Targeted Applications of the Canadian Occupational Performance Measure

2005 ◽  
Vol 72 (5) ◽  
pp. 298-300 ◽  
Author(s):  
Mary Ann McColl ◽  
Mary Law ◽  
Sue Baptiste ◽  
Nancy Pollock ◽  
Anne Carswell ◽  
...  
Keyword(s):  
Occupational Therapy ◽  
Outcome Measure ◽  
Occupational Therapists ◽  
Performance Measure ◽  
Occupational Performance ◽  
Quality Of Information ◽  
Canadian Occupational Performance Measure ◽  
The World

Background. The Canadian Occupational Performance Measure (COPM) is an outcome measure designed to assess performance and satisfaction with occupation. It was developed to coincide with the occupation-focused, client-centred Canadian Model of Occupational Performance. Purpose. The COPM has been a feature of the occupational therapy landscape for approximately 15 years and has pervaded the consciousness of occupational therapists around the world. In this paper, we examine issues associated with application of the COPM in targeted clinical and non-clinical situations. Results. The paper suggests considerations required to ensure that the highest quality of information is derived from the COPM in all situations. Practice Implications. Although the paper emphasizes the centrality of the client-centred approach, it also demonstrates the flexibility and adaptability of the COPM to different situations, clients, settings and purposes.

The Canadian Occupational Performance Measure: An Outcome Measure for Occupational Therapy

1990 ◽  
Vol 57 (2) ◽  
pp. 82-87 ◽  
Author(s):  
Mary Law ◽  
Sue Baptiste ◽  
MaryAnn McColl ◽  
Anne Opzoomer ◽  
Helene Polatajko ◽  
...  
Keyword(s):  
Occupational Therapy ◽  
Outcome Measure ◽  
Performance Measure ◽  
Occupational Performance ◽  
Canadian Occupational Performance Measure

Goal Setting Among Experienced and Novice Occupational Therapists in a Rehabilitation Center

2020 ◽  
Vol 87 (4) ◽  
pp. 287-297
Author(s):  
Lea Šuc ◽  
Andreja Švajger ◽  
Urša Bratun
Keyword(s):  
Occupational Therapy ◽  
Goal Setting ◽  
Thematic Analysis ◽  
Work Experience ◽  
Occupational Therapists ◽  
Performance Measure ◽  
Rehabilitation Center ◽  
Occupational Performance ◽  
Canadian Occupational Performance Measure ◽  
Similarities And Differences

Background. Collaborative goal setting is an important part of client-centered occupational therapy. However, not all therapists have comparable skills when it comes to setting goals. Purpose. The aim of our study was to explore the experiences of novice and expert occupational therapists who use the Canadian Occupational Performance Measure in the process of goal setting. Method. This study followed a focused ethnography approach. Four beginners and four experienced occupational therapists were interviewed about their experiences with goal setting. We also observed them during a goal setting session. Data were analyzed using thematic analysis. Findings. The four main themes that emerged from the analysis showed both similarities and differences between novice and experienced therapists, especially in the areas of communication, guidance, and flexibility, as well as dilemmas they were facing. Implications. Our findings challenge the client-centeredness of the participants and the relevance of work experience when it comes to collaborative goal setting.

An Evaluation of the Canadian Model of Occupational Performance and the Canadian Occupational Performance Measure in Mental Health Practice

2002 ◽  
Vol 65 (11) ◽  
pp. 515-521 ◽  
Author(s):  
Alison Warren
Keyword(s):  
Mental Health ◽  
Occupational Therapy ◽  
Occupational Therapists ◽  
Performance Measure ◽  
Second Phase ◽  
Occupational Performance ◽  
Health Practice ◽  
Mental Health Practice ◽  
Therapy Assessment ◽  
Canadian Occupational Performance Measure

The Canadian Occupational Performance Measure (COPM) is a client-centred outcome measure designed for use by occupational therapists to demonstrate change in a client's self-perception of occupational performance over the course of occupational therapy. A review of the literature indicated that there had been limited research into the use of the COPM in mental health practice. The aim of this study was to formulate an occupational therapy assessment form based on the Canadian Model of Occupational Performance and incorporating the COPM and to evaluate its effectiveness in mental health practice. A qualitative approach was used in this two-phase study with seven occupational therapists working in mental health practice. First, semi-structured interviews were completed to gain occupational therapists' reflections on the use of the COPM. Headings were then collated to devise an occupational therapy assessment form that incorporated the Canadian Model of Occupational Performance and the COPM. The second phase involved piloting the form in a variety of mental health settings. The form was evaluated by a second interview to highlight the factors that facilitated or hindered the use of the form in mental health practice. This study indicates that the combination of the COPM with other assessment categories based on the Canadian Model of Occupational Performance has produced an occupational therapy assessment form that can be used in mental health practice.

