Transfer of skills acquired through Cognitive Orientation to daily Occupational Performance (CO-OP) approach in children with executive functions deficits following acquired brain injury.
Clarisse Vezinat, Hélène Lebrault, Hugo Câmara-Costa and 2 others
PMID 40739764WHAT IT FOUND
After CO-OP therapy during multidisciplinary rehabilitation and specialised schooling, 11 children with brain injury improved on 22 of 32 new goals they had not trained.
Children with involved parents made goal progress; children with poor or no involvement made little or no progress.
Key findings
01After CO-OP, 22 of 32 goals that were not trained showed progress at 6 months, and 14 reached or exceeded the expected level.
02Seven children had medium to high parent involvement and four had poor or no involvement. GAS change was significant for the medium to high group and not for the poor or no group.
03No association was found between how similar a new goal was to a trained goal and whether the child improved on that goal.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
Only 11 of 12 children were analysed at 6 months, and some GAS and COPM scores were missing. The transfer goals were measured without a control group, so improvement cannot be compared with what might have happened without CO-OP. The children were still in multidisciplinary rehabilitation and specialised schooling, so the contribution of CO-OP cannot be separated from other rehabilitation supports. Parent involvement was classified from therapist notes, parent questionnaires, and interviews, and the study did not explain why some parents were highly involved and others were not. The goals were videotaped in settings chosen for the study, not in the children's home or school, which may have limited how well everyday transfer was captured.
Declared interests
The authors declared no conflicts of interest. The study was funded by the French Ministry of Health.
The easy way to misread this
Do not attribute the progress to CO-OP alone. The children received CO-OP plus multidisciplinary rehabilitation and specialised schooling, and parent involvement was classified after the fact, so the study cannot separate the contribution of any single component.