• Journal of Korean Society of Neurocognitive Rehabilitation
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• v.10 no.2
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• pp.27-34
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• 2018

The purpose of this study is to investigate the effect of task training for cognitive activation of upper extremity on upper limb function and activities of daily living and to suggest intervention in rehabilitation treatment. From January to February of 2018, nine stroke patients were arbitrated 30 minutes a day, five days a week, for four weeks. For the experimental group, the therapist has induced the group using the linguistic guidance to patients, so they utilize the cognition strategy. The control group conducted active exercises in a range of motion using the instruments and passive exercises in a range of motion to reduce the stiffness of joints and upper limbs. As muscle strengthening exercises, the patients were assigned to work on the biceps muscle of arm, triceps muscle of arm, and deltoid according to the individual patient's muscular strength level. For the experimental group, the MBI was improved by ten points at maximum, and K-AMPS motor skills showed the improvements of 1.0 logit at maximum, and processing skills showed improvements of 0.6 logits at maximum. In MFT, the maximum improvement was by two points. For the control group, MBI was improved by five points at maximum, and 0.2 maximum improvements were shown in K-AMPS' motor skills and 0.3 maximum improvements in processing skills. MFT showed no change. The conclusion is that the challenges to enable training for stroke patients give a positive impact on upper limb function and activities of daily living.

• (The)Korea Educational Review
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• v.23 no.1
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• pp.231-260
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• 2017

The Fourth Industrial Revolution foreshadows radical changes in our lives. In the era of the fourth industrial revolution called the digital revolution, individualized learning based on ubiquitous learning is emphasized. The contents of learning will be centered on procedural knowledge rather than narrative knowledge, and fusion education in which boundaries between learning domains are broken down will be achieved. First of all, learners in the fourth industrial revolution era should have critical thinking and problem solving abilities. Metacognition based on self-control and cognitive flexibility is important for effective self-directed and active learning. Creativity-based collaborative activities, social vision skills, and social and emotional skills are also important competencies. Therefore, in order to provide individualized learning contents to learners in the fourth industrial revolution era, they should be transformed into learning paradigm based on personal characteristics such as learners' self-efficacy, interest, curiosity and creativity. In addition to this, evaluation forms should be diversified according to changing teaching and learning methods. In order to cultivate teachers to lead such educational innovation, it is necessary to reconsider the teaching capacity. Teachers should be able to construct creative lessons by skillfully exploiting technology in future learning environments. In addition to this, it should also have the ability to collaborate and cognitive flexibility to converge with other academic disciplines. Along with these discussions, we proposed the need for policy intervention along with changes in education.

• The Journal of the Korea Contents Association
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• v.20 no.12
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• pp.646-658
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• 2020

This study assessed the experience of telehealth digital art therapy with a phenomenological case study method based on the need for a psychotherapeutic intervention of caring for the psychological health of self-quarantined people before confirmed with COVID-19. The research participant was a 17-year-old adolescent (girl) from Canada, who participated in seven sessions in a structured telehealth digital art therapy program for 90~120 minutes per session while she was self-quarantining. The analysis of the data was conducted in the process of assessing significant statements through content analysis and drawing themes based on the researcher's pre-understanding and epoche. As a result, 34 themes were drawn, which were classified into 10 common theme clusters and finally into three theses, including "psychology and emotions during self-quarantine", "limitation of remote digital art therapy', and 'positiveness of remote digital art therapy." This study is the case study of telehealth digital art therapy conducted first with a self-quarantined person before confirmed with COVID-19, and at the center of the crisis of COVID-19, hopefully, this study would provide important implications for "psychological quarantine," active self-care for self-quarantined people's psychological health.

