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KMID : 0603920200280040099
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Journal of Korean Academy of Occupational Therapy
2020 Volume.28 No. 4 p.99 ~ p.110
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Effects of Visiting Occupational Therapy on Cognition, Social Participation, and Daily Life of People With Disablities in the Community: Focusing on WHODAS 2.0
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Kim A-Reum
Kim Hee
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Abstract
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Objective: In this study, the cognitive, social participation, and daily activity effects of visiting occupational therapyfor community-dwelling people with physical disabilities were assessed through World Health OrganizationDisability Assessment Schedule 2.0 (WHODAS 2.0), and two health centers were compared to confirm theeffective intervention period.
Methods: Participants were people with disabilities living in communities with brain lesions and physical disabilities.
A total of 17 subjects were divided into 8 patients receiving short-term treatment once a week and 9 patientsreceiving long-term treatment once a month. Through the WHODAS 2.0 evaluation, the health status wasidentified, and difficulties in cognition, daily life, and social participation were identified. The WilcoxonSigned-Rank Test was conducted for determining the difference between the pre-and post-test of the visitinginterventions, and the Mann-Whitney U Test was used to compare the scores between groups. The statisticalsignificance level p was below .05.
Results: Although there was no significant change in the short-term treatment group after visiting occupationaltherapy intervention, the daily life and social participation scores of the long-term treatment group significantlyimproved. The difference in the number of changes among the groups did not show a significant difference incognition, walking, self-management, social participation, or total score, although there was a statisticallysignificant difference in getting along and doing housework.
Conclusion: Daily life and social participation were improved through monthly long-term occupational therapyinterventions in people living in community with disabilities. Long-term intervention is necessary to maintain theindependent role of people with disabilities and to provide opportunities for their active participation. In addition,various evaluation tools are recommended to provide appropriate interventions for each family, and long-termvisits for occupational therapy are expected.
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KEYWORD
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Visiting occupational therapy, Cognition, Daily life, Social participation, Disability, Community
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