{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T06:50:26Z","timestamp":1791269426176,"version":"4.1.0"},"reference-count":51,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T00:00:00Z","timestamp":1791158400000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aus Occup Therapy J"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The Cognitive Orientation to Daily Occupational Performance (CO\u2010OP) approach is a cognitive strategy\u2010based, occupation\u2010focussed intervention designed to improve functional performance in children with neurodevelopmental conditions. Although CO\u2010OP has been increasingly used in paediatric rehabilitation, evidence from randomised controlled trials examining its effectiveness across different populations and outcomes has not been comprehensively synthesised. This systematic review and meta\u2010analysis examined the effects of CO\u2010OP on occupational performance and related outcomes in children with disabilities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Randomised controlled trials involving children aged 3\u201318\u2009years were identified through PubMed, Scopus, and CENTRAL. Seventeen eligible reports representing 13 distinct trial cohorts were included. Risk of bias was assessed using RoB 2. Where clinically appropriate, COPM Performance and Satisfaction outcomes were synthesised using random\u2010effects meta\u2010analysis; other outcomes were synthesised using a SWiM\u2010informed approach. Certainty of evidence was assessed using GRADE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Consumer and Community Involvement<\/jats:title>\n                    <jats:p>There was no consumer or community involvement in the conduct of this systematic review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In five trials comparing CO\u2010OP with active alternative interventions, meta\u2010analysis did not demonstrate clear superiority for COPM Performance (MD\u2009=\u20091.03, 95% CI [\u22120.38, 2.44],\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200977.7%) or Satisfaction (MD\u2009=\u20091.53, 95% CI [\u22120.13, 3.19],\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200975.1%); certainty was very low. Low\u2010certainty evidence from inactive\/waitlist comparisons and trials adding CO\u2010OP to background rehabilitation suggested improvements in individualised occupational performance. Evidence for generalised motor capacity, functional status, broader participation\u2010related outcomes, and executive functioning was limited or inconsistent. Neuroimaging findings were exploratory.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>CO\u2010OP may improve individualised, goal\u2010oriented occupational performance compared with inactive controls or when added to background rehabilitation. However, current evidence does not establish clear superiority over other active interventions. Further adequately powered trials examining participation, generalisation, and longer term outcomes are needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1440-1630.70129","type":"journal-article","created":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T05:51:48Z","timestamp":1791265908000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of the Cognitive Orientation to Daily Occupational Performance approach on occupational performance and related outcomes in children with disabilities: A systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3348-5422","authenticated-orcid":false,"given":"G\u00fcl\u015fah","family":"Zengin Yaz\u0131c\u0131","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences, Department of Occupational Therapy Bezmialem Vakif University  Istanbul 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