An Sun-Joung L
Department of Occupational Therapy, Inje University, 197 Inje Rd, Gimhae-si, Gyeongsangnam-do 621-749, Republic of Korea.
Department of Rehabilitation Science, Graduate School of Inje University, 197 Inje Rd, Gimhae-si, Gyeongsangnam-do 621-749, Republic of Korea.
Occup Ther Int. 2017 Mar 1;2017:4741634. doi: 10.1155/2017/4741634. eCollection 2017.
Attitudes and beliefs about parent participation in occupational therapy are shifting toward family-centered practice worldwide. However, adopting a family-centered approach in a society such as Korea, where a Confucian culture of hierarchical roles is reflected in a strong medical model, can prove to be very difficult. A parent training program was developed at the HOPE Center, a pediatric occupational therapy center, to bridge the gap between the traditional medical model and the ideal family-centered model. This study examined the effectiveness of the parent training and gauged parents' perceptions and experiences of a more family-centered approach to therapy. Four parent-child dyads living with autism participated in five months of parent training at the HOPE center. The results on the Canadian Occupational Performance Measure showed that the parent training improved the occupational performance of both children and parents. Six open-ended questions were used to investigate parents' perceptions and experiences of parent training. Two broad themes emerged: improved self-efficacy and the cultural reality of living with autism in Korea. This study demonstrates that building parent training into an occupational therapy program may optimize the effectiveness of any therapy and introduce a more family-centered approach to therapy while maintaining cultural integrity.
在全球范围内，对于家长参与职业治疗的态度和观念正朝着以家庭为中心的实践转变。然而，在韩国这样一个社会中采用以家庭为中心的方法可能会非常困难，因为韩国的儒家等级角色文化体现在强大的医学模式中。在一家儿科职业治疗中心——希望中心，开发了一个家长培训项目，以弥合传统医学模式与理想的以家庭为中心模式之间的差距。本研究考察了家长培训的效果，并评估了家长对更以家庭为中心的治疗方法的看法和体验。四个患有自闭症的亲子对在希望中心参加了为期五个月的家长培训。加拿大职业表现测量的结果表明，家长培训提高了儿童和家长的职业表现。使用了六个开放式问题来调查家长对家长培训的看法和体验。出现了两个广泛的主题：自我效能感的提高以及在韩国与自闭症共存的文化现实。本研究表明，将家长培训纳入职业治疗项目可能会优化任何治疗的效果，并引入更以家庭为中心的治疗方法，同时保持文化完整性。
