장애아동의 학교준비도 프로그램(School Readiness Program)에 대한 체계적 문헌 고찰
A Systematic Literature Review of School Readiness Programs for Children With Disabilities
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목적 : 본 연구는 장애아동의 학교준비도 프로그램을 다룬 문헌을 분석함으로써 연구의 대상자, 프로그램의 제공자, 기간, 요소 및 결과 등을 알아보고자 한다. 연구방법 : PubMed, Embase, Web of Science, 학술연구정보서비스(Research Information Sharing Service)를 사용하여 문헌을 수집하였다. 주요 검색어는 “School readiness” AND (“Occupational Therapy” OR“Rehabilitation”), “학교준비도” AND (“작업치료” OR “재활”)을 사용하였다. 선정기준과 배제기준을 통하여 최종 8편의 연구가 선정되었다. 결과 : 학교준비도 프로그램 유형에는 복합적 기능 훈련, 운동 기술 훈련, 부모교육 프로그램, 애플리케이션을 이용한 프로그램들이 있었고 가장 높은 비중을 차지한 유형은 복합적 기능 훈련이었다. 프로그램의 제공자는 작업치료사, 심리학자, 물리치료사, 언어치료사, 사회복지사, 교육자가 있었고 심리학자가 가장 많은 연구를 진행하였다. 중재 프로그램의 구성요소는 학업 기능, 운동 기능, 사회적 기능, 부모교육, 기타로 분류할 수 있었으며 학업 기능과 사회적 기능이 큰 비중을 차지하였다. 프로그램 적용 결과 다기능적 기술, 문해력, 양육 기술, 대동작⋅소동작 기능의 향상을 나타냈다. 결론 : 본 연구는 장애아동의 학교준비도 프로그램 유형, 제공자, 중재 요소, 결과 등을 분석하여 학교 기반 작업치료의 기초 자료를 마련하고자 하였다. 최근 학교준비도 프로그램에 관한 관심과 연구는증가하고 있으며 작업치료사들도 학교 관련 재활 분야에서 역할을 정립하여 다양한 학교 기반 작업치료가 이루어져야 할 것이다.
Abstract
Objective : This study aimed to confirm the research characteristics by analyzing the literature that applied the school readiness programs for children with disabilities. Methods : Studies were collected from the PubMed, Embase, Web of Science, and Research Information Sharing Service databases. The key terms were “School readiness” AND (“Occupational Therapy” OR “Rehabilitation”) in English and Korean. Total eight articles were selected through the selection and exclusion criteria. Results : The programs included multi-type training, motor skill training, parent training, and mobile application training. The providers were psychologists, occupational therapists, physical therapists, speech pathologists, community workers, educators, and the psychologists who conducted most of the research. The program factors can be classified into academic function, motor function, social function, parental training, and others. Academic and social functions accounted for the largest proportion of the respondents. The intervention improved multiple skills, literacy, parenting skills, and gross fine motor function. Conclusion : This study aimed to provide basic data for school-based occupational therapy by analyzing school readiness programs for children with disabilities. Recently, interest in and research on school readiness has increased. Occupational therapists should also establish their roles in the field of school-related rehabilitation and provide various school-based occupational therapies.
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