[논문]A review of cognitive orientation to daily occupational performance with stroke

Ahn, Si-Nae

doi:10.14474/ptrs.2017.6.4.202

[국내논문] A review of cognitive orientation to daily occupational performance with stroke 원문보기

Physical therapy rehabilitation science, v.6 no.4, 2017년, pp.202 - 207

Ahn, Si-Nae (Department of Occupational Therapy, Yeoju Institute of Technology)

Abstract ▼ AI-Helper

Objective: The self-decisions of the client regarding the meaningful work as a therapeutic approach of client-orientation. The Cognitive Orientation to daily Occupational Performance (CO-OP) is an occupation-oriented problem-solving approach. The purpose of this study was to describe the goals and intervention protocols of CO-OP in those affected by stroke. Design: A systematic review. Methods: Using EBSCOhost, PubMed, and ProQuest databases, we searched studies published in the past decade that utilized the CO-OP intervention. An initial search revealed 71,171 potential articles. After applying our search criteria to screen the titles, abstracts, and full-text, we included 7 articles that met our inclusion and exclusion criteria. In this study, we used the patient, intervention(s), comparison, outcome method to analyze the 7 selected studies. We analyzed the frequency of goals and intervention protocols. Results: Seven articles met our selection criteria; these studies included participants with an almost normal cognitive function from inpatient and outpatient rehabilitation facilities. CO-OP was used for 237 goals; the most used goal was the instrumental activities of daily living. The training procedure used 3 types of self-selecting goals in the activities. One of the goals was not trained, but was only evaluated to determine the generation effect. The most common outcome measurements included the Canadian Occupational Performance Measure and the Performance Quality Rating Scale. Conclusions: This research provided information about the effectiveness of CO-OP and selecting the correct evaluation tool to assess the efficiency of the intervention. This study suggests that treatment with CO-OP in occupational therapy is effective and that it outlines common protocols.

주제어

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문제 정의

In this study, there were clinical opinions on the need to provide necessary information to the application of CO-OP approach to stroke in a clinical setting. Furthermore, when taken together, the findings of advanced studies that executed the CO-OP approach on the stroke population indicated increased physical function and daily activity performance through problem-solving strategies to develop cognitive strategies and also the trained goal activities.
Finally, we analyzed the application of CO-OP and self-selecting goal activities (set by the subject) to provide useful information for applying this method for clinical purposes. These results were combined to identify the effectiveness of the development of the cognitive strategy and the occupational performance of individuals with stroke.
This research provided information about the effectiveness of CO-OP and selecting the correct evaluation tool to assess the efficiency of the intervention. Additionally, the CO-OP approach improved the occupational performance ability for daily living.
By providing individuals opportunities to solve problems on their own, CO-OP can help increase functional individuality in real life. This study provides considerable insight into the CO-OP application. The present study recommends the CO-OP approach and outlines standard evaluation tools.
Three goal activities desired by the subject and guardian are selected, and training on these goals is executed. Thus, this research examined the goal decided by the subject to achieve the CO-OP approach. We analyzed frequency according to performance skills and occupational domain corresponding to the occupational therapy practice framework (OTPF) domain and process [10].

제안 방법

Therefore, this research analyzed published studies that executed protocols utilizing the CO-OP approach in individuals with stroke. Additionally, we analyzed the self-choosing goals and outcome measurement tools used to compare the effectiveness of the experimental results.
This classification assessed the resulting measurement tool used in the research that executed the CO-OP approach and its frequency. Additionally, we compared the evaluation tools used when executing the CO-OP approach and other interventions.

대상 데이터

We included human studies, using CO-OP for individuals with stroke that were published in English in the experimental design. An initial search revealed 71,171 potential articles. After applying our search criteria to screen the titles, abstracts, and full-texts, we included 7 articles that met our inclusion and exclusion criteria (Figure 1).

이론/모형

According to our selection criteria, 7 studies met the in clusion criteria and were analyzed using the PICO method (Table 1).
In this study, we used the patient, intervention(s), comparison, outcome (PICO) method to analyze the 7 selected studies. “P” represents the population, including information about the characteristics of the subjects in each study.

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