Measuring the Outcomes of Word Cueing Technology

2005 ◽  
Vol 72 (5) ◽  
pp. 301-308 ◽  
Author(s):  
Cynthia Tam ◽  
Janice Archer ◽  
Jennifer Mays ◽  
Gretchen Skidmore
Keyword(s):  
Assistive Technology ◽  
Change Score ◽  
Outcome Data ◽  
Performance Measure ◽  
Occupational Performance ◽  
Telephone Interviews ◽  
Canadian Occupational Performance Measure ◽  
Background Measurement ◽  
The Impact

Background. Measurement of assistive technology outcomes is complex because many factors (e.g., environment and model of service delivery) influence the successful use of the technology. Purpose. Using the example of measuring the outcomes of word cueing technology, this paper presents an approach for measuring assistive technology outcomes. Method. The Canadian Occupational Performance Measure (COPM) was administered to 29 children with physical and learning disabilities, between the ages of 3.9 and 19 years. Participants were provided with WordQ, a software program designed to assist the development of writing skills. Follow-up data were collected through telephone interviews. Results. The COPM findings supported the effectiveness of WordQ Version 1 to enhance written productivity, with a mean performance change score of 3.5 (SD = 1.5). The COPM was an effective tool for measuring clients' perceived outcome of word cueing technology. Telephone interview was considered a successful method for collecting outcome data. Practice Implications. A mix of tools and methodologies should be used to gain a comprehensive understanding of the impact of assistive technology.

Clinical Report: Use of the Canadian Occupational Performance Measure in Vision Technology

2005 ◽  
Vol 72 (5) ◽  
pp. 309-312 ◽  
Author(s):  
Linda S. Petty ◽  
Laurie McArthur ◽  
Jutta Treviranus
Keyword(s):  
Assistive Technology ◽  
Performance Measure ◽  
Funding Agency ◽  
Clinical Report ◽  
Occupational Performance ◽  
Wide Acceptance ◽  
Canadian Occupational Performance Measure ◽  
Technology Service ◽  
Client Needs

Background. The Canadian Occupational Performance Measure (COPM) has gained wide acceptance in general occupational therapy research and practice, however, the use of the COPM in assistive technology assessments and outcomes is not as well documented. Purpose. This clinical report discusses the utility of the COPM in assistive technology, as illustrated by the assessment and follow-up of clients requiring high technology vision aids. Results. The COPM makes important contributions to the outcomes of providing vision aids. The COPM ensures a needs review that incorporates all areas of occupational performance, which in turn directs the clinician to match the technology to client needs. From a clinical perspective, the quantitative follow-up data are helpful to determine clients' improvement in occupational performance as well as their satisfaction with the assistive technology. For administrative purposes, the COPM results provides accountability to the funding agency. Practice Implications. The COPM can be readily integrated into the assessment and follow-up of assistive technology service delivery and adds value to both components of the process.

scholarly journals Usability, occupational performance and satisfaction evaluation of a smart environment controlled by infrared oculography by people with severe motor disabilities

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0256062
Author(s):  
Mariana Midori Sime ◽  
Alexandre Luís Cardoso Bissoli ◽  
Daniel Lavino-Júnior ◽  
Teodiano Freire Bastos-Filho
Keyword(s):  
Assistive Technology ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Performance Measure ◽  
Smart Environment ◽  
Occupational Performance ◽  
Structured Interviews ◽  
Motor Disabilities ◽  
Canadian Occupational Performance Measure ◽  
Severe Motor

A smart environment is an assistive technology space that can enable people with motor disabilities to control their equipment (TV, radio, fan, etc.) through a human-machine interface activated by different inputs. However, assistive technology resources are not always considered useful, reaching quite high abandonment rate. This study aims to evaluate the effectiveness of a smart environment controlled through infrared oculography by people with severe motor disabilities. The study sample was composed of six individuals with motor disabilities. Initially, sociodemographic data forms, the Functional Independence Measure (FIMTM), and the Canadian Occupational Performance Measure (COPM) were applied. The participants used the system in their domestic environment for a week. Afterwards, they were reevaluated with regards to occupational performance (COPM), satisfaction with the use of the assistive technology resource (QUEST 2.0), psychosocial impact (PIADS) and usability of the system (SUS), as well as through semi-structured interviews for suggestions or complaints. The most common demand from the participants of this research was ‘control of the TV’. Two participants did not use the system. All participants who used the system (four) presented positive results in all assessment protocols, evidencing greater independence in the control of the smart environment equipment. In addition, they evaluated the system as useful and with good usability. Non-acceptance of disability and lack of social support may have influenced the results.

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.