• Korean Journal of Psychosomatic Medicine
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• v.29 no.1
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• pp.42-48
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• 2021

Objectives : Based on the fact that cognitive functions decline known as comorbid symptoms of depression can precede depression, this study seeks to observe the effects of depressive symptoms and anxiety symptoms on cognitive function in healthy subjects. Methods : To recruit 50 general populations to evaluate cognitive and clinical symptoms and to find out the effects of clinical symptoms on cognitive functions, Pearson correlation and multivariate regression were conducted. Correlation analysis of subdomain cognitive function was conducted for reliability analysis. Results : Trail making test-B that evaluates the execution function correlates with depressive symptoms (r=0.300, p=0.03) and age (r=0.323, p=0.02). Depressive symptoms (β=0.304, p=0.03) and age (β=0.335, p=0.01) were significantly related to Trail making test -B (Adjusted R²=0.148). Subjective cognitive tests correlates with anxiety symptoms (r=0.434, p=0.002). In the correlation between cognitive functional items, Subjective cognitive tests was found to be correlated with other test except Spotter. Conclusions : In this study, depressive symptoms contribute independently to executive functions in addition to demographic characteristics such as age and duration of education. Given that cognitive decline is a common long-term clinical outcome in depression, we expect active early intervention and evaluation of cognitive function to be helpful.

• Quality Improvement in Health Care
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• v.28 no.1
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• pp.14-33
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• 2022

Purpose: To examine whether the Patient Experience Assessment (PEA) has led to perceptible changes at the ground level of health care, as a way of evaluating PEA as a policy intervention for quality improvement. Methods: Four focus group discussions (FGDs) were conducted, each comprising six to eight participants who were employees responsible for patient experience at their respective hospitals. The primary focus of the FGDs was on questions such as: 1) How do hospitals respond to PEA? 2) What significant changes were observed after the implementation of PEA? 3) What were the unintended consequences of implementing PEA, if any? 4) What areas of improvement have been identified for maximizing the potential of PEA? Results: Two broad themes emerged out of the FGDs: changes observed post implementation of PEA, and areas for improvement of PEA. Four significant changes were reported by participants: changes in perception and attitude regarding patient experience in hospital employees, increased active involvement by the hospital leadership, enhanced efforts to improve patient experience, and increased cooperation between such activities. Furthermore, eight areas of improvement were identified, which have been grouped in three categories: improving the process of data collection for PEA, introducing additional catalysts to facilitate further changes, and paying attention to structure- and patient-level constraints that must be addressed in parallel. Conclusion: The implementation of PEA led to perceptible changes within hospitals, which implies that it can serve as an effective catalyst for improving patient experience. A number of areas of improvement that would aid in maximizing the potential of PEA were also identified.

• Journal of Convergence for Information Technology
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• v.12 no.4
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• pp.103-110
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• 2022

Online transactions are more familiar in various fields due to the development of the ICT and the increase in trading platforms. In particular, the amount of transactions is increasing due to the increase in used transaction platforms and users, and reliability is very important due to the nature of used transactions. Among them, the used car market is very active because automobiles are operated over a long period of time. However, used car transactions are a representative market to which information asymmetry is applied. In this paper presents a DID-based transaction model that guarantees reliability to solve problems with false advertisements and false sales in used car transactions. In the used car transaction model, sellers only register data issued by the issuing agency to prevent false sales at the time of initial sales registration. It is authenticated with DID Auth in the issuance process, it is safe from attacks such as sniping and middleman attacks. In the presented transaction model, integrity is verified with VP's Proof item to increase reliability and solve information asymmetry. Also, through direct transactions between buyers and sellers, there is no third-party intervention, which has the effect of reducing fees.

• The Journal of the Korea Contents Association
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• v.22 no.4
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• pp.1-12
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• 2022

Since the early 20th century, along with the interest and development of alternative psychotherapy, the field of art therapy has also been developed and expanded. In particular, the recent development of technology and the untact era brought about by the COVID-19 Pandemic is accelerating the development of new digital art therapy contents. Among them, the hot interest in virtual reality is raising expectations and questions about the effectiveness of psychotherapy given by new media beyond traditional art therapy. In this study, the characteristics of VRAT (Virtual Reality Art Therapy) content therapeutic factors were investigated through qualitative literature analysis based on the conceptual framework and therapeutic components of ETC (Expressive Therapies Continumm), an integrated art therapy theory. As a result of the study, VRAT contents showed mostly therapeutic factors in the left hemisphere that triggered the user's dynamic, perceptual, and cognitive factors, and the therapeutic factors in the right hemisphere, which focused on sensory, emotional, and symbolic factors, were relatively few. The reason seems to be due to the nature of the experimental stage, the absence of active intervention by the therapist and long-term session composition, and the fear, clumsiness, and unfamiliarity of users about VRAT in addition to the characteristics and technical limitations of the VRAT medium. The limitations of the study include the small number of documents to be analyzed and the insufficient form of current VRAT to be called art therapy. It is expected that the characteristics of the therapeutic factors of VRAT content media and environment derived as a result of this study will be usefully used for the appropriate development of VRAT content in the future.

