress tolerance and cognitive emotional regulation.

• 대한감각통합치료학회지
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• 제12권1호
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• pp.25-38
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• 2014

목적 : 본 연구는 학교기반 작업치료 중재 및 평가에 관한 근거마련을 위하여 체계적 고찰을 실시하였다. 연구 방법 : 2000년 이후부터 2014년 6월까지 PubMed와 Ovid의 데이터베이스에서 school or children and occupational therapy의 검색용어를 사용하여 검색하여 총 14개의 연구를 선정하였다. 본문을 통해 대상연구의 근거수준, 대상자, 평가도구, 중재영역 및 방법과 효과를 분석하였다. 결과 : 대상자는 정상아동(64.3%)이 가장 많았고, 다음은 자폐(14.4%)이었다. 연령은 6~8세(35.7%)로 가장 많았고, 다음은 5~7세와 5~12세(14.4%)이었다. 중재영역은 글쓰기 및 소근육과 시운동 통합(68.8%)이 가장 많았고, 중재방법은 직접치료(71.4%)가 가장 많았다. 평가도구 분석결과, Beery-Buktenica Test of Visual-Motor Integration (14.9%)가 가장 많았고, 다음은 Bruininks-Oseretsky Test of Motor Proficiency (11.1%)이었다. 학교기반 작업치료의 중재효과에 대한 분석 결과, 시운동 통합, 학습 기술, 참여 수준, 소근육 운동, 놀이, 행동적 문제에서 효과가 있었다. 결론 : 본 연구를 통해 학교기반 작업치료의 중재, 대상자, 평가도구 및 효과에 대한 근거를 마련하였다. 이는 학교 기반 작업치료 임상과 연구의 기초자료로 활용할 수 있을 것이다.

• Nutrition Research and Practice
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• 제16권2호
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• pp.217-232
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• 2022

BACKGROUND/OBJECTIVES: Filipino children aged 6-10 yrs are consuming poor quantities and quality of food based on the 2013 Philippine National Nutrition Survey. During these years healthy eating habits must be formed through family influence. Within this background, a complete package of nutrition intervention-feeding and nutrition classes, was pilot tested in selected schools to determine 1) changes in nutrition attitude and behavior and 2) food intake of schoolchildren after the intervention. SUBJECTS/METHODS: A quasi-experimental design was used in the study. School children aged 7-9 yrs enrolled in selected Philippine public elementary schools and their mothers/caregivers were the study participants. Profile and socio-demographic data were collected from each participant at baseline. The nutrition behavior and food intake of children were determined using the modified Child and Diet Evaluation Tool (CADET) and the 24-h food recall form, respectively. Data were analyzed using Stata version 15. RESULTS: No significant differences in characteristics were found among the 339 child-mother pairs in the 4 study groups. The modified CADET recorded improved mean attitude scores of children ranging from 22 to 24 points at endline in the group receiving both lunch feeding and nutrition education classes (group 3). The perceived better behavior of children was reported by their mothers in terms of increased intake of milk and vegetables and decreased consumption of sugar. These improvements were supported by the actual food intake of children obtained from the 24-h food recall. CONCLUSIONS: Family involvement, particularly of mothers/caregivers, appeared to be an important factor in shaping the children's eating behavior. An intervention package with lunch feeding and nutrition classes resulted in a substantial improvement in children's behavior and actual food intake with increased levels of vegetables and milk while lowering sugar consumption. The adoption of the intervention package in public elementary schools should therefore be pursued.