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.

scholarly journals Desempenho ocupacional de indivíduos com osteoartrite de mão /Occupational performance of individuals with hand osteoarthritis

2021 ◽  
Vol 5 (1) ◽  
pp. 17-30
Author(s):  
Adriane Sílvia Ribeiro Carvalho de Oliveira ◽  
Danielle Carneiro de Menezes Sanguinetti ◽  
Amanda Rodrigues de Paula ◽  
Stella Maízia Urbano dos Santos ◽  
Claúdia Diniz Lopes Marques ◽  
...  
Keyword(s):  
Hand Function ◽  
Self Care ◽  
Cross Sectional Study ◽  
Performance Measure ◽  
Hand Osteoarthritis ◽  
Occupational Performance ◽  
Cross Sectional ◽  
Canadian Occupational Performance Measure ◽  
Reference Hospital ◽  
The Impact

Introdução: A osteoartrite de mãos pode provocar prejuízos na função manual e limitar a participação em ocupações significativas. O conhecimento desse impacto é importante para direcionar a assistência às pessoas acometidas, através de abordagens que favoreçam seu desempenho ocupacional. Objetivo: Descrever a influência da osteoartrite de mãos no desempenho ocupacional de indivíduos com a doença. Métodos: Estudo transversal e descritivo, realizado no ambulatório de reumatologia de um hospital de referência, entre novembro de 2014 e maio de 2015. Foram utilizados para a coleta de dados: ficha de avaliação inicial e Medida Canadense de Desempenho Ocupacional (COPM). Para análise dos dados utilizou-se estatística descritiva, através de medidas de tendência central e distribuição de probabilidade. Resultados: Participaram do estudo 28 pacientes. As áreas de desempenho ocupacional com maior comprometimento foram a produtividade e o autocuidado, sendo identificadas com maior frequência tarefas domésticas e do vestuário. Os participantes apresentaram média de desempenho de 3,6 e satisfação de 2,9 nas atividades relatadas. Não houve relação entre o tempo de diagnóstico e o comprometimento no desempenho ocupacional. Conclusão: O impacto da osteoartrite de mãos no desempenho ocupacional reflete prejuízos nas atividades e ocupações nas áreas da produtividade, autocuidado e lazer. AbstractIntroduction: The hand osteoarthritis may cause impairments in hand function and limit the performance of several activities, restricting participation in meaningful occupations.  The knowledge of this impact is essential to direct assistance to affected people through approaches that benefit their occupational performance. Objective:  Describe the influence of hand osteoarthritis on occupational performance of individuals with the disease. Methods: Cross-sectional study and descriptive study, held at the rheumatology outpatient clinic of a reference hospital in the period between November 2014 and May 2015. The assessments used for data collection were an initial evaluation form, and the Canadian Occupational Performance Measure (COPM). For data analysis descriptive statistics were used, through central tendency measures and probability distribution.  Results: 28 outpatients were included in the study. The occupational performance areas with greater commitment were productivity and self-care, identified most frequently activities related to household tasks and dressing. Participants showed average of 3.6 of performance, and 2.9 of satisfaction in the reported activities. There was no relationship between the time of diagnosis and the commitment on the occupational performance. Conclusion: The impact of hand osteoarthritis on occupational performance reflects impairments in activities and occupations in the areas of productivity, self-care and leisure.Keywords: Activities of Daily Living. Hand. Osteoarthritis. Occupational Therapy. ResumenIntroducción: La osteoartritis de manos puede provocar daños en la función manual y limitar la realización de diversas actividades, restringiendo la participación en ocupaciones significativas. El conocimiento de este impacto es esencial para dirigir la asistencia a las personas acometidas, a través de enfoques que favorezcan su desempeño ocupacional. Objetivo: Describir la influencia de la osteoartritis de manos en el desempeño ocupacional de los individuos con la enfermedad. Métodos: Estudio transversal y descriptivo, realizado en el ambulatorio de reumatología de un hospital de referencia, en el período entre noviembre de 2014 y mayo de 2015. Los instrumentos utilizados para la recolección de datos fueron una ficha de evaluación inicial, y la Medida Canadiense de Desempeño Ocupacional (COPM). Para el análisis de los datos se utilizó estadística descriptiva, a través de medidas de tendencia central y distribución de probabilidad. Resultados: Participaron del estudio 28 pacientes del ambulatorio. Las áreas de desempeño ocupacional con mayor compromiso fueron la productividad y el autocuidado, siendo identificadas con mayor frecuencia actividades relacionadas a las tareas domésticas y al vestuario. Los participantes presentaron un promedio de rendimiento de 3,6, y satisfacción de 2,9 en las actividades relatadas. No hubo relación entre el tiempo de diagnóstico y el compromiso en el desempeño ocupacional. Conclusión:Palabras llave: Actividades cotidianas. Mano. Osteoartritis. Terapia ocupacional. 

