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.

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 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.

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.

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: Does it Address the Cultural Occupations of Ethnic Minorities?

2005 ◽  
Vol 68 (5) ◽  
pp. 224-234 ◽  
Author(s):  
Sarah Fisher
Keyword(s):  
North America ◽  
Ethnic Minority ◽  
Ethnic Minorities ◽  
Cultural Sensitivity ◽  
Rating Scales ◽  
Occupational Therapists ◽  
Performance Measure ◽  
Occupational Performance ◽  
Canadian Occupational Performance Measure ◽  
Larger Sample

This study is the first to examine the cultural sensitivity of the Canadian Occupational Performance Measure (COPM), as reported by occupational therapists who have used it with people from an ethnic minority background. The research was conducted as part of a Master's degree, held in Boston, USA, and funded by the Elizabeth Casson Trust, UK. Twenty-five practising occupational therapists from North America answered an emailed survey and, from this sample, three were interviewed by telephone. The findings showed that the practitioners perceived the COPM as able to address the cultural occupations of ethnic minorities; however, they felt that including examples of cultural occupations and children's occupations and modifying the rating scales would improve the tool. Two of the three therapists interviewed worked with children and, because of this, there was a focus on children's occupations that was only revealed in the second part of the research. The nature of the tool, its ability to focus on occupation and the therapist's interview skills were identified as the reasons that the COPM is effective in addressing the cultural occupations of ethnic minorities. Additional research is needed using a larger sample to validate these findings.

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.

Returning to Work after a Stroke: An Important but Neglected Area

2003 ◽  
Vol 66 (5) ◽  
pp. 186-192 ◽  
Author(s):  
Susan Corr ◽  
Sorrel Wilmer
Keyword(s):  
Service Provision ◽  
Occupational Therapists ◽  
Performance Measure ◽  
Rehabilitation Service ◽  
Occupational Performance ◽  
Post Stroke ◽  
Canadian Occupational Performance Measure ◽  
Stroke Study ◽  
Returning To Work ◽  
Do So

Work is key to participating in society. This paper reports two independent studies, which addressed different aspects of returning to work after a stroke. Study I, using the Canadian Occupational Performance Measure and the Role Checklist, established the perception of returning to work of 26 participants aged 34–55 years post-stroke. Study II, using interviews, established the support required and obtained for six participants who returned to work post-stroke. Both studies found that the participants considered work to be important, that they wished to return to work and that help was needed to do so. Study II found that occupational therapists had a limited role in providing support and recommends their greater involvement in work rehabilitation service provision for those who have had a stroke. The findings of these studies suggest that there is a gap in providing appropriate support to enable people to carry out an occupation that both they and society value.

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.

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