통합의료병원의 환자 미충족 의료서비스 및 경영개선을 위한 IPA

정문주 ( Moon-joo Cheong ),전병현 ( Byeong-hyeon Jeon ),노세응 ( Se-eung Noh ) 대한통합의학회 2021 대한통합의학회지 Vol.9 No.1

Purpose : This study explores unmet medical services within a region for patients admitted to a single medical institution in one region and was to analyze the importance and satisfaction of hospital selection attributes. Through this, we tried to solve the unmet medical needs of patients and provide useful basic data in terms of hospital management in the region. Methods : It were collected to a total of 250 questionnaires for patients admitted to the regional integrative medical hospital. However, 232 samples were used for the final analysis, excluding 18 copies not reported in good faith. For the analysis, first, demographic frequency analysis of inpatients and inpatients was performed, and second, characteristics of patients, including frequent disease receiving treatment, were analyzed. Next, descriptive statistics analysis was conducted on unmet medical service intentions. In terms of hospital selection attribute, the items of continuity maintenance (I quadrant), priority visibility (II quadrant), low priority (III quadrant), and excessive effort (IV quadrant) were derived using the IPA (importance-performance analysis) matrix technique. Results : The derived results were classified by item and area. In the priority administration area, it was the reputation and recognition of medical institutions and the service area of medical institutions. In the case of items, there were 6 items including the importance of surgery and medical expenses, and diet at hospitalization. Conclusion : Thus a result of this study, resources are efficiently allocated to priority correction areas with high importance but low satisfaction and circulatory medical treatment is performed in the departments required by patients who use medical care and, various methods, such as preparing a policy to support medical expenses, should be sought.

불안장애에 대한 가상현실치료 국내동향분석

정문주 ( Moon Joo Cheong ),김지수 ( Jeesu Kim ),유영수 ( Yeoung-su Lyu ),강형원 ( Hyung Won Kang ) 대한한방신경정신과학회 2020 동의신경정신과학회지 Vol.31 No.4

Objectives: Many fields have changed since covid-19, psychotherapy being no exception. With the pandemic associated increase in untact treatment, interest in virtual reality exposure therapy has also increased. The aim of study was to analyze recent literature using virtual reality therapy for the treatment of anxiety disorders. Methods: We searched five databases from dates between October 1 to November 1, 2020. We selected articles related to the treatment of anxiety disorders using virtual reality therapy and analyzed the trend of that, not thesis but domestic articles. Results: There were 6 RCT studies and 3 were case reports where, based on the DSM-4, the participants presented with anxiety disorders including 2 with presentation anxiety, 1 heterosexual anxiety, 1 test anxiety, 1 social anxiety, 1 dental anxiety, 2 Acrophobia, and 1 social phobia. Treatment sessions varied from 1 session to 18 sessions, but 5 studies conducted 4 sessions, and all studies attempted virtual reality exposure for 30-minute time periods. 8 studies used HMD as the VR device and 1 study did not report a device. Conclusions: Anxiety disorders treated using virtual reality included speech anxiety and acrophobia. Median treatment session number was 4 and sessions were less than 30 minutes. The most common VR device used was an HMD. VR psychotherapy showed limitations relating to patient experience including cyber sickness and a lack of immersion. In addition, most of the studies were conducted with patients who visited hospitals utilizing Western medical practices. Currently, virtual reality therapy (VRT) intervention in oriental medicine is lacking. The lack of research in this area suggests analyzing data from VR psychotherapy in oriental medicine could provide novel and useful information.

한국판 5요인 마음챙김 단축형 척도 타당화 연구

정문주 ( Moon Joo Cheong ),채은영 ( Eun Young Chae ),류영수 ( Yeoung Su Lyu ),강형원 ( Hyung Won Kang ) 대한한방신경정신과학회 2017 동의신경정신과학회지 Vol.28 No.3

Objectives: To simplify the mindfulness scale and to ensure reliability and validity of the scale. Methods: To develop scale items using the original scale and to identify factor structure of the scale, exploratory factor analysis was conducted based on results of factor analysis, the short-form 5-factor mindfulness scale item was selected. Internal consistency coefficient was calculated and confirmatory factor analysis was conducted to verify reliability of the short-form scale. Finally, to verify validity of the abbreviated scale, we conducted correlation analysis with the abbreviated scale and the mindfulness scale (FFMQ). Results: As with the original scales, scaled scales were composed of 5 factors and consisted of 15 items in total. Factor analysis revealed factor loadings were adequate and reliability and validity were secured. Conclusions: It provided that mindfulness shortening scale validation can be used more simply to measure mindfulness in the clinical scene.

