Objective : The purpose of this study is to examine how the guardian's illness perceptions in charge of caring for the elderly with disabilities affects the caregiving appraisal through questionnaire analysis and to provide basic data on the education program for the elderly with disabilities. Methods : From december 2022 to february 2023, the SPSS WIN 21.0 program was used for 172 guardians of the elderly with disabilities using facilities for the elderly with disabilities, setting independent variables as illness perceptions, dependent variables as care evaluation, and control variables as general characteristics of the elderly with disabilities. Resutls : First, there was a significant difference in the caregiving appraisal of guardians of the elderly with disabilities. Second, in the correlation analysis between illness perception and caregiving appraisal of guardians of the elderly with disabilities, there was a static correlation in all areas except for the burden of awareness and illness perceptions. Third, it showed that illness perceptions of disabled elderly guardians had effect caregiving appraisal on the degree and duration of disability, age of guardians and economic level of disabled elderly guardians, cognitive illness perceptions, and emotional illness perceptions. Conclusion : The guardian’s care of the elderly with disabilities is influenced by many factors and has a negative experience. However, through the illness perceptions of the guardian, basic data were provided to find ways to minimize negative experiences and maximize positive effects, and the need for healing and educational programs for guardians of the elderly with disabilities was found.

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Objective : This study aimed to analyze changes in time use and leisure·life satisfaction by occupational area according to the aging of the elderly using the 2019 Living Time Survey data of the Korean Statistical Information Service. Methods : Those aged over 65 who responded to leisure and life satisfaction were extracted, excluding those who did not respond to the unemployed reason. The data of 7384 elderly people were analyzed. Occupational areas were classified using the Occupational Therapy Practice Framework–Fourth Edition, and the changes in time use and satisfaction according to aging were analyzed by dividing them into 65-74, 75-84, and 85 or loder. Results : As a resulf of analyzing the amount of time used by occupational area, the most time was used for rest and sleep, and the least time was used for education. With aging, the time used for Instrumental Activities of Daily Living decreased, while the time used for rest and sleep, and leisure increased. As a result of analyzing satisfaction, life satisfaction and leisure satisfaction were the highest among those aged 85 or older. Conclusion : With aging, time for outdoor and dynamic activities decreased, and time for indoor activities, rest and sleep, and leisure increased. It will be possible to maintain the occupational balance and achieve healthy aging by checking the status of the elderly’s time use and satisfaction by occupational area.

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Objective : The purpose of this study is to determine the effect of the level of achievement of essential competencies and job satisfaction on job performance of the occupational therapist. Methods : A survey was conducted on the level of essential competency achievement, job satisfaction, and job performance for occupational therapists who currently have an occupational therapist license and voluntarily agreed to the purpose of the study. The study period was conducted from October 19 to November 7, 2021 using an online survey service. There was no insufficient omission of response. Therefore, all 109 survey results were used for data analysis, and frequency analysis, descriptive statistics, correlation and multiple regression analysis were performed. Results : There was a significant correlation between the level of achievement of essential competencies and each detailed area, job satisfaction and job performance. It was found that the level of achievement of essential competency affected job performance, job satisfaction affected job performance, respectively, and the higher the level of essential competency achievement and job satisfaction, the higher the job performance of occupational therapists. Conclusion : The results of this study, it was confirmed that the level of achievement of essential competencies and job satisfaction were important variables influencing job performance of occupational therapists. Therefore, in order to improve the job performance of occupational therapists who play an important role in the field of rehabilitation, it is necessary to prepare programs and plans to increase the level of achievement of essential competency and job satisfaction, and a better working environment system.

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Objective : This study aims to find out the effects of chronic diseases in wage-earning disabled people on self-efficacy, disability acceptance, and job satisfaction. Methods : 1580 persons with disabilities in wage employment were extracted using the 6-dimensional data of the 2nd wave of the Employment Panel for Persons with Disabilities. The subjects' demographic characteristics, chronic diseases, self-efficacy, disability acceptance, and job satisfaction were investigated and analyzed. Data were analyzed using descriptive statistics, independent t-test, Pearson's correlation analysis, and replication analysis. Results : Self-efficacy, acceptance of disability, and job satisfaction according to chronic disease status of wage earners with disabilities were higher in the obesity disease group than the chronic disease group. There was a significant difference in job satisfaction in the two groups, and there was a positive correlation between perception of disability, self-efficacy, and job satisfaction in the chronic disease group, but no correlation between self-efficacy and job satisfaction. Effect of chronic disease and disability acceptance on job satisfaction had a 4% explanatory power, and it was confirmed that chronic disease(ß=.07) and disability awareness(ß=.16) were factors influencing job satisfaction of wage earners with disabilities. Conclusion : It is believed that continuous education and management are needed for the management of chronic diseases other than disabilities of wage-earning disabled people, and education for the prevention of chronic diseases is also needed.

