Potential benefits of the cognitive orientation to daily occupational performance approach in young adults with spina bifida or cerebral palsy: a feasibility study. Issue 2 (16th January 2020)

• Record Type: Journal Article
• Authors: Peny-Dahlstrand, Marie; Bergqvist, Lena; Hofgren, Caisa; Himmelmann, Kate; Öhrvall, Ann-Marie
• Is Part Of: Disability and rehabilitation. Volume 42:Issue 2(2020)
• Page Start: 228
• Page End: 239
• Publication Date: 2020-01-16
• Subjects: Client centred therapy -- metacognition -- executive functions -- activities of daily living -- cerebral palsy -- myelomeningocele; People with disabilities -- Periodicals; Rehabilitation -- Periodicals; 617.03
• DOI: 10.1080/09638288.2018.1496152
• Languages: English
• ISSNs: 0963-8288

Abstract

Abstract: Purpose: People with cerebral palsy (CP) or spina bifida (SB) often struggle to perform everyday-life activities. Both groups frequently also have difficulties in creating and using strategies effectively when performing tasks. The cognitive orientation to daily occupational performance (CO-OP) Approach combines the learning of cognitive strategies with task-specific approaches through a client-centred procedure. The aim of this study was to investigate whether the CO-OP Approach is feasible for and potentially beneficial to adolescents and young adults with CP or SB in Sweden by analysing four areas of feasibility (acceptability, efficacy, adaptation, and expansion). Methods: Exploratory multiple-case study using mixed methods. Ten persons aged 16–28, five with each condition, participated in an intervention period. Assessments were performed on three occasions: baseline, post-intervention, and six-month follow-up. Results: The result demonstrates that the CO-OP Approach has the potential to enable adolescents and young adults with either condition to achieve personal goals and to enhance their planning skills and their ability to use strategies when performing activities. This approach is also compatible with the core values of habilitation in Sweden and was found by the participants to be highly meaningful and useful. Conclusions: The CO-OP Approach is feasible for adolescents and young adults with SB or CP in Sweden. Implications for rehabilitation: The Cognitive Orientation to daily Occupational Performance is a feasible approach for adolescents and young adults with spina bifida and with cerebral palsy. is a promising approach when it comes to enabling the achievement of personal goals. might have potential to enhance executive functioning through strategy use. is in line with the fundamental core values of disability rights of inclusion, empowerment, and participation.