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KMID : 1151720170060020043
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Journal of Korean Society of Cognitive Rehabilitation
2017 Volume.6 No. 2 p.43 ~ p.63
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The Effects of Cognitive Orientation to daily Occupational Performance(CO-OP) for Improving School-based Tasks Performance in Children with Cerebral Palsy: A Single-Subject Research Design
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Choi Kang-Mi
Hong Min-Kyung
Kim Ah-Ram
Kim Jung-Ran
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Abstract
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Objective: The purpose of this study was to investigate the effect of CO-OP intervention on the quality of tasks performance, occupational performance and satisfaction, and improvement of motor and process skills for children with cerebral palsy by using Cognitive Orientation to Daily Occupational Performance (CO-OP) This study tried to find out if the learned skills were generalized to other tasks.
Methods: The subject is a children aged 7 years old who were diagnosed with cerebral palsy and applied the design as ABA which is a single subject experimental research design. The baseline period consisted of 2 sessions until the data stabilized, 10 sessions during the intervention period (twice a week, 60 minutes / session), and two sessions were conducted in the same period as the baseline period. Three tasks were selected to validate occupational performance improvement, two of which were trained by the CO-OP approach and one was not trained to assess the generalization effect. In order to examine the quality of the school-based task performance and the changes in the performance skills, the performance quality rating scale (PQRS), the Canadian Occupational Performance Measure (COPM) Assessment of Motor and Process Skills (AMPS).
Result: The PQRS score change was improved during the intervention period compared to baseline in both the two tasks trained by the CO-OP approach and one in the untrained task, and was maintained during the early recall period. The COPM performance and satisfaction before and after the CO-OP intervention was improved by two or more points in three tasks and showed a clinically useful improvement. In the AMPS, the treatment technique showed a significant improvement from -0.1 to 0.5.
Conclusion: The CO-OP intervention proved to be an effective intervention method to improve the school-based task performance of children with cerebral palsy, and it was confirmed that generalization and transition can be achieved as untrained tasks through strategy learning of problem solving.
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KEYWORD
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Task-based approach, Cerebral palsy, Cognitive behavior therapy, Occupational performance
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