‘Switch’ technique to restore pronation and radial deviation in 17 patients with brachial plexus birth palsy

2019 ◽  
Vol 44 (9) ◽  
pp. 905-912
Author(s):  
Türker Özkan ◽  
Hasan Utkan Aydin ◽  
Ömer Berköz ◽  
Safiye Özkan ◽  
Erol Kozanoğlu
Keyword(s):  
Brachial Plexus ◽  
Performance Measure ◽  
Occupational Performance ◽  
Level Of Evidence ◽  
Ulnar Deviation ◽  
Canadian Occupational Performance Measure ◽  
Brachial Plexus Birth Palsy ◽  
Activity Performance ◽  
Birth Palsy

We report outcomes of 17 children with brachial plexus birth palsy that underwent extensor carpi ulnaris to brachioradialis and brachioradialis to abductor pollicis longus transfers to correct supination and ulnar deviation deformity. Mean age at the time of surgery was 8.7 years and mean follow-up time was 21 months (8–44). These patients had marked increases in active forearm rotation and Canadian Occupational Performance Measure scores. Activity performance score on the measure increased from 1.1 to 6.7 and satisfaction score increased from 0.8 to 8.7 at final follow-up. We conclude from our patient series that these tendon transfers are effective in correction of the supination and ulnar deviation deformities in brachial plexus birth palsy. Level of evidence: IV

The Use and Validity of the Canadian Occupational Performance Measure in a Posttraumatic Stress Program

2006 ◽  
Vol 26 (2) ◽  
pp. 45-55 ◽  
Author(s):  
Kim Harper ◽  
Carol A. Stalker ◽  
Gillian Templeton
Keyword(s):  
Performance Measure ◽  
Occupational Performance ◽  
Post Discharge ◽  
Standardized Measures ◽  
Group Format ◽  
Canadian Occupational Performance Measure ◽  
Perceived Change ◽  
The Mean ◽  
Care Relationships

The Canadian Occupational Performance Measure (COPM) was adapted to a group format and used to investigate self-perceived change over time with respect to treatment goals in a sample of adults with histories of child abuse who participated in a 6-week inpatient trauma program. Using the COPM, 177 adults developed individualized goals and rated their performance and satisfaction with performance of these goals at admission, discharge, and 3, 6, and 12 months post-discharge. Goals were classified into six categories and changes in self-ratings were analyzed. Results indicated that the mean scores on the COPM were significantly improved over admission levels at all points in time with respect to goals of self-care, relationships and communication, coping with feelings, and spirituality. However, many participants did not maintain discharge levels at follow-up points. Comparison of the adapted COPM to other standardized measures used in this study supported concurrent criterion validity. Implications for helping professionals are discussed.

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.

Protocol for N-of-1 trials with replications across therapists for childhood-onset dystonia rehabilitation: Study 2

2018 ◽  
Vol 85 (3) ◽  
pp. 255-260 ◽  
Author(s):  
Hortensia Gimeno ◽  
Helene J. Polatajko ◽  
Victoria Cornelius ◽  
Jean-Pierre Lin ◽  
Richard G. Brown
Keyword(s):  
Rating Scale ◽  
Outcome Data ◽  
Performance Measure ◽  
Occupational Performance ◽  
Performance Quality ◽  
Canadian Occupational Performance Measure ◽  
Multiple Data ◽  
Data Points ◽  
System Data ◽  
Task Oriented

Background. Currently, no evidence-based rehabilitation interventions are available for hyperkinetic movement disorders (HMD), including dyskinetic cerebral palsy (CP). Among these highly heterogeneous disorders, dystonia is the predominant disorder. The Cognitive Orientation to daily Occupational Performance (CO-OP) Approach—a task-oriented, performance-based intervention to enable participation—is currently being evaluated for its potential as an intervention option. Purpose. This paper reports the protocol for the second of two studies designed to evaluate the potential of CO-OP to improve functional outcomes for individuals with HMD following deep brain stimulation (DBS). This second study is a systematic replication across multiple treating therapists from multiple centres. Method. Systematic replications will be used across centres and treating therapists trained in the CO-OP, using a series of randomized multiple-baseline N-of-1 trials. Participants will be ages 6 to 21 years with HMD and DBS as indicated by the Manual Ability Classification System. Data collection will involve multiple data points collected at baseline, during intervention, and after intervention. The intervention will involve occupation-based goal setting followed by 10 individualized CO-OP sessions. The primary outcome measures are the Performance Quality Rating Scale and the Canadian Occupational Performance Measure. Outcome data will be plotted over time for each participant and supplemented with graph statistical analysis and estimate size effect for N-of-1 trials. Implications. The results of this study will help to inform future training procedures and future clinical trials.

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