“Tentar já é bastante coisa” Abordagem de orientação cognitiva para o desempenho ocupacional e transtorno do espectro autista: um estudo de caso

Abstract

Introduction: This is an analysis of adaptations of the Cognitive Orientation Approach to Occupational Performance (CO-OP) for a child with Autism Spectrum Disorder (ASD) treated at the School of Occupational Therapy Clinic of a public university, based on evaluations, observations by the researcher and comments by the family and the child. Objective: To explore the use of CO-OP with a Brazilian child with ASD. Method: A 7-year-old child who complained of occupational performance at home and at school participated in this study. The Brazilian Motor Coordination Questionnaire (DCDQ-Brasil), the Movement Assessment Battery for Children-2 (MABC-2) and the Canadian Occupational Performance Measure (COPM) were used to assess the child. The CO-OP protocol was adapted and the intervention consisted of 12 sessions of 60 minutes, 5 of which were CO-OP, twice a week. Result and Discussion: The child showed improvement in four of the five chosen activities, demonstrating that in a short period of time the participant showed positive results. Conclusion: The results are consistent with those found in the foreign literature and present discoveries that support the approach as effective, as it contributed to the improvement of the child's occupational performance. In addition, it reinforces the use of adaptations to meet the specificities of each family.