Cognitive Orientation to Daily Occupational Performance (CO-OP): 1-week Group Intervention with Children Referred for Motor Coordination Difficulties

Introduction The Cognitive Orientation to daily Occupational Performance (CO-OP) ApproachTM is a leading approach in occupational therapy. Implementing the CO-OP ApproachTM in a group format in day rehabilitation has not yet been explored. Method In day rehabilitation, a barrier to implementing the CO-OP ApproachTM is the group model. To address these challenges, this feasibility study involved the development, implementation, and evaluation of a CO-OP group for adults. Four patients participated in six group sessions. Pre- and post-measures included the Canadian Occupational Performance Measure (COPM) and the Assessment of Motor and Process Skills (AMPS). Subjective data were collected to reflect the participant’s experiences during the group. Results 80% of participants recruited completed the group. All participants demonstrated improvement in goals addressed within the group and goals not addressed within the group on the COPM. AMPS findings were inconclusive. Subjective findings indicated participants appreciated the group learning environment, valued the CO-OP process, were motivated to participate, and would have liked more groups. Conclusion To our knowledge, this is the first adult CO-OP group in a clinical setting. Results support the feasibility of a CO-OP group in day rehabilitation and the need for further examination of the effectiveness of this intervention.

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Cognitive Orientation to (Daily) Occupational Performance: Changes in Strategy and Session Time Use over the Course of Intervention

OTJR Occupation Participation and Health ◽

10.3928/15394492-20080901-03 ◽

2008 ◽

Vol 28 (4) ◽

pp. 168-179 ◽

Cited By ~ 2

Author(s):

Sylvia Rodger ◽

Silvia Liu

Keyword(s):

Time Use ◽

Developmental Coordination Disorder ◽

Cognitive Strategy ◽

Cognitive Intervention ◽

Strategy Use ◽

Occupational Performance ◽

Domain Specific ◽

Session Time ◽

Cognitive Orientation ◽

Computer Based

Cognitive Orientation to (daily) Occupational Performance (CO-OP) is a cognitive intervention that was developed to assist children with developmental coordination disorder (DCD) enhance their motor performance in everyday activities. Using a computer-based analysis of 10 videotaped treatment sessions for each of four boys with DCD who were 6 to 9 years of age, this study investigated changes in cognitive strategy use and session time use over the course of intervention. Cognitive strategy use focused on the child's use of global and domain-specific strategies during intervention. Session time use referred to the duration of Talking About Task (describing the task or plans that will be executed), Practicing Task (actually doing the task or activity), and Dual Tasking (both talking and doing) coded during video segments observations. Trends in strategy and session time use over 10 sessions appeared to be child- and goal-specific, with few systematic patterns observed. This article discusses the use of specific strategies over time both within and across the four participants. Individual results were varied and highlight the unique child—task—environment interactions that occur during intervention, reinforcing the individualized and client-centered focus of the CO-OP.

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THE EFFECT OF CO-OP APPROACH IN IMPROVING VISUAL MOTOR INTEGRATION SKILLS IN CHILDREN WITH LEARNING DISABILITY

International Journal of Advanced Research ◽

10.21474/ijar01/13320 ◽

2021 ◽

Vol 9 (08) ◽

pp. 716-722

Author(s):

Sheetal S. Gupta ◽

◽

Pritam V. Mehta ◽

Keyword(s):

Visual Perception ◽

Learning Disability ◽

Motor Coordination ◽

Autism Spectrum ◽

Global Strategy ◽

P Value ◽

Occupational Performance ◽

Visual Motor Integration ◽

Significant Difference ◽

Visual Motor

The importance of visual perception, motor coordination and visual motor integration (VMI) skills for school achievements has been shown in various studies. Cognitive orientation to daily occupational performance or CO-OP is an evidence-based approach that has been effective in children with developmental coordination disorder and autism spectrum. The present study evaluated the effect of CO-OP approach in improving VMI skills in children with learning disability. Sample of 58 children were included in the study. National Centre for Learning Disabilities (NCLD) Checklist was used as a screen tool and pre and post intervention Beery VMI and Canadian Occupational Performance Measures (COPM) was used as outcome measures.Occupational therapy program using CO-OP approach, based on each childs individualized goals. children were thought global strategy of GO-PLAN-DO-CHECK the sessions were conducted for 12 weeks one hour a day three times a week. After 12 weeks post assessment was done using t test. There significant difference in pre and post CO-OP intervention. p-value was found to be less than 0.0001 for VMI, COPM performance and satisfaction whereas, there was significant difference in motor coordination and visual perception component of Beery VMI. The result shows that CO-OP approach is effective in improving visual motor integration skills of children with learning disability.

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