재활치료과학 (Therapeutic Science for Rehabilitation)

  • 제11권4호
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  • Pages.7-22
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  • 2022
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  • 2635-9340(pISSN)
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  • 2671-4329(eISSN)
대한신경계작업치료학회 (Korean Society of Neurological Occupational Therapy)
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국내 인지기반 작업수행(Cognitive Orientation to daily Occupational Performance; CO-OP) 중재의 연구 동향 분석: 체계적 고찰

Analysis of Research Trend on Cognitive Orientation to daily Occupational Performance (CO-OP) in Korea: A Systematic Review

  • 유영미 (원광대학교 작업치료학과) ;
  • 최유임 (원광대학교 환경과학연구소/작업치료학과)
  • Yoo, Yung-Mee (Dept. of Occupational Therapy, Wonkwang University) ;
  • Choi, Yoo-Im (Dept. of Occupational Therapy, Wonkwang University)
  • 투고 : 2022.05.30
  • 심사 : 2022.09.19
  • 발행 : 2022.11.30
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초록

목적 : 본 연구는 국내 CO-OP 중재 연구를 체계적으로 고찰하여 임상적 근거를 제공하고자 한다. 연구방법 : 본 연구는 2015년 1월부터 2021년 12월까지 학술연구정보서비스(RISS), 학술교육원(e-article) 데이터베이스에 게재된 문헌 중 선정기준에 적합한 13편의 논문을 최종적으로 선택하여 연구 방법의 내용에 따라 일반적 특성과 질적 수준으로 나누어 분석하였다. 결과 : 연구 내용을 분석한 결과, 2015년 이후 연구가 지속적으로 진행되었으며 CO-OP 중재 연구의 근거 수준은 개별대상연구가 주를 이루었다. 연구 대상은 아동과 성인 모두에게 적용되고 있었으며, CO-OP 중재의 목표 활동 영역으로 아동은 놀이와 여가, 성인은 수단적 일상생활 영역으로 나타났다. 중재의 효과를 살펴보기 위한 평가로는 COPM과 PQRS 평가를 많이 사용하였으며 구체화 전략으로는 아동은 자세, 집중하기, 과제변형, 언어적 상상을 많이 사용하였고 성인은 자세, 집중하기, 과제변형, 움직임에 대한 느낌, 언어적 상상, 과제 촉진 언어를 주로 사용한 것으로 나타났다. 결론 : 본 연구를 통해 국내 CO-OP 중재를 적용한 연구의 특성과 질적 수준을 확인할 수 있었다. CO-OP 중재가 작업치료 분야에서 지속해서 적용되고 있으며, 적용 연령과 진단군이 확대되고 있음을 알 수 있었다. 국내 CO-OP 중재 연구의 체계적 고찰을 통해 임상에서 CO-OP 중재를 실행하기 위한 근거 자료를 제공하였다는 데 의의가 있다.

Objective : This study aims to provide clinical evidence by systematically reviewing domestic CO-OP intervention studies. Methods : 13 papers suitable for selection criteria were finally selected and conducted. The analysis was divided into general characteristics and qualitative levels. Results : As a result of analyzing the contents of study, research has been conducted continuously since 2015, and the level of evidence for CO-OP intervention study was mainly single subject design. The subjects of the study were applied to both children and adults, and as the target activity areas of CO-OP intervention, children were shown to be play and leisure, and adults were instrumental daily living. COPM/PQRS were frequently used for evaluation to examine effectiveness of interventions. For domain specific strategies, children used body position, attention to doing, task specification, and verbal motor mnemonic. For adults, body position, attention to doing, task specification, and feeling to movement, verbal motor mnemonic, verbal rote script were used. Conclusion : It was found that CO-OP intervention is continuously being applied in occupational therapy, and age and diagnosis group are expanding. It is significant in that it provided evidence for implementing CO-OP interventions in clinical practice through a systematic review of domestic CO-OP intervention studies.

