Cognitive orientation to daily occupation group in the adult day rehabilitation setting: A feasibility study

The Cognitive Orientation to daily Occupational Performance (CO-OP) Approach^TM is a leading approach in occupational therapy. Implementing the CO-OP Approach^TM in a group format in day rehabilitation has not yet been explored.

In day rehabilitation, a barrier to implementing the CO-OP Approach^TM is the group model. To address these challenges, this feasibility study involved the development, implementation, and evaluation of a CO-OP group for adults. Four patients participated in six group sessions. Pre- and post-measures included the Canadian Occupational Performance Measure (COPM) and the Assessment of Motor and Process Skills (AMPS). Subjective data were collected to reflect the participant's experiences during the group.

80% of participants recruited completed the group. All participants demonstrated improvement in goals addressed within the group and goals not addressed within the group on the COPM. AMPS findings were inconclusive. Subjective findings indicated participants appreciated the group learning environment, valued the CO-OP process, were motivated to participate, and would have liked more groups.

To our knowledge, this is the first adult CO-OP group in a clinical setting. Results support the feasibility of a CO-OP group in day rehabilitation and the need for further examination of the effectiveness of this intervention.