자유학기제를 체험한 고등학생들의 이야기 “대학은 가라면서..”

정문주(Cheong Moon Joo),백승환(Baek Seung Hwan),최현희(Choi Hyeon Hui),조준호(Jo Jun Ho) 학습자중심교과교육학회 2020 학습자중심교과교육연구 Vol.20 No.6

본 연구는 자유학기제를 체험한 학생들을 추적조사하여 국내 교육 정책과 실행에 대한 시사점을 제공하고자 한다. 이를 통해 자유학년제 실시에 기초자료를 제공하는데 그 목표를 둔다. 이를 위한 본 연구의 대상자 표집에 있어 우선적으로 2013년 전국의 42개의 연구학교에서 자유학기제를 체험한 학생들을 공개모집하였다. 구체적으로 눈덩이 표집을 거쳐 일차로 7명을 모집했다. 이후 자료 포화도를 위해 2차 추천을 받아 7명을 추가로 모집하여 총 14명을 표집하였다. 자료 조사를 위한 면담일정은 다음과 같았다. 7명씩 총 4회기에 걸쳐 2018년 8월부터 9월까지 두 달간 면담을 실시했으며 학생들의 일일 스케쥴을 고려하여 인터뷰 시간은 각 회기마다 50분 내로 진행하였다. 그 결과는 다음과 같았다. 그 결과는 다음과 같았다. 첫 번째, 자유학기제는 연구 참여자들에게‘지필고사로 부터의 자유’를 제공하였다. 그러나 교육 불평등의 해소에는 의문을 남겼으며 수행평가과정에 있어서 ‘무임승차’,‘평가에 대한 불신’등 다양한 문제점을 노출하였다. 두 번째, 자유학기제를 통해서 연구 참여 학생들은 자신의 꿈과 끼를 키울 수 있었는지 혹은 진로 선택에 영향을 받았는가에 대한 답은 모두 ‘아니었다’. 대신 진로 결정에 있어서 대부분의 학생들은 부모와 가족의 영향을 많이 받은 것으로 나타났다. 결과적으로 지금까지의 자유학기제는 한학기 제공된 일회성 프로그램에 지나지 않았다. 그럼에도 불구하고 다양한 의견과 함께 이전에 실시되었던 우리나라 교육제도와의 비교현상도 나타났다. 마지막으로 청소년들이 체험하고 인식한 자유학기제를 통해 우리나라 교육현장의 일부 탐색할 수 있었다는 데 그 의의가 있을 것이다. This study aims to provide implications for domestic education policies and practices by tracking down students who have experienced the free semester system. The goal is to provide basic data for the implementation of the free school year. For this purpose, it sampled students who experienced the free semester system on the 42 pilot schools across the country in 2013. After sampling, each of the seven selected a total of 14 people, and four interviews conducted focus group interview. The results were as follows. First, the free semester system provided the study participants with freedom from the written examination . However, the solution of educational inequality remained questionable and exposed various problems such as free ride and no confidence in assessment in the performance evaluation process. Second, through the free semester system, the answer to whether the students were able to grow their dreams and talents or were influenced by career choices was all no . As a result, the free semester system so far has been nothing more than a one-off program offered in a semester. Nevertheless, various opinions and a comparison with the nation s education system that was previously implemented were also revealed. The last study that we saw may be meaningful in that it provided an empirical basis for the need for linkage with higher education and the need for changes in social awareness.

