scholarly journals The Canadian Occupational Performance Measure (COPM) as routine practise in community-based rehabilitation: a retrospective chart review

2021 ◽  
pp. 100134
Author(s):  
Glade Vyslysel ◽  
Daniel Barker ◽  
Isobel J Hubbard
Keyword(s):  
Chart Review ◽  
Retrospective Chart Review ◽  
Performance Measure ◽  
Occupational Performance ◽  
Community Based ◽  
Canadian Occupational Performance Measure ◽  
Community Based Rehabilitation

scholarly journals Looking into the Content of the Canadian Occupational Performance Measure (COPM): A Danish Cross-Sectional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-11
Author(s):  
Anette Enemark Larsen ◽  
Sonja Wehberg ◽  
Jeanette Reffstrup Christensen
Keyword(s):  
Content Validity ◽  
Cross Sectional Study ◽  
Performance Measure ◽  
Occupational Performance ◽  
Sectional Study ◽  
Rehabilitation Centre ◽  
Community Based ◽  
Cross Sectional ◽  
Canadian Occupational Performance Measure ◽  
Community Based Rehabilitation

Purpose. To examine the content validity of the Danish version of the Canadian Occupational Performance Measure (COPM-DK). Materials and Methods. This cross-sectional study was performed in a hospital and a community rehabilitation centre. The content validity of the COPM was assessed by relating the clients’ prioritized occupational performance issues (OPIs) to the conceptual model of the Canadian Model of Occupational Performance and Engagement (CMOP-E) and the levels of the Taxonomic Code of Occupational Performance (TCOP). Six occupational therapy lecturers participated in classifying the OPIs using the TCOP. Results. A total of 112 clients from a regional and community-based rehabilitation participated. The 56% regional participants came from a hospital’s hand and knee surgery department. The remaining 44% participants came from a community-based rehabilitation centre with in- and outpatient departments. There were 44% males, with a mean age of 65.2 years. They prioritized 495 OPIs, of which 40% concerned self-care, 32% productivity, and 28% leisure. The prioritized OPIs were divided into a total of 224 different OPIs. There were significant differences in which areas were prioritized in the various population groups. Of the OPIs, 64.3% could be classified into the TCOP levels of occupation and activity, i.e., 1/3 of the OPIs were related to tasks and actions, and thus beyond the scope of the COPM. The interrater agreement of the OPI classification was only fair (kappa 0.3). Conclusion. The content validity of the COPM seems to depend on how and with which clients it is administered. Caution must be taken to secure OPIs on the higher levels of the TCOP, while maintaining the clients’ right to nominate OPI preferences. Therefore, an introductory course and on-going support are recommendable. Bearing this in mind, the COPM seems useful to identify individual clients’ prioritized OPIs in a Danish context.

scholarly journals Canadian Occupational Performance Measure Supported by Talking Mats: An Evaluation of the Clinical Utility

2019 ◽  
Vol 2019 ◽  
pp. 1-11
Author(s):  
Vita Hagelskjær ◽  
Mette Krohn ◽  
Pia Susanne Christensen ◽  
Jeanette Reffstrup Christensen
Keyword(s):  
Brain Injury ◽  
Goal Setting ◽  
Clinical Utility ◽  
Performance Measure ◽  
Occupational Performance ◽  
Community Based ◽  
Rehabilitation Process ◽  
Visual Material ◽  
Canadian Occupational Performance Measure

Background. Some clients with cognitive and communicative impairments after a brain injury are unable to participate in the Canadian Occupational Performance Measure (COPM) without support. The study originates from an assumption that some of these clients are able to participate independently in the COPM interview by using a visual material.Aim. The aim was to investigate the clinical utility of COPM supported by Talking Mats (TM) for community-based clients with cognitive and communicative impairments.Methods. Six clients (51–60 years) were included. After matching the visual material of TM to COPM, the COPM interview was administered twice with an interval of 10 days, once using TM and once without. Interviews were videotaped and studied by six evaluators.Results. The most obvious benefits of using TM as a supportive tool in the COPM interview were related to the first two steps of the COPM interview.Conclusion. Using TM in the COPM interview with clients with cognitive and communicative impairments after a brain injury is recommended as the basis for goal setting. The present study demonstrates a possibility to include a COPM interview to clients who had not been able to complete a COPM interview and thus start a rehabilitation process in a client-centered manner.

