DOI QR코드

DOI QR Code

인지 기반 작업수행(Cognitive Orientation to daily Occupational Performance: CO-OP) 그룹 중재가 뇌성마비 아동의 작업수행기술에 미치는 영향: 사례연구

Effect of Group Cognitive Orientation to Daily Occupational Performance (CO-OP) Intervention on the Occupational Performance Skills of Children With Cerebral Palsy

  • 전주영 (연세대학교 일반대학원 작업치료학과) ;
  • 박진희 (연세로이재활의학과의원) ;
  • 김건우 (푸르메재단 넥슨어린이재활병원)
  • Jeon, Joo Young (Dept. of Occupational Therapy, Graduate School, Yonsei University) ;
  • Park, Jin Hee (Yonsei Roi Rehabilitation Clinic) ;
  • Kim, Geon Woo (Purme Foundation NEXON Children's Rehabilitation Hospital)
  • 투고 : 2022.02.17
  • 심사 : 2022.06.21
  • 발행 : 2022.06.30

초록

목적 : 본 연구는 뇌성마비 아동의 작업수행기술에 인지 기반 작업수행(Cognitive Orientation to daily Occupational Performance; CO-OP) 그룹 중재가 효과가 있는지 알아보고자 한다. 연구 방법 : 연구 선정기준에 부합하는 뇌성마비 아동 3명을 대상으로 2021년 4월부터 6월까지 진행하였으며, 연구 설계는 단일실험연구 ABA를 적용하였다. 기초선 기간(A) 3회기, 중재 기간(B)은 10회기(주 1회, 60분/회), 재기초선 기간(A') 3회기로 구성하여 실시하였다. 중재 전후 비교를 위한 평가로는 운동발달평가, 시지각 평가, 일상생활 동작 평가를 시행하였으며, 매회기의 수행의 질을 평가하기 위해서 수행의 질 평가척도를 사용하였다. 결과 : 3명의 대상자 모두 3가지 공통 목표 활동(양치질하기, 색종이 접기, 옷 입고 벗기)에서 작업수행의 질이 향상되었다. 또한 시지각, 대 운동과 소 운동, 일상생활 동작 평가 점수도 향상되었다. 결론 : CO-OP 그룹 중재가 전 학령기 및 학령기 뇌성마비 아동의 학업 전 기술 및 작업수행 향상에 효과적인 것으로 나타났다.

Objective : The purpose of this study was to investigate the effects of group Cognitive Orientation to daily Occupational Performance (CO-OP) on the occupational performance and social interaction skills of children with Cerebral Palsy (CP). Methods : A single-case experimental study with an ABA design was conducted from April to June 2021, targeting three children with cerebral palsy who met the study selection criteria. The baseline period consisted of 3 intervention sessions until the data were stabilized, and the intervention period consisted of 10 sessions (once a week, 60 minutes/session). For comparison before and after the intervention, motor development, visual perception, and daily life behavior were evaluated. To evaluate the quality of each session, a performance quality evaluation scale was used. Results : In all 3 subjects, the quality of work performance in the three common goal activities improved. The evaluation scores for visual perception, large and small movements, and daily activities were also improved. Conclusion : This study provided evidence that group CO-OP can improve the pre-academic skills and occupational performance of children with CP.

