목적 : 본 연구는 중심부 암점을 가진 환자에게 한글 기반의 중심외보기 훈련 소프트웨어를 적용하여 그 효과성을 파악하고자 하였다. 연구방법 : ABA 단일대상연구(single-subject research design) 설계를 위해 중심부 암점을 가진 2명의 환자에게 훈련 전후 기초선 각 3회기, 중심외보기 훈련은 8회기를 시행하였다. 매회기 훈련 종료 후에 단문읽기속도를 측정하였고, 훈련전과 훈련 후에 일기활동 능력을 평가하기 위하여 캐나다작업수행측정(Canadian Occupational Performance Measure; COPM)와 운동처리기술평가(Assessment of Motor and Process Skills; AMPS)를 시행하였다. 결과 : 중심외보기 훈련 결과 대상자 모두의 읽기속도가 훈련 전보다 훈련 후에 2표준편차 이상 증가하였고, 특히 훈련 2-3회기에 큰 증가세를 나타냈다. 전반적인 일상생활활동 능력에서는 훈련 전후 변화가 없었으나, 읽기와 관련된 활동에서는 의미있는 향상을 나타냈다. 결론 : 본 연구를 통하여 한글기반의 중심외보기 훈련 프로그램이 중심부 암점을 갖고 있는 환자의 읽기활동 수행 수준을 향상시킬 수 있음을 확인하였고, 국내 임상현장에서 적용할 근거를 마련하였다.

Objective : To examine the effects of the eccentric viewing training software on reading and Activities of Daily Living(ADL) for individuals with central scotomas in Korea. Methods : A single-subject A-B-A research design for two low-vision individuals with central scotomas was used to examine the effects. The research was conducted over 14 sessions, which included three sessions during a pre-training baseline period (A), eight sessions during an intervention period to apply eccentric viewing training software on Korean character stimulation (B), and three sessions in a post-training baseline period (A). To measure reading and ADL, participants were assessed for their reading speed, Canadian Occupational Performance Measure(COPM), and Assessment of Motor and Process Skills(AMPS). Results : An Analysis of the data showed that the participants’ reading speed increased compared to their pre-training baseline scores, showing the highest level of increase in the first two to three sessions of training. The participants improved their performance in the reading-related activities, although a comparison of their overall ADL function pre-training and post-training showed no change. Conclusion : These findings suggest that the eccentric viewing training based on specific language characters, Korean, is an effective intervention method for improvement in the reading skills of individuals with central scotomas.

Abstract
 Ⅰ. Introduction
 Ⅱ. Methods
  1. Participants
  2. Intervention task
  3. Procedure
  4. Data analysis
 Ⅲ. Results
 Ⅳ. Discussion
 Ⅴ. Conclusion
 References
 국문초록

• Hong Seung-Pyo(Dept. of Occupational therapy, Dongnam Health College) | 홍승표
• Yoo Eunyoung(Dept. of Occupational Therapy, Yonsei University) | 유은영 Corresponding author
• Park Shin-Hae(Dept. of Ophthalmology and Visual Science, Seoul St. Mary's Hospital, College of Medicine The Catholic University of Korea) | 박신혜
• Jung Min-Ye(Dept. of Occupational Therapy, Yonsei University) | 정민예
• Park Ji-Hyuk(Dept. of Occupational Therapy, Yonsei University) | 박지혁
• Kim Jong-Bae(Dept. of Occupational Therapy, Yonsei University) | 김종배