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 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.

Satisfaction and performance in patient selected goals after grip reconstruction in tetraplegia

2010 ◽  
Vol 35 (7) ◽  
pp. 563-568 ◽  
Author(s):  
J. Wangdell ◽  
J. Fridén
Keyword(s):  
Upper Extremity ◽  
Daily Life ◽  
Performance Measure ◽  
Occupational Performance ◽  
Canadian Occupational Performance Measure ◽  
Basic Activity ◽  
The Mean ◽  
And Performance ◽  
And Control ◽  
Better Than

Reconstruction of grip in tetraplegia aims to improve upper extremity performance and control in daily life. We evaluated the effects of surgery and rehabilitation on performance and satisfaction of patient identified activity goals in 20 patients (22 arms) who had grip reconstructions for both finger and thumb flexion. Patients assessed an improvement in both performance and satisfaction after surgery in all groups of activities assessed using the Canadian Occupational Performance Measure (COPM). The mean improvement at 6 and 12 months was 3.5 points better than the 2.5 points before surgery. Before surgery 36% of the goals identified were impossible to perform. After surgery, 78% of these goals were possible. The largest improvement was observed in the basic activity of ‘eating’ but significant improvement was also noted in activities generally regarded as complex and not measured in standard ADL such as ‘doing housework’ and taking part in ‘leisure’.

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

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.

Administration of the Canadian Occupational Performance Measure: Effect on practice

2012 ◽  
Vol 79 (2) ◽  
pp. 120-128 ◽  
Author(s):  
Heather L. Colquhoun ◽  
Lori J. Letts ◽  
Mary C. Law ◽  
Joy C. MacDermid ◽  
Cheryl A. Missiuna
Keyword(s):  
Occupational Therapy ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Performance Measure ◽  
Occupational Performance ◽  
Chart Audit ◽  
Canadian Occupational Performance Measure ◽  
Before And After ◽  
Practice Methods ◽  
Client Progress

Background. The Canadian Occupational Performance Measure (COPM) is recommended as a systematic approach to identify issues and determine client progress in occupational therapy, yet little empirical evidence is available that supports this practice. Purpose. To determine if COPM administration was associated with changes in eight dimensions of occupational therapy practice. Methods. Twenty-four occupational therapists on eight geriatric rehabilitation sites completed a before-and-after study with a repeated baseline. The eight practice dimensions were assessed after three months of usual care (no COPM use) and after three months of intervention (COPM use) using chart stimulated recall (CSR) interviews and chart audit. Findings. Mean practice scores for CSR interviews indicated a statistically significant practice improvement (p < .0001) across the eight dimensions, including knowledge of client perspective, clinical decision making, clinician ability to articulate outcomes, and documentation. Chart audit indicated that COPM use resulted in identifying more occupation-focused issues. Implications. COPM administration could improve occupational therapy practice.

Validity and Community Utility of the Canadian Occupational Performance Measure

2000 ◽  
Vol 67 (1) ◽  
pp. 22-30 ◽  
Author(s):  
Mary Ann McColl ◽  
Margo Paterson ◽  
Diane Davies ◽  
Lorna Doubt ◽  
Mary Law
Keyword(s):  
Life Satisfaction ◽  
Occupational Therapy ◽  
Daily Living ◽  
Multivariate Analyses ◽  
Performance Measure ◽  
National Standard ◽  
Occupational Performance ◽  
Project Coordinator ◽  
Canadian Occupational Performance Measure ◽  
Therapy Services