키워드

과제정보

이 논문은 2021학년도 원광대학교의 교비지원에 의해 수행되었습니다

참고문헌

  1. Ahn, S. N., & Yoo, E. Y. (2015). Effect of the CO-OP approach on occupational performance in stroke patients: A pilot study. Journal of Korean Society of Occupational Therapy, 23(2), 85-92. https://doi.org/10.14519/jksot.2015.23.2.07
  2. Ahn, S. N., & Yoo, E, Y. (2015). The effect of CO-OP training on instrumental activities of daily living in MCI: A single subject design. Journal of Korean Society of Assistive Technology, 7(1), 45-53.
  3. Ahn, S. N. (2016). Comparison of cognitive orientation to daily occupational performance and conventional occupational therapy on occupational performance in individuals with stroke (Doctoral dissertation). Yonsei University.
  4. Ahn, S. N. (2017). A review of cognitive orientation to daily occupational performance with stroke. Physical Therapy Rehabilitation Science, 6(4), 202-207. https://doi.org/10.14474/ptrs.2017.6.4.202
  5. American Occupational Therapy Association. (2008). Occupational therapy practice framework: Domain & process. American Journal of Occupational Therapy, 62(6), 625-683. https://doi.org/10.5014/ajot.62.6.625
  6. Cameron, D., Craig, T., Edwards, B., Missiuna, C., Schwellnus, H., & Polatajko, H. J. (2017). Cognitive orientation to daily occupational performance (CO-OP): A new approach for children with cerebral palsy. Physical & Occupational Therapy in Pediatrics, 37(2), 183-198. https://doi.org/10.1080/01942638.2016.1185500
  7. Carswell, A., McColl, M. A., Baptiste, S., Law, M., Polatajko, H., & Pollock, N. (2004). The Canadian occupational performance measure: A research and clinical literature review. Canadian Journal of Occupational Therapy, 71(4), 210-222. https://doi.org/10.1177/000841740407100406
  8. Case-Smith, J., & O'Brien, J. C. (2015). Cognitive interventions for children. In A. Manich, J. Wilson, & K. Gain (Eds.), Occupational therapy for children and adolescents (7th ed., pp. 304-320). Elsvier.
  9. Cho. S. Y. (2015). Effectiveness of cognitive orientation to daily occupational performance (CO-OP) for improving motor-based goals performance in children with autism spectrum disorder. (Doctoral dissertation). Yonsei University.
  10. Choi, K. M., Hong, M. K., Kim, A. R., & Kim, J. R. (2017). The effects of cognitive orientation to daily occupational performance(CO-OP) for improving school-based tasks performance in children with cerebral palsy: A single-subject research design. Journal of Korean Society of Cognitive Rehabilitation, 6(2), 43-63.
  11. Han, G. R., Kim, G. Y., Choi, Y. E., & Ko, T. S. (2018). The effects of meta-cognition strategy task training on occupational performance and high-level function of chronic stroke patient with cognitive damage. Journal of Korean Academy of Medicine & Therapy Science, 10(2), 59-71. https://doi.org/10.31321/KMTS.2018.10.2.59
  12. Jo, E. M., & Yoo, E. Y. (2015). Cognitive orientation to daily occupational performance: A systematic reviews. Journal of Korean Society of Occupational Therapy, 23(4), 115-134. https://doi.org/10.14519/jksot.2015.23.4.09
  13. Kim, E. Y. (2018). Effectiveness of cognitive orientation to daily occupational performance (CO-OP) on occupational performance and executive function in children with autism spectrum disorder (Master's thesis). Yonsei University.
  14. Kim, G. S., & Kim, E. (2019). Effects of CO-OP interventions on affected upper extremity use, execution function and occupational performance in patients with stroke. Therapeutic Science for Rehabilitation, 10(2), 141-150. https://doi.org/10.22683/tsnr.2021.10.2.141
  15. Kim, H. J. (2017). The effect of computer-based cognitive rehabilitation program and occupation-based intervention on cognitive skills, occupational performance skills and activities of daily living in chronic stroke patients (Master's thesis). Gachon University.
  16. Kim, K. W., Yoo, E. Y., Park, J. H., & Han, A. R. (2020). The effect of group cognitive orientation to daily occupational performance (CO-OP) interventions to increase occupational performance and social interaction skills with Developmental Coordination Disorder. Korean Journal of Occupational Therapy, 28(1), 15-31. https://doi.org/10.14519/kjot.2020.28.1.02
  17. Law, M., Baum, C. M., & Dunn, W. (2005). Measuring occupational performance: Supporting best practice in occupational therapy. Slack.
