대한감각통합치료학회지 (The Journal of Korean Academy of Sensory Integration)

  • 제21권1호
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  • Pages.59-73
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  • 2023
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  • 1738-0405(pISSN)
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  • 2384-115X(eISSN)
대한감각통합치료학회 (Korean Academy of Sensory Integration)
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COVID-19로 인한 자폐스펙트럼 장애아동의 놀이 활동 참여 변화: 주제범위 문헌고찰

The Change in Participation Patterns in Play Activities of Children with Autism Spectrum Disorder during COVID-19: A Scoping Review

  • 김향원 (전주대학교 의과학대학 작업치료학과 ) ;
  • 송예지 (전주대학교 의과학대학 작업치료학과) ;
  • 강성현 (전주대학교 의과학대학 작업치료학과 ) ;
  • 원하은 (전주대학교 의과학대학 작업치료학과) ;
  • 정윤화 (전주대학교 의과학대학 작업치료학과 )
  • Kim, Hyang-Won (Department of Occupational Therapy, College of Medical Science, Jeonju University) ;
  • Song, Ye-Ji (Department of Occupational Therapy, College of Medical Science, Jeonju University) ;
  • Kang, Seong-Hyeon (Department of Occupational Therapy, College of Medical Science, Jeonju University) ;
  • Won, Ha-Eun (Department of Occupational Therapy, College of Medical Science, Jeonju University) ;
  • Jeong, Yun-Wha (Department of Occupational Therapy, College of Medical Science, Jeonju University)
  • 투고 : 2023.03.27
  • 심사 : 2023.06.22
  • 발행 : 2023.06.30
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초록

목적 : 본 연구는 COVID-19 상황 속 자폐스펙트럼 장애아동의 놀이 활동과 관련된 문헌을 분석하여 재난으로 인한 아동의 놀이 활동 참여 변화를 살펴보고자 하였다. 연구방법 : Arskey와 O'Malley가 제시한 주제범위 문헌고찰의 5단계에 따라 진행되었다. COVID-19가 발표된 2020년 3월부터 2022년 8월까지 CINAHL, PubMed, ERIC, MEDLINE, Google scholar 데이터베이스와 Google 검색엔진을 통해 영문 문헌과 웹사이트 정보를 검색하였다. 문헌의 출판연도, 연구가 이루어진 국가, 연구유형, 대상자 연령, 대상자 수, 연구 결과 등의 10가지 항목에 따라 데이터를 정리하였다. 양적 자료를 통해 관련 주제의 일반적 특성을 알아보았고, 주제 분석을 통해 COVID-19로 인한 아동의 놀이 양상 변화를 확인하였다. 결과 : 437개의 문헌 및 152개의 웹사이트 정보를 검토하여 최종적으로 6개의 문헌이 분석되었다. 분석된 연구는 다양한 나라와 분야의 전문가들에 의해 수행되었다. 문헌에서 공통으로 강조된 5가지 주제는 COVID-19로 인한 자폐스펙트럼 장애아동의 실외 놀이 감소, 스크린 이용 시간 증가, 가족 간 시간 증가, 감각적 어려움, 그리고 연구자가 권고하는 서비스로 나타났다. 결론 : 본 연구에서는 재난 상황 시 자폐스펙트럼 장애아동이 경험하는 놀이 활동 참여의 어려움을 해결하기 위해 주양육자와 자녀가 함께할 수 있는 공동 미디어 참여, 부모 행동 전략 교육 등의 비대면 프로그램을 제안한다. 연구 결과는 향후 재난 상황 시 장애아동의 놀이 활동의 중요성을 강조하고, 이를 지원하기 위한 작업치료사의 역할과 서비스 지침을 체계화하는 데에 기초자료로 활용될 수 있다.

Objective : To examine changes in participation patterns of children with Autism Spectrum Disorder (ASD) in play activities during COVID-19 by reviewing relevant literature. Methods : This scoping review was conducted via five steps. we created a research question and searched for relevant literature published in English through CINAHL, PubMed, ERIC, MEDLINE, Google Scholar and Google search engine. After selecting the literature based on inclusion criteria, data were charted based on 10 items (i.e., author name, journal name, publication year, nation, authors' majors, research method, participant' age and gender as well as quantitative and qualitative results of study). The results were analyzed using descriptive numerical and thematic analyses. Results : After reviewing 437 articles and 152 websites, six articles were included. Theses articles were conducted by experts from various fields and countries. Five themes were highlighted in selected articles: COVID-19 resulted in (1) decreased time of outdoor play, (2) increased play time on screen, (3) increased time spent with family, (4) increased sensory difficulties, and (5) recommendations for services for children with disabilities and during COVID-19. Conclusion : This study suggests telerehabilitation programs about parental behavior strategies in order to solve difficulties in which children with ASD may experience when participating in play activities during disasters. Study results can be used as fundamental evidence to emphasize importance of play activities and to systematize role of occupational therapists and service guidelines for supporting play activities of children with disabilities in disasters.

키워드

과제정보

본 연구는 보건복지부 국립재활원 재활연구개발용역사업(R&D) 재활연구개발지원용역(#NRCRSP-EX21011)으로 수행되었습니다.

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