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KMID : 0603920210290010071
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Journal of Korean Academy of Occupational Therapy
2021 Volume.29 No. 1 p.71 ~ p.86
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Development of Occupational Therapy Intervention Terminology for Dementia
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Song Young-Jin
Park Eun-Jung
Chung Jae-Yeop
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Abstract
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Objective: We developed an occupational therapy intervention terminology for dementia and proved appropriateguidelines to facilitate valid interdisciplinary communication, with the aim of compatible documentation.
Methods: Thirty occupational therapists and professors with more than 5 years of clinical experience were selectedas a group of experts to investigate interventional actions and recorded terminology. A systemic review and theinvestigated terms were classified with reference to ICF and OTPF-3, and intervention examples were presentedbased on three axes (objects, methods, and actions) of ICHI. The validity and importance of these terms wereinvestigated for 48 dementia-related institutions.
Results: Intervention terminologies were classified into several different areas such as the body function, activityand participation, and environmental factors. Body functions ware classified into mental, sensory, voice,cardiovascular and respiratory, swallowing, neuromuscular skeletal, and movement-related functions. Activitiesand participation were classified into learning and applying knowledge, general tasks and demands, communication,mobility, self-care, domestic life, interpersonal interactions and relationships, communities, and social and civiclife. Environmental factors were classified into products and technology, the natural environment and human-madechanges to the environment, support and relationships, attitudes, service systems, and policies. The overallvalidation results of the intervention terminology were body function, 0.77; activity & participation, 0.81;environmental factors, 0.64; and total, 0.73. In addition, the importance was averaged at 3.89 ± 0.74. There wereno significant differences in validity and importance between the job groups. Dementia-related center andprofessor-administrative groups showed that the awareness of environmental factors in the intervention of NCDpatients decreased.
Conclusion: ‘Occupational therapy intervention terminologies for NCD patients’ will be available as a reasonableguide for various dementia-related agencies. In the future, these terminologies can be used to documentoccupational therapy that incorporates body functions, activities and participation, and environmental factors. Weshould continue to make an effort to revise it according to the changes over time.
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KEYWORD
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ICF, ICHI, Neurocognitive disorder, Occupational therapy, Occupational Therapy Practice Framework, Intervention terminologies, Environmental factors, Activities and participation
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