Exploring the use of the Cognitive Orientation to daily Occupational Performance approach (CO-OP) with children with executive functions deficits after severe acquired brain injury: A single case experimental design study

Lebrault, Hélène; Chavanne, Céline; Abada, Geneviève; Latinovic, Bojan; Varillon, Sylvie; Bertrand, Anne-France; Oudjedi, Eva; Krasny-Pacini, Agata; Chevignard, Mathilde

doi:10.1016/j.rehab.2021.101535

Cited by 7 publications

(5 citation statements)

References 32 publications

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“…The significant improvements reported in this study suggest that teaching participants how to problem‐solve issues in occupational performance using the CO‐OP is a beneficial approach. These results confirm previous research, 13–16,20 which showed that participants with ABI can improve on self‐selected tasks using a CO‐OP approach. Bjorklund 53 noted that the development of executive function, strategies, and problem‐solving is a complex process that is often disrupted by ABI, as was the case with all participants included in this study.…”

Section: Discussionsupporting

confidence: 91%

“…19 In a pilot study, CO-OP was applied to two children with documented deficits in executive function after ABI. 20 The findings of this pilot study showed significant improvements in the achievement of personal goals, perceived occupational performance, and satisfaction, suggesting that CO-OP is feasible in young people with more serious deficits in executive function.…”

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confidence: 68%

“…The applicability of CO‐OP in adults with executive dysfunction after ABI has been explored with promising results; 17,18 however, these results cannot be generalized to young people because executive function and metacognition are not fully developed 19 . In a pilot study, CO‐OP was applied to two children with documented deficits in executive function after ABI 20 . The findings of this pilot study showed significant improvements in the achievement of personal goals, perceived occupational performance, and satisfaction, suggesting that CO‐OP is feasible in young people with more serious deficits in executive function.…”

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confidence: 99%

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Cognitive Orientation to daily Occupational Performance to improve occupational performance goals for children with executive function deficits after acquired brain injury

Lebrault,

Martini,

Manolov

et al. 2023

Develop Med Child Neuro

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AimTo determine the effectiveness of the Cognitive Orientation to daily Occupational Performance (CO‐OP) approach in improving the occupational performance goals of children and young people with executive function deficits after acquired brain injury (ABI) (e.g. etiologies such as stroke, encephalitis, brain tumor, and traumatic brain injury).MethodA replicated single‐case experimental study using a randomized multiple baseline design across participants and goals was used. Three clusters of four participants (12 participants, nine males and three females, aged 8–16 years) were included. The intervention consisted of 14 individual CO‐OP sessions. Each participant chose four goals; three goals were trained during the intervention sessions and a fourth goal served as the control. The Goal Attainment Scale (GAS) was used as a repeated measure to determine goal achievement while the Canadian Occupational Performance Measure (COPM) was used to identify the perceived goal achievement of children, young people, and their parents.ResultsFor 26 of the 35 trained goals, the intervention led to statistically significant improvements in the GAS. Perceived occupational performance and satisfaction improved significantly for the trained goals (30 out of 35 goals for the COPM performance and satisfaction of participants; 26 out 31 goals for the COPM performance of parents; 24 out of 31 goals for the COPM satisfaction of parents) and were maintained at the follow‐up. Almost all COPM control goal results were significant, but these changes were not supported by the GAS measures or the statistical analysis.InterpretationThe generally positive results of this study provide evidence of the benefits of using the CO‐OP approach with this population.

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Section: Discussionsupporting

confidence: 91%

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confidence: 68%

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confidence: 99%

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Cognitive Orientation to daily Occupational Performance to improve occupational performance goals for children with executive function deficits after acquired brain injury

Lebrault,

Martini,

Manolov

et al. 2023

Develop Med Child Neuro

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“…The intervention was Cognitive Orientation to Daily Occupational Performance (CO-OP) (Polatajko et al 2001), adapted for children with severe traumatic brain injuries (Lebrault et al 2021) to train meaningful and priority everyday activities impaired by executive dysfunction deficits.…”

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confidence: 99%

How to assess and take into account trend in single-case experimental design data

