DOI QR코드

DOI QR Code

Current Trend in Use of Occupational Therapy Assessment Tool by Pediatric Occupational Therapist

국내 아동 작업치료사의 평가도구 사용 동향

  • Lee, Sun-Hee (Dept. of Occupational Therapy, The Graduate School, Yonsei University) ;
  • Hong, Cho-Rong (Dept. of Occupational Therapy, The Graduate School, Yonsei University) ;
  • Park, Hae Yean (Dept. of Occupational Therapy, College of Health Science, Yonsei University)
  • 이선희 (연세대학교 대학원 작업치료학과) ;
  • 홍초롱 (연세대학교 대학원 작업치료학과) ;
  • 박혜연 (연세대학교 보건과학대학 작업치료학과)
  • Received : 2018.11.02
  • Accepted : 2018.12.17
  • Published : 2018.12.31

Abstract

Objective : The purpose of this study is to investigate trend in use of occupational therapy assessment tools used by pediatric occupational therapist. Methods : Survey questionnaire developed for this study were used to for data collection. The questionnaires are divided into 10 area: occupational performance, activities of daily living, education, play, sensory-perceptual, motor and praxis, cognition, social interaction skills, development, and physical examination. Total 105 responses were analyzed using descriptive statistics analysis and frequency analysis. Results : For the general process of evaluation in pediatric occupational therapy, major response on the initial evaluation time was 30~60minutes (41.9%), and major response on the re-evaluation period was 3~6months (41.0%). The major assessment tool for each area Canadian Occupation Performance Measure (55.2%) for occupational performance assessments, Wee Functional Independence Measure (57.1%) for activities of daily living assessments, School Function Assessment (2.5%) for education assessments, Knox Preschool Play Scale (28.6%) for play assessments, Developmental Test of Visual Perception (94.3%) for sensory-perceptual assessments, Bruininks-Oseretsky Test of Motor Proficiency (42.9%) for motor and praxis assessments, Evaluation of Social Interaction (6.1%) for social interaction skills assessments, Denver Developmental Screening Test (92.4%) for development assessments, Clinical Observation (89.5%) for physical examination assessments. Conclusion : The study identified the most assessment tools used for specific area by pediatric occupational therapists. The results can be used as a basic data to educate about pediatric occupational therapy evaluation, as well as to develop new assessment tools in pediatric setting in future.

목적 : 본 연구는 국내 아동 작업치료사들이 사용하고 있는 평가도구를 영역별로 구체화하여, 평가도구의 사용 동향을 파악하고자 하였다. 연구방법 : 본 연구는 아동 작업치료사를 대상으로 평가도구 사용에 대한 설문을 실시하였다. 평가도구의 하위영역은 작업수행, 일상생활활동, 교육, 놀이, 감각-지각, 운동 및 실행, 인지, 사회적 상호작용 기술, 발달, 이학적 검사로 구성하였다. 설문에 응답한 105명의 자료를 대상으로 기술통계 및 빈도분석을 사용하여 분석하였다. 결과 : 본 연구 결과는 초기 평가 시 소요되는 시간은 30~60분(41.9%)이 가장 많았으며, 재평가 주기는 3~6개월(41.0%)로 가장 많이 실시하는 것으로 나타났다. 영역 별 평가도구를 살펴보면, 작업 수행은 Canadian Occupation Performance Measure(55.2%)을, 일상생활활동은 Wee Functional Independence Measure(57.1%)을, 교육은 School Function Assessment(2.5%)를, 놀이 평가도구는 Revised Knox Preschool Play Scale(28.6%)을, 감각-지각은 Developmental Test of Visual Perception(94.3%)을, 운동 및 실행 평가도구는 Bruininks-Oseretsky Test of Motor Proficiency-2(42.9%)를, 인지 평가도구는 Lowenstein Occupational Therapy Cognitive Assessment(11.4%)를, 사회적 상호작용 기술은 Evaluation of Social Interaction(6.1%)을, 발달은 Denver Developmental Screening Test-II(92.4%)를, 이학적 검사는 임상관찰(89.5%)을 주로 사용하는 것으로 나타났다. 결론 : 본 연구를 통하여 국내 아동작업치료사들이 사용하고 있는 평가도구를 영역별로 구체적으로 파악할 수 있었으며, 이를 통해 추후 평가 교육 및 개발을 위한 기초적인 근거자료가 될 것으로 기대된다.

