Therapeutic Science for Rehabilitation (재활치료과학)

Korean Society of Neurological Occupational Therapy (대한신경계작업치료학회)
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A Case Study on the Effects of Occupational Therapy Program on Improving School Readiness in Children With Developmental Delays: Focusing on Adaptation and Daily Living Skills

발달지연 아동의 학교준비도 향상을 위한 작업치료 프로그램 효과에 대한 사례 연구: 적응기술, 일상생활기술 영역을 중심으로

  • Kim, Eun Ji ( Dongnam Children's Developmental Center) ;
  • Kwak, Bo-Kyeong (Dept. of Pediatric Occupational Therapy, Seoul Rehabilitation Hospital) ;
  • Park, Hae Yean (Dept. of Occupational Therapy, College of Software and Digital Healthcare Convergence, Yonsei University)
  • 김은지 (동남아동발달지원센터) ;
  • 곽보경 (서울재활병원 소아 작업치료팀) ;
  • 박혜연 (연세대학교 소프트웨어디지털헬스케어융합대학 작업치료학과)
  • Received : 2023.08.22
  • Accepted : 2023.10.12
  • Published : 2024.02.28
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Abstract

Objective : The purpose of this study was to examine the effects of an occupational therapy program on the school readiness, focusing on adaptation skills and daily life skills, in children with developmental delays. Methods : The study involved a boy with developmental delay, aged 5 years and 8 months. The program was conducted twice a week, with a total of 8 sessions spread over 4 weeks. The Canadian Occupational Performance Measure (COPM) was employed, targeting class preparation and use of the toilet. Pre-post tests and follow-up evaluations were carried out to compare changes. Data analysis involved video recordings of the subject's performance. Results : The COPM results indicated improvements in both the performance and satisfaction levels for class preparation and toilet use. Processing skills showed seven improvements in class preparation and eight improvements in toilet use during post-testing. Activity performance observations further confirmed improvements in both class preparation and toilet use during post-test and follow-up evaluations. Conclusion : Occupational therapy improves school readiness (adaptation skill, daily living activity skill) for children with developmental delays, and has a positive effect on overall school readiness.

목적 : 본 연구는 발달지연 아동을 대상으로 작업치료 프로그램이 학교준비도의 적응기술 영역과 일상생활 기술 영역에 미치는 영향을 알아보고자 하였다. 연구방법 : 본 연구는 발달 지연의 만 5세 8개월 남아 1명을 대상으로 하였다. 프로그램은 1주일에 2번, 4주 동안 총 8회기 진행되었다. Canadian Occupational Performance Measure (COPM)를 실시하였으며 목표 활동은 수업 준비하기와 화장실 이용하기였다. 사전-사후 검사와 후속 평가를 통하여 대상자의 변화를 비교하였다. 자료 분석은 대상자의 수행을 비디오로 녹화하여 실시하였다. 결과 : COPM의 결과는 수업 준비하기와 화장실 이용하기에서 수행도와 만족도 모두 향상을 보였다. 처리기술은 수업 준비하기에서 7개, 화장실 이용하기에서 8개의 향상을 나타냈다. 작업 수행 관찰결과 수업 준비하기와 화장실 이용하기에서 사후 검사와 후속 평가에서 향상된 결과를 나타냈다. 결론 : 작업치료는 발달지연 아동의 학교준비도 적응기술과 일상생활기술을 향상시키며 학교준비에 긍정적인 영향을 미친다.

Keywords

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