Manolov¹,

Lebrault

Krasny-Pacini

2023

Neuropsychological Rehabilitation

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One of the data features that are expected to be assessed when analyzing single-case experimental designs (SCED) data is trend. The current text deals with four different questions that applied researchers can ask themselves when assessing trend, under the premise that there is not a single correct answer to each of these questions. First, there are multiple ways in which even linear trend can be operatively defined. Second, different criteria can be followed when deciding whether the trend observed needs to be taken into account when assessing intervention effectiveness or, in contrast, its magnitude is sufficiently small to be considered inconsequential. If a decision is made to take trend into account, there are different ways in which this can be done. Finally, a challenge arises when there is a trend for some of the comparisons between conditions, but not for others. Several options are reviewed for each of these questions in the context of real data, and tentative recommendations are provided. A new user-friendly website is developed to implement the options for fitting a trend line and a criterion for selecting a specific technique for that purpose. Trend-related and more general data analytical recommendations are provided for applied researchers.

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“…In this SCED, 3 goals are set for a single participant. Randomization determines in which order and at which time-points each goal will begin to be trained (see, for example ( 62 , 63 )). Clinically, it is current and recommended practice not to pursue too many goals at the same time; hence, a staggered introduction of goals (and related goal-based interventions) in a single participant, through this type of design is close to current clinical practice, bridging research and clinical practice.…”

Section: Other Challenges With Gas In Rehabilitation Researchmentioning

confidence: 99%

Goal Attainment Scaling in rehabilitation: An educational review providing a comprehensive didactical tool box for implementing Goal Attainment Scaling

Bard-Pondarré¹,

Villepinte

Roumenoff³

et al. 2023

JRM

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Context: Goal Attainment Scaling (GAS) is a person-centered and collaborative approach, allowing to assess the effectiveness of an intervention on personally relevant goals. However, GAS is not a “scale” but a heterogeneous group of methodologies, including many variations and lack of consensus on high quality GAS. Objective: The aim of this communication is to: 1. provide updated didactical information on GAS use in PRM practice and research; 2. increase awareness of GAS methodological challenges; 3. guide use of GAS as an integrated process of rehabilitation after goal setting and; 4. provide updated resources for self-directed learning and extensive supplemental material to increase knowledge and practical skills in GAS use.Methods: Educational literature review about current GAS applications relevant to PRM fields. Results: Practical advice is provided regarding clinical challenges in GAS: definition of 0 level, time-frame and means employed to attain the goal, dealing with unforeseen pattern of improvement, synthesizing the numerous significations of “SMART” goal acronym to guide best use of GAS, and thinking flexibility on the type of relevant goals that can be set. Challenges with GAS in rehabilitation research are presented in order to promote researcher’s and reviewer’s awareness on reliable use of GAS and encouraging best-use of GAS. LAY ABSTRACTThe goal attainment scaling methodology is a relevant way of measuring the effectiveness of a treatment, by creating scales to measure whether the goals previously identified with the person have been achieved through the treatment. There are many goal attainment scaling methodological variants, with a significant impact on results, of which users are not always aware. The aims of this review of the literature regarding current applications of goal attainment scaling in Physical and Rehabilitation Medicine fields, are to (i) provide up-to-date didactic information on the use of goal attainment scaling in Physical and Rehabilitation Medicine practice and research; (ii) raise awareness of the methodological challenges of goal attainment scaling; (iii) guide the use of goal attainment scaling to support the rehabilitation process after goal setting; and (iv) provide up-to-date resources for self-directed training. Practical guidelines are provided for the use of goal attainment scaling in clinical practice, and the challenges of use of this methodology in rehabilitation research are presented in order to educate researchers and evaluators on the reliable use of goal attainment scaling.

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Exploring the use of the Cognitive Orientation to daily Occupational Performance approach (CO-OP) with children with executive functions deficits after severe acquired brain injury: A single case experimental design study

Cited by 7 publications

References 32 publications

Cognitive Orientation to daily Occupational Performance to improve occupational performance goals for children with executive function deficits after acquired brain injury

Cognitive Orientation to daily Occupational Performance to improve occupational performance goals for children with executive function deficits after acquired brain injury

How to assess and take into account trend in single-case experimental design data

Goal Attainment Scaling in rehabilitation: An educational review providing a comprehensive didactical tool box for implementing Goal Attainment Scaling

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