Open AccessThe Application of Cognitive Orientation to Daily Occupational Performance (CO-OP) in Children with Developmental Coordination Disorder (DCD) in Hong Kong: A Pilot Study
Author(s) -
Donna Chan
Publication year - 2007
Publication title -
hong kong journal of occupational therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.301
H-Index - 13
eISSN - 1876-4398
pISSN - 1569-1861
DOI - 10.1016/s1569-1861(08)70002-0
Subject(s) - psychology , cognition , occupational therapy , context (archaeology) , activities of daily living , motor skill , motor coordination , physical medicine and rehabilitation , developmental psychology , medicine , psychiatry , paleontology , biology
ObjectiveTreatment approach for children with developmental coordination disorder (DCD) can be divided into: 1) the “bottom-up” approach, which includes sensory integration training, perceptual motor training and process-oriented approach, and 2) the “top-down” approach, which includes a recent new problem-solving approach, i.e. the cognitive orientation to daily occupational performance (CO-OP). This study is to investigate the effectiveness of CO-OP and to improve motor, cognitive and functional performance after treatment in children with DCD in a single-group pilot trial.MethodsSix children with DCD were recruited consecutively by convenient sampling at a single time occasion. A treatment programme based on the CO-OP, which consisted of seven weekly sessions, was provided for all children in a closed group format. Motor, cognitive and functional performances were evaluated pre-/post-treatment.ResultsSignificant differences after treatment were found in activity performance in motor planning, motor process, and daily life within the group.ConclusionThe results indicated that the CO-OP focused in the cognitive domain helped to improve problem-solving skills and organization of daily chores in everyday life. This pilot study demonstrated the effectiveness of this new approach in clinical application and provided a good piece of preliminary evidence in the local context