• Korean Journal of Social Welfare
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• v.63 no.4
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• pp.5-31
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• 2011

This study explored how young people with disabilities experience self-determination in their lives. This study employed a grounded theory approach involving 10 undergraduate students with cerebral palsy or physical disabilities, in their early 20's, and individual interviews. The experience relating self-determination of the participants seemed to start with "wanting to do things at their will as they grow up". The participants reported experiencing "yearning to attain self-actualization overcoming disabilities" in the context of "disability-related social limitation", "divided opinions between the participants and their parents", and "limitation in financial and psychological resources". The emerging strategies to attain self-actualization included "active coping", "avoiding confrontation", and "conditional acceptance". Intervening conditions to formation of the strategies included ”challenging spirits towards prejudice about disability", "autonomous tendencies", "taking the most of social support" and "parenting attitudes of their parents". In the process of seeking to attain self-actualization, these participants experienced "self-maturation" and "the sense of guilt towards their parents". The findings emerged from the study was that there are three stages in the process young people went through in self-determination. The stages consist of "perceiving their needs and obstacles for self-determination", "problem solving", and "perceiving their growth". In addition, four self-determination patterns are derived from this data: "breaking through", "multi-strategic", "moderate", and "acceptive". This study suggested some theoretical and prctical implications needed to facilitate self-determination of youth with disabilities.

• Physical Therapy Korea
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• v.22 no.3
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• pp.61-70
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• 2015

To develop an effective and efficient measurement system for tracking changes of functional status across two measures, it is essential to integrate information and communicate scores across two measures. The lack of communication between two measures leads to score incompatibility. A potential solution would be the development of a crosswalk table between those measures. Prior to creating a crosswalk table, selecting common items between two measures is critical. By using the Oswestry low back pain disability questionnaire (Oswestry) and a short form measuring disability resulting from low back pain, item level statistics as well as differential item functioning (DIF) using the Rasch measurement were investigated. Eighty-two participants with known group validity were recruited. Based on the application of the Rasch measurement model, item difficulties across the two measures were logically and hierarchically ordered. Ceiling effects for both measures were detected, which were not be able to be effectively measured with the two measures. The DIF analysis across the two measures confirmed that five paired items were found to have DIF and five common items were selected for common items. Although five paired items function differently across the Oswestry and the short form, all items of both measures were well targeted study participants. The common items selected by the Rasch measurement model may be effective when creating a crosswalk table between the Oswestry and the short form.

• Physical Therapy Korea
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• v.21 no.2
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• pp.74-81
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• 2014

The versions of the Oswestry disability questionnaire (ODQ) is regarded as one of the most extensively used condition-specific instruments measuring disability resulting from low back pain. It has been shown to have adequate psychometrics, reliability, validity, and responsiveness as a whole, yet the summated total score of the instrument often provide little information to rehabilitation clinicians. A keyform analysis based on Rasch measurement model is an innovative way of illustrating the specific test items that an individual may or may not perform. By applying the keyform of the Rasch measurement model to the ODQ, rehabilitation clinicians may able to select more challenging ODQ items matching an individual's ability and document them as attainable treatment goals. The results demonstrated how a keyform analysis assist to setting possible goals for the treatment of individuals with low back pain. Forty-two individuals with low back pain were recruited from rehabilitation clinics in Gainesville, Florida. A series of Rasch analyses on the 10 items of the ODQ were performed using Winsteps software. The performance of two individuals on those 10 items was illustrated on the keyform. The keyform analysis of the Rasch measurement model may be translated into a useful tool for making clinical judgements.

• Physical Therapy Korea
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• v.21 no.4
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• pp.40-48
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• 2014

Differential item functioning (DIF) based on Rasch model can be used to examine whether the items function similarly across different groups and identify items that appear to be too easy or difficult after controlling for the ability levels of the compared groups. The Oswestry low back pain disability (Oswestry) has traditionally been proved as an effective instrument measuring disability resulting from low back pain (LBP). In this study, DIF method was used to explore whether items on the Oswestry perform similarly across two different groups (participants with LBP and no LBP). A series of Rasch analyses on the 10 items of the Oswestry were performed using Winsteps$^{(R)}$ software. Forty-two participants with back pain were recruited from 3 rehabilitation hospitals in Gainesville, Florida. Another 42 participants with no LBP were recruited from several public places in the rehabilitation hospitals. Based on the DIF analysis across the two groups, several items were found to have an uniform DIF. Participants with no LBP had more difficulty on lifting and personal care items and participants with LBP had more difficulty on sleeping and social life items. For non-LBP group, a high ceiling effects (83% of participants with non-LBP) was detected, which was not be able to be effectively measured with the Oswestry items. Although 4 items of the Oswestry function differently across the two groups, all items of the Oswestry were well targeted the LBP group.

• The Journal of Korean society of community based occupational therapy
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• v.1 no.1
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• pp.59-72
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• 2011

Objective : The purpose of this research was to understand the emotions of disabled in starting relationships with the opposite gender and disclosing experienced events related to starting relationships with the opposite gender. Methods : In order to gain an understanding of experience, emotions and process of people with acquired disability, phenomenological study, a form of qualitative research was used. Data on subjects was collected through in-depth interviews, on-the-scene recording and technical observation diary, etc and were analyzed through Colaizzi's phenomenological study method. Results : Subjects who had acquired disabilities experienced changes in physical, psychological, social aspects and especially in the course of relationships with the opposite gender. Data from in-depth interviews of 8 subjects were analyzed 6 types of subject themes were derived. 1) Diagnosis of varying psychological reactions. 2) Various psychological reactions of parents and the other gender. 3) Through aggressive support rehabilitation volition will change. 4) After you have a disability as a lack of social skills. 5) Changes in confidence through rehabilitation. 6) the other gender for the different ideas. Conclusion : This research is valuable in presenting important data in understanding problems and emotions of relationships of people with acquired disabilities with opposite gender. Starting relationships with the opposite gender has more meaning than any other interacting activities in society. Conflicts exist in starting relationships and support programs for various specialists are indispensable.