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Objective : The purpose of this study is to find out how the task performance ability of children with developmental disabilities affects intervention and to provide basic data for the establishment and effective progress of intervention programs according to the difference in initial task performance ability of children with developmental disabilities. Methods : The initial task performance ability of children with developmental disabilities was observed for two months from October 2022. The receipt of intervention and the enactment of treatment skills during intervention fidelity for two months were analyzed through a survey by occupational therapists. The general characteristics of children with developmental disabilities and caregivers were set as control variables, and the effect of task performance on intervention was analyzed through statistical programs. Results : First, the results of this study showed that there were significant economic level of caregivers, the age of children with disabilities, and the degree of disability in comparing task performance according to general characteristics. Second, in the comparison of interventions according to general characteristics, there were significant final education of the caregiver, the economic level, the age of children with disabilities, and the degree of disability. Third, self-regulation & decision-making, and basic learning skills were found to affect intervention in the effect of children with developmental disabilities' ability to perform tasks on intervention. Conclusion : It was found that the task performance ability and intervention of children with developmental disabilities changed according to the direct and indirect factors of children with disabilities, and the initial task performance ability affected the intervention.

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Objective : This study aimed to investigate the effect of home-based occupational therapy on improving the quality of life of stroke survivors. Methods : Among foreign papers verifying the effectiveness of a home-based occupational therapy program conducted for the purpose of improving the quality of life of stroke survivors, a systematic review and meta-analysis, focusing on randomized controlled trial studies published after 2000, were conducted. The Data Base selected for retrieval used PubMed, CINAHL, and Cochrane libraries, and quality was analyzed using Cochrane's risk of bias. Overall effect size analysis through meta-analysis, moderating effect analysis through Meta-ANOVA, and publication bias analysis through Egger's regression test were conducted. Results : A total of 7 literatures was selected, and 6 literatures were classified as ‘high-level bias’ in the area of ‘ group participant dropout bias’ in the quality verification of literature. The overall effect size of the home-based occupational therapy program was large (ES=1,069, 95%CI=0.221∼1.917, p=0.013), and ‘intervention period’ appeared as a significant moderating variable (Q=7.530, p=0.023), and the intervention period of 3 months or longer showed a significantly higher effect size than other periods (ES=2.065, 95% CI=1.145-2.984, p=0.00). In the moderating variable of ‘intervention type’, ‘visit type’ showed a higher effect size than ‘telerehabilitation type’ (ES=1.184, 95%CI=-0.266∼2.633, p=0.110), but there was no significant difference between groups. (Q=0.034, p=0.855). It was confirmed that there was no publication bias (p>.05). Conclusion : The home-based occupational therapy program showed a large-sized effect in improving the quality of life of stroke survivors, and there was no significant difference in the type of intervention. In addition, the intervention period of 3 months or longer showed a larger effect size on the improvement of quality of life than other periods, and the intervention period was identified as a significant moderating variable affecting the effect size. If a home-based occupational therapy program is implemented for the purpose of improving the quality of life on stroke survivors in the future, it is proposed to apply an intervention period of more than 3 months and less than 6 months (90 minutes once, 5 times a week).

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Objective : This study was to investigate the effect of reducing safety risk factors in the elderly through home modification on the level of functional disability. Methods : Among the subjects of the study, 127 elderly people aged 65 years or older who lived in Seo-gu, Gwangju Metropolitan City and received community care services, who had the conditions to receive home modification services, were selected as subjects. The study period was from January 2020 to August 2021, and the evaluation tool used the Korean version of the fall risk residential environment assessment (HOME FAST) and the residential environment problem checklist to identify safety risk factors in the home, and the subject's function The World Health Organization Disability Assessment List (WHODAS 2.0) was used to determine the level of disability. According to the evaluation result, home modification intervention was applied according to the subject's desire, and the effectiveness was examined through re-evaluation. Results : As a result of analyzing the effect on the level of functional disability of the subjects, it was confirmed that the fall risk environment factors had a relatively higher impact than the general characteristics. showed a statistically significant difference (p<.001). The level of functional disability improved in all areas (p<.001), and among them, Life activities, Mobility and Participation showed the greatest change in order. Conclusion : Through the modification of the home environment to meet the subject's needs, falls and residential environment problems were statistically significantly reduced, and it was confirmed that the change in the level of functional disability was also statistically significantly improved. In the future, by continuing the home modification service in the community care project, not only the elderly but also all people with disabilities, such as the disabled and children living in the community, participate in activities on their own to live a self-directed life. Efforts are needed to nurture experts, collaborate, and expand service support.

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Objective : This study was conducted to develop a assessment tool that can diagnose competencies of occupational therapy major education. Methods : From September 2019 to February 2021, preliminary questions were prepared through analysis of previous a literature review and expert focus meetings, and content validity verification was conducted through an expert panel. This survey question was selected through the second expert focus meeting for items that meet the conditions of items with a content validity of .29 or higher and a standard deviation of less than 1.0. The final question was selected by conducting an exploratory factor analysis on 38 questions in this survey. Results : The finally derived assessment items for occupational therapy major education consisted of 3 categories and 30 factors. The reliability is with 17 questions of major knowledge application ability, 8 questions of ethical consciousness and communication skills ability, and 5 questions of attitude and practical ability(α=.978). Conclusion : The assessment tool developed in this study was presented for objective evaluation of occupational therapy major education. By using the results of this study to evaluate the major competency of students majoring in occupational therapy, it will be possible to help develop and reorganize the major curriculum.

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