Your goals, played as games, with data on every try.
Build a program from the skills on a child’s plan, run it in the room or over telehealth, and read every round: right or not, the help it took, and what the game measures.
A minute of real sessions
Filmed at a therapy clinic: the screen sets the task, the therapist coaches, and the stepping stones on the floor are part of the game.
- 0:00Arms up together, each on a balance stone
- 0:15Copying a therapist’s arms on a balance beam
- 0:30Laying a path of stepping stones, then crossing it
- 0:45Stepping to the stone that lights up
No sound. Played on a TV with a camera, with stepping stones and a balance beam on the floor.
Start from where they are
Their first session is First Light, which notes which moves came on their own and which needed a hint; after it, every measured game moves them along five levels for each skill, and the generator starts there.
- On their own, after a glow, or shown how
- A level for each of six skills
- Start at their level, or at the beginning
Build the program in a few questions
Pick the skills, then any measure in particular, and occo builds days of steps around it — or pick each activity yourself.
- Skills first, then the measures that matter
- Minutes a day, days in all, body or finger
- Shuffle for another, or edit every step
Set every step to the goal
Each step opens its settings before it is added: how hard, how it ends, and whether only an answer given without help counts.
- Gentle, standard or challenge, then each knob
- Finish on matches, rounds, a score or minutes
- Count only answers given without help
Adjust it as they go
Every step shows what it finishes on, how it is set and what it measures, so a change is one step, not a new program.
- Move, duplicate or remove a step
- Steps already played stay as they were
- Save it to the clinic’s library to reuse
Every try is a data point
A goal, how a game asks for it, and what each try records.
In occupational and physical therapy
Fingers
Isolating fingers for buttons, zips and a pencil grip
Shadow puppets asks for one hand shape after another to cast an animal’s shadow, and ends each block with a short round of opening and closing the hand.
RecordedHand shape matchTapping speedHelp neededFingers
Pre-writing strokes: a steady line from point to point
Trace the sky joins stars into a picture with one fingertip on a tablet, the line kept on the path between them.
RecordedStaying on the lineSmoothnessAimHands
Bilateral coordination: both arms into a pose, together
Mirror the Bear shows a pose, like both arms up in a V, and waits for the child to match it with their whole body in front of the camera.
RecordedPose matchHands togetherReach rangeLegs
Static balance: holding still in a pose
Mirror the Bear’s freeze rounds ask the child to hold the pose until the bear lets go, up to standing on one leg at its higher levels.
RecordedHolding steadyHelp neededEyes
Visual-motor integration: seeing the next target and reaching it
In Trace the sky the next star shows where the picture goes; the child finds it and touches it, and every touch is timed and placed.
RecordedReaction timeAimAccuracy
In ABA
Hands
Motor imitation, with the prompt each try took
Every pose in Mirror the Bear is a trial: the bear models it, and each try records whether it matched and the help it took, from none to hands-on.
RecordedAccuracyHelp neededPose matchMind
Following a sequence, one step longer each round
Repeat the tune plays a few notes and the child plays them back with big arm sweeps; every round adds one more note.
RecordedSteps in orderGetting startedHelp neededMind
Starting on cue and staying with the task
Trace the sky waits for the first move after each instruction, and notes how long the hand stays on the activity and whether a miss is tried again.
RecordedGetting startedTime on taskTrying again
A report from every session
Open any session for how it went: the help on every try, and each measure beside the range across everyone who played it.
- Help on every try, from none to hands-on
- Each measure beside the range across players
- Round by round, what counted toward each level
Trace the sky, 5 min, 4 rounds of 10 trials: 35 of 40 correct. Prompting across trials: 45% independent, 18% gestural, 20% verbal, 18% model. Movement smoothness (SPARC) −2.4; time on task 35 s.
Sample data.
Sessions over telehealth
Start a remote session and guide it with occo’s tools: they play on their own screen at home, and you lead from yours.
- Pick what they play and set how hard
- Coach them through each round as it happens
- Every round recorded, as in the clinic
Goals to start from
Copy one into your plan of care and fill in the brackets. Each names the numbers that speak to it.
Static balance
Legs
In [8] weeks, [client] will hold a still, balanced pose for [5] seconds on [4 of 5] trials, with [no help], across [2] sessions.
Read it from: Holding steady and Help needed, in Mirror the Bear
Bilateral coordination and imitation
Hands
In [8] weeks, [client] will copy a modelled pose with both arms at [80]% pose match on [4 of 5] trials, with [a gesture] or less help.
Read it from: Pose match, Hands together and Help needed, in Mirror the Bear
Visual-motor and pre-writing
Fingers
In [8] weeks, [client] will trace a line from point to point with one finger, staying within [1] cm of it on [4 of 5] lines, with [no help].
Read it from: Staying on the line and Help needed, in Trace the sky
Visual attention and reaction
Eyes
In [8] weeks, [client] will touch each target as it appears with [90]% accuracy and a mean reaction time under [1.5] seconds, across [3] rounds.
Read it from: Accuracy, Reaction time and Aim, in Trace the sky
Sequencing and motor planning
Mind
In [8] weeks, [client] will repeat a [4]-step sequence in order on [4 of 5] trials, starting within [3] seconds of the instruction, with [a spoken hint] or less help.
Read it from: Steps in order, Getting started and Help needed, in Trace the sky, Repeat the tune and Shadow puppets
Task completion
Heart
In [8] weeks, [client] will play an activity through to its end on [4 of 5] attempts, with [a gesture] or less help.
Read it from: Finishing and Help needed, in Repeat the tune
Centimetres are measured on a full-size iPad, where the screen’s size is known; elsewhere the line is scored without them.
Try it free with your own clients
Sign up with your work email, set up your clinic and play with your first client today.
What happens next
- Sign up with your work email and confirm it.
- Name your clinic and choose monthly or yearly. The free trial asks for a card up front and charges nothing until it ends.
- Add your first client, make their program and play.
Questions therapists ask
occo is equipment in your session, like a balance board or a ball. What you bill is the skilled service you deliver and document, under your payer’s rules. occo doesn’t choose a code, submit a claim or promise coverage.
Yes, as objective observations of what was played: accuracy, the help each answer took, timing and smoothness, measured the same way every time. They describe play, not a standardised assessment, so they sit beside your own observations and tests rather than in place of them.
No. Remote therapeutic monitoring codes are for data from a device that meets the FDA’s definition of a medical device, and occo isn’t one. What a client plays at home shows on their page beside your sessions, for you to review together.
That its games are drawn from occupational therapy and ABA practice, and that each skill and how it is measured comes from that research. Not that playing it improves a skill: that has not been shown, and we don’t claim it.
No. occo does not diagnose, treat or monitor any condition. Its skills and the way each is measured come from occupational therapy and ABA practice; it is play a therapist, a teacher or a family uses alongside the work a child already does.
A first name or a nickname, whether they are under 13, and what they played: no surname, photo, birthday or health details. For a child under 13, nothing they play is saved until a parent signs occo’s consent from your invite, on their own account, and they get a copy with a link to see or delete it all. The camera’s picture becomes numbers on the device; video and photos are never sent or saved. More in the camera and privacy.