OBJECTIVE. We determined the feasibility and effects of the Cognitive Orientation to daily Occupational Performance (CO–OP) ApproachTM on activity performance and satisfaction, symptoms, and mood of adolescents with persistent postconcussion symptoms.

METHOD. In a prospective case series, 3 participants with persistent symptoms 3 mo after concussion and difficulties resuming activities were taught to use a metacognitive strategy (Goal–Plan–Do–Check) to work toward occupation-based goals in a 7-wk intervention (10 sessions, 30–60 min each). Participants were assessed pre- and postintervention and at 3-mo follow-up. Feasibility was determined by positive changes on study measures, ease of administration, and acceptability to participants.

RESULTS. Clinically significant, positive changes were found in participants’ activity performance and satisfaction. All participants had decreases in symptoms and improved mood scores at posttest.

CONCLUSION. The CO–OP Approach to rehabilitation for youth postconcussion is feasible and may make a positive contribution to recovery.

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