TY - JOUR
T1 - Cognitive Orientation to Daily Occupational Performance (CO-OP) in Children with Cerebral Palsy
T2 - A Systematic Review with Meta-analysis: L’approcheCO-OP auprès des enfants atteints de paralysie cérébrale: revue systématique et méta-analyse
AU - Roostaei, Meysam
AU - Dalvand, Hamid
AU - Rassafiani, Mehdi
AU - Kelly, Greg
AU - Razi, Bahman
N1 - Funding Information:
None. The authors received no financial support for the research, authorship, and/or publication of this article.
Publisher Copyright:
© CAOT 2022.
PY - 2022
Y1 - 2022
N2 - Background: Cognitive orientation to daily occupational performance (CO-OP) is a client-centered treatment approach that was developed in the 1990s by occupational therapists. Purpose: Exploring current evidence about the effectiveness of CO-OP on children with cerebral palsy (CP). Method: Major electronic databases were searched. A narrative synthesis of current literature and meta-analyses on randomized control trials (RCTs) were conducted on changes in occupational performance. Findings: Seven studies with 103 participants were included. Four studies were RCTs with moderate levels of evidence, and three studies had single-subject designs. Although beneficial effects of CO-OP on goal achievement and transferring learned skills were reported, meta-analyses showed that CO-OP had no significant effect on the performance (WMD = 1.52, 95% CI = −1.58 to 4.63, P =.33) and satisfaction domains (WMD = 1.71, 95% CI = −1.14 to 4.57, P =.24) of Canadian Occupational Performance Measure scores compared to alternative interventions. Implications: CO-OP improves occupational performance but not more than alternative interventions. Results are inconclusive due to small sample sizes and heterogeneity of alternative interventions and participants. Therefore, research with a larger number of participants with sound RCT methods is needed.
AB - Background: Cognitive orientation to daily occupational performance (CO-OP) is a client-centered treatment approach that was developed in the 1990s by occupational therapists. Purpose: Exploring current evidence about the effectiveness of CO-OP on children with cerebral palsy (CP). Method: Major electronic databases were searched. A narrative synthesis of current literature and meta-analyses on randomized control trials (RCTs) were conducted on changes in occupational performance. Findings: Seven studies with 103 participants were included. Four studies were RCTs with moderate levels of evidence, and three studies had single-subject designs. Although beneficial effects of CO-OP on goal achievement and transferring learned skills were reported, meta-analyses showed that CO-OP had no significant effect on the performance (WMD = 1.52, 95% CI = −1.58 to 4.63, P =.33) and satisfaction domains (WMD = 1.71, 95% CI = −1.14 to 4.57, P =.24) of Canadian Occupational Performance Measure scores compared to alternative interventions. Implications: CO-OP improves occupational performance but not more than alternative interventions. Results are inconclusive due to small sample sizes and heterogeneity of alternative interventions and participants. Therefore, research with a larger number of participants with sound RCT methods is needed.
KW - Activities of daily living
KW - approcheaxéesur le client
KW - Client-centered
KW - habiletésmotrices
KW - Motor skills
KW - Mots clés: Activités de la vie quotidienne
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U2 - 10.1177/00084174211066651
DO - 10.1177/00084174211066651
M3 - Article
C2 - 35044278
AN - SCOPUS:85123318434
JO - Canadian Journal of Occupational Therapy
JF - Canadian Journal of Occupational Therapy
SN - 0008-4174
ER -