title: Exploring the use of cognitive intervention for children with acquired brain injury.
abstract: BACKGROUND
  Children with acquired brain injury (ABI) often experience cognitive, motor, and psychosocial deficits that affect participation in everyday activities. Cognitive Orientation to Daily Occupational Performance (CO-OP) is an individualized treatment that teaches cognitive strategies necessary to support successful performance.
  
  
  OBJECTIVE
  This study explores the use of CO-OP with children with ABI.
  
  
  METHODS
  Children with ABI, experiencing school and self-care difficulties, were identified from a previous study. Six children, aged 6-15 years, completed 10 weekly intervention sessions with occupational therapists. Children and parents rated the child's performance of challenging everyday tasks and their satisfaction with this performance. Task performance was also evaluated objectively through videotape analysis.
  
  
  RESULTS
  Participants showed significant improvement in their ability to perform child-chosen tasks and maintained this performance 4 months later. However, they had difficulty applying the executive problem-solving strategy and discovering cognitive strategies on their own. Issues related to the use of CO-OP with this population are discussed.
authors.affiliation: CanChild Centre for Childhood Disability Research and the School of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada. missiuna@mcmaster.ca
authors.forename: Cheryl
authors.initials: C
authors.lastname: Missiuna
authors.forename: Carol
authors.initials: C
authors.lastname: DeMatteo
authors.forename: Steven
authors.initials: S
authors.lastname: Hanna
authors.forename: Angela
authors.initials: A
authors.lastname: Mandich
authors.forename: Mary
authors.initials: M
authors.lastname: Law
authors.forename: William
authors.initials: W
authors.lastname: Mahoney
authors.forename: Louise
authors.initials: L
authors.lastname: Scott
mesh_terms: D000203:Activities of Daily Living; D000293:Adolescent; D000704:Analysis of Variance; D001930:Brain Injuries / Q000175:diagnosis / Q000534:rehabilitation*; D002648:Child; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D015331:Cohort Studies; D004185:Disability Evaluation; D005260:Female; D005500:Follow-Up Studies; D015600:Glasgow Coma Scale; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D009788:Occupational Therapy / Q000379:methods*; D020127:Recovery of Function; D013647:Task Performance and Analysis; D013997:Time Factors; D016896:Treatment Outcome