The Cognitive Orientation to daily Occupational Performance (CO-OP) Approach is superior to ordinary treatment for achievement of goals and transfer effects in children with cerebral palsy and spina bifida – a randomized controlled trial.

Autor:	Peny-Dahlstrand, Marie, Hofgren, Caisa, Lindquist, Barbro, Bergqvist, Lena, Himmelmann, Kate, Opheim, Arve, Sjöwall, Douglas, Brock, Katarina, Öhrvall, Ann-Marie
Předmět:	EXECUTIVE function STATISTICS MENTAL orientation PROBLEM solving PARTICIPATION COGNITION SPINA bifida INTERVIEWING MANN Whitney U Test TREATMENT effectiveness RANDOMIZED controlled trials NEUROPSYCHOLOGICAL tests SELF-efficacy REHABILITATION of children with disabilities QUALITY of life RESEARCH funding DESCRIPTIVE statistics DECISION making CEREBRAL palsy STATISTICAL sampling DATA analysis software DATA analysis INTELLECTUAL disabilities GOAL (Psychology) CHILDREN ADOLESCENCE
Zdroj:	Disability & Rehabilitation; Mar2023, Vol. 45 Issue 5, p822-831, 10p
Abstrakt:	Children with cerebral palsy (CP) or spina bifida (SB) often have executive dysfunction affecting activity performance. With the Cognitive Orientation to daily Occupational Performance (CO-OP) Approach, children find their own way to perform activities, using problem-solving strategies and meta-cognitive thinking. The present study aimed to investigate the effectiveness of the CO-OP Approach in children with CP or SB, compared with conventional rehabilitation, in achieving self-identified activity goals, and to explore any generalization and transfer effects. Randomized controlled trial, CO-OP versus treatment as usual, 38 children (7–16 years) participated. Each child identified four goals (to study generalization and transfer, one remained untrained). Primary outcomes: Canadian Occupational Performance Measure (COPM) and Performance Quality Rating Scale (PQRS). Secondary outcomes assessed executive functions and self-rated everyday-life competence. Self-rated goal attainment (COPM) was significantly greater for both trained and untrained goals in the CO-OP group compared with the control group. The rating of observed performance (PQRS) was significantly higher for trained goals in the CO-OP group. The CO-OP group experienced fewer problems in everyday life after treatment. Executive functions did not differ significantly between groups. CO-OP is more effective than ordinary treatment in achieving both trained and untrained goals. CO-OP enables children with CP (MACS levels I–III) or SB without intellectual disabilities to reach self-identified goals. CO-OP shows transfer effects to new activities and situations, which may enhance children's self-efficacy. CO-OP is an important complement to conventional rehabilitation services for children with CP and SB. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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