Participant-perceived occupational outcomes after two years of yoga for chronic pain

2021 ◽  
pp. 030802262098577
Author(s):  
Caroline M Rose ◽  
Karen E Atler ◽  
Jennifer Dickman Portz ◽  
Alexandra P Andrews ◽  
Arlene A Schmid
Keyword(s):  
Chronic Pain ◽  
Qualitative Interviews ◽  
Performance Measure ◽  
Measure Data ◽  
Occupational Performance ◽  
Community Based ◽  
Canadian Occupational Performance Measure ◽  
Perceived Impact

Introduction The study aim was to investigate the perceived impact and experience of long-term involvement in community-based group yoga for people with chronic pain. Methods Eleven participants, who previously completed an 8-week yoga intervention and continued attending yoga at a community pain clinic for 2 years, participated in the study. A mixed-methods approach was employed. Canadian Occupational Performance Measure data were collected during the 8-week yoga study (baseline) and after 2 years of yoga (follow-up). Baseline and follow-up Canadian Occupational Performance Measure data were compared to measure change in perceived occupational performance and satisfaction. Individual qualitative interviews were conducted to explore participants’ perceived impact and experience of long-term yoga involvement. Canadian Occupational Performance Measure data were analyzed using Wilcoxon signed-rank tests, and qualitative interviews were analyzed using an inductive approach. Findings Canadian Occupational Performance Measure scores significantly improved between baseline and follow-up. Three main themes emerged from qualitative interviews: (a) Occupational shift from “existing” to “living,” (b) The change process is “progressive,” and (c) Yoga is “a positive thing I do in my life.” Conclusion Long-term involvement in community-based group yoga may improve and sustain occupational performance and satisfaction. Occupational therapists may consider yoga as a tool to promote occupational gains in people with chronic pain.

A gaming system with haptic feedback to improve upper extremity function: A prospective case series

2021 ◽  
pp. 1-12
Author(s):  
Hamilton Hernandez ◽  
Isabelle Poitras ◽  
Linda Fay ◽  
Ajmal Khan ◽  
Jean-Sébastien Roy ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Haptic Feedback ◽  
Low Cost ◽  
Case Series ◽  
Performance Measure ◽  
Occupational Performance ◽  
Canadian Occupational Performance Measure ◽  
Prospective Case Series ◽  
Paediatric Rehabilitation ◽  
Therapeutic Settings

BACKGROUND: Video games can be used to motivate repetitive movements in paediatric rehabilitation. Most upper limb videogaming therapies do not however include haptic feedback which can limit their impact. OBJECTIVE: To explore the effectiveness of interactive computer play with haptic feedback for improving arm function in children with cerebral palsy (CP). METHODS: Eleven children with hemiplegic CP attended 12 therapist-guided sessions in which they used a gaming station composed of the Novint Falcon, custom-built handles, physical supports for the child’s arm, games, and an application to manage and calibrate therapeutic settings. Outcome measures included Quality of Upper Extremity Skills Test (QUEST) and Canadian Occupational Performance Measure (COPM). The study protocol is registered on clinicaltrials.gov (NCT04298411). RESULTS: Participants completed a mean of 3858 wrist extensions and 6665 elbow/shoulder movements during the therapist-guided sessions. Clinically important improvements were observed on the dissociated and grasp dimensions on the QUEST and the performance and satisfaction scales of the COPM (all p< 0.05). CONCLUSION: This study suggests that computer play with haptic feedback could be a useful and playful option to help improve the hand/arm capacities of children with CP and warrants further study. The opportunities and challenges of using low-cost, mainstream gaming software and hardware for therapeutic applications are discussed.

