• Title/Summary/Keyword: Community based occupational therapy

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Development of Contents for the Activities of Daily Living Training for Life Care - Korean Version (라이프케어를 위한 한국형 일상생활활동훈련치료 콘텐츠 개발)

  • Lee, Chun-Yeop;Park, Young-Ju
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.7
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    • pp.529-538
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    • 2020
  • This study aims to develop of contents for the activities of daily living training - Korean version that reflexes the domestic situation and can be applied to clinical practice. For contents development, a Delphi survey was conducted with 13 experts. In the first Delphi survey, 133 items of activities of daily living training are derived based on previous studies, and then the extracted items are asked to group of experts, and the derived items are answered for actual domestic clinical application. In the second survey, 118 items were added by excluding items with a low content validity ratio (CVR) including the results of the first survey, and adding items that can be derived from other opinions. In the 3rd survey, while presenting the 2nd Delphi survey items as they are, it provides an opportunity to change their opinions by presenting their 2nd response and the 2nd average score of other expert panels, and adding appropriateness and importance together. The data were analyzed to obtain the mean, standard deviation, interquartile range, CVR, convergence, and consensus. Finally, a total of 69 items were selected and 49 items were excluded so that 105 items for CVR 0.54 or higher, 111 items for convergence degree 0.50 or lower, and 70 items for continuity degree 0.75 or higher. Sexual activity, care of others, care of pets, and child rearing are difficult to apply socially and culturally, driving and community mobility cannot be performed within the clinical room, and home establishment and management may have different roles depending on gender, and religious spiritual activities and expression are so personal. For these reasons, these items were found to have low importance or suitability. This study can be usefully used as an indicator on the activities of daily living training - Korean version in clinic or community setting.

Life Satisfaction of Older Adults using Hierarchical Model Analysis focused on Individual and Community Factors (다층모형을 활용한 노인의 삶의 만족도 분석: 개인적 요인과 지역적 요인의 특성을 중심으로)

  • Kim, Sungwon;Lee, Eunjin;Chung, Soondool
    • 한국노년학
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    • v.36 no.3
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    • pp.581-594
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    • 2016
  • This study aims to observe the effect of age friendliness of cities on life satisfaction and to suggest ways to improve quality of life of older people. The secondary data sets were used in this study, which were '2014 Survey of Living Conditions and Welfare Needs of Korean Older People.' It's a nationwide data collected by the Korean Institute of Health and Social Affairs. A multilevel analysis model was used to analyze the data because the level of age friendliness has a hierarchical data structure. Results showed as follows: First, life satisfaction of older adults is affected by the level of age-friendliness of cities in which they live. Second, on the personal level, older people showed low life satisfaction when they are more older and have more chronic diseases and more depressed. On the contrary, life satisfaction of older adults increased when they have higher education and income. Third, on the city level, older people showed higher life satisfaction when they live in high employment rate area and participation rate of lifelong education. Cautions should be placed when interpret the result because the variables that represent the characteristics of age friendless of cities were constituted arbitrary. Based on the results, suggestions for improving the city environment age-friendly and implications for social welfare practice were provided.

Systematic Review of Assessment Tools for the Housing Environment of the Old Adults Population (노년 인구의 주거환경 평가도구에 관한 체계적 고찰)

  • Lim, Young-Myoung
    • Therapeutic Science for Rehabilitation
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    • v.13 no.2
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    • pp.27-40
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    • 2024
  • Objective : This study aimed to conduct a systematic review of the assessment tools used to assess the housing environment of older adults. Methods : Data were collected from January 2015 to August 31st, 2023, by searching databases including the Cochrane Library, PubMed, and ProQuest. From the 267 articles, nine assessment tools were selected for analysis based on their original instruments. These tools were categorized and systematically organized for analysis based on their frequency of use, assessment purposes, sub-domains, scales, and other relevant criteria. Results : Among the nine tools, HOME FAST and IPAQ-E were the most frequently used (20% each). The objectives of these tools are to assess friendliness, physical barriers, fall prevention, dementia-friendly environments, physical activity, and accessibility. The measurement scope encompassed various factors, such as outdoor spaces, buildings, transportation, housing, and community support. Conclusion : When considering the suitability of housing for the older adults population, providing foundational data for the rational selection of evaluation tools with logical validity is important. This includes factors such as the objectives and measurement scopes of housing environment assessment tools.

Cognitive Function Affecting Self-reported Driving Test of Mild Cognitive Impaired Elderly Driver in The Community (지역사회 거주 경도인지장애 노인 운전자의 자가-보고식 평가 수행에 영향을 미치는 인지기능)

  • Choi, Seong-Youl
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.12
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    • pp.178-185
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    • 2018
  • A self-report evaluation is used to prevent driving accidents by elderly drivers. The majority of normal older adults may have mild cognitive impairment with reduced cognitive function. These depressed cognitive functions may be variables that affect the performance of elderly drivers. This study confirmed the cognitive functions that affect the self-reported evaluation for elderly drivers with mild cognitive impairment. Based on the results of the Korean Version of the Montreal Cognitive Assessment, 103 elderly drivers were classified into mild cognitive impairment and normal groups of elderly drivers. The Korean-Drivers 65 plus scores used in the self-reported evaluation of the two groups were compared, and the cognitive functions affecting the evaluation were analyzed. Results found the mild cognitive impairment group showed a significantly lower evaluation performance compared to the normal group, and the self-reported evaluation results of the elderly driver with mild cognitive impairment showed a significant correlation between visuoconstructional skills and delayed recall. As a result of regression analysis, the visuoconstructional skill was identified as the cognitive function with the strongest influence on the self-reported evaluation performance. Delayed recall was also found to have a partial effect but not at the level of altering the self-reported evaluation results of the elderly driver with mild cognitive impairment.