title: Cognitive Orientation to daily Occupational Performance (CO-OP) as group therapy for children living with motor coordination difficulties: An integrated literature review.
abstract: OBJECTIVE
  Children with Developmental Coordination Disorder (DCD) demonstrate limited participation in daily occupations which negatively impacts their physical and psycho-social wellbeing. The CO-OP approach is strongly supported within the literature as an effective treatment for DCD when delivered as a one-on-one therapy. Group interventions have proven to be effective in increasing self-esteem, decreasing feelings of isolation and are a cost effective way of delivering therapy. The purpose of this review was to explore the evidence for the use of the CO-OP approach in a group format for children with motor coordination difficulties.
  
  
  METHODS
  Searches of CINAHL, MEDLINE, Scopus, Proquest, PsycINFO, ERIC and OTDBase, were conducted from 2000 through until September 30, 2015. Articles included were in English, peer reviewed articles, followed principals of CO-OP and were delivered through a group therapy approach. All articles were critically reviewed and thematically analysed.
  
  
  RESULTS
  192 studies were retrieved with a final number of six articles included in the review. Six themes were highlighted: achieving a new level of perceived competence; feeling a sense of belonging; children learning how the condition affected them and strategies to overcome these challenges; careful formation of intervention groups; the value of following the CO-OP protocols; and the significance of parental involvement.
  
  
  CONCLUSIONS
  The findings of this review suggest that the CO-OP approach, when administered in a group format, has the potential to benefit children living with motor coordination difficulties in both physical and psycho-social domains. More research is required to confirm these findings and contribute to evidence-based practice.
authors.affiliation: Discipline of Occupational Therapy, College of Healthcare Sciences, James Cook University, Townsville, Queensland, Australia.
authors.forename: Leanne
authors.initials: L
authors.lastname: Anderson
authors.affiliation: Discipline of Occupational Therapy, College of Healthcare Sciences, James Cook University, Townsville, Queensland, Australia.
authors.forename: Jessie
authors.initials: J
authors.lastname: Wilson
authors.affiliation: Discipline of Occupational Therapy, College of Healthcare Sciences, James Cook University, Townsville, Queensland, Australia.
authors.forename: Gary
authors.initials: G
authors.lastname: Williams
mesh_terms: D002648:Child; D002657:Child Development; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D002658:Developmental Disabilities / Q000628:therapy*; D019988:Children with Disabilities; D005260:Female; D006801:Humans; D008297:Male; D019957:Motor Skills Disorders / Q000628:therapy*; D009788:Occupational Therapy / Q000379:methods*; D011597:Psychomotor Performance; D011788:Quality of Life; D012649:Self Concept
keywords: Cognitive Orientation to daily Occupational Performance (CO-OP); Developmental Coordination Disorder; group therapy; integrative review