In CO-OP, how is skill acquisition achieved?

• A. Through guided discovery with a client-centered, performance-based framework.
• B. Solely through repetition without feedback.
• C. By therapist-directed instructions only.
• D. By external rewards without client involvement.

Answer: (A)

Skill acquisition in CO-OP is achieved through guided discovery within a child-centered, performance-based framework. The child selects meaningful goals, plans how to approach them, attempts the task, and then reflects on what worked, using cognitive strategies to improve performance. The therapist acts as a facilitator, providing scaffolding and feedback to help the child discover effective ways to complete activities. This approach promotes active problem-solving, strategy use, and transfer to other tasks, rather than relying on repetition alone, directive instruction, or external rewards without the child’s involvement.