Cognitive Orientation for Daily Occupational Performance Approach for Children with Asperger's Syndrome

Abstract

Cognitive Orientation for daily Occupational Performance (CO-OP) is a client-centred, cognitive approach to acquisition of occupational skills. Children are taught a global problem solving framework and are guided to discover Domain Specific Strategies to enable mastery of their child chosen skills. A major focus of CO-OP is on the generalization and transfer of learned strategies and skills to everyday life. Two case studies are reported that provide preliminary evidence of the effects of CO-OP on the everyday lives of two siblings (aged 9 years and 11 years) with Asperger's Syndrome. The data were drawn from the detailed diary kept by the children's mother from the start of intervention and for two months after intervention ceased. Thematic analysis of the diary entries revealed multiple detailed accounts of the children's spontaneous use of the global problem solving framework to assist with acquisition of new motor skills, to overcome organizational and social-emotional difficulties, as well as numerous examples of generalization and transfer of skills. This case report provides preliminary support for CO-OP as an intervention for children with Asperger's Syndrome that supports both skill acquisition and generalization and transfer of skills and strategies.

Key Words:

• Asperger's Syndrome
• goals
• occupational performance
• generalization
• CO-OP
• skill acquisition

Additional information

Notes on contributors

Elizabeth Springfield

Michael Lepp, PT, is in private practice, Associate Instructor of the Upledger Institute, and Clinical Instructor, Case Western Reserve University School of Dentistry, Cleveland, OH.

Marie McKenzie, MS, OTR, is in private practice. She was Coordinator of Occupational Therapy at Scottish Rite Hospital at the time of this study.

Heather Miller, MS, OTR/L, is currently employed by Madison County Educational Service Center, providing therapy services to the county's pre-schools. This research was completed in partial fulfillment of the requirements of an MS degree at Ohio State University.

Linda Viscardis, BA, is Team Leader and Community Development Worker, Peterborough Family Enrichment Centre. She is Co-Founder of P.R.O.S.P.E.C.T.S., a support and advocacy group for families who have children with special needs.

Debra Stewart, BSc, OT(C), is Occupational Therapist, Erinoak, Serving Young People with Physical Disabilities, Mississauga, ON, and Clinical Lecturer, School of Rehabilitation Science, McMaster University.

Janette McDougall, MA, was Project Coordinator

Kip Husted, BEd, was a parent representative on the study team.

Aviva Yochman, MA, OTR, was a student in the School of Occupational Therapy, Faculty of Medicine, The Hebrew University of Jerusalem, Israel at the time of this study.

Imelda Burgman, MA OTR/L BCP, completed her MA in Movement Sciences at Teachers College, Columbia University, and was an Occupational Therapist at The Shield Institute, Bronx, NY. She is currently Lecturer, Habilitation, School of Community Health, Faculty of Health Studies, Charles Sturt University, Albury, N.S.W., Australia.

Barbara J. Steva, OTWL, BCP, is Occupational Therapist, University of New England Community Occupational Therapy Clinic, Saco, ME. She was Director of Occupational Therapy and Therapeutic Recreation, Franciscan Children's Hospital and Rehabilitation Center, Boston, MA, when this work was completed.

Mary-Ann L. Fulks, MSc, OT(C), is Occupational Therapist, Vancouver Community Mental Health Service and Clinical Assistant Professor, School of Rehabilitation Sciences, University of British Columbia. This study was completed in partial fulfillment of a Master of Science degree.

Laura Zawacki, MS, PT, PCS, currently practices Pediatric Physical Therapy in the Chicago metropolitan area.

Judy T. Jennings holds a Certificate in PT and an MA in Special Education and has 25 years of experience as a PT working with children from infancy to high school.

Barbara G. Sarbaugh, BS and MA in OT, has worked with children for 20 years and is on the faculty, occupational therapy program at Xavier University, Cincinnati, OH.

Nicholas S. Payne, PhD, recently retired from 40 years of experience in statistics and data analysis at Proctor & Gamble, Cincinnati, OH. He was recently Research Fellow in Data Analysis, clarifying the needs of mothers and babies.

At the time of this study, Marianne Kratochvil, MA, was a social worker at the Glenrose Rehabilitation Hospital, Edmonton, Alberta. She has since retired.