{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T16:04:16Z","timestamp":1790697856273,"version":"4.1.0"},"reference-count":21,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Occupational Therapy"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:p>\n                    <jats:bold>OBJECTIVE.<\/jats:bold>\n                    We determined the feasibility and effects of the Cognitive Orientation to daily Occupational Performance (CO\u2013OP) Approach\n                    <jats:sup>TM<\/jats:sup>\n                    on activity performance and satisfaction, symptoms, and mood of adolescents with persistent postconcussion symptoms.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>METHOD.<\/jats:bold>\n                    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\u2013Plan\u2013Do\u2013Check) to work toward occupation-based goals in a 7-wk intervention (10 sessions, 30\u201360 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.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>RESULTS.<\/jats:bold>\n                    Clinically significant, positive changes were found in participants\u2019 activity performance and satisfaction. All participants had decreases in symptoms and improved mood scores at posttest.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>CONCLUSION.<\/jats:bold>\n                    The CO\u2013OP Approach to rehabilitation for youth postconcussion is feasible and may make a positive contribution to recovery.\n                  <\/jats:p>","DOI":"10.5014\/ajot.2019.027995","type":"journal-article","created":{"date-parts":[[2019,1,10]],"date-time":"2019-01-10T12:30:24Z","timestamp":1547123424000},"page":"61-72","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Feasibility and Effects of the CO\u2013OP Approach\u2122 in Postconcussion Rehabilitation"],"prefix":"10.1177","volume":"73","author":[{"given":"Anne W.","family":"Hunt","sequence":"first","affiliation":[{"name":"Anne W. Hunt, PhD, OT Reg. (Ont.), is Clinical Study Investigator and Manager, Student Training and Intervention Research, Concussion Centre, Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario, Canada, and Assistant Professor, Department of Occupational Science and Occupational Therapy and Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Paniccia","sequence":"additional","affiliation":[{"name":"Melissa Paniccia, PhD, OT Reg. (Ont.), is Postdoctoral Fellow, Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario, Canada, and Children\u2019s Hospital of Eastern Ontario, Ottawa, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie","family":"Mah","sequence":"additional","affiliation":[{"name":"Katie Mah, PhD, (c) OT Reg. (Ont.), is PhD Candidate, Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario, Canada, and Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deirdre","family":"Dawson","sequence":"additional","affiliation":[{"name":"Deirdre Dawson, PhD, OT Reg. (Ont.), is Associate Professor, Department of Occupational Science and Occupational Therapy and Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada, and Senior Scientist, Rotman Research Institute, Baycrest, Toronto, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nick","family":"Reed","sequence":"additional","affiliation":[{"name":"Nick Reed, PhD, OT Reg. (Ont.), is Senior Clinician Scientist and Codirector, Concussion Centre and Holland Chair in Acquired Brain Injury, Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario, Canada, and Associate Professor, Department of Occupational Science and Occupational Therapy and Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,1,8]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-0925"},{"key":"e_1_3_2_3_1","volume-title":"Beck Youth Inventories for Children and Adolescents","author":"Beck J.","year":"2005","unstructured":"Beck J., Beck A., Jolly J., , & Steer R. (2005). Beck Youth Inventories for Children and Adolescents (2nd ed.). 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