Week 5 - CO-OP

Question 1

Who is CO-OP originally developed for? Who can it be used with?

Answer 1

• Originally developed for children with DCD
• Can be used with CP, Aspergers, TBI and stroke clients

Question 2

What are the 7 key features of CO-OP approach?

Answer 2

1. Client chosen goals
2. Dynamic Performance Analysis
3. Cognitive strategy use
4. Guided discovery
5. Enabling principles
6. Parents or significant other involvement
7. Intervention format

Question 3

What is the global problem solving strategy of CO-OP?

Answer 3

Goal-Plan-Do-Check

• Goal: what do you want to achieve
• Plan: how do you want to get there
• Do: have a go
• Check: did the plan work

Question 4

What are the domain specific strategies of CO-OP?

Answer 4

To be developed by the child and therapist together

• Verbal guidance - ask how can they do it
• Supplementing task knowledge - providing information to the child about the task
• Body position - relates to shifting of the body, whole or in part, relative to the task
• Attention to the task - relates to attending to the task or appropriate aspects of the task
• Task specification / modification - attending to the specifics of the task or modifying the task to enable performance
• Feeling the movement - focus on the movement required for the completion of the task
• Verbal rote script - guides the child through the doing of the task / motor sequence required for the task
• Verbal mnemonics - assist the child to imagine a visual picture of the part of the task or how it should be done or acronym that helps them to remember

Question 5

What does guided discovery look like?

Answer 5

• Focus on asking rather than telling
• Demonstrating rather than doing for the child
• Assisting child to find his / her solution and experimenting with that solution

Question 6

What are the characteristics of occupation-centred intervention?

Answer 6

• Client centered occupation
• Collaborative partnership
• Client chosen goals
• Contextually relevant
• Active engagement of child & parent
• Individualised interventions
• Focus on occupational performance & participation
• Information gathering about roles, occupations, performance & environment
• Intervention is occupation-focused, ‘whole’ or ‘finite’
• Occupation-centered evaluation of intervention outcomes

Question 7

What does the Dynamic Performance Analysis (DPA) identify?

Answer 7

Helps to identify performance problems and potential strategies to enable performance

Question 8

What questions can be used to guide DPA?

Answer 8

1. Is the person motivated to develop the skill?
2. Does the person have sufficient knowledge about the task?
3. How competent is the person in their current performance?

Question 9

What are the enabling principles of CO-OP?

Answer 9

1. Make it fun
2. Promote learning: wide range of strategies, ensure sufficient task knowledge
3. Work towards independence: fading support provided
4. Promote generalisation & transfer: demonstrate how the strategies and techniques can be used in other situations