• Title/Summary/Keyword: Individualized Support

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Development and Validation of the Korean Tier 3 School-Wide Positive Behavior Support Implementation Fidelity Checklist (KT3-FC) (한국형 긍정적 행동지원 3차 실행충실도 척도(KT3-FC)의 개발과 타당화)

  • Won, Sung-Doo;Chang, Eun Jin;Cho Blair, Kwang-Sun;Song, Wonyoung;Nam, Dong Mi
    • Korean Journal of School Psychology
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    • v.17 no.2
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    • pp.165-180
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    • 2020
  • As a tiered system of supports, School-Wide Positive Behavior Support (SWPBS) is an evidence-based practice in the educational system of Korea. An important aspect of SWPBS is the ongoing progress monitoring and evaluation of implementation fidelity. This study aimed to develop and validate the Korean Tier 3 School-Wide Positive Behavior Support Implementation Fidelity Checklist (KT3-FC). The preliminary KT3-FC consisted of a 37-item, 6-factor checklist. In the first phase of the study, 10 experts reported that the range of content validity of the KT3-FC was adequate. In the second phase of the study, 185 teachers (52 men and 133 women) who implemented SWPBS completed the KT3-FC, Individualized Supports Questionnaire, School Climate Questionnaire, School Discipline Practice Scale, and PBS Effectiveness Scale. An exploratory factor analysis resulted in a 5-factor structure, with 20 items, instead of 37 items, consisting of: (a) progress monitoring and evaluation of the individualized supports, (b) provision of supports by aligning and integrating mental health and SWPBS, (c) crisis management planning, (d) problem behavior assessment, and (e) establishment of individualized support team. The internal consistency of the KT3-FC was good (full scale α = .950, sub-factor α = .888 ~ .954). In addition, the KT3-FC showed good convergent validity, having statistically significant correlations with the Individualized Support Questionnaire, School Climate Questionnaire, School Discipline Practice Scale, and the PBS Effectiveness Scale. Finally, the confirmatory factor analysis showed that the 5-factor model of the KT3-FC had some good model fits, indicating that the newly developed fidelity measure could be a reliable and valid tool to assess the implementation of Tier 3 supports in Korean schools. Accordingly, the KT3-FC could contribute to implement SWPBS as an evidence-based behavioral intervention for Korean students.

Literature Review Nursing Intervention for Developmental Support on Preterm Infants (미숙아의 발달지지를 위한 간호중재에 관한 문헌연구)

  • Kim, Tae-Im;Sim, Mi-Kyung
    • Korean Parent-Child Health Journal
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    • v.4 no.1
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    • pp.35-55
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    • 2001
  • Recently attention has been focused on the effects of early intervention, or its lack, on both normal and preterm infants. Particularly numerous studies suggest that premature infants are not necessarily understimulated but instead are subjected to inappropriate stimulation. Developmental support and sensory stimulation have become clinical opportunities in which nursing practice can impact on the neurobehavioral outcome of premature infants. Developmental care has been widely accepted and implemented in neonatal intensive care units across the country. Increasingly, attention and concern in caring for low-birth-weight infants and premature infants has led clinicians in the field to explore the effects of a complex of interventions designed to create and maintain a developmentally supportive environment; to provide age-appropriate sensory input; and to protect the infant from inappropriate, excessive and stressful stimulation. The components of developmental care include modifications of the macro-environment to reduce NICU light and sound levels, care clustering, nonnutritive sucking, and containment strategies, such as flexed positioning or swaddling. Sensory stimulation of the premature infants is presented to standardize the modification of a developmental intervention based on physiologic and behavioral cues. The most appropriate type of stimuli are those that are sensitive to infant cues. Evaluation of infant physiological and behavioral responds to specific intervention stimuli may help to identify more appropriate interventions based on infants' cues. A critical question confronting the clinician is that of determining when the evidence supporting a change in practice is sufficient to justify making that change. There are acknowledged limitations in the current studies. Many of the studies examined had small sample sizes; used nonprobability sampling; and used a phase lag design, which introduces the possibility of threats to internal validity and limits the generalizability of the results. Although many issues regarding the effects of developmental interventions remain unresolved, the available research base documents significant benefits of developmental care for LBW infants in consistent outcomes, without significant adverse effects. Particularly, although the individual studies vary somewhat in the definition of specific outcomes measured, instrumentation used, time and method of data collection, and preparaion of the care providers, in all studies, infants receiving the full protocol of individualized developmentally supportive care had improvements in some aspect of four areas of infant functioning: level of respiratory or oxygen support, the establishment of oral feeding; length of hospital stay, and infant behavioral regulation. In summary, based on the available literature, individualized developmental intervention should be incorporated into standard practice in neonatal intensive care. And this implementation needs to be coupled with ongoing research to evaluate the impact of an individualized developmental care programs on the short- and long-tenn health outcomes of LBW infants.

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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.