키워드

참고문헌

  1. Anderson, L., Wilson, J., & Williams, G. (2017). Cognitive Orientation to daily Occupational Performance (CO-OP) as group therapy for children living with motor coordination difficulties: An integrated literature review. Australian Occupational Therapy Journal, 64(2), 170-184. doi:10.1111/1440-1630.12333
  2. Bellocchi, S., Muneaux, M., Huau, A., LLvLque, Y., Jover, M., & Ducrot, S. (2017). Exploring the link between visual perception, visual-motor integration, and reading in normal developing and impaired children using DTVP-2. Dyslexia, 23(3), 296-315. https://doi.org/10.1002/dys.1561
  3. Bottcher, L. (2010). Children with spastic cerebral palsy, their cognitive functioning, and social participation: A review. Child Neuropsychology, 16(3), 209-228. doi:10.1080/09297040903559630
  4. Camden, C., Tetreault, S., & Swaine, B. (2012). Increasing the use of group interventions in a pediatric rehabilitation program: Perceptions of administrators, therapists, and parents. Physical & Occupational Therapy in Pediatrics, 32(2), 120-135. doi:10.3109/01942638.2011.616267
  5. 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. doi:10.1080/01942638.2016.1185500
  6. Dawson, D. R., Anderson, N. D., Binns, M. A., Bottari, C., Damianakis, T., Hunt, A., Polatajko, H. J., & 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. doi:10.1186/1745-6215-14-306
  7. Destan, N., Hembacher, E., Ghetti, S., & Roebers, C. M. (2014). Early metacognitive abilities: The interplay of monitoring and control processes in 5-to 7-year-old children. Journal of Experimental Child Psychology, 126, 213-228. https://doi.org/10.1016/j.jecp.2014.04.001
  8. Eliasson, A. C., Krumlinde-Sundholm, L., Rosblad, B., Beckung, E., Arner, M., Ohrvall, A. M., & Rosenbaum, P. (2006). The Manual Ability Classification System (MACS) for children with cerebral palsy: Scale development and evidence of validity and reliability. Developmental Medicine and Child Neurology, 48(7), 549-554. doi:10.1017/s0012162206001162
  9. Fernandez-Duque, D., Baird, J. A., & Posner, M. I. (2000). Executive attention and metacognitive regulation. Consciousness and Cognition, 9(2), 288-307. doi:10.1006/ccog.2000.0447
  10. Folio, M. R., & Fewell, P. R. (2000). Peabody developmental motor scales (2nd ed). Examiner's manual. Austin, TX: PROED,Inc.
  11. Frostig, M. (1972). Visual perception, integrative functions and academic learning. Journal of Learning Disabilities, 5(1), 5-19. doi:10.1177/002221947200500101
  12. Gharebaghy, S., Rassafiani, M., & Cameron, D. (2015). Effect of cognitive intervention on children with ADHD. Physical & Occupational Therapy in Pediatrics, 35(1), 13-23. doi:10.3109/01942638.2014.957428
  13. Gimeno, H., Jackman, M., & Novak, I. (2021). Cognitive Orientation to daily Occupational Performance (CO-OP) intervention for people with cerebral palsy: A systematic review with meta-analysis. Journal of Pediatrics, Perinatology and Child Health, 5(3), 177-193. doi:10.26502/jppch.74050077
  14. Jackman, M., Novak, I., Lannin, N. A., Galea, C., & Froude, E. (2018). The Cognitive Orientation to daily Occupational Performance (CO-OP) approach: Best responders in children with cerebral palsy and brain injury. Research in Developmental Disabilities, 78, 103-113. doi:10.1016/j.ridd.2018.04.019
  15. 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. doi:10.14519/jksot.2015.23.4.09
  16. Kim, K. W. (2019). The effect of group cognitive orientation to daily occupational performance (CO-OP) intervention to increase occupational performance and social interaction skills with developmental coordination disorder(Master's thesis). Yonsei University, Seoul.
  17. 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) intervention to increase occupational performance and social interaction skills with developmental coordination disorder. Korean Journal of Occupational Therapy, 28(1), 15-31.
  18. Kiresuk, T. J., Smith, A., & Cardillo, J. E. (2014). Goal attainment scaling: Applications, theory, and measurement. New York, NY: Psychology Press.
