Objective : The purpose of this study was to investigate the main outcomes and research trends of LSVT-BIG intervention on patients with Parkinson's disease through the study of the scoping review. Methods : The main search databases Cochrane Library, NDSL, Pubmed, RISS and Science Direct were used. Documents published in academic journals were collected from 2005 to December 2021. The search terms "LSVT BIG" AND "Parkinson's disease" were used. The final 24 articles were selected. Results : There are 24 studies were included. LSVT-BIG intervention studies applied to patients with Parkinson's disease were continuously published from 2005 to 2021. In the disease progression stage of the study subjects, the subjects in the early to middle stage were the most. A lot of the case study and one-group pretest-posttest design were included. Only 6 studies consisted of randomized controlled trials. As for the method of intervention, the single intervention study was the most common with 17 studies. 4 studies comparing the effects of conventional rehabilitation treatment and LSVT-BIG intervention were included. 3 studies compared LSVT-BIG interventions with other interventions. In 4 studies, the existing protocol was modified and applied. Standard protocols were applied in 20 studies. In the effect of LSVT-BIG intervention, 24 studies provided a change in motor function. In 10 studies, psychosocial factors were identified. In addition, there were 3 studies confirming the ability to occupational performance and activities of daily living ability, and 2 studies were for cognitive function Conclusion : LSVT-BIG intervention has a positive effect on motor function, psychosocial factors, cognitive function, occupational performance, and ability to activities of daily living in patients with Parkinson's disease. In addition, a research design with a high level of evidence is needed in the future and research is needed for a variety of diseases.

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Objective : This study conducted a survey on the needs of the local community comprehensive social welfare center program targeting local residents in the D area of Chungnam, and tried to analyze the information on the service program needs of the local community comprehensive social welfare center. Methods : Using a structured questionnaire, a survey was conducted on 306 citizens of the local community from April 01, 2022 to May 31, 2022, mainly in the D area of Chungcheongnam-do. The questionnaire consisted of 11 questions about the general characteristics of the subjects and 6 questions related to the desired service program of a community social welfare center. It was finally analyzed that the response rate of the collected questionnaires was over 60%. Results : ‘Health and medical service business program (18.6%)’ was the top priority for the desired program of community social welfare centers, and by age group, ‘psychological and emotional support’ and ‘crisis family support (19%)’ were the highest among teenagers. ‘Psycho-emotional support (26.5%)’ was highest among those in their 20s and 30s, ‘social education program (35.8%)’ among those in their 40s and 50s, and ‘Health service program (24.1%)’ among those in their 60s or older. When asked about their intention to participate in the welfare center service program, 48% and 61.5% of those in their 40s and 50s and over 60s gave positive answers, respectively, and 85.7% and 61.5% of those in their 20s and 30s answered negatively, indicated the answer. In the health care service program, ‘health treatment (35%)’ was the highest, followed by ‘rehabilitation treatment (24.8%)’. As a desired rehabilitation treatment program, ‘musculoskeletal rehabilitation’ was the highest at 62% and 54.2%, in teenagers and in their 20s and 30s, respectively, and ‘cognitive (dementia) rehabilitation program’ in their 40s and 50s and over 60s, 34.7% and 50.6%, respectively were the highest. As for the desired leisure activity program, ‘Adult Certification Class (30.9%)’ was the highest among adults in their 20s and 50s, ‘Senior Health Gymnastics Class (54.2%)’ for those in their 60s and over, and ‘Reading Activities (17.3%)’ in the children’s program was the highest. In the elderly welfare program, both men and women had the highest expectations for ‘health counseling and rehabilitation program’ with 55.3% and 57.8%, respectively. Conclusion : The most desired service program among those in their 60s or older who answered most positively about using the community comprehensive social welfare center program was the health care service business program, and among them, it was necessary to establish a health care treatment and specialized rehabilitation treatment program. Among the specialized rehabilitation treatments, cognitive (dementia) rehabilitation was analyzed in the order, and they answered that it is the most necessary part of recruiting professional manpower for the establishment and operation of these programs. In the future, it is thought that it is necessary to recruit professional manpower to open and operate these programs at community social welfare centers.