The Effects of Social Support & Leadership from Career Mentor on High School Students' Career Preparation Behavior & GRIT (진로멘토의 사회적 지지와 변혁적 리더십이 일반계 고등학생의 진로준비행동과 그릿에 미치는 영향)

  • Choe, Hyeon-Min
    • Journal of vocational education research
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    • v.37 no.3
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    • pp.25-45
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    • 2018
  • This study investigates the relationship between the social supports & the transformational leadership from career mentors and high school students' GRIT & career preparation behavior. The purpose of this study was to provide baseline data for Development of Career-program so that they can provide effective career advice to students, through analyzing preceding researches that highlight the impact from career mentors on students' GRIT and career preparation behavior. For this study, the questionnaires for students' GRIT & career preparation behavior were completed by 257 sophomore high school students participating in the career mentor program. also, This data was analyzed to find student's perception of social supports and transformational leadership from career mentors. Correlation analysis was used to investigate the relationship among four variable(GRIT, career preparation behavior, career mentor's social supports, career mentor's transformational leadership) and regression analysis was used to find the influence from the career mentor's social supports and career mentor's transformational leadership on student's GRIT & career preparation behavior. The result showed the change of students' GRIT & career preparation behavior have risen on average. Also, it showed the change of students' career preparation behavior is influenced by career mentor's emotional support, informational support and individualized consideration. Lastly, the change of students' GRIT is influenced by career mentor's emotional support, appraisal support and individualized consideration. This result was able to identify the relationship and influence of career mentor who were limited to social support by their parents and teachers. And, it suggests that the appropriate social supports need to be provided to students by understanding the type of social supports that meet student's expectations.

Study on ITS Teaching-learning Model and System Based on Learner's Cognition Structure for Individualized Learning in Cyber Learning Environment (사이버 러닝 환경에서 개별화 학습을 위한 학습자 인지구조 기반 ITS 교수·학습 모형과 시스템에 관한 연구)

  • Kim, YongBeom;Jung, BokMoon;Choi, JiMan;Back, JangHyeon;Kim, TaeYoung;Kim, YungSik
    • The Journal of Korean Association of Computer Education
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    • v.10 no.6
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    • pp.79-89
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    • 2007
  • The advent of e-Learning paradigm requires a various type of e-Learning models and systems which are appropriate to support effective teaching-learning process. Accordingly, the teaching-learning system using the Internet and the intelligent tutoring system(ITS) in e-Learning environment has attracted a fair amount of critical attention. However there is a wide gap between infrastructure of a present educational site and the u-learning environment. Therefore, in this paper, an ITS teaching-learning model is proposed and system is developed for a school environment, which is based on a learner's cognitive structure and applies a concept of u-Learning, and then is verified for validity. X-Neuronet, the developed system, offers a method of representing a learner's cognitive structure so as to apply the method for the efficient individualized learning.

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The effect of care burden on depression among mothers of children with developmental disabilities - The role of social support as a moderator - (발달장애 자녀 어머니의 양육부담이 우울에 미치는 영향 : 사회적 지지의 조절효과를 중심으로)

  • Park, Soo Kyung;Kim, Bo Kyung;Song, Ji Yeon;Nam, Ji Hyun
    • Journal of Family Relations
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    • v.23 no.3
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    • pp.153-175
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    • 2018
  • Objectives: The purpose of this study is to examine the effects of care burden among mothers of children with developmental disabilities on depression and the moderating effects of formal and informal social support. Method: The self-report questionnaires were administered to 200 mothers of children with developmental disabilities (aged 6~20 years) in pre-adulthood in Gyeongi-do. A hierarchical regression analysis was conducted. Result: First, There is a need to provide a mental health program that can relieve depression. Second, Individualized intervention strategies for mothers' psychological counseling and support programs for intensive case management and parenting stress management programs are needed. Third, Individual visit case management is required. In addition, it is necessary to expand the eligibility for care services and to maintain long-term programs. Conclusion: The findings suggested that there is a need to provide mothers with not only personal assistance program but also services such as mothers' psychological counseling, peer mentor program, and parenting stress management.

Comparative Effect of Interventions for Fall Prevention in Hospitals: Network Meta-analysis (병원 입원 환자를 위한 낙상예방중재 효과의 비교우위: 네트워크 메타분석)

  • Kang, Hyunwook;Ko, Ji Woon
    • Journal of muscle and joint health
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    • v.30 no.3
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    • pp.218-229
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    • 2023
  • Purpose: This study aimed to assess and compare the effectiveness of various fall prevention interventions in hospitals through a network meta-analysis. Methods: A network meta-analysis was conducted using the "netmeta" package in R software (v4.1), employing a frequency method. Odds ratios of fall rates and injurious fall rates were utilized to confirm the effects of interventions for fall prevention. Comparative rankings of these interventions were determined using cumulative probability (P-score). Results: Comparative rankings via cumulative probability (P-scores) revealed individualized education as the most effective intervention for fall incidence (P-Score 87.8%). Followed by fall-preventing sensors (60.9%), multicomponent interventions (47.4%), usual care (33.2%), and environmental modification (20.7%). For fall-related injuries, individualized education ranked highest (P-Score 97.1%), followed by multicomponent interventions (76.0%), usual care (47.6%), environmental modification (24.2%), and fall-preventing sensors (5.1%). Conclusion: This study provides valuable insights into the relative effectiveness of diverse interventions in preventing fall incidence through network meta-analysis. The findings aim to support nurses in making informed decisions when implementing fall prevention strategies in clinical practice.