This study addressed the validity and community utility of the Canadian Occupational Performance Measure (COPM) (Law et al., 1991; 1994; 1998): a measure that now represents a national standard in clinical practice and research in occupational therapy in Canada. The study employed a crosssectional design. Participants for the study were former consumers of occupational therapy services, recruited from the Queen's University catchment area (Kingston, North Bay, Oshawa, Perth, Peterborough). A sample of 61 disabled individuals living in the community were recruited. Each individual was sent a package of self-administered measures including the Satisfaction with Performance Scaled Questionnaire, the Reintegration to Normal Living Index, the Life Satisfaction Questionnaire, and the Perceived Problems List. An interview was also arranged with the project coordinator, which was based on the COPM and the Consumer Utility Questionnaire. Multivariate analyses showed that construct validity was supported; scores on the COPM were significantly related to theoretically related constructs: satisfaction with performance, reintegration to normal living and life satisfaction. In addition, criterion validity was supported. A majority of participants (53%), when asked about problems of daily living, spontaneously reported at least one of the problems raised on the COPM. Community utility was evaluated highly by participants, 75% of whom found the COPM useful in identifying and rating their problems, and 100% of whom reported no problems in understanding the COPM.

scholarly journals Effects of using activity diary for goal setting in occupational therapy on reducing pain and improving psychological and physical performance in patients after total knee arthroplasty: A non-randomised controlled study

2019 ◽  
Vol 32 (1) ◽  
pp. 53-61 ◽  
Author(s):  
Yuki Hiraga ◽  
Shinya Hisano ◽  
Katsuhiro Nomiyama ◽  
Yoshiyuki Hirakawa
Keyword(s):  
Physical Activity ◽  
Total Knee Arthroplasty ◽  
Occupational Therapy ◽  
Physical Performance ◽  
Knee Arthroplasty ◽  
Performance Measure ◽  
Occupational Performance ◽  
Canadian Occupational Performance Measure ◽  
Total Knee ◽  
Activity Diary

Background Psychological factors have been reported to affect chronic pain and may lead to inactivity after total knee arthroplasty. This study aimed to determine whether the use of an activity diary for goal setting during occupational therapy would reduce pain, and improve psychological and physical performance in patients after total knee arthroplasty. Methods A total of 41 total knee arthroplasty participants from two cohorts were recruited in the study and allocated by convenience to either the experimental group using an activity diary (n = 20) or the control group (n = 21). Occupational therapy intervention (1–2 weeks postoperatively) to promote goal achievement was performed in both groups, and self-monitoring was performed in the diary group by using the activity diary. The outcome indices were Canadian Occupational Performance Measure, pain (resting pain, walking pain), pain catastrophizing (rumination, helplessness, and magnification), anxiety, depression, pain self-efficacy, and physical activity level. Data were evaluated by using analysis of variance analyses with post hoc tests. Results A time-by-group interaction emerged for Canadian Occupational Performance Measure, walking pain, pain catastrophizing, anxiety, depression, and physical activity level (p < 0.05), both favouring the diary group. The diary group also showed greater improvement in Canadian Occupational Performance Measure, walking pain, anxiety, and physical activity levels at four weeks postoperatively, compared to the control group (p < 0.05). Conclusion The use of the activity diary in this study increased occupational therapy effectiveness, reduced patients’ pain, and prevented a decline in physical performance. We believe that the use of an activity diary is an effective and feasible addition for total knee arthroplasty patients.

Recovering from a Depressive Episode Using the Canadian Occupational Performance Measure

1995 ◽  
Vol 62 (5) ◽  
pp. 278-282 ◽  
Author(s):  
Deborah Waters
Keyword(s):  
Occupational Therapy ◽  
Depressive Episode ◽  
Self Care ◽  
Performance Measure ◽  
Occupational Performance ◽  
Canadian Occupational Performance Measure ◽  
Occupational Therapy Intervention ◽  
Therapy Intervention

This paper describes the use of the Canadian Occupational Performance Measure (COPM) in the treatment of a person recovering from a depressive episode. Based on the Canadian Model of Occupational Performance, the COPM focuses occupational therapy intervention on the enhancement of performance in the areas of self-care, leisure and productivity. The COPM is client rated and client-centred; the client defines the specifics of treatment and measures the outcome. In the case presented the client's occupational performance and satisfaction with occupational performance increased as measured by the COPM. The therapist's role in the use of the COPM is discussed.

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