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.

Clinical Utility of the Canadian Occupational Performance Measure in Spinal Cord Injury Rehabilitation

2012 ◽  
Vol 75 (7) ◽  
pp. 337-342 ◽  
Author(s):  
Louise Gustafsson ◽  
Genna Mitchell ◽  
Jenny Fleming ◽  
Glenda Price
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Goal Setting ◽  
Clinical Utility ◽  
Occupational Therapists ◽  
Performance Measure ◽  
Occupational Performance ◽  
Injury Rehabilitation ◽  
Canadian Occupational Performance Measure ◽  
Cord Injury

Introduction: Collaborative goal setting is an important part of the occupational therapy process in spinal cord injury rehabilitation. Little is known about the clinical utility of the Canadian Occupational Performance Measure (COPM) with this population, although it has potential advantages over informal methods of goal setting commonly used in a spinal injury unit (SIU). The aim of this study was to investigate the goal setting process and clinical utility of the COPM from the perspective of occupational therapists within a SIU. Method: A focus group was conducted with six occupational therapists working in a SIU to explore their experiences and use of goal setting and the COPM. Inductive thematic analysis identified key themes from their comments. Findings: Focus group themes were the impact of client adjustment and other factors, organisational and administrative factors, therapist skill level and experience requirements, benefits of the COPM and incorporating the COPM into practice. Conclusion: Formal goal setting was a concept that was identified as a priority by the participants; however, there were organisational, client and therapist related factors that were considered as both barriers and facilitators to formal goal setting and the use of the COPM in this setting.

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.

The Clinical Utility of the Canadian Occupational Performance Measure

1995 ◽  
Vol 62 (5) ◽  
pp. 242-249 ◽  
Author(s):  
Moira Toomey ◽  
Donna Nicholson ◽  
Anne Carswell
Keyword(s):  
Qualitative Research ◽  
Focus Groups ◽  
Plenary Session ◽  
Clinical Utility ◽  
Occupational Therapists ◽  
Performance Measure ◽  
Occupational Performance ◽  
Care Programme ◽  
Canadian Occupational Performance Measure ◽  
Wide Range

A qualitative research project was undertaken to investigate the clinical utility of the Canadian Occupational Performance Measure (COPM) among therapists from the Regional Municipality of Ottawa-Carleton's Home Care Programme. Nineteen occupational therapists participated in one of four focus groups and in a plenary session to elicit reasons why some therapists used the COPM to assess clients and why others did not. The participants presented a wide range of opinions on the same theme, often from two polarities. The five themes that emerged from the focus groups and which were validated during the plenary session were: Use, environment, administration, outcome and suggested changes. The results demonstrated that COPM utility depended upon the degree to which therapists had incorporated the client-centred approach in their practice, the degree to which management valued and supported the use of the COPM and the degree to which the COPM could be flexible to fit practice context.

scholarly journals The Canadian Occupational Performance Measure: A Feasible Multidisciplinary Outcome Measure for Pediatric Telerehabilitation

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Lynn R Tanner ◽  
Kathy Grinde ◽  
Cristin McCormick
Keyword(s):  
Clinical Utility ◽  
Outcome Measure ◽  
Performance Measure ◽  
Functional Change ◽  
Occupational Performance ◽  
Clinical Change ◽  
Time Points ◽  
Reasonable Amount ◽  
Canadian Occupational Performance Measure

This study describes the feasibility of using the Canadian Occupational Performance Measure (COPM) as a multidisciplinaryoutcome measure for pediatric telerehabilitation (TR). The COPM was administered at monthly time points over four months. A follow-up survey was conducted with the therapists to assess clinical utility of the COPM. Seventy-three percent of the children seen in TR > one month had at least two administrations of the COPM. Eighty percent of therapists agreed or strongly agreed that the COPM was easy to use in a reasonable amount of time, helped identify functional goals, could be used with various children with varied diagnoses, and measured functional change. In 37 children, the median clinical change in performance and satisfaction was two points or greater on the COPM over the episode of TR. The COPM is a feasible measure perceived positively by pediatric therapists for TR use.

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.

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