Purpose : This study was to identify how the perception of the disabled elderly affects relational aggression, clarify the need for an expert improvement program, and provide data for the smooth relationship of the elderly using community elderly facilities. Method : A survey of 134 people was conducted to find out the level of awareness through the acceptance attitude toward disabled elderly for the general elderly aged 65 or older who visit community elderly facilities. Based on the results of the survey, a statistical analysis was conducted to reveal the causal relationship existing in the perception of the general elderly for the elderly with disabilities. Result : First, there was a significant difference in the acceptance attitude toward disabled according to demographic characteristics in terms of final education, spouse presence, and economic level. Second, there was a significant difference in relational aggression according to demographic characteristics at the final education, housing type, and economic level. Third, in the sub-area of the acceptance attitude of the elderly with disabilities, it was found that the acceptance attitude toward disabled, the perception of the work ability of the disabled, and the favor as reason for the disabled affect relational aggression. Conclusion : For the coexistence of the general elderly and the disabled in community elderly facilities, it has been confirmed that there were some areas of negative perception of the disabled elderly, and various efforts will be needed to improve relational aggression.

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Objective : The purpose of this study is to apply lifestyle redesign program to college students majoring in occupational therapy to find out the effects on lifestyle, occupational performance, time use, and quality of life. Methods : For 26 college students, the Korean Wellness Life Style Scale (KWLISS) was used to measure lifestyle, the Canadian Occupational Performance Measure (COPM) was used to measure occupational performance, Time Structure Questionnaire (TSQ) was used to measure time use, and the World Health Organization's Quality of Life Abbreviated Version (WHOQOL-Bref) was used to measure quality of life. A Wilcoxon code ranking test was performed to compare before and after intervention. Results : After intervention, the lifestyle type was changed for the highest from the occupational balance type (65.39%) to the learning (labor) overdose type (42.30%), and the mental and intellectual lifestyles showed significant results (p<.05). After the lifestyle redesign program, there were also significant differences in college students' occupational performance, time use, and overall quality of life (p<.05). Conclusion : Lifestyle redesign programs can be used as a form of intervention to improve college students' lifestyle and occupational performance, time use, and quality of life. In the future, research on applying lifestyle redesign programs to various groups should be continuously conducted.

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Objective : The purpose of this study is to investigate the effects of time-use intervention on occupational participation and self-esteem for the elderly. Methods : From July 5 to September 17, 20 elderly people at the center for dementia were divided into an experimental group and a control group. Model of Human Occupation Screening Tool(MOHOST) was used for occupational participation, and Self-Esteem Inventory(SEI) was used for self-esteem. Results : There was a significant difference in both occupational participation and self-esteem in the experimental group and the control group before and after intervention (p<.05). In both experimental group and the control group, there was a significant difference in occupational participation and self-esteem, and the change in the experimental group was greater than that of the control group (p<.05). As a result of the study, all groups that conducted dementia prevention programs showed improvement in occupational participation and self-esteem, and the experimental group using time-use intervention had a greater effect. Conclusion : This study found that time-use intervention was effective in improving occupational participation and self-esteem in elderly. Thus, if research and supplementation of continuous time-use intervention is conducted, it is expected to have a positive effect on life and improve physical and emotional health by providing opportunities to participate in various activities for the elderly's successful old age.

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Objective : The purpose of this study was to investigate the changes in occupational therapists job satisfaction and the status of occupational therapy in rehabilitation of medical centers after the implementation of the rehabilitation medical institution project. Methods : A survey was conducted on 114 occupational therapists working in rehabilitation of medical centers from October 25 to November 18, 2021. The questionnaire consisted of general characteristics, changes in job satisfaction according to the implementation of the rehabilitation medical institution project, current status and perceptions of occupational therapy effects for functional recovery/return to society. For the collected data, frequency analysis and descriptive statistics were conducted using SPSS 25.0. Results : After the implementation of the rehabilitation medical institution project, job satisfaction of occupational therapists was positive in relation to clients, cooperation with occupational therapists, and appropriateness of entrusted work, whereas the level of remuneration, amount of work, and promotion opportunities changed negatively. As a result of analyzing occupational therapy intervention types according to ICF, it is reported that a lot of basic activities of daily livings training was performed for functional recovery and return to society. Intensive rehabilitation therapy was the most common reason for project implementation to help rehabilitation patients in the recovery phase to return to society and functional recovery. Conclusion : This study suggests that there is a need for a way that can improve job satisfaction of occupational therapists in rehabilitation medical institutions and activate the application of insurance fee ‘training for basic and instrumental activities of daily living’. In addition, physical and institutional support for rehabilitation training within the community should be provided.

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Objective : The purpose of this study is to identify predictive factors that affect depression in stroke patients, and to provide basic data on the need to approach the occupational therapy intervention program in stroke patients by considering psychological factors such as alleviation of depression. Method : In order to identify predictive factors affecting depression in stroke patients, a secondary analysis was conducted on 91 stroke patients using data from the second year of the 8th National Health and Nutrition Examination Survey. We analyzed general characteristics, health-related characteristics, and stroke-related characteristics were in order to identify predictors of stroke patients. Depression was measured using the Korean version of the Depression Screening Tool(PHQ-9). Result : The prevalence of depression among stroke patients was 11.6%. Among the characteristics of stroke patients, there was a significant difference in marital status among general characteristics, activity restriction, perception of usual stress, and limitation of daily living activities among health-related characteristics(p<0.05). There was no significant difference in variables of stroke-related characteristics (p>0.05). As variables affecting depression in stroke patients, it was found that depression increased when there was activity restriction(B=3.719), in a married state living alone(B=2.895), and when there was a lot of stress(B=2.824)(p<0.05), and the explanatory power of the regression analysis was 33.7%. Conclusion : In order to maximize the therapeutic effect in establishing occupational therapy intervention strategies for stroke patients with depression, it is thought that it is necessary to add programs for reducing activity restriction, increasing social support, and reducing stress, which are predictive factors for depression in stroke patients.

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Objective : The purpose of this study was to identify changes in social participation levels and quality of life of adults with physical disabilities due to the COVID-19 pandemic, and to determine if there is any correlation between the quality of life and the social participation. Methods : The change in social participation of 92 disabled people living in Busan and Gyeongsangnam-do was measured between before and after the COVID-19 pandemic, and their quality of life was quantified as the subjective quality of life of the physical disabled. Results : Studies have revealed that the COVID-19 pandemic has induced significant changes in overall social participation, interpersonal relationships, social and economic life, family life, transport, civic life, and total health. And there were significant changes in overall quality of life, family relationships and relationships with other relatives, physical and mental health, leisure activities, occupational and daily work, self-respect, and general life. The social participation and the quality of life caused by COVID-19 have been shown to be significantly correlated with overall social participation, interpersonal relationships, social and economic life, communication, transport, civic life, and total health. Conclusion : COVID-19 has decreased the social participation and quality of life of the disabled, and a lower level of social participation is associated with a the lower quality of life. Therefore, in order to improve the quality of life of physically disabled, interventions that promote social participation are necessary.

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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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