Child Occupational Self Assessment (COSA): Evaluating Occupational Competence in Children

Assesses children's perceptions of occupational competence and importance to inform occupational therapy interventions.

COSA

Child Occupational Self Assessment

The Child Occupational Self Assessment evaluates children's perceptions of their occupational competence and importance, primarily used in occupational therapy to inform intervention planning.

Category

Mental health
Wellbeing

Source

Keller et al., 2005

Author Name

Keller, J., Kafkes, A., Basu, S., Federico, J., Kielhofner, G. (2005)

Page Editor

What is

Child Occupational Self Assessment

The Child Occupational Self Assessment (COSA) is a valuable tool for occupational therapists to evaluate children's perceptions of their occupational competence and importance. The COSA assesses a child's ability to perform daily activities and their satisfaction with these activities. It comprises 21 items, rated on a 4-point scale for competence and importance, providing insight into the child's strengths and challenges. Administration is straightforward, with children rating their competence and importance for each activity. The COSA is used in clinical and research settings to identify areas for intervention, inform treatment planning, and measure outcomes. By understanding a child's occupational self-assessment, therapists can develop targeted interventions to enhance their occupational performance and participation. This tool supports a client-centred approach, enabling therapists to prioritise interventions that are meaningful to the child. The COSA is an important resource for occupational therapists working with children, facilitating a comprehensive understanding of their occupational needs and promoting effective intervention strategies.

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Scoring

The Child Occupational Self Assessment can be scored using one main approach with two related scoring methods: 1. Competence score: This involves rating 21 activities in terms of how well they're done, using a 4-point scale (1 = "big problem" to 4 = "really good"). 2. Importance score: The same 21 activities are rated for their importance, again using a 4-point scale (1 = "not important at all" to 4 = "most important"). The scores are then used to identify occupational gaps by comparing competence and importance ratings, helping therapists focus on areas that are important to the child but where they're experiencing difficulty.

View scoring form

Advantages

Treatment planning

Develops personalised strategies based on assessment data.

Patient engagement

Promotes active participation in healthcare assessment.

Outcome tracking

Measures healthcare intervention results systematically.

Stats

15
Minutes
22
Questions

Child Occupational Self Assessment

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