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OT 532 - Journal Article Review

This article explores the current literature related to the use of the Cognitive Orientation to daily Occupational Performance within a group setting involving children living with Developmental Coordination Disorder (DCD).  Children diagnosed with DCD struggle with tasks requiring muscle coordination which in turn leads to decreased occupational performance.  While believed to be a childhood condition, the secondary impairments associated with DCD often endure into adulthood.  Thought to be linked to low self-esteem and motor skill competency, obesity and feelings of isolations often are found in conjunction with DCD.  In order to enable occupational performance within this population, practitioners are now pursuing group intervention strategies as a way to empower those with DCD.  After searching the literature, six articles were selected which met inclusion criteria.  Findings from this review showed the importance of group process for individuals diagnosed with DCD.  Group formation was based not only on diagnosis but also on individual goals which aligned with others within the group.  Group interaction served to decrease feelings of isolation experienced not only by the individuals with DCD but also for their family members as well.  Parental involvement throughout the group process was also seen as crucial.  Further research is recommended, but initial findings indicate promising results.

The underlying ideals represented within this study are the basis of the field of occupational therapy.  Living life to the fullest through engagement in meaningful activities is the aim of each individual.  Unfortunately, those diagnosed with DCD often face difficulty to independently complete simple tasks such as walking or shoe tying.  The benefits within group therapy sessions such as interaction within a social setting provide a means through which feelings of isolation might be decreased.  Joining those who share similar goals within a group encourages collaboration and a sense of empowerment.  By promoting shared experiences of those who face the daily struggles of DCD, individuals who would otherwise have someone else tie their shoes for them might find the confidence to try it themselves.  Ultimately, those with DCD are often able to achieve independence, but this requires a system of support and a willingness to struggle in order to achieve one's goals.


Reference
Anderson, L., Wilson, J., & Williams, G. (2017). Cognitive orientation to daily occupational performance (CO - OP) as group therapy for children living with motor coordination difficulties: An integrated literature review. Australian Occupational Therapy Journal, 64 (2), 170. doi: 10.1111/1440-1630.12333

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