• Title/Summary/Keyword: 근거기반중재

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Analysis of Individualized Education Support Team Intervention Objectives Using International Classification of Functioning, Disability and Health-Children and Youth Version and the Necessity of Occupational Therapists as IEP Members: A Systematic Review (국제기능장애 건강분류: 아동 청소년 버전을 이용한 개별화교육지원팀 중재목표 분석 및 개별화교육계획 구성원으로서 작업치료사의 필요성: 체계적 고찰)

  • Yun, Sohyeon;An, Hyunseo;Kim, Inhye;Park, Hae Yean
    • Therapeutic Science for Rehabilitation
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    • v.12 no.4
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    • pp.23-37
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    • 2023
  • Objective : This study systematically reviewed the collaborative team interventions of the Individualized Education Plan (IEP) using the International Classification of Functioning, Disability, and Health-Children and Youth (ICF-CY) framework to establish the professional domain of occupational therapists in Korea and their role as experts in IEP cooperative team interventions in special education. Methods : Articles were collected from the EBSCOhost, ProQuest, and PubMed databases. International search terms included "Special education," "Individualized education plan (IEP)," "IEP process," "IEP implementation," and "Occupational therapy." The study period was limited from January 2013 to February 2023, and the final 10 studies were analyzed using secondary classification. Results : Most studies were randomized experiments targeting individuals with autism, and often employed environmental improvements. The IEP collaborative team interventions using the ICF-CY framework emphasized goals related to activity (five studies), participation (four studies), and body structure/function (one study). Conclusion : Occupational therapists play a crucial role in collaborative IEP team interventions. This study established expertise in the context of special education in South Korea.

An Analysis of the Rationale and Format of Music Intervention Studies With Patients Receiving Hospice or Palliative Care in Korea (국내 호스피스·완화의료 환자 대상 음악중재연구 내 중재 제시 방법 및 논거 분석)

  • Oh, Joo Eun
    • Journal of Music and Human Behavior
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    • v.20 no.2
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    • pp.1-32
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    • 2023
  • The purpose of this study was to analyze the rationale and format of music therapy interventions with patients receiving hospice or palliative care in Korea. Through this analysis, I examined whether the music intervention used was based on a valid rationale and represented the professionalism expected of today's music therapy interventions. A total of 12 studies that met the selection criteria were identified, and the overall characteristics of each study and its format were analyzed. As a result of the analysis, it was confirmed that the rationale for each study and its format were influenced by the author's research field. The analysis also showed that the research on music-based interventions in hospice or palliative care settings was insufficient and involved a mix of professional and nonprofessional interventions. The results of this study suggest that importance of researchers possessing professional competence which requires offering a clear justification for their choice of interventions, music, and instruments. Additionally, these results emphasize the need for further development of evidence-based music therapy approaches in hospice and palliative care settings as the role of music in supporting patients in these environments has gained increasing recognition and validation.

The Effect of Combination Intervention of Occupation - Based Intervention and Computerized Cognitive Rehabilitation on Depression in Stroke Patients for Wellness (작업기반 중재와 전산화인지재활치료의 결합 중재가 뇌졸중 환자의 웰니스를 위한 우울감에 미치는 영향)

  • Kim, Sun-Ho
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.1
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    • pp.229-236
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    • 2021
  • The purpose of this study is to investigate how the combined intervention of occupation-based intervention and computerized cognitive rehabilitation treatment affects the psychosocial function, cognitive function, and depression of stroke patients. 23 stroke patients were divided into experimental group(n=11) and a control group(n=12), and the experimental group and the control group received CoTras for 4 weeks and 30 minutes each, and additionally the experimental group received task-based intervention for 30 minutes before the start of CoTras. It was conducted 20 times for a total of 4 weeks. Self-efficacy scale, stress scale, depression scale, neurobehavioral cognitive status examination were used. As a result of the study, the experimental group showed significant improvement in improvement of self-efficacy, stress, and depression than the control group, and the experimental group showed a small effect difference in magnitude of effect from the control group in cognitive function. Based on this study, it is possible to utilize the simultaneous task-based intervention with CoTras to improve psychosocial function, depression and cognitive function in stroke patients.