뉴로 피드백 훈련 프로그램(Neurofeedback Training Programme) 효과에 대한 메타분석

정문주(Moon Joo Cheong),조한익(Hanik Jo),채은영(Eun Young Chae) 한국산학기술학회 2016 한국산학기술학회논문지 Vol.17 No.12

본 연구는 국내에서 발간된 학위논문과 학술지 논문을 대상으로 뉴로 피드백 프로그램 훈련과 관련된 요인들을 체계적으로 탐색하여 뉴로 피드백 프로그램훈련(Neurofeedback programme training; NFT)의 효과성을 종합하기 위해 메타분석을 실시하였다. 연구대상은 데이터베이스 검색을 통해 2001년부터 2015년까지 출판된 논문들 중 최종 21편을 선정하여 분석하였다. 연구방법 특성으로 연구의 질 평가를 실시한 결과 전체 분석대상 논문의 질에는 제한점이 있었다. 연구 결과로는 첫째, 전체 뉴로 피드백 프로그램의 효과크기는 .683로 중간 이상이었다. 둘째, 조절 변인별 효과 크기를 분석한 결과 연구대상의 임상군의 특성(ADHD, 인지장애, 알츠하이머, 청각장애, 지적장애 등)과 학교 급(초·중·고)에 따라 각 뉴로 피드백 훈련의 효과가 통계적으로 유의한 차이가 있는 것으로 나타났다. 셋째, 연구 방법(훈련 방법)적 측면에서는 주당 회기 수, 총 횟수,그리고 훈련시간에 따라 훈련의 효과가 통계적으로 유의한 차이가 나타났다. 본 연구에서 밝혀진 연구 결과를 통하여 뉴로피드백 훈련 프로그램 대상에 대한 효과적인 개입과 선정에 대한 자료를 제공할 수 있을 것이다. The purpose of this study is to (evaluate) the effectiveness of neurofeedback training (NFT) and systematically search for the related factors by conducting a meta-analysis of theses and journal articles published in (the Korean language/Korea). This study analyzed 21 articles selected through a database search from 2001 to 2015. The quality evaluation result of the research, as research method characteristic, was low. It was found that, first, the effect size of the neurofeedback program training was .683 above the (median). Second, the effect size as the (moderator) variable played a statistically significant role in moderating the effect of the the subject characteristics, including the presence or not of disabilities and school level (elementary, junior high school, high school), on the effectiveness of the neurofeedback training program. Third, (the effect size) played a statistically significant role in mediating the effect of the research method (training method), number of sessions per week, total number of sessions and training time on the effectiveness of the neurofeedback training program. This study provides (comprehensive) data on the effect of the interventions and selection of the neuro-feedback training program subjects.

뉴로피드백 훈련 프로그램(생기능자기조절 훈련) 효과에 대한 메타분석 - 국내 연구를 중심으로

정문주 ( Moon Joo Cheong ),채은영 ( Eunyoung Chae ),강형원 ( Hyung Won Kang ) 대한한방신경정신과학회 2016 동의신경정신과학회지 Vol.27 No.3

Objectives: This study was undertaken to evaluate the effectiveness of the Neurofeedback training programme (NFT), and systematically search for factors related to the NFT. Methods: This study applied meta-analysis to thesis and journal articles published in Korea. A total of 42 papers published between 2001 to August in 2015 were evaluated, which were selected through a database search. Results: Summarizing the evaluation, the quality of results was low. The meta-analysis revealed that the effect size of the neurofeedback programme training was 0.691, over the median. Also, the variables were statistically significant to the neurofeedback programme training effect, and were consistent with the subject characteristics, their disabilities/non disabilities, and level of education. The results were also statistically significant to the neuro-feedback programme training effect according to the research method (training method), the sessions per a week, total sessions, and training time. Conclusions: The RoBANS result of 42 studies is at a risk of being highly biased. However, statistically, the meta-analysis result of the factors evaluated is significantly high.

청소년 상담기관의 조직원을 위한 의사소통능력 척도 개발 연구

정문주(Moon Joo Cheong),원희욱(Hee Wook Won),채은영(Eun Young Chae) 한국콘텐츠학회 2017 한국콘텐츠학회논문지 Vol.17 No.9

