DOI QR코드

DOI QR Code

발달성협응장애 아동의 인지기반 작업수행(Cognitive Orientation to daily Occupational Performance; CO-OP) 중재에 대한 체계적 고찰

A Systematic Review of Cognitive Orientation to Daily Occupational Performance for Children with Developmental Coordination Disorder

  • 최연우 (동서대학교 작업치료학과) ;
  • 김경미 (인제대학교 보건의료융합대학 작업치료학과)
  • Choi, Yeon-Woo (Department of Occupational Therapy, Dongseo University) ;
  • Kim, Kyeong-Mi (Department of Occupational Therapy, College of Health and Medical Affairs, Inje University)
  • 투고 : 2022.11.02
  • 심사 : 2022.12.17
  • 발행 : 2022.12.31

초록

목적 : 본 연구는 발달성협응장애 아동을 대상으로 인지기반 작업수행 중재의 목표 활동, 중재 방법 및 중재 효과, 평가도구에 관한 정보를 수집하고 분석하여 중재 효과에 대한 근거를 제시하고자 하였다. 연구방법 : 본 연구는 2012년 1월부터 2022년 10월까지 게재된 논문을 대상으로, PubMed, Embase, ScienceDirect, Cochrance Library 데이터베이스를 이용하여 검색하였다. 검색어는 ('developmental coordination disorder' OR 'DCD') AND ('Cognitive Orientation to daily Occupational Performance' OR 'Cognitive Orientation to Occupational Performance' OR 'CO-OP')이었다. 검색된 211편 중 선정기준과 배제기준에 따라 총 7편의 논문을 선정하여 분석하였다. 연구결과 : 대상 문헌은 무작위 대조군 연구가 2편, 비무작위 두 집단 연구가 1편, 비무작위 한 집단 연구가 3편, 단일 대상 연구가 1편으로 전반적으로 근거 수준이 높게 나타났다. 중재의 목표 활동은 놀이, 교육, 일상생활활동 영역 순으로 선호도가 높았다. 인지기반 작업수행 중재는 대부분 한 회기에 1시간씩, 10회기로 진행하였으며, 작업수행과 운동기술에 긍정적인 효과가 있는 것으로 나타났다. 중재의 효과는 주로 Canadian Occupational Performance Measure(COPM)과 Performance Quality Rating Scale(PQRS)을 이용하여 작업수행 향상을, Movement Assessment Battery for Children(MABC)를 이용하여 운동 기술 향상을 평가하였다. 결론 : 본 연구는 발달성협응장애 아동의 인지기반 작업수행 중재 적용에 있어 임상적 기초자료로 활용될 수 있을 것으로 보인다.

Objective : This study was conducted to examine self-selected goals and the outcome measures used in the Cognitive Orientation to daily Occupational Performance (CO-OP) approach for Developmental Coordination Disorder. Methods : Studies published from January 2012 to October 2022 in the PubMed, Embase, ScienceDirect, Cochrance Library databases were searched. Keywords used for search were ('developmental coordination disorder' OR 'DCD') AND ('Cognitive Orientation to daily Occupational Performance' OR 'Cognitive Orientation to Occupational Performance' OR 'CO-OP'). Among 211 searched studies, 7 selected studies that match the thesis of this study were analyzed. Results : The selected studies showed a relatively high level of evidence overall, including two randomized experimental studies, one non-random two-group study, three non-random one-group studies, one single-subject study. The self-selected goals preference of the children was high in the order of play, education, and daily life activities. Most of applicable sessions were conducted 10 times during a 1-h period, and intervention effects showed positive outcomes on the occupation performance motor domain. To measure the effectiveness of CO-OP, the improvement of occupational performance was evaluated using Canadian Occupational Performance Measure (COPM) and Performance Quality Rating Scale (PQRS), and the improvement of motor skills was evaluated using Movement Assessment Battery for Children (M-ABC). Conclusion : This study is expected to be used as basic clinical data when applying the CO-OP approach to Developmental Coordination Disorder.