• The Journal of Korean Academy of Sensory Integration
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• v.7 no.1
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• pp.47-57
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• 2009

Objective : Purpose of this study is to study how Sensory Integration (SI) Intervention Program affect body-scheme and praxis ability of children with Developmental Disability (DD). Method : The SI intervention was programmed based on the theory of SI by Jean Ayres. Thirty children with DD underwent the SI program for six weeks. The effect of the SI intervention was evaluated in terms of body-scheme and praxis ability. Assessments used in this study are One-Point Imitation Test (OPIT) and 6 Body Puzzle Test (6BPT) for body-scheme; Praxis Test Sheet (PTS) for linguistic order, oral motor control, sequential praxis and Sensory Integration and Praxis Tests (SIPT) for postural praxis. Data of this study was analyzed by the paired t-test to compare before- and after the SI intervention. Results : Results of this study are (1) in the OPIT, there is significant difference on body-scheme ability (p<0.01); (2) in the PTS, there is significant difference on all three items (p<0.01); and (3) in the SIPT, there is significant difference on sensory integration and praxis function. Conclusions : From the results, it is concluded that sensory integration intervention is effective on body-scheme and praxis functions for children with developmental disability.

• Journal of Music and Human Behavior
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• v.16 no.1
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• pp.1-24
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• 2019

The purpose of this study was to analyze the literature on music interventions for youth with intellectual disability. Characteristics of the music intervention, target goal domains, and the quality of statements on intervention contents and rationale were explored. What type of intervention was applied in each target goal domain and how studies differed in terms of the quality of stated rationales depending on the authors' field of study were also analyzed. A total of 20 articles published in KCI journals were identified. The analysis showed the differences in intervention contents depending on the authors' research field and target goal areas. In addition, it was found that only two studies stated an appropriate rationale based on the theory of music therapy and relevant research. Discrepancies on the quality of rationale between researchers with music therapy majors and with non-music therapy majors indicated the importance of the music therapy professionalism in expecting and interpreting the intervention outcomes. These findings highlight the ways in which music intervention studies could be improved to further the field and contribute to the rigor of these interventions for youth with intellectual disability.

• The Korean Journal of Health Service Management
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• v.6 no.1
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• pp.231-245
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• 2012

This study was focused on experience of adult offsprings with disabled parents, and thereby on the evaluation of their family-of-origin environment. Adult offsprings's experience and understanding of the evolution in terms of subjects were explored. This study reviewed the effects of the family-of-origin environment and the analysis of data based on qualititative research depending on Saiki Greig Hill theory. The summary of this is as follows; perception and attitudes about disables parents tended to strengthen the steps 'process of recognition about disabled parents', 'process of escape about disabled parents',' precess of integration about disabled parents'. The alternative programs of the strengthen the steps 'process of integration about disabled parents' should be developed government policy support according to age group, ADL(activity of daily life) support according to disability status and emotional support with a focused on health family support center, public health center, religion meeting. This study was to provided basic material needed to do further research on this issue by identifying the effects of family-of-origin environment on adult offsprings with disabled parents.

• The Korean Journal of Rehabilitation Nursing
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• v.7 no.1
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• pp.24-32
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• 2004

Purpose : This study aimed at uncovering the disabled adult's way of thinking and behavior due to their changed life style. Method : In depth interviews with 11 participants were held and analysed based on the Grounded Theory Methodology by Strauss and Corbin (1990). Result : This study showed us that the disabled are getting independent by selfconfidence through developing coping strategies for their physical, emotional, social, sexual problems. And in the process of creating these strategies, support structures, satisfaction for performance effect, financial burdens, and mobility had an effect on the intervening factors. Adults who become disabled go through many changes. First, they have vague hopes of improving. Second, they become discouraged. Third, they accept their disability. Next, they learn coping strategies and finally, they integrate the changes into their new life style. Conclusion : This study can be utilized in rehabilitation nursing so that the disabled can adapt to their changed life style quickly and lead independent and self-confident lives.

• The Journal of Korean Physical Therapy
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• v.15 no.3
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• pp.265-276
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• 2003

This study was to investigate the dffects of a color reversal visual perceptual training program on spastic cerebral palsied children's figure-ground discrimination disabilities and to investigate the difference between the control group and experimental group. Subjects of the study were composed of children with spastic cerebral palsy whose age varied from five to seven years old, whose I.Q. was over 70 and whose P.Q. was over 70. Implication of this study can be summarized as follows; First, Perceptual training and speech training programs should be emphasized to improve the preparative ability of spastic cerebral palsied children. Problems of perception cerebral palsied children are concerned with figure-ground discrimination disability. Second, Though it was demonstrated that color reversal visual perceptual training program can be effective through the prestudies and this study, more researches should be made to apply this kind of theory in real education environments. More interest in different color forms for training of cerebral palsied children should be taken. Third, Reprecations of the study should be considered with modified group identities(age, I.Q., P.Q.).