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

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.

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

Canadian Journal of Occupational Therapy ◽

10.1177/0008417420971124 ◽

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.

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

Age and Ageing ◽

10.1093/ageing/afz074 ◽

2019 ◽

Vol 48 (5) ◽

pp. 650-657 ◽

Cited By ~ 3

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.

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

Journal of Pediatric Rehabilitation Medicine ◽

10.3233/prm-190604 ◽

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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Administration of the Canadian Occupational Performance Measure: Effect on practice

Canadian Journal of Occupational Therapy ◽

10.2182/cjot.2012.79.2.7 ◽

2012 ◽

Vol 79 (2) ◽

pp. 120-128 ◽

Cited By ~ 18

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.

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Validity and Community Utility of the Canadian Occupational Performance Measure

Canadian Journal of Occupational Therapy ◽

10.1177/000841740006700105 ◽

2000 ◽

Vol 67 (1) ◽

pp. 22-30 ◽

Cited By ~ 141

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.

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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

Hong Kong Journal of Occupational Therapy ◽

10.1177/1569186119849117 ◽

2019 ◽

Vol 32 (1) ◽

pp. 53-61 ◽

Cited By ~ 3

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.

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

International Journal of Telerehabilitation ◽

10.5195/ijt.2021.6372 ◽

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.

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