작업기반 임상의 실천으로서 시간사용 중재가 뇌졸중 생존자의 생활참여에 미치는 효과

Abstract

This study aimed to examine the effects of time-use intervention on the six theoretical factors
 influencing occupational participation for stroke survivors. A consecutive sample of 30 stroke survivors
 receiving in-patient occupational therapy participated. As a non-blinded randomized controlled design,
 a time-use intervention was intervened using the occupational questionnaire and Canadian occupational
 performance measure. A comparison with the standard care group was made using the Model of
 Human Occupation Screening Tool (MOHOST) to examine the effect at baseline and 10 weeks
 posttest. After intervention, the intervention group participants increased total MOHOST scores
 (p < .01) and habituation subscale (p < .05) more than did the comparison group. In before-and-after
 intervention comparisons of each group, total MOHOST score and four subscales (i.e., volition,
 habituation, communication/interaction skills, process skills) increased and motor skills did not
 increase for both groups, whereas environment score improved only in the intervention group.
 By restructuring daily life disrupted due to sudden hospitalization, the time-use intervention may
 promote factors impacting stroke survivors' participation in life.