Development of Support Models for Children with ADHD as Special Education Subjects (특수교육 대상자로서 ADHD 아동의 지원 모형 개발)

  • Kang, Min-Chae
    • The Journal of the Korea Contents Association
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    • v.17 no.8
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    • pp.570-578
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    • 2017
  • This study aims to develop suitable and appropriate support models for ADHD children to provide effective and efficient support for the target children. The diverse characteristics of target area, educational, social conditions, and supporting organization and delivery systems have been comprehensively considered. Domestic and overseas literature review has been performed to analyze the status of support services for ADHD children to develop the model. The FGI was adapted to identify eligibility and expectations for the qualification of ADHD children and the awareness and expectations of relevant professionals. Based on the theoretical rationale and empirical analysis results derived from these systematic procedures, suitable and appropriate support models were developed for ADHD children as a special educational subjects. The support model includes the development of individualized support programs for the needs of the entire ADHD student population, which require screening and assessment of the entire student population and requiring support for special needs. Support methods were developed in a system that supports family support, educational support, medical assistance, and medical support.

A Study on the Construct Measurement of Support Needs for People with Intellectual Disabilities (지적장애인 지원욕구 측정을 위한 구성 요인 연구)

  • Yoon, Jeayoung;Park, Chano;Park, Sangwon
    • Journal of Digital Convergence
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    • v.16 no.5
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    • pp.477-485
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    • 2018
  • This study is to find construction factors of assessing the support needs of people with intellectual disabilities. For this purpose, 19 social welfare activists of the disabled having experiences in individual support services interviewed 196 persons with intellectual disabilities and based on the interview results, confirmatory factor analysis has been conducted. The study has found a construct of 6 areas and 20 items to assess the support needs. Compared to ICF and SIS-A, it shows the health care area has been emphasized while community life, social life and civic life have decreased. The study discusses the possibility of using the simple scale in the early stage of introduction of individual support services for people with intellectual disabilities in South Korea and the normative scores are needed to be produced by additional larger scale survey studies in the future.

Current Barriers of Obesity Management of Children Using Community Child Care Centers and Potential Possibility of Utilizing Mobile Phones: A Qualitative Study for Children and Caregivers (지역아동센터 이용 어린이의 비만관리의 한계점과 모바일폰의 잠재적인 활용 가능성: 어린이와 보호자 대상의 질적 연구)

  • Lee, Bo Young;Park, Mi-Young;Kim, Kirang;Shim, Jea Eun;Hwang, Ji-Yun
    • Korean Journal of Community Nutrition
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    • v.25 no.3
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    • pp.189-203
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    • 2020
  • Objectives: This study was performed to identify the current barriers of obesity management for children using Community Child Care Centers and their caregivers (parents and teachers working in the Centers). Further, this study explored the possibility of utilizing a mobile phone application for tailored obesity prevention and management programs to overcome the current difficulties associated with children's obesity management. Methods: The qualitative data were collected through in-depth interviews with 20 obese and overweight children or children who wanted to participate in this study using Community Child Care Centers, 12 teachers working at the Centers, and a focus group interview with five parents of children using the Centers. Data were analyzed with a thematic approach categorizing themes and sub-themes based on the transcripts. Results: The current barriers of obesity management of obese and overweight children using Community Child Care Centers were lack of self-directed motivation regarding obesity management (chronic obesity-induced lifestyles and reduced self-confidence due to stigma) and lack of support from households and Community Child Care Centers (latchkey child, inconsistency in dietary guidance between the Center and household, repetitive pressure to eat, and absence of regular nutrition education). Mobile phone applications may have potential to overcome the current barriers by providing handy and interesting obesity management based on visual media (real-time tracking of lifestyles using behavior records and social support using gamification), environmental support (supplementation of parental care and network-based education between the Community Child Care Center and household), and individualized intervention (encouragement of tailored and gradual changes in eating habits and tailored goal setting). It is predicted that the real-time mobile phone program will provide information for improving nutritional knowledge and behavioral skills as well as lead to sustainable children's coping strategies regarding obesity management. In addition, it is expected that environmental factors may be improved by network-based education between the Community Child Care Centers and households using the characteristics of mobile phones, which are free from space and time constraints. Conclusions: The tailored education program for children using Community Child Care Centers based on mobile phones may prevent and reduce childhood obesity by overcoming the current barriers of obesity management for children, providing environmental and individualized support to promote healthy lifestyles and quality of life in the future.