본 연구는 청소년 상담 기관 조직의 조직원들의 의사소통능력 척도를 개발 타당화하는데 목적을 두었다. 연구 대상은 청소년 상담․복지센터에서 근무하는 상담자, 사회복지사, 관리자 등 131명이며, SPSS 12.0로 탐색적 요인분석과 이후 척도 타당화를 위한 상관관계분석, AMOS 20.0 프로그램을 사용하여 확인적 요인 분석을 실시하였다. 연구결과로 공식적 의사소통 능력 8문항과 비공식적 의사소통능력 8문항의 2요인으로 척도를 구성하고 타당화 하였다. 총 14문항에 대한 신뢰도는 내적 합치도를 통해 확보되었다. 본 척도의 타당도 확보를 위해 기존의 대인관계 의사소통 능력과의 상관관계 분석을 실시하였다. 본 연구에서 개발된 척도는 아동, 청소년 관련된 상담기관에서 의사소통과 관련된 연구를 진행하는데 도움이 될 것이라고 기대된다. The purpose of this study was to develop and validate the communication ability scale of the members in the youth counseling organization. The subjects were 131 counselors, social workers, and managers working in youth counseling and welfare centers and exploratory factor analysis and correlation Analysis was performed by using SPSS 12.0 and Confirmatory factor analysis was performed using the AMOS 20.0 program for Scale Validation. As the result, it was to validate and consist of 2 factors as 8 official communication questions and 8 informal communication questions. The reliability of the total 14 questions was secured through internal consistency. In order to confirm the validity of this scale, It analyzed the correlation with another interpersonal communication ability scale. It is expected that the developed scale in the research will help to carry out research related to communication in children and adolescents related counseling institutions.

외상성 뇌손상 후유증으로 인한 좌 우 Alpha파 비대칭성이 유발된 청소년의 Alpha파 비대칭 뉴로피드백 훈련 1례

정문주(Moon Joo Cheong),원희욱(Hee Wook Weon),채은영(Eun Young Chae) 한국산학기술학회 2017 한국산학기술학회논문지 Vol.18 No.8

본 연구의 목적은 외상성 뇌손상 후유증이 삶의 질을 결정할 수 있는 주요한 요인이기 때문에, 후유증을 호전시킬 수 있는 효과적인 훈련 방법을 찾는데 있다. 이를 위해 본 연구에서는 어린 시절 외상성 뇌손상을 경험하고 인지 학습과 정서적인 부분에 어려움이 있는 청소년을 대상으로 하여 뉴로피드백 훈련을 실시하였다. 환아 평가는 K-WAIS-IV 지능검사와 QEEG 뇌파 분석을 사용하였다. 뉴로 피드백 훈련은 T3 알파파 보상, T4의 알파파 억제 훈련을 주 3회 30분씩, 총 36회를 훈련하였다. 또한 뉴로피드백 훈련과 함께 호흡 명상도 환아 스스로 실시할 수 있도록 하였다. 그 결과 숙면을 취하고 시험 불안의 감소, 기말고사 성적의 만족 등의 안정적인 상태를 보였다. 본 연구는 유년기 두뇌 외상으로 인하여 가시적으로 드러나지 않는 기질적, 심인성 문제들이 존재할 가능성과 이를 발견할 수 있는 다양한 도구의 활용에 대해 발견했다. 또한 유년기 외상성 뇌손상의 경우 뇌 훈련과 명상을 통하여 호전될 수 있다는 결과를 나타냈다. 이는 뇌과학의 측면에서 심신 치료에 도움이 되는 융합적 방법을 제시하였다는데 그 의의가 있다. The purpose of this study is to determine an effective training method to improve sequela, since traumatic brain injury sequela is a major factor in determining the quality of life. Neurofeedback training was conducted for an adolescent who had experienced traumatic brain injury during his childhood and who had difficulty in cognitive learning and emotional aspects. The assessment of an adolescent was conducted using K-WAIS-IV intelligence test and QEEG brain wave analysis. In the neurofeedback training, T3 alpha wave compensation and T4 alpha wave inhibition training were performed 36 times for 30 minutes three times a week. In addition to the neurofeedback training, respiratory meditation was also made available to the adolescent. As a result, the adolescent showed a stable condition as indicated by taking a good sleep, reducing test anxiety, and satisfaction with final exam results. This study revealed the possibility for hidden physical and psychological problems arising due to childhood brain trauma. It has also recently been discovered that a more diverse set of tools can be found. In addition, these childhood traumatic brain injuries can be improved through brain training and meditation. The study finding is meaningful for its suggestion of a fusion method for developing mind and body therapy in terms of brain science.