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Objective : The purpose of this study was conducted to investigate perception and needs for continuing education of occupational therapists. Methods : We conducted an online questionnaire survey of 432 occupational therapist. Data were collected from June 15 to 29, 2021. The questionnaire consisted of a total of 31 questions, consisting of 8 questions for general characteristics, each 8 questions for perception and needs of continuing education, 7 questions for needs for management and participation in continuing education. An independent t-test was conducted to compare the perception and needs according to gender. In addition, a one-way ANOVA test was conducted to compare the differences according to general characteristics, and the post-analysis was analyzed by the Scheffé test. Results : The perception of continuing education averaged 2.53, needs for continuing education was 3.24. Areas with a large difference in perception and needs were the community area and the mental health area, and areas with a small difference were the humanities area and the physical disability area. Perception of continuing education showed significant differences according to gender, age, education level, career, and position of work, and needs showed significant differences in age and position of work. The reason for completing continuing education was 'to acquire credits' and 'to use in the current job', the needs for non-face-to-face education was higher than that of face-to-face education, and case study and lecture methods were required. Conclusion : For the development of continuing education for occupational therapist, it is necessary to develop various continuing education programs and to reflect the needs of occupational therapist.

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Objective : This study was to investigate the effect of Occupation based reminiscence program on depression and resilience of community elderly. Methods : Occupation based reminiscence program was provided to two elderly women. Baseline(A) of 3 sessions, intervention(B) of 11 sessions, and baseline regression(A') of 3 sessions were performed. Korean Form of Geriatric Depression Scale (KGDS) for depression and Korean Resilience Quotient Test-53 (KRQ-53) for resilience were measured for subjective evaluation at the last session of each period. QECG-3 was measured for heart rate variability, at each session to investigate physiological depression and physiological resilience. The amount of change in each period of subjective depression and subjective resilience was investigated for the analysis of results, and physiological depression and physiological resilience were visually analyzed to confirm the average and ±2 standard deviation band results for each period. Results : Depression decreased in both subjective and physiological depression. Subjective resilience decreased in subject 1 and increased in subject 2, and physiological resilience increased in all subjects. Conclusion : Occupation based reminiscence program was effective for subjective depression, physiological depression, and physiological resilience for elderly in community. Through this, the group study that applied Occupation based reminiscence program to prevent of depression and increase of physiological resilience of elderly in community could be considered.

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Purpose : This study was to find out the effect of oral health and disability on the quality of living of senior citizens with physical disabilities in local communities, as well as how the variables are correlated with each other and how well they explain their causality. Method : The study included 117 senior citizens with physical disabilities in local communities. The questionnaire included questions on the general characteristics of the respondents. For testing, Oral health status assessment (OHAT), WHODAS 2.0, and quality of life (EQ-5D) were used. Additionally, Pearson’s correlation and hierarchical multiple regression analysis were applied. Results : Oral health and disability showed statistically significant correlation with quality of living. The regression analysis indicated significant effect of oral health and disability on quality of living. Among the sub-factors of WHODAS 2.0, self-maintenance and socializing with others exerted the most significant effect. Conclusion : The findings indicate the significant effect of oral health and disability on the quality of living of senior citizens with physical disabilities. In the future, it is hoped that it will be used as a variety of occupational therapy interventions so that people with physical disabilities can maintain their swallowing function and physical health and lead an independent life.

