AIM To determine the effectiveness of the Cognitive Orientation to daily Occupational Performance (CO-OP) approach in improving the occupational performance goals of children and young people with executive function deficits after acquired brain injury (ABI) (e.g. etiologies such as stroke, encephalitis, brain tumor, and traumatic brain injury). METHOD A replicated single-case experimental study using a randomized multiple baseline design across participants and goals was used. Three clusters of four participants (12 participants, nine males and three females, aged 8-16 years) were included. The intervention consisted of 14 individual CO-OP sessions. Each participant chose four goals; three goals were trained during the intervention sessions and a fourth goal served as the control. The Goal Attainment Scale (GAS) was used as a repeated measure to determine goal achievement while the Canadian Occupational Performance Measure (COPM) was used to identify the perceived goal achievement of children, young people, and their parents. RESULTS For 26 of the 35 trained goals, the intervention led to statistically significant improvements in the GAS. Perceived occupational performance and satisfaction improved significantly for the trained goals (30 out of 35 goals for the COPM performance and satisfaction of participants; 26 out 31 goals for the COPM performance of parents; 24 out of 31 goals for the COPM satisfaction of parents) and were maintained at the follow-up. Almost all COPM control goal results were significant, but these changes were not supported by the GAS measures or the statistical analysis. INTERPRETATION The generally positive results of this study provide evidence of the benefits of using the CO-OP approach with this population.

中文翻译：

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日常职业表现的认知导向，以提高后天性脑损伤后执行功能缺陷儿童的职业表现目标。

目的 确定日常职业表现认知导向 (CO-OP) 方法在改善后天性脑损伤 (ABI) 后有执行功能缺陷的儿童和青少年职业表现目标方面的有效性（例如中风、脑炎、脑肿瘤和脑外伤）。方法 使用跨参与者和目标的随机多基线设计的重复单案例实验研究。包括三组四名参与者（12 名参与者，九名男性和三名女性，年龄 8-16 岁）。干预措施包括 14 场单独的 CO-OP 会议。每个参与者选择四个目标；在干预过程中训练了三个目标，第四个目标作为对照。目标达成量表（GAS）被用作确定目标实现情况的重复衡量标准，而加拿大职业绩效衡量标准（COPM）则被用来确定儿童、青少年及其父母的感知目标实现情况。结果 对于 35 个训练目标中的 26 个，干预导致 GAS 在统计上显着改善。对于训练目标，感知的职业表现和满意度显着提高（参与者的 COPM 表现和满意度的 35 个目标中的 30 个；家长的 COPM 表现的 31 个目标中的 26 个；家长的 COPM 满意度的 31 个目标中的 24 个）后续均维持。几乎所有 COPM 控制目标结果都很显着，但这些变化并未得到 GAS 措施或统计分析的支持。解释 这项研究总体上积极的结果提供了对这一人群使用 CO-OP 方法的好处的证据。