고령자 운전능력 인지 검사 도구의 타당화 연구

정문주(Moon Joo Cheong),이영미(Young Mi Lee),서푸르나(Puluna Seo) 한국콘텐츠학회 2020 한국콘텐츠학회논문지 Vol.20 No.3

본 연구는 2018년 개선되어 현재 도로교통공단에서 실시하고 있는 65세 이상의 고령 운전자를 대상으로 하는 고령 운전자 운전능력 검사 도구를 분석하여 신뢰도와 타당도를 확인하고자 했다. 연구 대상자는 만 65세 이상의 고령 운전자 중 도로교통공단 서울지부에서 실시하고 있는 고령자 운전능력 평가 시스템에 자발적으로 응시한 사람에 한했다. 연구는 2018년 7월 19일을 첫 연구대상자의 등록 및 검사를 시작으로 2018년 8월 31일까지 약 50일간 시행했다. 분석은 2018년 기존 도구를 개선한 도구로서 타당성 및 신뢰도를 알아보기 위해 기존 도구 및 인지검사 도구 (MMSE_K)와의 상관성 분석을 실시하였다. 그 결과 첫 번째, 구 버전의 각 하위요인 속도거리, 시공간기억, 분산주의는 현 버전의 하위요인과 통계적으로 유의미한 정적상관을 보였다. 반면에 지속주의는 현 버전과 통계적으로 유의하지 않았다. 본 연구의 한계점은 다음과 같았다. 본 연구대상자들은 소득이 상위계층이며 고학력자, 수도권 내에 거주자가 대부분이었다. 이에 인지능력, 판단능력 등을 확인하는 MMSE_K의 결과의 점수가 상향조정되었을 가능성이 높다. 또한, 컴퓨터에 익숙하지 않은 세대에게 컴퓨터로 측정하는 인지 도구는 실제 측정 오류가 존재할 가능성이 높다. 따라서 현장에서의 한계점을 개선하고 실제 운전능력을 평가할 수 있는 도구의 개선 및 개발이 필요할 것으로 보인다. This study was designed to verify reliability and feasibility by analyzing elderly drivers ability test tools for older drivers aged 65 or older, which were improved in 2018 and are currently being conducted by the Korea Highway Traffic Authority. Only those aged 65 or older who voluntarily applied to the elderly driving ability evaluation system implemented by the Seoul branch of the Korea Highway Traffic Authority. The research was conducted for about 50 days until Aug. 31, 2018, starting with the registration and inspection of the first study subjects. The analysis performed a correlation analysis with existing tools and cognitive testing tools (MMSE_K) to determine their feasibility and reliability as an improved tool in 2018. As a result, the first, the speed distance, time-space memory, and dispersionism of each sub-component of the old version showed statistically significant static correlation with the sub-factor of the current version. Persistence, on the other hand, was not statistically significant to the current version. The limitations of this study were as follows. Most of the people in the study were highly educated and residents in the metropolitan area. Therefore, it is likely that the results of MSE_K, which checks cognitive and judgment skills, have been upgraded. Also, cognitive tools that are measured by computers are likely to have real measurement errors for generations who are not familiar with computers. Therefore, it is expected that improvement and development of tools for improving the limit points at the site and assessing actual operation capability will be required.

아동의 기본심리욕구와 관련 요인에 대한 메타분석

채은영(Eun Young Chae),정문주(Moon Joo Cheong) 한국아동학회 2016 아동학회지 Vol.37 No.4

Objective: The purpose of this study was to analyze correlation effect size between Basic Psychological Needs (BPN) and factors affecting BPN. Methods: This research was reviewed and synthesized systematically by meta-analyse. Fifty-eight published studies between 2008 and 2016 were sampled and the effect sizes were acquired. Results: The major findings were as follows. In general, medium correlation effect sizes were found. Competency among sub-factors of BPN showed highest effects. Parental factor was more related to BPN than school and individual factors. Parenting behavior and family psychological backgrounds were the most crucial factors in the parental factors. School adjustment was the most critical factor in the school factors. In school grade, the elementary school was more related to BPN than junior high school and high school. Conclusion: Based on these results, we suggest a number of components for parent-education programs, and information for future research.