Objective : The purpose of this study is to propose a customized accessible service structure for the preventive safety and disaster service information system according to the requirements derivation model proposed in the previous study, and presents an accessibility profile to utilize it. Methods : Through expert group meetings, the framework of customized information system services was derived, and based on the research results of Lee, Ji, and Kim (2020) and focus group interviews, the International Classification of Functioning, Disability and Health (ICF) customized service system was derived. Finally, an additional expert group meeting was conducted to derive the accessibility profile, which was revised and supplemented by advice from other expert groups. Results : The structure of utilizing the safety vulnerable accessibility profile was presented so that the safety vulnerable would not have any inconvenience in using the life safety prevention and response information service. This is a framework consisting of an expression layer and an information layer, wherein the expression layer provides information in a way acceptable to the user, and the information layer provides different information content according to the user's situation. The ICF-based safety vulnerable customized service system derived service requirements with a total of 36 codes. Finally, the accessibility profile for the vulnerable was derived from a total of 15 items in three areas: general information, medical information, and accessibility preference information. Conclusion : In this study, a method of customizing services tailored to various specific needs of users was proposed using the ICF classification system. This provided the basis for systematically preparing for a disaster by suggesting a solution considering the situation of various safety vulnerable people in establishing an evacuation plan for the safety vulnerable in the disaster preparation stage.

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Objective : This study is to investigate the degree of effect of ADHD children's aggression on the caregiver's mental health literacy and to provide basic knowledge of the caregiver's mental health literacy that can affect ADHD children's intervention in occupational treatment. Methods : It was analyzed through a survey on the caregivers of ADHD children visiting the Child Development Center. In the case of data collection, 155 copies were finally selected and analyzed, excluding 45 copies of the questionnaire of the middle waiver, missing sheet, and refusal to write. The independent variable consisted of aggression of ADHD children, the dependent variable consisted of the caregiver's mental health status, and the control variable consisted of general characteristics. Results : As a result, first, there were significnat differences in metal health literacy of caregivers according to general characteristics in age, duration of occurrence of children, and economic level. Second, there was no significant difference in the mental health status of the caregiver according to the aggression area of ADHD children. Third, there was a significant effect of aggression in ADHD children on the mental health literacy of caregivers. Conclusion : The increase in ADHD children is predicted to increase socio-phenomenologically, and aggression in ADHD children can negatively affect the mental health literacy of caregivers. Therefore, the need for intervention in occupational therapy to alleviate aggression in ADHD children increases, and social support and efforts are needed to improve and restore the mental health literacy of caregivers.

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Objective : The purpose of this study is to study of risk factors on depression in cognitive impairment based on ICF : comparison with the young-old and old-old. Among the elderly over 60 years old, this study is to figure out the risk factors on the elderly in early years and the elderly in late years by their age, centering on the elderly with cognitive function decline who have a high probability of progressing to dementia and mild cognitive impairment. Methods : To this end, the panel data from the 7th KLoSA (Korean Longitudinal Study of Ageing) were used, and out of 1,039 elderly people with cognitive impairment, 494 young-old people in early years under 75 years old and 545 old-old people over 75 years were selected as the final subjects for analysis. Results : The results of the study are as follows. First, the importance of social activities that have been overlooked has been emphasized on factors that commonly affect the depression of the elderly with cognitive impairment. Second, differentiated approaches by age group were confirmed by the fact that the effective factors of depression vary by age. Conclusion : This study means that the elderly with cognitive impairment, which leads to dementia and mild cognitive impairment, can be identified by age. The study can be used as basic data for prevention and management measures and policy measures for the elderly with cognitive impairment.

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Objective : This study explored researches that applied mCIMT to adult stroke patients, evaluated the effect size of mCIMT in improving upper extremity function in stroke patients. In addition, this study was conducted to use it as basic data for selection of the most appropriate treatment method by examining the modulating effect with the treatment application conditions(total restraint hour, total therapy hour, and restraint region). Method : After searching the literatures published from January 2000 to January 2021 using Pubmed, data that met the inclusion and exclusion criteria were selected, and finally 11 randomized controlled trial studies were analyzed. The evaluation tool for upper motor function was the Fugl Meyer Assessment (FMA), and effect size analysis was performed on the experimental group and the control group. Moderation effect analysis was performed to estimate the effect size for each treatment application condition, which is a moderator variable, and the publication error analysis was performed using Egger's regression test. Result : As a result of synthesizing the effects of mCIMT through 11 papers, the experimental group in which mCIMT was applied to Reum showed a larger effect size than the control group (ES=0.975, 95% CI: 0.199～1.751, p=0.004). As a result of analyzing the effect of mCIMT according to treatment application conditions, “total therapy hour” was found to be a significant moderator variable(Qb=11.90, p=0.0006), and a significant larger effect size was found in the treatment time group of less than 30 hours (ES=2.042, 95% CI: 1.227～2.857, R2=64.38%). “total restraint hour”(Qb=0.01, p=0.924) and “restraint region”(Qb=0.59, p=0.441) were not significant moderator varialbes. But in the case of “total restraint hour”, the group with less than 100 hours was found to have a significant large effect size(ES=0.998, 95% CI: 0.065～1.930), and in the case of “restraint region”, the group with limited hands had a significant large effect size(ES=1.110, 95% CI: 0.220～2.000). There was no significant relationship between the effect size and the standard error of 11 articles, indicating that there was no publication bias (bias=0.815, p=0.800). Conclusion : mCIMT is an effective occupational therapy method for improving upper motor function in stroke patients. In addition, when we make up the treatment application conditions of mCIMT, the “total therapy hour” is programmed to be less than 30 hours, the “total restraint hour” is flexibly adjusted according to the “total therapy hour”. Mixed application of methods that restriction of hands and restriction of hands and arms is proposed as an effective method for improving upper motor function in stroke patients.