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 Quality of life issues and occupational performance of persons with epilepsy

2012 ◽  
Vol 70 (2) ◽  
pp. 140-144 ◽  
Author(s):  
Renato Nickel ◽  
Carlos Eduardo Silvado ◽  
Francisco Manoel Branco Germiniani ◽  
Luciano de Paola ◽  
Nicolle Lucena da Silveira ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Performance Measure ◽  
Occupational Performance ◽  
Canadian Occupational Performance Measure ◽  
Perceived Quality Of Life ◽  
Life Issues ◽  
Perception Of Quality ◽  
Performance Limitations ◽  
And Performance

Epilepsy causes restrictions in the performance of various daily activities. The aiming of this study was to investigate whether these restrictions affect the perceived quality of life. The assessments Quality of Life in Epilepsy-31 (QOLIE-31) and Canadian Occupational Performance Measure (COPM) were applied in a sample that consisted of a single group of 34 subjects with at least two years of uncontrolled seizures. The results indicated that the most affected domains of QOLIE-31 were seizure worry, 29.77 (±21.72), and effects of drugs, 49.75 (±28.58), and for the COPM, the average of performance and satisfaction were respectively 3.10 (±3.07) and 4.45 (±3.29), and performance limitations most frequently cited were maintain employment (18), left home alone (15) and courses (15). The application of the Spearman correlation coefficient showed that the three main performance limitations posed by the COPM, especially regarding the level of satisfaction, influence the perception of quality of life. Thus, occupational performance proves to be an important area of intervention with subjects with epilepsy.

scholarly journals Behaviour Change Domains Likely to Influence Occupational Therapist Use of the Canadian Occupational Performance Measure

2020 ◽  
Vol 2020 ◽  
pp. 1-12
Author(s):  
Heather L. Colquhoun ◽  
Rafat Islam ◽  
Katrina J. Sullivan ◽  
Jane Sandercock ◽  
Sandy Steinwender ◽  
...  
Keyword(s):  
Behaviour Change ◽  
Theoretical Domains Framework ◽  
Occupational Therapists ◽  
Performance Measure ◽  
Primary Data ◽  
Evidence Based ◽  
Occupational Performance ◽  
Evidence Based Practices ◽  
Canadian Occupational Performance Measure ◽  
Semistructured Interviews

Introduction. Occupational therapists have shown low adoption rates for many evidence-based practices. One such practice is the limited uptake of standardized outcome measures such as the Canadian Occupational Performance Measure. Use of this measure has not consistently translated into practice despite decades of encouragement. Theory-based approaches to understanding healthcare provider behaviour change are needed if we are to realize the goal of attaining practice that is in keeping with evidence. This study utilized the Theoretical Domains Framework, a theory-based approach for understanding barriers to evidence-based practice, in order to increase our understanding of the limited uptake of the Canadian Occupational Performance Measure in occupational therapy practice. Methods. Theoretical Domains Framework methods were followed. First, primary data was collected from occupational therapists through semistructured interviews that focused on key behaviour change domains as they related to the use of the Canadian Occupational Performance Measure. Two independent researchers coded interview data into domains, derived belief statements from the data, and used belief strength, conflict, and frequency to determine the more and less influential domains for using the Canadian Occupational Performance Measure. Results. Interviews with 15 practicing occupational therapists across a range of practice areas yielded six key behaviour change domains for increasing the use of the Canadian Occupational Performance Measure. The more relevant domains were Social influences, Social professional role and identity, Beliefs about consequences, Beliefs about capabilities, Skills, and Behavioural regulation). The other eight domains were found to be less relevant. Conclusion. We identified important domains and beliefs that influence the use of the Canadian Occupational Performance Measure by occupational therapists. Results inform our understanding of the use of this measure in practice and identify potential targets for behaviour change interventions.

scholarly journals Effectiveness of sensor monitoring in a rehabilitation programme for older patients after hip fracture: a three-arm stepped wedge randomised trial

2019 ◽  
Vol 48 (5) ◽  
pp. 650-657 ◽  
Author(s):  
Margriet C Pol ◽  
Gerben ter Riet ◽  
Margo van Hartingsveldt ◽  
Ben Kröse ◽  
Bianca M Buurman
Keyword(s):  
Hip Fracture ◽  
Occupational Therapy ◽  
Older Patients ◽  
Performance Measure ◽  
Daily Functioning ◽  
Occupational Performance ◽  
Canadian Occupational Performance Measure ◽  
Patient Reported ◽  
The Mean ◽  
Sensor Monitoring

