Research Article
Issue Date: January/February 2019
Published Online: January 08, 2019
Updated: April 30, 2020
Feasibility and Effects of the CO–OP Approach™ in Postconcussion Rehabilitation
Anne W. Hunt; Melissa Paniccia; Katie Mah; Deirdre Dawson; Nick Reed
Author Affiliations
  • Anne W. Hunt, PhD, OT Reg. (Ont.), is Clinical Study Investigator and Manager, Student Training and Intervention Research, Concussion Centre, Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario, Canada, and Assistant Professor, Department of Occupational Science and Occupational Therapy and Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada; ahunt@hollandbloorview.ca
  • Melissa Paniccia, PhD, OT Reg. (Ont.), is Postdoctoral Fellow, Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario, Canada, and Children’s Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
  • Katie Mah, PhD, (c) OT Reg. (Ont.), is PhD Candidate, Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario, Canada, and Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada.
  • Deirdre Dawson, PhD, OT Reg. (Ont.), is Associate Professor, Department of Occupational Science and Occupational Therapy and Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada, and Senior Scientist, Rotman Research Institute, Baycrest, Toronto, Ontario, Canada.
  • Nick Reed, PhD, OT Reg. (Ont.), is Senior Clinician Scientist and Codirector, Concussion Centre and Holland Chair in Acquired Brain Injury, Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario, Canada, and Associate Professor, Department of Occupational Science and Occupational Therapy and Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada.
Article Information
Neurologic Conditions / Pediatric Evaluation and Intervention / Rehabilitation, Participation, and Disability / Traumatic Brain Injury / Research Articles
Research Article   |   January 08, 2019
Feasibility and Effects of the CO–OP Approach™ in Postconcussion Rehabilitation
American Journal of Occupational Therapy, January 2019, Vol. 73, 7301205060. https://doi.org/10.5014/ajot.2019.027995
American Journal of Occupational Therapy, January 2019, Vol. 73, 7301205060. https://doi.org/10.5014/ajot.2019.027995
Abstract

OBJECTIVE. We determined the feasibility and effects of the Cognitive Orientation to daily Occupational Performance (CO–OP) ApproachTM on activity performance and satisfaction, symptoms, and mood of adolescents with persistent postconcussion symptoms.

METHOD. In a prospective case series, 3 participants with persistent symptoms 3 mo after concussion and difficulties resuming activities were taught to use a metacognitive strategy (Goal–Plan–Do–Check) to work toward occupation-based goals in a 7-wk intervention (10 sessions, 30–60 min each). Participants were assessed pre- and postintervention and at 3-mo follow-up. Feasibility was determined by positive changes on study measures, ease of administration, and acceptability to participants.

RESULTS. Clinically significant, positive changes were found in participants’ activity performance and satisfaction. All participants had decreases in symptoms and improved mood scores at posttest.

CONCLUSION. The CO–OP Approach to rehabilitation for youth postconcussion is feasible and may make a positive contribution to recovery.