키워드

참고문헌

  1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders. Washington, DC: American Psychiatric Association.
  2. Araujo, C. R. S., Cardoso, A. A., & Magalhaes, L. D. C. (2019). Efficacy of the cognitive orientation to daily occupational performance with Brazilian children with developmental coordination disorder. Scandinavian Journal of Occupational, 26(1), 46-54. doi:10.1080/11038128.2017.1417476
  3. Araujo, C. R. S., Cardoso, A. A., Polatajko, H. J., & Magalhaes, L. C. (2021). Efficacy of the Cognitive Orientation to daily Occupational Performance (CO-OP) approach with and without parental coaching on activity and participation for children with developmental coordination disorder: A randomized clinical trial. Research in Developmental Disabilities, 110, 103862. doi:10.1016/j.ridd.2021.103862
  4. Arbesman, M., Scheer, J., & Lieberman, D. (2008). Using AOTA's Critically Appraised Topic (CAT) and Critically Appraised Paper(CAP) series to link evidence to practice. OT Practice, 13(5), 18-22.
  5. Banks, R., Rodger, S., & Polatajko, H. J. (2008). Mastering handwriting: How children with developmental coordination disorder succeed with CO-OP. OTJR: Occupation, Participation and Health, 28(3), 100-109. doi:10.3928/15394492-20080601-01
  6. Blank, R., Barnett, A. L., Cairney, J., Green, D., Kirby, A., Polatajko, H., ... Vincon, S. (2019). International clinical practice recommendations on the definition, diagnosis, assessment, intervention, and psychosocial aspects of developmental coordination disorder. Developmental Medicine Child Neurology, 61(3), 242-285. doi:10.1111/dmcn.14132
  7. Capistran, J., & Martini, R. (2016). Exploring inter-task transfer following a CO-OP approach with four children with DCD: A single subject multiple baseline design. Human Movement Science, 49, 277-290. doi:10.1016/j.humov.2016.07.004
  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). St. Louis, MO: Elsvier.
  9. Dawson, D. R., Anderson, N. D., Binns, M. A., Bottari, C., Damianakis, T., Hunt, A., ... Zwarenstein, M. (2013). Managing executive dysfunction following acquired brain injury and stroke using an ecologically valid rehabilitation approach: A study protocol for a randomized, controlled trial. Trials, 14(1), 1-7. https://doi.org/10.1186/1745-6215-14-1
  10. Dawson, D. R., Gaya, A., Hunt, A., Levine, B., Lemsky, C., & Polatajko, H. J. (2009). Using the cognitive orientation to occupational Performance with adults with traumatic brain injury. Canadian Journal of Occupational Therapy, 76(2), 115-127. doi:10.1177/000841740907600209
  11. Engel-Yeger, B., & Hanna Kasis, A. (2010). The relationship between developmental co-ordination disorders, child's perceived self-efficacy and preference to participate in daily activities. Child: Care, Health and Development, 36(5), 670-677. doi:10.1111/j.1365-2214.2010.01073.x
  12. Izadi-Najafabadi, S., Gunton, C., Dureno, Z., & Zwicker, J. G. (2022). Effectiveness of Cognitive Orientation to Occupational Performance intervention in improving motor skills of children with developmental coordination disorder: A randomized waitlist-control trial. Clinical Rehabilitation, 36(6), 776-788. doi:10.1177/02692155221086188
  13. Jasmin, E., T'etreault, S., Larivi'ere, N., & Joly, J. (2018). Participation and needs of children with developmental coordination disorder at home and in the community: Perceptions of children and parents. Research in Developmental Disabilities, 73, 1-13. doi:10.1016/j.ridd.2017.12.011
  14. Jo, E. M., & Yoo, E. Y. (2015). Cognitive orientation to daily occupational performance: A systematic reviews. The Journal of Korean Society of Occupational Therapy, 23(4), 115-134. doi:10.14519/jksot.2015.23.4.09
  15. Jokic, C. S., Polatajko, H., & Whitebread, D. (2013). Self-regulation as a mediator in motor learning: The effect of the cognitive orientation to occupational performance approach on children with DCD. Adapted Physical Activity Quarterly, 30(2), 103-126. doi:10.1123/apaq.30.2.103
  16. Kim, K. W., Yoo, E. Y., Park, J. H., & Han, A. R. (2020). The effect of group cognitive orientation to daily occupational performance intervention to increase occupational performance and social interaction skills with developmental coordination disorder. Korean Journal of Occupational Therapy, 28(1), 15-31. doi:10.14519/kjot.2020.28.1.02
  17. Kim, M. J., & Choi, J. S. (2021). A systematic review of developmental coordination disorders in South Korea: Evaluation and intervention. Journal of Korean Academy of Sensory Integration, 19(1), 69-82. doi:10.18064/JKASI.2021.19.1.69
  18. Krajenbrink, H., Lust, J., Van Heeswijk, J., Aarts, P., & Steenbergen, B. (2022). Benefits of an intensive individual CO-OP intervention in a group setting for children with DCD. Occupational Therapy International, 2022, 1-12. doi:10.1155/2022/8209128