Meta-Analysis of the Effects of Nonpharmacological Interventions for Anxiety Disorder (불안장애 대상자에게 적용한 비약물적 중재효과 메타분석)

  • Kim, Hyeun sil;Kim, Eun Joo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.11
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    • pp.7273-7284
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    • 2015
  • The purpose of this study was to investigate the effect size of non-pharmacological intervention applied to patients with anxiety disorder and to provide information about evidence-based intervention. Twenty three studies were selected for meta-analysis through a systematic review of domestic studies. We searched journal articles published in Korea up to May, 2015 using the key words "Anxiety Disorders (MeSH)" and "Treatment or Intervention". Meta-analysis was performed using a random effects model, and the effect sizes on each of anxiety and depression were calculated. The effect size for anxiety of non-pharmacological intervention in this study was Hedges' g=1.693 (95% CI; 1.267-2.120), indicating a large effect size. The effect size for depression was Hedges's g=1.571 (95% CI; 0.481-2.661), indicating a large effect size. It is significant that this study systematically synthesized the study results for non-pharmacological intervention effects applied to patients with anxiety disorders in Korea. It also established a basis that can be applied to nursing intervention.

A Systematic Study of Computer-Based Driving Intervention Program for Elderly Drivers (노인 운전자에게 적용한 컴퓨터 기반 운전중재 프로그램에 관한 체계적 고찰)

  • Kim, Deok Ju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.4
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    • pp.293-302
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    • 2019
  • This study systematically analyzed computer-based driving intervention programs for seniors, to provide the academic background for driving intervention for seniors. Articles published from January 2009 till December 2018 were researched and analyzed. 'PubMed, Google Scholar, and Science Direct' were used to search articles published overseas, and 'RISS, KERIS, and KISS' searched for articles published in Korea. Based on the inclusion and exclusion criteria, totally 359 papers were retrieved, and 10 articles were finally analyzed; 8 articles (80%) were evidence level I, and 2 articles (20%) were evidence level III. Amongst the computer-based interventions, driving simulators (70%) were the most common, followed by two video image training (20%) and one Nintendo Wii program (10%). In most studies, driving simulators trained the cognitive and visual abilities of seniors and enhanced their abilities to cope with risk situations under various simulated circumstances. Other interventions were also reported to have a positive effect. For evaluating elderly drivers, the driving performance evaluation using a driving simulator was the most common; in addition, evaluations of attention, space-time ability, cognitive function, risk perception, depression and anxiety were also commonly used. We believe that it is appropriate to employ computer-based driving intervention programs for seniors to train and evaluate various domains. We expect that these interventions can be used as an effective tool for safe driving.

The Effectiveness of Nursing Information Literacy Competency Enhancement Program on Evidence-Based Practice Competencies and Problem Solving Skills in Nursing Students (간호대학생의 간호정보활용역량 강화프로그램이 근거기반실무 역량과 문제해결능력에 미치는 효과)

  • Ha, Yeong-Mi;Lee, Meiling;Chae, Yeo-Joo
    • Journal of Digital Convergence
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    • v.14 no.11
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    • pp.347-356
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    • 2016
  • The purpose of this study was to develop and examine the effectiveness (knowledge, attitude, skills of Evidence-Based Practice, and problem solving skills) of nursing information literacy competency enhancement program for nursing students. It is a pre-post design study carried out with a single group of 72 sophomores in a nursing college. Nursing information literacy competency enhancement program of 6 times (8 hours) was provided to nursing students. Our results have demonstrated that knowledge, attitude, skills of evidence-based practice, and problem solving skills were significantly higher in nursing students. In conclusion, the nursing information literacy competency enhancement program was effective in promoting knowledge, attitude, skills of evidence-based practice and problem solving skills. Based on our results, the nursing information literacy competency enhancement program can provide a basis for enhancing evidence-based nursing practice competencies and problem solving skills of nursing students.

A Systematic Review of Occupational Therapy Interventions for Children With Cerebral Palsy: Focus on Single-Subject Research Design (뇌성마비 아동을 위한 작업치료 중재에 대한 체계적 고찰: 국내 단일대상연구를 중심으로)

  • Shin, Chae-Eun;Choi, Yoo-Im
    • Therapeutic Science for Rehabilitation
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    • v.12 no.2
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    • pp.25-42
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    • 2023
  • Objective : The purpose of this study was to identify the characteristics of a single-subject research study and qualitative levels in which occupational therapy interventions were performed on children with cerebral palsy. Methods : This study targeted papers, published in Research Information Sharing Service (RISS), National Digital Science Library (NDSL), Koreanstudies Information Service System (KISS), and E-article from May 20 to 29, 2022. The search terms were 'cerebral palsy' AND 'single subject research design' OR 'individual subject study'. Eleven papers, were finally selected and analyzed. Results : Most of the studies were medium in methodological quality, and the subjects were pre-school age and spastic hemiplegia. Among the single-subject designs, intervention-removal designs were the most common, and among them, ABA designs were the most common. Interventions included assistive devices, constraint-induced therapy, neurodevelopmental therapy, and sensory integration therapy were 2, and upper extremity exercise, interactive metronome, and CO-OP were 1. Dependent variables were measured with 2 to 4 measurement tools, Significant improvements were found in postural control ability, gait and balance, hand function, and upper extremity function. Conclusion : This study confirmed that it is helpful to apply cerebral palsy occupational therapy by presenting the characteristics of cerebral palsy, intervention sessions and effects, measurement tools and methodological quality levels.