  18. Law, M., & Mills, J. (1998). Does client-centred practice make a difference?, In Law, M., Client-centered occupational therapy (1st ed., pp. 19-27). Slack.
  19. Lee, E. H., Sim, S. Y., & Baek, J. Y. (2016). The changes on task performance in instrumental activities of daily living of the cognitive orientation to a daily occupataional performance in adolescent with intellectual disability: Single subject research. Journal of the Korea Entertainment Industry Association, 10(6), 351-360. https://doi.org/10.21184/jkeia.2016.12.10.6.351
  20. Maitra, K. K., & Erway, F. (2006). Perception of client-centered practice in occupational therapists and their clients. American Journal of Occupational Therapy, 60(3), 298-310. https://doi.org/10.5014/ajot.60.3.298
  21. McEwen, S. E., Polatajko, H. J., Baum, C. M., Rios, J., Cirone, D., Doherty, M., & Wolf, T. (2015). Combined cognitive-strategy and task-specific training improve transfer to untrained activities in subacute stroke an exploratory randomized controlled trial. Neurorehabilitation & Neural Repair, 29, 526-536. https://doi.org/10.1177/1545968314558602
  22. Miller, L. T., Polatajko, H. J., Missiuna, C., Mandich, A. D., & Macnab, J. J. (2001). A pilot trial of a cognitive treatment for children with developmental coordination disorder. Human Movement Science, 20, 183-210. https://doi.org/10.1016/S0167-9457(01)00034-3
  23. Moon, S. J. (2019). The effect of cognitive orientation to daily occupational performance (CO-OP) on upper extremity function and occupational performance in patients with subacute stroke (Master's thesis). Daegu University.
  24. Murphy, S., & Tickle-Degnen, L. (2001). The effectiveness of occupational therapy-related treatments for persons with Parkinson's disease: A meta-analytic review. The American Journal of Occupational Therapy, 55(4), 385-392. https://doi.org/10.5014/ajot.55.4.385
  25. Polatajko, H. J., Mandich, A. D., Miller, L. T., & Macnab, J. J. (2001). Cognitive orientation to daily occupational performance (CO-OP): Part II-The evidence. Physical & Occupational Therapy in Pediatrics, 20, 83-106. https://doi.org/10.1080/J006v20n02_06
  26. Polatajko, H. J., & Mandich, A. D. (2004). Perspectives on enabling children: Foundations for CO-OP, In Polatajko, H. J., & Mandich., A. D., Enabling occupation in children: The cognitive orientation to daily occupational performance (CO-OP) approach (1st ed., pp. 17-34). CAOT Publications ACE.
  27. Rodger, S., Springfield, E., & Polatajko, H. J. (2007). Cognitive orientation for daily occupational performance approach for children with Asperger's syndrome: A case report. Physical & Occupational Therapy in Pediatrics, 27(4), 7-22. https://doi.org/10.1080/J006v27n04_02
  28. Rodger, S., & Brandenburg, J. (2009). Cognitive orientation to (daily) occupational performance (COOP) with children with Asperger's syndrome who have motor based occupational performance goals. Australian Occupational Therapy Journal, 56, 41-50. https://doi.org/10.1111/j.1440-1630.2008.00739.x
  29. Scammell, E. M., Bates, S. V., Houldin, A., & Polatajko, H. J. (2016). The Cognitive Orientation to daily Occupational Performance (CO-OP): A scoping review: L'approche CO-OP (Cognitive Orientation to daily Occupational Performance): examen de la portee. Canadian Journal of Occupational Therapy, 83(4), 216-225. https://doi.org/10.1177/0008417416651277
  30. Shin, M. K., & Jo, E. M. (2015). Effect of the COOP approach on occupational performance in ADHD: A pilot study. Therapeutic Science for Neurorehabilitation, 4(2), 51-62.
  31. Wolf, T. J., Polatajko, H. J., Baum, C. M., Rios, J., Cirone, D., Doherty, M., & McEwen, S. (2016). Combined cognitive-strategy and task-specific training affects cognition and upper-extremity function in subacute stroke: An exploratory randomized controlled trial. American Journal of Occupational Therapy, 70(2), 1-10. https://doi.org/10.5014 /ajot.2016.017293 https://doi.org/10.5014/ajot.2016.017293
  32. World Health Organization. (2001). International Classification of Functioning, Disability and Health (ICF). https://www.who.int/standards/classifications/ international-classification-of-functioning-disabilityand-health
  33. Yang, M. H. (2015). Basic of research, In Yang, M. H., Single subject research (1st ed., pp. 15-54). Hakjisa.