349 KB42 KB200820252020Anžlovar, GloriaGroleger Sršen, KatjaIlić, JelenaKorelc, SimonaŠuc, Leaštevilka:1letnik:19str. 66-73ISSN:1580-9315COBISSID_HOST:23039747URN:URN:NBN:SI:doc-TEPKXE58slUniverzitetni rehabilitacijski inštitut Slovenije - SočaRehabilitacija (Ljubljana)Activities of Daily LivingChildCognitive Orientation to Daily Occupational Performance approachCO-OPde Morton Mobility Indexdelovni terapevtdevelopmental coordination disorderexperiencesizkušnjeoccupational therapistOccupational Therapyotrokrazvojna motnja koordinacijerehabilitationMnenja slovenskih in nizozemskih delovnih terapevtov o kognitivnem pristopu v procesu učenja učinkovitega izvajanja vsakodnevnih aktivnosti| Occupational therapists opinions about cognitive orientation to daily occupational performance approach in Slovenia and the Netherlands|Background: The Cognitive Orientation to Daily Occupational Performance approach (CO-OP) is a client-centreed individual therapeutic approach. The authors developed it for children with developmental coordination disorder (DCD). As this approach has become established in clinical practice in recent years, we wanted to identify the possible differences in the treatment of children with DCD between occupational therapists in Slovenia and the Netherlands. Methods: We invited three occupational therapists from both countries for qualitative research and conducted a semi-structured interview with them. Interview records were analysed according to the principles of qualitative content analysis. Results: Among the strengths of the CO-OP approach, all therapists emphasised the transfer of learned strategies to other activities performed by the child, independent choice of goals, parental involvement and active participation of the child. According to the therapists, the most challenging part of carrying out the process is to verbally guide the child without placing the child in a specific position, involving the parents and choosing appropriate instruments assessment. The largest differences in the use of the CO-OP approach were found in the referral diagnosis and procedure of children, use of assessment instruments, equipment and competencies of occupational therapists used. Conclusion: Content analysis of the opinions of the occupational therapists showed that they felt that the CO-OP approach was effective and useful. Further, it has many advantages in dealing with children with DCD. However, there may also be some obstacles in clinical practice that make it difficult to implementUvod: Kognitivni pristop v procesu učenju učinkovitega izvajanja vsakodnevnih aktivnosti (angl. Cognitive orientation to daily occupational performance approach, CO-OP) je individualni terapevtski pristop, usmerjen v uporabnika. Avtorice so ga razvile za otroke z razvojno motnjo koordinacije. Ker se je ta pristop v zadnjih letih uveljavil v klinični praksi, smo želeli ugotoviti, kakšne so morebitne razlike pri obravnavi otrok z razvojno motnjo koordinacije med delovnimi terapevti v Sloveniji in na Nizozemskem. Metode: V kvalitativno raziskavo smo povabili po tri delovne terapevtke iz obeh držav in z njimi opravili polstrukturirani intervju. Zapise intervjujev smo analizirali po principu kvalitativne vsebinske analize. Rezultati: Vse terapevtke so med prednostmi pristopa poudarile prenos naučenih strategij na ostale aktivnosti, ki jih izvaja otrok, samostojno izbiro ciljev, vključenost staršev in aktivno udeležbo otroka. Po mnenju terapevtk je najzahtevnejši del izvedbe procesa verbalno vodenje otroka brez nameščanja otroka v določen položaj, vključevanje staršev in izbira ustreznih ocenjevalnih instrumentov. Največje razlike pri uporabi pristopa CO-OP smo našli pri diagnozah otrok, postopku vključitve otroka v obravnavo, uporabljenih ocenjevalnih instrumentih, pripomočkih in kompetencah delovnih terapevtov. Zaključek: Vsebinska analiza mnenj vključenih delovnih terapevtk je pokazala, da menijo, da je kognitivni pristop pri učenju učinkovitega izvajanja vsakodnevnih aktivnosti po njihovem mnenju učinkovit in uporaben ter ima številne prednosti pri obravnavi otrok z razvojno motnjo koordinacije. Ob tem pa se v klinični praksi lahko srečajo tudi z nekaterimi ovirami, ki otežujejo uveljavljanje tega pristopaTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaUniverzitetni rehabilitacijski inštitut RS – Soča