A Review of Interventions Using Music for Physical Rehabilitation in Patients With Parkinson's Disease (국외 파킨슨병 환자 대상 음악을 활용한 신체재활 중재연구 고찰)

  • Kwon, Ha Young
    • Journal of Music and Human Behavior
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    • v.20 no.2
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    • pp.33-60
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    • 2023
  • This study is an analysis and review of the international research on interventions using music for the rehabilitation of patients with Parkinson's disease(PD). It categorizes 24 intervention studies conducted over the last 20 years based on the level of music usage and type of music utilized. The aim of this analysis was to identify which musical elements improved timing issues related to the initiation and cessation of movement in patients with PD. The studies involved six with music-based interventions and 18 with rhythm-based interventions, depending on the level of music usage. Rhythm, a common element in music, was a suitable factor for addressing the participants' issues. Furthermore, this review suggests that the characteristics of the researchers impact the extent to which musical elements are used and the diversity of those elements, which influences the intervention's effectiveness. Therefore, this study provides information on how to specify and systematically consider intervention efforts and the use of musical elements that can be applied in rehabilitation for patients with PD.

Cognitive-based Intervention for the Older Adults with Mild Cognitive Impairment: A Literature Review (경도인지장애 노인에게 적용된 인지기반 중재연구의 분석적 고찰)

  • Lim, Se-Hyun
    • Journal of the Korea Convergence Society
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    • v.12 no.2
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    • pp.327-336
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    • 2021
  • It is important to prevent progression of mild cognitive impairment (MCI) to Alzheimer's disease or other dementia. This study was conducted to investigate cognitive-based intervention and its effectiveness for the older patients with MCI through systematic review. Data search was conducted in September 2020, using the Korea Research Information Service (Riss) and KoreaMed. After selection of literatures according to the predefined inclusion criteria, a total of 12 articles were included. It is revealed that the cognitive-based intervention for the older adults with MCI was found to have a positive effect on the various factors including cognitive function, depression, physical health status, quality of life, and communication. However, it is difficult to draw a definite conclusion due to the various intervention strategies and instruments used. Thus, based on the results of this study, we suggest more studies to verify the effectiveness of such programs.

Effects of Therapeutic Interventions on Upper Extremity Function Among Children With Cerebral Palsy in Domestic: A Systematic Review (국내 뇌성마비 아동의 상지기능 향상을 위한 중재효과에 대한 고찰)

  • Park, Young-Ju
    • The Journal of Korean Academy of Sensory Integration
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    • v.16 no.2
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    • pp.64-74
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    • 2018
  • Objective : The purpose of this study is to examine the effects of therapeutic interventions on upper extremity function of children with cerebral palsy using systematic review methods and to suggest intervention trends in Korea. Methods : The subjects of the study were the researches published in the Korean Journal since 2008. Total 12 studies were selected through Korean research database engine such as DBpia, Scholar, KSDC, KISS and RISS for the systematic review. Key words were 'cerebral palsy', 'upper extremity function' and 'hand function'. The results of this study were analyzed by qualitative level and methodological quality level of evidence, and the results of each study were analyzed according to the PICO approach, that is Patient, Intervention, Comparison and Outcome. Results : For the level of evidence, Grade IV and V were most frequent. In terms of methodological quality, majority of the studies showed 'Fair' level. The subjects were the children with hemiplegia, and Single-subjects designs and case studies were frequent experimental design. Constraint-induced movement therapy (CIMT) was most frequently conducted among the intervention studies, and Jebsen-Taylor Hand Function Test was most frequently used evaluation tool. Eleven studies showed that the upper limb functions were significantly improved or were positively effective. Conclusion : Various intervention methods have been implemented to improve the upper limb functions of children with cerebral palsy. In the future, studies on intervention methods based on the type of paralysis and studies with high quality of evidence should be conducted in Korea.