Cognitive orientation to daily occupation group in the adult day rehabilitation setting: A feasibility study Cognitive Orientation to daily Occupational Performance in day rehabilitation

2021 ◽  
pp. 030802262110087
Author(s):  
Sarah M Zera ◽  
Kathy Preissner ◽  
Heidi Fischer ◽  
Ashley Stoffel
Keyword(s):  
Feasibility Study ◽  
Performance Measure ◽  
Group Model ◽  
Occupational Performance ◽  
Subjective Data ◽  
Group Format ◽  
Cognitive Orientation ◽  
Canadian Occupational Performance Measure ◽  
Occupation Group ◽  
Daily Occupation

Introduction The Cognitive Orientation to daily Occupational Performance (CO-OP) ApproachTM is a leading approach in occupational therapy. Implementing the CO-OP ApproachTM in a group format in day rehabilitation has not yet been explored. Method In day rehabilitation, a barrier to implementing the CO-OP ApproachTM is the group model. To address these challenges, this feasibility study involved the development, implementation, and evaluation of a CO-OP group for adults. Four patients participated in six group sessions. Pre- and post-measures included the Canadian Occupational Performance Measure (COPM) and the Assessment of Motor and Process Skills (AMPS). Subjective data were collected to reflect the participant’s experiences during the group. Results 80% of participants recruited completed the group. All participants demonstrated improvement in goals addressed within the group and goals not addressed within the group on the COPM. AMPS findings were inconclusive. Subjective findings indicated participants appreciated the group learning environment, valued the CO-OP process, were motivated to participate, and would have liked more groups. Conclusion To our knowledge, this is the first adult CO-OP group in a clinical setting. Results support the feasibility of a CO-OP group in day rehabilitation and the need for further examination of the effectiveness of this intervention.

scholarly journals Effectiveness of Home-Based Occupational Therapy on COPM Performance and Satisfaction Scores in Patients with COPD

2020 ◽  
pp. 000841742097112
Author(s):  
Eleonore H. Koolen ◽  
Martijn A. Spruit ◽  
Marianne de Man ◽  
Jeanine C. Antons ◽  
Elieke Nijhuis ◽  
...  
Keyword(s):  
Occupational Therapy ◽  
Integrated Management ◽  
Performance Measure ◽  
Occupational Performance ◽  
Post Intervention ◽  
Canadian Occupational Performance Measure ◽  
Home Based ◽  
Copd Patients ◽  
The Mean ◽  
Mean Differences

Background. Occupational therapy (OT) may be an important intervention in patients with COPD, but studies show conflicting results. Purpose. To evaluate the effectiveness of home-based monodisciplinary OT in COPD patients Method. We conducted an observational clinical study. Main outcomes were the mean differences in the Canadian Occupational Performance Measure (COPM) performance and satisfaction scores, pre and post intervention. Findings. Pre- and postintervention data were obtained from 41 patients. Statistically significant increases were observed in COPM performance (5.0 ± 1.1 versus 6.9 ± 0.9; P<0.001) and satisfaction (4.6 ± 1.3 versus 6.9 ± 1.0; P<0.001). The most frequently reported occupational performance problems were found in the domains of productivity (47%) and mobility (40%), fewer in self-care (10%) and the least in leisure (3%). Implications. Home-based monodisciplinary OT can contribute significantly to the improvement of daily functioning of patients with COPD. OT should therefore be considered more often as part of the integrated management of these patients.

scholarly journals Evaluation of performance and personal satisfaction of the patient with spastic hand after using a volar dorsal orthosis

2010 ◽  
Vol 68 (3) ◽  
pp. 385-389 ◽  
Author(s):  
Danielle dos Santos Cutrim Garros ◽  
Rubens José Gagliardi ◽  
Regina Aparecida Rossetto Guzzo
Keyword(s):  
Patient Satisfaction ◽  
Functional Performance ◽  
Leisure Activities ◽  
Performance Measure ◽  
Personal Satisfaction ◽  
Occupational Performance ◽  
Daily Life Activities ◽  
Evaluation Of Performance ◽  
Productive Activities ◽  
Canadian Occupational Performance Measure

The performance and the satisfaction of the patient were quantitatively compared with the use of the volar dorsal orthosis in order to position the spastic hand. Thirty patients wearing the orthosis for eight hours daily were evaluated by the Canadian Occupational Performance Measure and the box and blocks test, for a three-month period. Five activities were selected (among daily life activities, productive activities, and leisure activities) by the patients, which were impaired by spasticity. There was an improvement related to performance after use of orthosis, with an average of 1.4±0.5 to 6.3±0.8 (p<0.01). Patient satisfaction average after wearing the orthosis was of 1.7±0.4 to 6.3±0.6 (p<0.01). In this casuistic, the use of orthosis for wrist and finger spasticity has shown an improvement in the functional performance and patient satisfaction.

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