Department of Neurobiology, Care Sciences and Society (NVS), Division of Occupational Therapy, Karolinska Institutet, Stockholm, Sweden.
Region Västra Götaland, Habilitation & Health, Gothenburg, Sweden.
Disabil Rehabil. 2024 Jun;46(12):2512-2521. doi: 10.1080/09638288.2023.2225875. Epub 2023 Jun 23.
This study aims to investigate whether the treatment effects, in terms of goal attainment, transfer effects and impact on executive functions, of an intervention in children with cerebral palsy or spina bifida using the Cognitive Orientation to daily Occupational Performance (CO-OP) Approach are maintained over time, from immediately after the intervention to three months afterwards.
A three-month follow-up study, from an intervention using CO-OP. Thirty-four children (7-16 years) each identified four goals (one untrained to examine transfer) and participated in an eleven-session intervention. Assessments were performed at baseline, immediately after the intervention and at a three-month follow-up using the Canadian Occupational Performance Measure and the Performance Quality Rating Scale. Executive function and self-rated competence were assessed at the same timepoints.
Statistically significant and clinically relevant improvements in goal achievement were demonstrated for both trained and untrained goals after the intervention and were maintained at follow-up. The clinically relevant improvement in untrained goals continued to increase until follow-up. Self-rated competence increased after the intervention and was maintained at follow-up.
The CO-OP intervention was effective in achieving and maintaining the children's own goals over time. The transfer effect was confirmed by higher goal attainment for the untrained goals.
本研究旨在探讨使用认知导向日常生活活动表现干预（CO-OP）方法治疗脑瘫或脊柱裂儿童的治疗效果（以目标达成度、转移效果和对执行功能的影响来衡量）是否能在干预结束后立即至三个月后这段时间内持续保持。
这是一项为期三个月的随访研究，对 CO-OP 干预进行研究。34 名儿童（7-16 岁）每人确定了四个目标（一个未经训练以检验转移效果），并参加了十一次干预。在基线、干预结束后和三个月随访时使用加拿大作业表现测量和表现质量评定量表进行评估。在相同时间点评估执行功能和自我评定能力。
干预后，无论是经过训练的目标还是未经训练的目标，目标达成度都有显著且具有临床意义的改善，且在随访时仍能保持。未经训练目标的临床显著改善持续增加，直至随访。自我评定能力在干预后增加，并在随访时保持。
CO-OP 干预能够有效实现并长期保持儿童自身的目标。未经训练目标的更高目标达成度证实了转移效果。
