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Use of the Cognitive Orientation to daily Occupational Performance (CO-OP) approach resulted in improved performance on self-selected goals for children with acquired brain injury (ABI).

Prepared by:

Emma Brady, Ceris Morrison, Rivka Cylich and Emma Drane, 4th Year Occupational Therapy students, and Jane Galvin, Lecturer, LaTrobe University, Victoria, Australia. 


June, 2012

Review Date:

June, 2014

Clinical Question:

Does the CO-OP approach improve problem-solving skills and functional performance for children with ABI?

Clinical Scenario:

Acquired brain injury (ABI) is a common paediatric condition in Australia, affecting an estimated 22,800 children in 2003 (Australian Bureau of Statistics Survey of Disability, Ageing and Carers 2003, as cited in Rushworth 2008, p. 2). Children with ABI may experience a variety of limitations in their daily functioning as a result of their injury. Executive dysfunction is a common sequelea (Spikman, Boelen, Lamberts, Brouwer & Fasotti, 2010), and is a major contributor to the difficulties experienced by children following brain injury. Despite the high prevalence of executive difficulties experienced by children with ABI, there are few evidence-based practical guidelines to inform occupational rehabilitation with this client group (Teplicky et al., as cited in Missiuna et al., 2010, p. 207).

Clinical Bottom Line:

There is emerging evidence to support the use of the CO-OP approach to improve the functional performance of children with ABI; however, more research is required to determine the specific components of a cognitive approach that influence improved functional outcomes, and whether on not this approach can generalise to activities beyond those specifically targeted in therapy.

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