Feasibility and Effects of the CO–OP Approach™ in Postconcussion Rehabilitation

OBJECTIVE: We determined the feasibility and effects of the Cognitive Orientation to daily Occupational Performance (CO-OP) ApproachTM on activity performance and satisfaction, symptoms, and mood of adolescents with persistent postconcussion symptoms. METHOD: In a prospective case series, 3 participants with persistent symptoms 3 mo after concussion and difficulties resuming activities were taught to use a metacognitive strategy (Goal-Plan-Do-Check) to work toward occupation-based goals in a 7-wk intervention (10 sessions, 30-60 min each). Participants were assessed pre- and postintervention and at 3-mo follow-up. Feasibility was determined by positive changes on study measures, ease of administration, and acceptability to participants. RESULTS: Clinically significant, positive changes were found in participants' activity performance and satisfaction. All participants had decreases in symptoms and improved mood scores at posttest. CONCLUSION: The CO-OP Approach to rehabilitation for youth postconcussion is feasible and may make a positive contribution to recovery.