Shiozu Hiroyasu, Kurasawa Shigeki
Department of Occupational Therapy, College of Life and Health Sciences, Chubu University, Kasugai, Japan.
Department of Occupational Therapy, School of Health Sciences, Fukushima Medical University, Fukushima, Japan.
Front Rehabil Sci. 2023 Aug 14;4:1241981. doi: 10.3389/fresc.2023.1241981. eCollection 2023.
This study aimed to propose a possible interventional form of occupational therapy through a case study report of the applied Cognitive Orientation to daily Occupational Performance (CO-OP) approach as telehealth for a child with developmental coordination disorder (DCD).
The intervention method was CO-OP-based tele-occupational therapy for a boy with DCD and his mother; 10 sessions were conducted using a video-conferencing system. This study used the Canadian Occupational Performance Measure (COPM) and the Performance Quality Rating Scale (PQRS) as assessment tools. The PQRS evaluated each occupational performance based on videos recorded during the online sessions and videos taken by the mother of the child.
The CO-OP approach improved COPM performance and satisfaction as well as PQRS scores in the following five goals: (1) handwriting, (2) column addition, (3) jumping rope, (4) playing on the bar, and (5) riding a bicycle.
An online approach based on the CO-OP was realistic and effective, to some extent. Continuing to develop telehealth interventions in the future is recommended.
本研究旨在通过一项案例研究报告，提出一种可能的职业治疗干预形式，该报告应用了针对日常职业表现的认知取向（CO-OP）方法作为远程医疗手段，用于一名患有发育性协调障碍（DCD）的儿童。
干预方法是对一名患有DCD的男孩及其母亲进行基于CO-OP的远程职业治疗；使用视频会议系统进行了10次治疗。本研究使用加拿大职业表现测量量表（COPM）和表现质量评定量表（PQRS）作为评估工具。PQRS根据在线治疗期间录制的视频以及孩子母亲拍摄的视频对每项职业表现进行评估。
CO-OP方法在以下五个目标方面提高了COPM表现和满意度以及PQRS分数：（1）书写，（2）竖式加法，（3）跳绳，（4）玩单杠，（5）骑自行车。
基于CO-OP的在线方法在一定程度上是切实可行且有效的。建议未来继续开展远程医疗干预。