  19. LaForme Fiss, A. (2012). Group intervention in pediatric rehabilitation. Physical & Occupational Therapy In Pediatrics, 32(2), 136-138. doi:10.3109/01942638.2012.668389
  20. 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(3), 231-238. doi:10.3109/09638288.2014.913702
  21. Marulis, L. M., Palincsar, A. S., Berhenke, A. L., & Whitebread, D. (2016). Assessing metacognitive knowledge in 3-5 year olds: The development of a metacognitive knowledge interview (McKI). Metacognition and Learning, 11(3), 339-368. doi:10.1007/s11409-016-9157-7
  22. McEwen, S. E., Polatajko, H. J., Davis, J. A., Huijbregts, M., & Ryan, J. D. (2010). There's a real plan here, and I am responsible for that plan: Participant experiences with a novel cognitive-based treatment approach for adults living with chronic stroke. Disability and Rehabilitation, 32(7), 541-550. doi:10.3109/09638280903180189
  23. Missiuna, C., DeMatteo, C., Hanna, S., Mandich, A., Law, M., Mahoney, W., & Scott, L. (2010). Exploring the use of cognitive intervention for children with acquired brain injury. Physical & Occupational Therapy in Pediatrics, 30(3), 205-219. doi:10.3109/01942631003761554
  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. Moon, S. B., Yeo, K. W., & Jo, Y. T. (2003). Korean Developmental Test of Visual Perception (K-DTVP-2). Seoul: Hakjisa.
  26. Ottenbacher, K. J., Msall, M. E., Lyon, N. R., Duffy, L. C., Granger, C. V., & Braun, S. (1997). Interrater agreement and stability of the functional independence measure for children (weefimTM): Use in children with developmental disabilities. Archives of Physical Medicine and Rehabilitation, 78(12), 1309-1315. https://doi.org/10.1016/S0003-9993(97)90302-6
  27. Palisano, R., Rosenbaum, P., Walter, S., Russell, D., Wood, E., & Galuppi, B. (1997). Development and reliability of a system to classify gross motor function in children with cerebral palsy. Developmental Medicine & Child Neurology, 39(4), 214-223. doi:10.1111/j.1469-8749.1997.tb07414.x
  28. Peny-Dahlstrand, M., Bergqvist, L., Hofgren, C., Himmelmann, K., & Ohrvall, A. M. (2020). Potential benefits of the cognitive orientation to daily occupational performance approach in young adults with spina bifida or cerebral palsy: A feasibility study. Disability and Rehabilitation, 42(2), 228-239. doi:10.1080/09638288.2018.1496152
  29. Polatahjko, H. J., & Mandich, A. (2004). Enabling occupation in children: The cognitive orientation to daily occupational performance (CO-OP) approach. Ottawa, Canada: CAOT Publications ACE.
  30. 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_06
  31. 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
  32. Rosenbaum, P., Paneth, N., Levinton, A., Goldstein, M., Bax, M., Damiano, D., & Jacobsson, B. (2006). The definition and classification of cerebral palsy. Neo Reviews, 7(11), e569. doi:10.1542/neo.7-11-e569
  33. Salles, A., Ais, J., Semelman, M., Sigman, M., & Calero, C. I. (2016). The metacognitive abilities of children and adults. Cognitive Development, 40, 101-110. doi:10.1016/j.cogdev.2016.08.009
  34. Schraw, G., & Moshman, D. (1995). Metacognitive theories. Educational Psychology Review, 7(4), 351-371. doi:10.1007/bf02212307
  35. Smortchkova, J., & Shea, N. (2020). Metacognitive development and conceptual change in children. Review of Philosophy and Psychology, 11(4), 745-763. doi:10.1007/s13164-020-00477-7
  36. Sousa, L. K., BrandLo, M. B., Curtin, C. M., & Magalhaes, L. C. (2020). A collaborative and cognitive-based intervention for young people with cerebral palsy. Canadian Journal of Occupational Therapy, 87(4), 319-330. doi:10.1177/0008417420946608
  37. 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), 1-10. doi:10.5014/ajot.2016.017293
  38. World Health Organization. (2007). International classification of functioning, disability, and health: Children & youth version: ICF-CY. World Health Organization.