AOTA

Abstract
Cognitive interventions, although rooted in psychology and education, have been widely used in occupational therapy (OT) practice. Currently, to support children and adolescents in meeting occupational performance goals, occupational therapists often employ such cognitive approaches as the Cognitive Orientation to daily Occupational Performance (CO–OP; Dawson et al., 2017; Polatajko & Mandich, 2004; Polatajko et al., 2001). CO–OP is a performance-based occupation-centered intervention that promotes skill acquisition and facilitates engagement in meaningful occupations for children and youth with occupational performance deficits. Emerging evidence supports its use with a variety of populations, including children with mild autism (Czmowski et al., 2014; Phelan et al., 2009; Rodger & Vishram, 2010), cerebral palsy (Jackman et al., 2014), and traumatic brain injury (TBI; Missiuna et al., 2010), and adults with TBI (Dawson et al., 2009) and stroke (McEwen et al., 2010; Skidmore et al., 2011). This article provides realistic, useful techniques to implement CO–OP in daily practice as an occupation-centered intervention approach with children that promotes skill acquisition and transfer for occupational performance in diverse contexts and environments.