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Objective : In this study, we tried to establish the basic data of occupational therapy in hospice and palliative care by confirming the role, awareness and knowledge of occupational therapists in the environment of hospice and palliative care. Methods : This study was conducted with 200 occupational therapists from all over the country who agreed to participate in the study. The survey was conducted through an online questionnaire. The questionnaire consisted of a total of 41 questions, including 6 general characteristics, 10 questions related to the role of occupational therapist in hospice·palliative care, 20 questions on knowledge measurement of hospice·palliative care, and 5 questions on perception of occupational therapy in hospice·palliative care . Descriptive statistics were used for the general characteristics and priority, frequency, and proportion of occupational therapy roles in hospice and palliative care. Independent sample T-test and Kruskal-Wallis test were performed to understand the difference in hospice and palliative care knowledge measurement according to general characteristics. Multiple regression analysis was conducted to confirm the effect of perception of hospice and palliative care on knowledge of hospice and palliative care. Results : The priority for the role of occupational therapists in hospice and palliative care was high in the order of prepare for death, pain prevention and reduction, and quality of life. Overall awareness of hospice and palliative care was low, and the need and curriculum for occupational therapy in hospice and palliative care were high. Comparative analysis of hospice and palliative care knowledge according to general characteristics of occupational therapists did not show any significant difference. Conclusion : Through this study, it was possible to confirm the opinion and level of occupational therapy in hospice and palliative care of domestic occupational therapists. In the future, it is necessary to develop a curriculum for hospice and palliative care occupational therapy and to conduct related research.

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Objective : The purpose of this study was to investigate the effects of employment-related attitudes of people with brain lesions, such as degree of family support for employment, self-efficacy, self-esteem, and degree of disabilities acceptance on their social participation. Methods : 281 people with brain lesions who responded as brain lesions disorder in the second wave of the forth data of Panel Survey of Employment for Disabled were selected as the study subjects. Pearson's correlation coefficient was analyzed to identify variables that could predict social participation relating to employment-related attitudes. Finally, multiple linear regression analysis was performed to investigate the effect of each variable on social participation. Results : The correlations of the variables affecting social participation of persons with brain lesions were analyzed, resulting that self-efficacy (p<.001), degree of family support for employment (p<.001), degree of disabilities acceptance (p<.05), education level (p<.01), and degree of disabilities acceptance (p<.001) turned out to have positive correlation. Among the factors of employment-related attitude of people with brain lesions, it was analyzed that degree of family support for employment (p<.001), degree of disabilities acceptance (p<.001), and self-efficacy (p<.001) accounted for 20.7% of social participation. Conclusion : Among the factors of the employment-related attitude of people with brain lesions, degree of family support for employment and self-efficacy were analyzed as important variables affecting social participation. In the future, when applying occupational therapy interventions to improve social participation, degree of family support for employment and self-efficacy should be taken into consideration.

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Objective : This study is to know how the internal and external control of the elderly in care facilities affect the relational aggression’s perception. Methods : I analyzed the internal and external control and the relational aggression‘s perception through a survey of the elderly in care facilities. For data collection, 148 of 165 questionnaires, excluding 17 questionnaires with missing questionnaire and middle-level abandonment, were used for the final analysis. Independent variables were the internal and external control, dependent variables were the relational aggression of negative and bullying behaviors, and controlled variables were general sociological characteristics of the elderly. Results : The results were as follows: First, there was a significant difference internal and external control depending on the length of a care facility. Second, there were significant differences in the recognition of relational aggression depending on the level of education, the period of admission, the presence of spouses, and the level of economy. Third, there was a significant difference in comparison of relational aggression perceptions according to internal and external control. Fourth, internal and external control affected the recognition of relational aggression. Conclusion : According to the demographic characteristics, there was a difference in the internal and external control and relational aggression perception of the elderly living in the facilities, and the internal and external control affected the level of relational aggression perception of the elderly in the facilities.

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Objective : The purpose of this study was to investigate the changes in occupational balance and quality of life caused by COVID-19 in occupational therapy students. Methods : From May 27 to June 26, 2020, questionnaires were distributed to a total of 35 universities among 62 occupational therapy departments nationwide. General characteristics, COVID-19 related characteristics, OBQ and WHOQOL-BREF were used to evaluate and analyze occupational balance and quality of life. The SPSS/PC 24.0 program was used to analyze frequency analysis, crossover analysis, chi-square test, independent t-test, analysis of variance, and Pearson correlation analysis. Results : There were significant differences in school system(years), class, life pattern, quality of life, personal and public schedule depending on whether they are interested in occupational balance. There were significant differences in occupational balance(OBQ) and quality of life(WHOQOL-BREF), ‘Hobby’, ‘new hobbies after COVID-19’, ‘life patterns’, ‘use of public transportation’, ‘maintenance of occupational balance’, and ‘quality of life’. There was a significant positive correlation occupational balance and quality of life. Conclusion : This study showed that the more people who have changed their lives due to COVID-19 are interested in work balance, and the better they maintain their work balance and emotional well-being, the higher the work balance and quality of life, and the positive correlation between work balance and quality of life was confirmed. This will be the basis for studies related to intervention strategies that can improve occupational balance and quality of life in a time when social isolation is easy due to the COVID-19 epidemic.

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