  19. Kraversky, D. G. (2020). Cognitive Orientation to Daily Occupational Performance (CO-OP) approach: Evidence-based, occupation-centered intervention for children. AJOT CE Article.
  20. Magalhaes, L. D. C., Cardoso, A. A., & Missiuna, C. (2011). Activities and participation in children with developmental coordination disorder: A systematic review. Research in Developmental Disabilities, 32(4), 1309-1316. doi:10.1016/j.ridd.2011.01.029
  21. Martini, R., Rios, J., Polatajko, H., Wolf, T., & McEwen, S. (2015). The Performance Quality Rating Scale (PQRS): Reliability, convergent validity, and internal responsiveness for two scoring systems. Disability and Rehabilitation, 37, 231-238. doi:10.3109/09638288.2014.913702
  22. Meichenbaum, D. (1977). Cognitive behaviour modification. Cognitive Behaviour Therapy, 6(4), 185-192.
  23. Missiuna, C., & Campbell, W. N. (2014). Psychological aspects of developmental coordination disorder: Can we establish causality? Current Developmental Disorders Reports, 1(2), 125-131. https://doi.org/10.1007/s40474-014-0012-8
  24. Missiuna, C., Mandich, A. D., Polatajko, H. J., & Malloy-Miller, T. (2001). Cognitive Orientation to daily Occupational Performance (CO-OP) part I-Theoretical foundations. Physical & Occupational Therapy in Pediatrics, 20(2-3), 69-81. doi:10.1080/J006v20n02_05
  25. Missiuna, C., Pollock, N., Law, M., Walter, S., & Cavey, N. (2006). Examination of the Perceived Efficacy and Goal Setting System (PEGS) with children with disabilities, their parents, and teachers. American Journal of Occupational Therapy, 60(2), 204-214. doi:10.5014/ajot.60.2.204
  26. Polatajko, H. J., & Mandich, A. D. (2004). Enabling occupation in children: The Cognitive Orientation to daily Occupational Performance (CO-OP) approach. CAOT Publications.
  27. Polatajko, H. J., Mandich, A. D., Missiuna, C., Miller, L. T., Macnab, J. J., Malloy-Miller, T., & Kinsella, E. A. (2001). Cognitive Orientation to daily Occupational Performance (CO-OP) part III-The protocol in brief. Physical & Occupational Therapy in Pediatrics, 20(2-3), 107-123. doi:10.1080/J006v20n02_07
  28. Polatajko, H. J., McEwen, S. E., Ryan, J. D., & Baum, C. M. (2012). Pilot randomized controlled trial investigating cognitive strategy use to improve goal performance after stroke. American Journal of Occupational Therapy, 66(1), 104-109. doi:10.5014/ajot.2012.001 784
  29. Rodger, S., & Brandenburg, J. (2009). Cognitive Orientation to (daily) Occupational Performance (CO-OP) with children with Asperger's syndrome who have motor-based occupational performance goals. Australian Occupational Therapy Journal, 56(1), 41-50. doi:10.1111/j.1440-1630.2008.00739.x
  30. Romagnoli, G., Leone, A., Romagnoli, G., Sansoni, J., Tofani, M., De Santis, R., ... Galeoto, G. (2019). Occupational therapy's efficacy in children with Asperger's syndrome: A systematic review of randomized controlled trials. La Clinica Terapeutica, 170(5), e382-e387. doi:10.7417/CT.2019.2164
  31. Schwartz, S. P., Northrup, S. R., Izadi-Najafabadi, S., & Zwicker, J. G. (2020). CO-OP for children with DCD: Goals addressed and strategies used. Canadian Journal of Occupational Therapy, 87(4), 278-286. doi:10.1177/0008417420941980
  32. Skinner, R. A., & Piek, J. P. (2001). Psychosocial implications of poor motor coordination in children and adolescents. Human Movement Science, 20(1-2), 73-94. doi:10.1016/S0167-9457(01)00029-X
  33. Slim, K., Nini, E., Forestier, D., Kwiatkowski, F., Panis, Y., & Chipponi, J. (2003). Methodological index for non-randomized studies (MINORS): Development and validation of a new instrument. ANZ Journal of Surgery, 73(9), 712-716. https://doi.org/10.1046/j.1445-2197.2003.02748.x
  34. Smits-Engelsman, B., Blank, R., Van Der Kaay, A. C., Mosterd-Van Der Meijs, R. I. A. N. N. E., Vlugt-Van Den Brand, E. L. L. E. N., Polatajko, H. J., & Wilson, P. H. (2013). Efficacy of interventions to improve motor performance in children with developmental coordination disorder: A combined systematic review and meta-analysis. Developmental Medicine & Child Neurology, 55(3), 229-237. doi:10.1111/dmcn.12008
  35. Thornton, A., Licari, M., Reid, S., Armstrong, J., Fallows, R., & Elliott, C. (2016). Cognitive orientation to (daily) occupational performance intervention leads to improvements in impairments, activity and participation in children with developmental coordination disorder. Disability and Rehabilitation, 38(10), 979-986. doi:10.3109/09638288.2015.1070298
  36. Wolf, T. J., Polatajko, H., Baum, C., 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), 7002290010p1-7002290010p10. doi:10.5014/ajot.2016.017293