• Therapeutic Science for Rehabilitation
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• v.11 no.2
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• pp.39-51
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• 2022

Objective : This study aimed to investigate the awareness and experience of community-based dysphagia therapy and related education in community-dwelling older adults. Methods : A total of 89 older adults were recruited from a public health center in Gyeonggi-do. Awareness, experience, and related education regarding community-based dysphagia therapy were analyzed using descriptive statistics. Results : We analyzed 89 questionnaires. Awareness, treatment experience, and education regarding dysphagia were low; however, the importance and intention to participate were high. Respondents wanted education about proper chewing and safe swallowing, oral health, oral motor exercise, and participation in community-based dysphagia programs in public health centers. The reason for the lack of experience in dysphagia education and therapy is insufficient information and opportunities. The respondents had a good understanding of dysphagia symptoms. Conclusion : Dysphagia therapy maintains swallowing and eating functions as a life-long Activity of Daily Living, and is a very important area in community rehabilitation. Based on the results of this survey, the necessity and importance of community-based dysphagia were identified. It is time to provide correct information and develop a systematic education program for community-based dysphagia therapy. Occupational therapists need to play an active role in improving quality of life by early detection and providing proper intervention.

• The Journal of the Convergence on Culture Technology
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• v.8 no.5
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• pp.207-218
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• 2022

This study, to confirm the mediating effect of knee pain on cognitive functions and depression in older adults, and as an interdisciplinary research between the physical and psychological mechanisms, confirmed the identifying group differences by gender, age, and educational attainment of older adults, and aimed to research the improvement of cognitive functions, which is a main factor of dementia's risk prediction. The analysis data was from the 8th Korean Longitudinal Study of Ageing (KLoSA) in 2020, and the research model was verified using Process macro and model #4. The main analysis results are as follows. First, depression partially mediation effect of knee pain on cognitive functions. Second, the mediation effect of depression by gender was significant, but the direct effect in the male older adults group was twice that in the female older adults; the indirect effect did not vary significantly based on gender. Third, the mediating effect of depression by age was relatively greater in the old-old aged group than in the young-old aged one. Fourth, as for the mediating effect of depression according to the classification of educational attainment, the mediating effect was not significant in the group with a college degree or higher education but was significant in the remaining three sub-groups. Based on the results, this study makes implications for the need for active intervention strategies to improve cognitive functions, focusing on group differences by gender, age, and educational attainment in the management of knee pain and depression.

• Korean Journal of Culture and Social Issue
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• v.21 no.3
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• pp.299-315
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• 2015

This study examines correlations among factors that reportedly affect adjustment to military life: self esteem, locus of control,, social support and stress coping strategies. The study also attempts to validate the structural model to enhance understanding of the process of adjusting to the military life. The subjects of the study were 447 listed soldiers from private to sergeant currently stationed and serving in an army post in Gangwon-Do, Korea. The following tools were used for this study. Based on self-inventory questionnaires, evaluations were made regarding self esteem, locus of control, social support, stress management, adaptation to military life. Reliability of each criterion was evaluated based on reliability examination, correlations among parameters were analyzed, and the structural equation model was validated to verify the research model. The results of the study can be summarized as follows. First, internal control and self esteem have significant positive influence on social support and stress coping. Second, internal control and self esteem affect adjusting to military life through social support and active coping, two factors mediated in this study to act as parameters between self-esteem and internal control and military adaption. This study emphasizes intervention such as establishment of a social support system and training for taking necessary actions as limitations of studies dealing with internal traits and military adaptation. Since the subjects of this study were chosen from an army based in a single location for convenience' sake, it may be difficult to generalize the results to analyze the entire military.