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Year : 2018  |  Volume : 50  |  Issue : 3  |  Page : 92-97

Effectiveness of cognitive orientation to daily occupational performance to improve shopping skills in children with learning disability

1 Occupational Therapist Consultant, Columbia Asia Referral Hospital, Banglaore, Karnataka, India
2 Professor, Department of Occupational Therapy, KMCH College of Occupational Therapy, Coimbatore, Tamil Nadu, India
3 Associate Professor, KMCH Institue of Health Science & Research, Coimbatore, Tamil Nadu, India

Correspondence Address:
Dr. Madhumala Karunakaran
No. 19/11, 4th Street, Sriramapuram, Ambur, Vellore - 635 802, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0445-7706.244551

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Background: Studies reports that children with learning disability were more dependent in shopping skills than typical children, and studies reports that shopping experience will promote cognitive and social development and understanding the sequences of events involved in shopping is clearly one of the most important aspects of transaction knowledge, there are many approaches to improve shopping skills. Hence, till date, the cognitive orientation to daily occupational performance (COOP) approach is not done in learning disability to improve shopping skills. Objectives: The aim and objectives of this study are to find out the effectiveness of COOP to improve the shopping skills in children with learning disability. Study Design: Two group pre- and post-test quasi-experimental design. Methods: Totally 30 children diagnosed with learning disability based on inclusion and exclusion criteria were included in this study and children were divided into two groups 15 in experimental group and 15 in control group. Assessment tools such as Test of grocery shopping skills (TOGSS), Canadian occupational performance measure (COPM), and Performance quality rating scale (PQRS) were used as outcome measures. Experimental group underwent regular occupational therapy and COOP intervention and control group underwent regular occupational therapy and money handling skills training for 36 sessions within 12 weeks. Scores obtained were subjected to statistical analysis. Results: Statistical analysis using independent t-test of pre- and post-test scores of TOGSS where P = 0.001 (<0.05), COPM and PQRS where P = 0.001 (<0.05) shows significant improvement in shopping skills in learning disability children, Effect size of TOGSS, COPM, and PQRS were greater in the experimental group. Thus, finding of this study indicated that there was a significant improvement in experimental group when compared to control group. Conclusion: COOP approach showed significant improvement in shopping skills for learning disability children and children were satisfied with their performance. Thus, COOP approach is effective in improving shopping skills for learning disability children.

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