{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T18:01:10Z","timestamp":1791309670709,"version":"4.3.1"},"reference-count":57,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T00:00:00Z","timestamp":1749513600000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aus Occup Therapy J"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Cerebral palsy (CP) is a neurological disorder that impacts motor skills and daily functioning in children. While conventional occupational therapy aims to improve these areas, newer approaches like \u2018Cognitive Orientation to Daily Occupational Performance\u2019 (CO\u2010OP) and \u2018Goal\u2010Directed Training\u2019 (GDT) show promise. However, their comparative effectiveness in enhancing occupational performance and functional status in children with CP remains underexplored. This study aimed to investigate and compare the effects of the CO\u2010OP and GDT on the occupational performance and functional status of children with CP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Sixty children were randomly assigned to three intervention groups: CO\u2010OP approach in addition to conventional occupational therapy (COT) (Group A; <jats:italic>n<\/jats:italic>\u2009=\u200920), GDT in addition to COT (Group B, <jats:italic>n<\/jats:italic>\u2009=\u200920), and only COT (Group C; <jats:italic>n<\/jats:italic>\u2009=\u200920). The outcomes regarding occupational performance via the Canadian Occupational Performance Measure and functional status via the Paediatric Evaluation of Disability Inventory were evaluated by the blind evaluators before and after the interventions. All participants received two sessions per week over a 12\u2010week period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Consumer and Community Involvement<\/jats:title><jats:p>No consumer and community involvement in these studies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All groups demonstrated statistically significant improvements in occupational performance and functional status (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Between\u2010group comparisons revealed that Group A achieved greater improvements in occupational performance and functional status, which particularly in the areas of self\u2010care, mobility, and total Paediatric Assessment of Disability Inventory (PEDI) scores (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05), compared to the other groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although significant gains were achieved on occupational performance and functional status levels of both the CO\u2010OP approach and GDT, it was revealed that the group receiving the CO\u2010OP approach had superior effects.<\/jats:p><\/jats:sec><jats:sec><jats:title>PLAIN LANGUAGE SUMMARY<\/jats:title><jats:p>Cerebral palsy (CP) is a condition that affects how children move and use their muscles. It can make everyday tasks like getting dressed or playing more difficult. Occupational therapy helps children with CP build their skills and become more independent in daily life.<\/jats:p><jats:p>This study looked at two types of therapy: cognitive orientation to daily occupational performance (CO\u2010OP) and goal\u2010directed training (GDT). The aim was to find out which approach worked better for improving everyday activities and skills in children with CP.<\/jats:p><jats:p>The results showed that the children who took part in the CO\u2010OP program made the most progress. They improved more in both daily tasks and skills compared to the children who received GDT. Both groups showed some improvement, but CO\u2010OP had stronger results.<\/jats:p><jats:p>These findings suggest that CO\u2010OP could be a helpful part of therapy programs for children with CP. It may support them in doing more things on their own. More research with larger groups of children is needed to learn more about how these therapies work in the long term.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1440-1630.70033","type":"journal-article","created":{"date-parts":[[2025,6,11]],"date-time":"2025-06-11T05:19:21Z","timestamp":1749619161000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Comparison of CO\u2010OP and goal\u2010directed training on occupational performance and functional status in children with cerebral palsy: Three\u2010armed randomised trial"],"prefix":"10.1111","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4172-8666","authenticated-orcid":false,"given":"Zeynep","family":"Kolit","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences, Department of Occupational Therapy Lokman Hekim University  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R\u00fcya G\u00fcl","family":"Temel","sequence":"additional","affiliation":[{"name":"Department of Therapy and Rehabilitation, Vocational School of Health Services Mustafa Kemal University  Hatay Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gamze","family":"Ekici","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Department of Occupational Therapy Hacettepe University  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,6,10]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.3109\/01942638.2015.1058299"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/1440-1630.12475"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/cch.13091"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.5772\/64373"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1590\/1806-9282.65.4.452"},{"key":"e_1_2_12_7_1","volume-title":"Occupational therapy for children and adolescents\u2010e\u2010book","author":"Case\u2010Smith J.","year":"2014"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/1440-1630.12676"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.4103\/ortho.IJOrtho_235_17"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2011.10101452"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638280600964302"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1682\/JRRD.2010.03.0039"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/02640414.2012.703784"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.26502\/jppch.74090085"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/cch.12529"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10654-016-0149-3"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001577-199100340-00004"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/1539449218767680"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.3233\/NRE-130994"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2018.05.007"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.15055"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/0308022620962272"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2021.07.002"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2020.1792130"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-019-4111-4"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/PEP.0b013e3181d3c1c4"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.3233\/PRM-220015"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/7217684"},{"key":"e_1_2_12_29_1","volume-title":"Canadian occupational performance measure: COPM","author":"Law M. 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