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Umbrella review finds systemic challenges in cognitive approaches for developmental coordination disorders and strokes, suggesting improvements needed.
The Cognitive Orientation to daily Occupational Performance is an innovative, goal-directed approach designed to enhance occupational performance. This umbrella review synthesizes evidence from six systematic reviews published (2001-2024) involving children with developmental coordination disorder, cerebral palsy, neurodevelopmental disorders, and adults with post-stroke. Although Cognitive Orientation to daily Occupational Performance demonstrates promise, conclusions remain inconclusive due to methodological limitations, including a high risk of bias, small sample sizes, and short follow-up periods. Importantly, the review underscores the need for culturally adaptable and methodologically rigorous studies to ensure global applicability. Future research should prioritize robust designs and explore alternative delivery methods to enhance effectiveness and generalizability.
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Abedi et al. (2025) studied this question.
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