AbstractObjectivesto test the effects of an intervention involving sensor monitoring-informed occupational therapy on top of a cognitive behavioural treatment (CBT)-based coaching therapy on daily functioning in older patients after hip fracture.Design, setting and patientsthree-armed randomised stepped wedge trial in six skilled nursing facilities, with assessments at baseline (during admission) and after 1, 4 and 6 months (at home). Eligible participants were hip fracture patients ≥ 65 years old.Interventionspatients received care as usual, CBT-based occupational therapy or CBT-based occupational therapy with sensor monitoring. Interventions comprised a weekly session during institutionalisation, followed by four home visits and four telephone consultations over three months.Main outcomes and measuresthe primary outcome was patient-reported daily functioning at 6 months, assessed with the Canadian Occupational Performance Measure.Resultsa total of 240 patients (mean[SD] age, 83.8[6.9] years were enrolled. At baseline, the mean Canadian Occupational Performance Measure scores (range 1–10) were 2.92 (SE 0.20) and 3.09 (SE 0.21) for the care as usual and CBT-based occupational therapy with sensor monitoring groups, respectively. At six months, these values were 6.42 (SE 0.47) and 7.59 (SE 0.50). The mean patient-reported daily functioning in the CBT-based occupational therapy with sensor monitoring group was larger than that in the care as usual group (difference 1.17 [95% CI (0.47-1.87) P = 0.001]. We found no significant differences in daily functioning between CBT-based occupational therapy and care as usual.Conclusions and relevanceamong older patients recovering from hip fracture, a rehabilitation programme of sensor monitoring-informed occupational therapy was more effective in improving patient-reported daily functioning at six months than to care as usual.Trial registrationDutch National Trial Register, NTR 5716.

scholarly journals Desempenho ocupacional de mulheres em situação de rua / Occupacional performance of homeless women

2018 ◽  
Vol 2 (1) ◽  
pp. 85-108
Author(s):  
Thayane de Cácia Brito Prudente ◽  
Rayssa Béder César Paiva ◽  
Daniela Tavares Gontijo
Keyword(s):  
Occupational Therapy ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Social Assistance ◽  
Occupational Therapists ◽  
Homeless Persons ◽  
Homeless Women ◽  
Occupational Performance ◽  
Structured Interviews

Introdução: A população em situação de rua caracteriza-se predominantemente pela falta de moradia regular, condição de pobreza extrema e vínculos rompidos ou fragilizados. No entanto, a vida na rua e o acesso aos serviços socioassistenciais tendem a não se configurar da mesma forma para homens e mulheres. Considerando a perspectiva do desempenho ocupacional, os terapeutas ocupacionais se preocupam com os fatores que influenciam o envolvimento dos sujeitos em ocupações. Objetivo: compreender o desempenho ocupacional de mulheres em situação de rua. Métodos: Estudo de abordagem qualitativa, com base na História Oral de Vida. A coleta de dados foi realizada em dois serviços socioassistenciais do Recife que atendem pessoas em situação de rua.  Os dados foram coletados através de entrevistas semiestruturadas e submetidos à Análise de Conteúdo Temática. Resultados/discussão: Foram entrevistadas 8 mulheres com idades entre 20 a 39 anos. A análise resultou em três categorias temáticas: Desempenho Ocupacional na infância, Ida para rua e Desempenho Ocupacional na rua. As categorias forma dividias em: Atividades de Vida Diária (AVDs), Atividades Instrumentais de Vida Diária (AIVDs), Trabalho, Lazer e Participação Social. Observou-se que as mulheres em situação de rua vivenciam um processo de privação ocupacional pela situação de desfiliação em que vivem, com repercussão negativa na qualidade de vida. Conclusão: Neste estudo pode-se observar a dificuldade das mulheres em realizar todas as ocupações, justificando a intervenção da Terapia Ocupacional para favorecer o empoderamento pessoal, a ressignificação do cotidiano e exercício da cidadania.  AbstractIntroduction: The population in street situation is predominantly characterized by a lack of regular housing, an extreme poverty and  weakened or broken bonds. However, street living and access to social assistance services tend not to be configured in the same way for men and women. Considering the perspective of occupational performance, occupational therapists are concerned with factors that influence the subjects' engagement in occupations. Objective: To understand the occupational performance of women who are homeless. Method: A qualitative study based on the Oral Story of Life. The data collection was performed in two social assistance services in the city of Recife that receive people who live on streets. Data were collected through semi-structured interviews and submitted to the Thematic Content Analysis. Results/Discussion: Eight women aged 20 to 39 years were interviewed. The analysis resulted in three thematic categories: Occupational Performance in childhood, Going to the streets and Occupational Performance in the streets. The categories were divided into Activities of Daily Living (ADLs), Instrumental Activities of Daily Living (IADLs), Work, Leisure and Social Participation. It was observed that homeless women experience a process of occupational deprivation with negative repercussions on the quality of life due to the situation of disaffiliation in which they live. Conclusion: In this study it is possible to observe the women's difficulty to perform all the occupations, justifying the intervention of the Occupational Therapy to favor the personal empowerment, the resignification of the daily life and the exercise of the citizenship.Keywords: Homeless persons, Autobiography, Gender identity, Women, social Vulnerability, Occupational therapy.

