Article

This study was part of a larger mixed methods project aimed at adapting
the Cognitive Orientation to daily Occupational Performance
(CO-OP) treatment
approach, originally designed for children with performance problems, for use
with adults with stroke. In CO-OP, the client focuses on learning strategies and
skills, rather than on remediating impairments. Therapists use guided discovery
to teach cognitive strategy use. The purpose of this study was to explore
participants' experiences with the approach. METHOD: Semistructured interviews
were conducted with five participants. Transcriptions were coded by two members
of the research team. Data analysis was conducted in two distinct phases:
Directed content analysis was conducted to apply codes to predetermined
categories; Thematic analysis was conducted to allow themes grounded in the data
to emerge. RESULTS: Participants reported learning and transferring the
strategies taught, and made suggestions for modifications to the approach, such
as increasing the number of sessions. One theme emerged, Balancing the need for
autonomy with the need for support. CONCLUSIONS: The findings suggest the
cognitive strategies were well learned and effectively used.
CO-OP was able to
provide participants with increased decision-making autonomy, but may require
modifications to better support their transition to higher levels of
independence.

Langue : ANGLAIS