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Objective : This study compared the importance and satisfaction of activities of daily living thought by occupational therapists and carer. Methods : This study surveyed 150 occupational therapists working in hospitals and 90 carers of patients receiving occupational therapy at hospitals. The questionnaire was organized based on the contents of activities of daily living included in the Occupational Therapy Practice Framework-3rd Edition (OTPF-3rd Edition), and the results were analyzed using Importance-Performance Analysis (IPA). Results : Keep up the good work items with high importance occupational therapists and high satisfaction of carers were found to be factors such as bathing/showering, dressing, swallowing/eating, feeding, functional mobility, personal hygiene, grooming, care of others, communication management, driving and community mobility, meal preparation, and cleanup. Intensive effort area items with high importance occupational therapists and low satisfaction of carers were found to be factors such as toilet use and hygiene, personal device care, and safety and emergency maintenance. Low priority items with low importance occupational therapists and low satisfaction of carers were sexual activity, care of pets, child rearing, financial management, health management and maintenance, home establishment and management, and shopping. There were no possible overkill items with low importance occupational therapists and high satisfaction. Conclusion : By comparing the importance and satisfaction of occupational therapists and carers for activities of daily living, this study provided the necessary evidence for occupational therapists to consider the priority of treatment when activities of daily living training. It will be possible to improve the satisfaction of patients and carers with occupational therapy by providing more efficient treatment.

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Objective : The purpose of this study is to verify the quality level of treatment effect by performing a quality evaluation on the meta-analysis study of non-pharmacological interventions for dementia, and to present convergence research insights on the qualitative improvement of evidence-based practice in the domestic non-pharmacological intervention field in the future. Methods : For literature search, 'dementia' and 'meta-analysis' were selected, and KMbase, KoreaMed, RISS, KISS, and NDLS were used. Methodological quality of meta-analysis papers was analyzed according to the criteria of the AMSTAR evaluation tool. Results : The average score of methodological quality evaluation of meta-analysis papers was 6.16 (SD=1.90), which was average. Looking at the studies individually, there were 17 studies with a moderate level (points 5-8), two studies with a low level (points 0-4), and none of them had a high level (points 9-11). Of the 19 studies, 17 were published in KCI, and 5 Cognitive-based intervention, 4 physical activity intervention , 4 music therapy , 2 aroma therapy, and 1 virtual reality-based intervention, art therapy, recall therapy, and occupational therapy were surveyed. Looking at the frequency of use of the quality evaluation tool, the majority of tools was used ROB (59%), and the rest of tools was used SIGN (12%), PEDro score (12%), RoBANS (12%), and EQI (5%). Conclusion : Meta-analysis research in the field of dementia must be accompanied by the selection of literature to be included in the study and the qualitative verification process of the included research, and the overall research design and process needs to be systematically and rigorously conducted compared to previous methods.

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Objective : This study was conducted to identify the differences in occupational balance by gender and age of healthy adults and to show a standardized score for clinical application of Occupational Balance Assessment (OBA). Methods : This study was conducted on 933 healthy adults aged from 20s to 50s. The occupational balance by gender and age was analyzed using the OBA raw data of the study subjects. For data analysis, descriptive statistic, independent sample t-test, one way ANOVA were used. For calculating the OBA standardized score, the Z score, standard score, and percentile rank were calculated in consideration of gender and age. Results : The significant differences were confirmed in several occupation in the three areas of OBA by gender and age(p<.05). First, in the area of time use by gender, there were significant differences in care of others, work, leisure/play, and total score. In the area of occupational frequency, there were significant differences in self-care, care of others, work, and leisure/play. And in the area of occupational characteristics, there was a significant difference in care of others and work. Second, in the area of time use by age, there were significant differences in care of others, education, and leisure/play. In the area of occupational frequency, there were significant differences in care for others, rest/sleep, education, work, leisure/play, and social participation. And in the area of occupational characteristics, there was a significant difference only in work. Finally, based on the difference in occupational balance by gender and age, standardized scores for each of the three areas of OBA were calculated. Conclusion : The difference in occupational balance by gender and age was confirmed for healthy adults aged 20s to 50s by using the OBA. It is expected that OBA will be usefully utilized as an evaluation tool for measuring occupational balance in clinical practice.

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