The Journal of Korean Society of Community-Based Occupational Therapy
Vol.15 No.3 pp.1-12
Translation and Validity Verification of the Korean Version of the Health Promoting Activities Scale (K-HPAS) for Mothers of Children with Disabilities
Objective : This study aimed to translate the Health Promoting Activities Scale (HPAS) for mothers of children with disabilities into Korean and verify its content and face validity. Methods : The study period was from August 26 to November 6, 2025. The HPAS was translated and back-translated, and two Delphi surveys were conducted with 11 experts to verify content validity. To verify face validity, a survey was conducted with 10 mothers of children with disabilities. Data were analyzed to calculate the content validity ratio (CVR), mean, and standard deviation. Results : The first Delphi survey revealed a CVR of 0.27∼0.82, with a mean of 4.1∼4.7. In the first survey, experts suggested using consistent wording, using intuitively understandable wording, providing examples appropriate for Korean culture, and incorporating diverse religions. In the second Delphi, the CVR ranged 0.82∼1.00, with an average score of 4.7∼5.0. Recommendations included revising spiritual expressions and removing specific religious designations. A survey of mothers of children with disabilities revealed an average score of 4.2∼4.8. They recommended removing spiritual expressions and providing concrete explanations for ambiguous expressions. Furthermore, we were able to develop content tailored to Korean culture contexts by providing information about the specific activities they actually participate in. Conclusion : The K-HPAS is a tool that systematically measures the health promoting activities participated in by mothers of children with disabilities. It is expected to serve as a foundation for future health promoting program development and personalized health management.
Translation and Validity Verification of the Korean Version of the Health Promoting Activities Scale (K-HPAS) for Mothers of Children with Disabilities
The Journal of Korean Society of Community-Based Occupational Therapy
Vol.15 No.3 pp.13-23
Age-Specific Changes in Activities of Daily Living, Depression Patterns, and Disability Risk Among Older Adults: Focusing on Comparing the Odds of BADL and IADL Impairment
Objective : This study aimed to precisely analyze the changing patterns of Basic Activities of Daily Living (BADL), Instrumental Activities of Daily Living (IADL), and depression among Korean older adults by stratifying age into 5-year intervals. Furthermore, it examined the impact of depression on functional disability, specifically comparing its relative risk for BADL versus IADL impairment. Methods : A secondary analysis was conducted using data from the 9th Korean Longitudinal Study of Ageing(KLOSA, 2022), involving 4,489 participants aged 65 years and older. Data were analyzed using descriptive statistics, independent t-tests, one-way ANOVA, chi-square tests, and calculate Odds Ratios (OR). Results : First, significant functional decline was observed starting at age 75. Notably, BADL and IADL scores, along with the prevalence of depression, showed a precipitous increase after age 80. Second, item-specific analysis revealed that ‘bathing/showering’ (BADL) and ‘locomotion using transportation’ (IADL) were the functions most vulnerable to aging. Third, older adults with depression exhibited a 5.32-fold increased risk of IADL disability and a significantly higher 8.36-fold risk of BADL disability— which is essential for survival—compared to their non-depressed counterparts. Conclusion : This study confirms that functional decline in older adults begins around the age of 75 and accelerates rapidly after age 80. Furthermore, the findings demonstrate that depression is a more detrimental risk factor for physical self-maintenance (BADL) than for social functioning (IADL). Consequently, age 75 should be established as a practical functional threshold to differentiate between prevention and care programs, and age 80 should be considered a benchmark for intensive care. Integrated psychophysical intervention strategies are essential to disrupt the vicious cycle between depression and physical deterioration.
Age-Specific Changes in Activities of Daily Living, Depression Patterns, and Disability Risk Among Older Adults: Focusing on Comparing the Odds of BADL and IADL Impairment
The Journal of Korean Society of Community-Based Occupational Therapy
Vol.15 No.3 pp.24-32
The Effects of Nutritional Health on Mental Health and Injury Experiences of the Elderly
Objective : The purpose of this study is to examine the importance of nutritional health of the elderly in an accelerated aging society, study how nutritional health affects mental health and injury experiences related to improving the quality of life of the elderly, and provide data derived through analysis as basic data for the development of rehabilitation policies and intervention programs. Methods : A survey was conducted on 160 elderly people without chronic diseases who visited five community welfare centers for two months from July to August 2025. Independent sample t-test and one-way ANOVA were conducted for the mental health status of the elderly according to general characteristics, one-way ANOVA was conducted for the mental health status according to the nutritional health group of the elderly, and regression analysis was conducted on the effect of nutritional health of the elderly on mental health and injury experiences. Results : As a result of comparing the mental health of the elderly according to demographic characteristics, first, there were significant differences in mental health at age (p=.000) and economic level (p=.000). Second, there was a significant difference in mental health according to the elderly's nutritional health level. Third, it was found that the effect of nutritional health of the elderly on mental health and injury experiences had a significant effect. Conclusion : The nutritional health of the elderly has a very important influence on mental health and injury experiences. Mental health problems and injury caused by nutritional health problems are not just personal health, but also have a great social and economic impact. Therefore, finding ways to prevent and solve this will not only improve the quality of life of the elderly, but also increase the efficiency of the health care system of the whole society.
The Effects of Nutritional Health on Mental Health and Injury Experiences of the Elderly
The Journal of Korean Society of Community-Based Occupational Therapy
Vol.15 No.3 pp.33-42
Changes in Swallowing-Related Awareness and Quality of Life Following Swallowing Education in Community-Dwelling in the Elderly in the Community
Objective : This study was conducted to provide swallowing education to community-dwelling neurologically intact older adults and to examine changes in swallowing-related awareness and swallowing-related quality of life. Methods : A total of 22 adults aged 65 years or older, all receiving services from a public health center in Busan (Y Public Health Center), were enrolled. The program was conducted over 5 weeks from 15 October to 12 November 2025. Data were analyzed using SPSS version 25.0, including descriptive statistics and paired t-tests, with statistical significance set at p<0.05. Results : Following the education program, participants demonstrated significant improvement in self-perceived swallowing rehabilitation knowledge (t=–6.345, p<0.01). Among QoL subdomains, emotional QoL was increased significantly (t=–2.709, p<0.05)). The total dysphagia-specific QoL score also showed significant enhancement (83.32 ± 11.85 before vs. 87.91 ± 9.08 after; t=–2.314, p<0.05)). Conclusion : Swallowing education led to positive changes in improving the awareness of the elderly in the community and changing the emotional quality of life. In future community-based research, active research is needed that includes objective physiological indicators and that improved awareness can lead to participation in actual educational programs.
Changes in Swallowing-Related Awareness and Quality of Life Following Swallowing Education in Community-Dwelling in the Elderly in the Community