The reliability of the Danish version of the Canadian Occupational Performance Measure

2021 ◽  
pp. 030802262110300
Author(s):  
Anette Enemark Larsen ◽  
Sonja Wehberg ◽  
Jeanette R Christensen
Keyword(s):  
Correlation Coefficients ◽  
Occupational Therapists ◽  
Performance Measure ◽  
Occupational Performance ◽  
Limits Of Agreement ◽  
Intra Class Correlation ◽  
Mean Values ◽  
Canadian Occupational Performance Measure ◽  
Danish Version ◽  
Performance Issues

Introduction This study aims to assess the reliability of the Danish version of the Canadian Occupational Performance Measure (COPM). Method 151 clients, 42.4% male, mean age 66.9 years ( SD: 14.4, range: 16–90), from two hospitals and two rehabilitation centres were interviewed twice with the COPM over a ten-day mean interval ( SD: 4.9, range: 2–27) either by the same (intra-rater) or two different occupational therapists (inter-rater). Data were analysed with intra-class correlation coefficients, coefficient of repeatability, and Bland–Altman plots. Results 823 occupational performance issues were prioritized of which 41%, 338 occupational performance issues (95% CI: 37.7–44.5), were mentioned in both interviews. The intra-class correlation coefficients were 59.8 (95% CI-intra-class correlation coefficients: 49.3–69.5) (COPM), 73.5 (95% CI intra-class correlation coefficients: 65.5-80.2) (COPM-Performance), and 71.8 (95% CI intra-class correlation coefficients: 63.4–78.8) (COPM-Satisfaction). The limits of agreement were −2.83 to 3.05 for the COPM-Performance and −3.50–3.53 for the COPM-Satisfaction. The COPM-Importance scores were highest when obtained by two raters, but opposite for the scores of the COPM-Performance and COPM-Satisfaction. The coefficient of repeatability roughly showed a change in +/- three points (COPM-Importance: 2.67; COPM-Performance: 2.94; and COPM-Satisfaction: 3.52). Correspondingly, Bland–Altman plots showed limits of agreement for the mean values of −2.71 and 3.53, respectively. Conclusions The intra-rater and inter-rater reliability of the COPM were moderate across settings, clients and rater experiences.

scholarly journals How children and their parents value using the Canadian Occupational Performance Measure (COPM) with children themselves

2020 ◽  
pp. 1-11
Author(s):  
Gijs J.Q. Verkerk ◽  
Lisanne van der Molen-Meulmeester ◽  
Mattijs W. Alsem
Keyword(s):  
Outcome Measure ◽  
Multiple Choice ◽  
Performance Measure ◽  
Occupational Performance ◽  
Structured Interviews ◽  
Canadian Occupational Performance Measure ◽  
Multiple Choice Questionnaire ◽  
Spss Software ◽  
The Impact

PURPOSE: Although the Canadian Occupational Performance Measure (COPM) is used with children, it is unclear how they and their parents experience this. This study aims to investigate the opinions of children and their parents about the COPM when it is used with children. METHODS: Semi-structured interviews were performed with 23 children varying in age between 8 and 18 years. The transcripts of the interviews were analysed using MAXQDA software to discover overarching themes. Parents’ responses to an eight-item multiple-choice questionnaire were analysed using SPSS software. RESULTS: Five themes extracted from the interviews with the children show: My way of doing the COPM; The COPM shows my own problems and wishes for change; The COPM is important for identifying the support I need; The influence of my parents and my therapist; and The COPM is suitable for me. The children experienced the COPM as a valuable tool for determining and measuring the impact of an intervention. The parents experienced the COPM as suitable for their child and judged that the child’s scores were useful for showing the outcome of an intervention. CONCLUSION: Both the children and their parents valued the COPM as an outcome measure for intervention.

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