The Journal of Korean Academy of Sensory Integration (대한감각통합치료학회지)

Korean Academy of Sensory Integration (대한감각통합치료학회)
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The Intervention and Outcome Measurement Tools of Children With Attention Deficit Hyperactivity Disorder: A Systematic Review

주의력결핍과잉행동장애 아동의 중재방법과 측정도구에 관한 체계적 고찰 : 국제 기능.장애.건강 분류 모델의 분류기준에 근거하여

  • Lee, Na-Hae (Dept. of Occupational Therapy, College of health Science, Chosun University) ;
  • Kim, Kyeong-Mi (Dept. of Occupational Therapy, College of Biomedical Science and Engineering, Inje University)
  • 이나핼 (조선대학교 보건과학대학 작업치료과) ;
  • 김경미 (인제대학교 의생명공학대학 작업치료학과)
  • Received : 2014.07.25
  • Accepted : 2014.08.29
  • Published : 2014.09.11
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Abstract

Objective : The purpose of this study was to provide for the intervention and outcome measurement tools of children with Attention Deficit Hyperactivity Disorder (ADHD) through ICF model. Methods : The systematic review methods were used. Papers published in the journal between January, 2000 and July, 2014 were searched through MEDLINE/PubMed, Sciencedirect, Ovid. The main terms searched were 'ADHD, Children, intervention, outcome measure', and 8 papers were analyzed. Results : 1. The subjects of ADHD were pure ADHD (75.8%), ADHD with dyslexia (9.1%), ADHD with conduct disorder (5.8%), ADHD with tic disorder (3.8%), ADHD with DCD (3.0%), ADHD with emotional disorder (2.5%). 2. The nonpharmacologic intervention of ADHD were functioning and disability (80%) and contextual factors (20%). Most frequently used intervention were body function and structure (60%). 3. The outcome measurement tools of ADHD were functioning and disability (80.5%) and contextual factors (19.5%). Most frequently used outcome measurement tools were body function and structure (70.8%). Conclusion : This study can provide information on the intervention and outcome measurement tools of ADHD.

목적: 본 연구는 주의력결핍과잉행동장애(Attention Deficit Hyperactivity Disorder: ADHD) 아동의 중재방법과 측정도구를 ICF모델의 분류기준인 기능과 장애영역 그리고 배경요인으로 분류하여, 건강과 장애와 관련된 ADHD 아동의 중재방법과 측정도구를 알아보고자 한다. 연구방법 : 본 연구는 체계적 고찰방법을 사용하였다. 2000년 1월부터 2013년 7월까지 학회지에 게재된 논문을 MEDLINE/PubMed, Sciencedirect, Ovid를 통해 검색하였다. 주요 검색어는 'ADHD, Children, intervention, outcome measure'으로 하였으며, 최종적으로 8개의 논문을 분석하였다. 결과 : 1. 본 연구에서 제시된 ADHD 아동은, 순수 ADHD가 75.8%로 가장 많았으며, 그 다음으로 ADHD 공존장애는 난독증(dyslexia), 품행장애(conduct disorder), 틱 장애(tic disorder), 발달협응장애(DCD), 마지막으로 정서장애(emotional disorder) 순이었다. 결과 : 2. ADHD아동의 중재방법은 기능과 장애영역에서 80%이고, 배경요인은 20%이다. 기능과 장애영역의 신체 기능과 구조의 관한 중재(NF training, computer training program)는 60%로 가장 많았고, 활동은 10%, 참여도 10%이다. 배경요인은 환경적 요인이 20%이고, 개인적 요인은 없었다. 결과 : 3. ADHD아동에게 사용된 측정 도구는 기능과 장애영역은 80.5%이고, 배경요인은 19.5%이다. 신체구조와 기능영역(아동의 문제행동과 특성의 변화)에서 70.8%로 가장 많았으며, 활동영역은 7.3%, 그리고 참여영역은 2.4%이었다. 배경요인은 환경적 요인에서 19.5%이고 개인적 요인은 없었다. 결론 : ADHD아동의 중재방법과 측정도구를 ICF모델의 분류기준에 근거하여 체계적 고찰을 하였다. 이는 건강과 장애와 관련된 ADHD아동의 중재와 측정방법을 이해하고 사용하는데 기초자료 될 것이다.

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