Objectives : This research was conducted to plan a strategy on the activities for ADHD who want to improve,
and to use the strategy to find out how it influences the occupational performance when applying
Cognitive Orientation to a daily Occupational Performance (CO-OP) approach.
Methods : A single Subject AB design was employed. The subjects was one children with ADHD. The experiment
consisted of 10 sessions spread over 7 weeks. The objective selected through COPM with
guardians was improvement of chopstick use by children. In the course of the intervention, the overall
CO-OP process was explained, continued analysis of performance and practice were encouraged in order
to learn the skill of chopstick use, and guidance was given for DSS. Performance was measured by the
time to move beans from one plate to another, starting from when the chopsticks were picked up.
Results : The time to pick up the beans was 22.3s before the intervention, which was decreased by 7.2s
to 15.1s after the intervention. The parents’ COPM score showed an improvement of 3 points for performance
and 4 points for satisfaction, demonstrating a clinically significant change.
Conclusion : This study provides evidence that CO-OP is beneficial in occupation performance in children