Keywords

References

  1. American Occupational Therapy Association. (2010). Standards of practice for occupational therapy. American Journal of Occupational Therapy, 64(Suppl.), 106-111. http://dx.doi.org/10.5014/ajot.2010.64S106
  2. Asher, I. (2014). Asher's occupational therapy assessment tools: An annotated index (4th ed.). Bethesda, MD: AOTA Press.
  3. Bak, A. R., Kim, H., Yoo, D. H., & Cha, T. H. (2017). Study to reliability and validity of short sensory profile2. Journal of Korean Society of Occupational Therapy, 25(2), 131-139. http://dx.doi.org/10.14519/jksot.2017.25.3.10
  4. Crowe, T. K. (1989). Pediatric assessments: A survey of their use by occupational therapists in northwestern school systems. Occupational Therapy Journal of Research, 9. 273-286. https://doi.org/10.1177/153944928900900502
  5. Case-Smith, J., & O'Brien, J. C. (2015). Occupational therapy for children and adolescents. St. Louis, Missouri: Elsevier,
  6. Cho, B. H., & Park, H. W. (2004). The standardization study of korean bayley scales of infant development (K-BSID-II): Analyses of korean infants' performance of K-BSID-II in terms of demographical variables. Korean Journal of Developmental Psychology, 17(1), 191-206.
  7. Dunn, W. (1999). Sensory profile: User's manual. San Antonio, T.X: Psychological Corporation.
  8. Hong, K. H., Kim, D. Y., Kang, H. B., Park, T. Y., Yun, E. J., Lee, J. Y., et al. (2016). A preliminary study on motor ability of preschool aged children by using bruininks-oseretsky test of motor proficiency-2 (BOT-2) short form. Journal of Korean Academy of Sensory Integration, 14(1), 31-40. http://dx.doi.org/10.18064/JKASI.2016.14.1.031
  9. Hong, S. Y., Chang, M. Y., & Kim, K, M. (2013). Analysis of participation of students with intellectual disabilities in a school environment using the PEO model. Journal of Korean Society of Occupational Therapy, 21(1), 95-105.
  10. Itzkovich, M., Elazar, B., & Averbuch, S. (1993), Lowenstein occupational therapy cognitive assessment manual. New Jersey: Maddak Inc.
  11. Jo, E. M., Jeong, Y. J., Choi, Y. M., & Yoo, E. Y. (2015). Current trends of occupational therapy assessment tool by Korean pediatric occupational therapist. Journal of Korean Society of Occupational Therapy for Child and School, 6, 53-64.
  12. Ji, S. Y., Kim, M. S., Keum, H. J., & Kim, S. H. (2009). Developmental standard of short sensory profile for korean children of school age (7 to 9 years old). Journal of Korean Academy of Sensory Integration, 7(1), 27-36.
  13. Kim, J. H. (2011). Application of occupational therapy intervention process model : A case of child with sensory integration dysfunction. Journal of Korean Academy of Sensory Integration, 9(2), 1-13.
  14. Kim, M. H., Namgung, E. Y., Bu, K. H., Sim, J. H., & Lee, E. S. (2008). The performance of the clinical observations of motor and postural skills (COMPS) in school-aged normal children. Journal of Korean Academy of Sensory Integration, 1(1), 17-23.
  15. Kim, S. Y., & Min, Y. S. (2016). Literature review of korean occupational therapy research for children and youth regarding the international classification of functioning: Focusing on the korean society of occupational therapy. Journal of Korean Society of Occupational Therapy, 24(4), 161-174. http://dx.doi.org/10.14519/jksot.2016.24.4.12
  16. Kim, S. Y., Yoo, E. Y., Jung, M. Y., Park, S. Y., Lee, J, S., & Lee, J. Y. (2013). Development of activity participation assessment for school age children. Journal of Korean Society of Occupational Therapy, 21(2), 13-23. https://doi.org/10.14519/jksot.2013.21.4.02
  17. Lee, S. H., Park, H. Y. (2017). Occupational therapy intervention for improving play of children: A systematic review. Journal of Korean Academy of Sensory Integration, 15(2), 93-106. http://dx.doi.org/10.18064/jksot.2017.15.2.093
  18. Lim, K. M., Yoo, E. Y., Jung, M. Y., Lee, J, S., Kim, J. R., & Park, H. Y. (2018). Development of the evaluation tool of school-aged children's and writing. Journal of Korean Society of Occupational Therapy, 26(1), 103-118. http://dx. doi.org/10.14519/jksot.2018.26.1.08
  19. Lim, Y. J., Park, K. Y., & Yoo, E. Y. (2007). Pilot study to establish content validity of a korean-translated version of a sensory profile. Journal of Korean Society of Occupational Therapy, 15(2), 25-42.
  20. Law, M., Baum, C., & Dunn, W. (2016). Measuring occupational performance: Supporting best practice in occupational therapy. Thorofare, NJ: Slack.
  21. Mulligan SE. (2003). Occupational therapy evaluation for children: A pocket guide. Philadelphia: Lippincott Williams & Wilkins.
  22. Neistadt, M., & Crepeau, E. B. (1998). Glossary. In M.E. Neistadt & E.B. Crepeau (Eds.), Willard & Sparkman's occupational therapy (9th ed., pp. 90-100). Philadelphia, PA: Lippincott Williams & Wilkins.
  23. Park, K. Y., Yoo, E. Y., Jung, M. Y., Park, S. Y., Lee, J. S., & Park, S. Y. (2011). Validation of the sensory profile for korean children With pervasive developmental disorder. Journal of Korean Society of Occupational Therapy, 19(3), 1-12.
  24. Park, S. Y., & Yoo, E. Y. (2002). The use of occupational therapy assessment tool by Korean occupational therapist. Journal of Korean Society of Occupational Therapy, 10(2), 99-108.
  25. Rodger, S. (1994). A survey of assessment used by paediatric occupational therapists. Australian Occupational Therapy Journal. 41, 137-142. http://dx.doi/10.5762/KAIS.2012.13.11.5229
  26. Shin, H. S., Han, K. J., Oh, K. S., Oh, J. J., & Ha, M. N. (2002). Korean denver developmental screening test II. Seoul: Hyunmunsa.
  27. Shin, Y. N., Park, S. H., Lee, J. Y., & Park, J. H. (2014). Validity and reliability of the korean version of the school function assessment. Journal of Korean Society of Occupational Therapy, 22(4), 27-37. http://dx.doi/10.14519/jksot.2014.22.4.03
  28. Song, C. S. (2012). Current trends and future-oriented view of clinical measurement used by neurological occupational therapist. Journal of the Korea Academia-Industrial Cooperation Society, 13(11), 5229-5237. https://doi.org/10.5762/KAIS.2012.13.11.5229
  29. Yoo, E. Y,, Jung, M. Y., Park, S. Y., & Choi, E. H. (2006). Current trends of occupational therapy assessment tool by Korean occupational therapist. Journal of Korean Society of Occupational Therapy, 14(3), 27-37.