Routine use proportion and determining factors of the Canadian Occupational Performance Measure in the real-world setting: A retrospective cross-sectional study in Japan

2020 ◽  
Vol 83 (8) ◽  
pp. 538-544 ◽  
Author(s):  
Tatsunori Sawada ◽  
Kounosuke Tomori ◽  
Yumi Kimori ◽  
Moe Kato ◽  
Minori Wakabayashi ◽  
...  
Keyword(s):  
Functional Independence Measure ◽  
Functional Independence ◽  
Cross Sectional Study ◽  
Performance Measure ◽  
Multiple Logistic Regression ◽  
Occupational Performance ◽  
Sectional Study ◽  
Cross Sectional ◽  
Canadian Occupational Performance Measure ◽  
Determining Factors

Introduction The aim of this retrospective cross-sectional study is to examine the routine use proportion and factors determining the use of the Canadian Occupational Performance Measure in the real-world subacute rehabilitation setting. Methods This study retrospectively collected data from all inpatients and occupational therapists at a single Japanese subacute rehabilitation ward during 2017, including Functional Independence Measure motor/cognitive scores, years of experience, and rate of Canadian Occupational Performance Measure administration (that is, Canadian Occupational Performance Measure proportion). Multiple logistic regression analyses were used to identify the determining factors of daily routine Canadian Occupational Performance Measure use/non-use, after which cut-off values were calculated. Results Of the 619 included clients, the Canadian Occupational Performance Measure was applied in 232 cases (37%). A multiple logistic regression analysis revealed two significant determining factors of its use: Canadian Occupational Performance Measure proportion (odds ratio, 1.06) and Functional Independence Measure cognitive item (odds ratio, 1.22). The cut-off value, sensitivity, and specificity, respectively, were 35.4%, 0.73, and 0.36 ( p < 0.0001) for the Canadian Occupational Performance Measure proportion and 25.5, 0.84, and 0.45 ( p < 0.0001) for the Functional Independence Measure cognitive score. Conclusion The client’s high-level cognitive skill and occupational therapist’s attitude may determine the use of the Canadian Occupational Performance Measure.

scholarly journals Looking into the Content of the Canadian Occupational Performance Measure (COPM): A Danish Cross-Sectional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-11
Author(s):  
Anette Enemark Larsen ◽  
Sonja Wehberg ◽  
Jeanette Reffstrup Christensen
Keyword(s):  
Content Validity ◽  
Cross Sectional Study ◽  
Performance Measure ◽  
Occupational Performance ◽  
Sectional Study ◽  
Rehabilitation Centre ◽  
Community Based ◽  
Cross Sectional ◽  
Canadian Occupational Performance Measure ◽  
Community Based Rehabilitation

Purpose. To examine the content validity of the Danish version of the Canadian Occupational Performance Measure (COPM-DK). Materials and Methods. This cross-sectional study was performed in a hospital and a community rehabilitation centre. The content validity of the COPM was assessed by relating the clients’ prioritized occupational performance issues (OPIs) to the conceptual model of the Canadian Model of Occupational Performance and Engagement (CMOP-E) and the levels of the Taxonomic Code of Occupational Performance (TCOP). Six occupational therapy lecturers participated in classifying the OPIs using the TCOP. Results. A total of 112 clients from a regional and community-based rehabilitation participated. The 56% regional participants came from a hospital’s hand and knee surgery department. The remaining 44% participants came from a community-based rehabilitation centre with in- and outpatient departments. There were 44% males, with a mean age of 65.2 years. They prioritized 495 OPIs, of which 40% concerned self-care, 32% productivity, and 28% leisure. The prioritized OPIs were divided into a total of 224 different OPIs. There were significant differences in which areas were prioritized in the various population groups. Of the OPIs, 64.3% could be classified into the TCOP levels of occupation and activity, i.e., 1/3 of the OPIs were related to tasks and actions, and thus beyond the scope of the COPM. The interrater agreement of the OPI classification was only fair (kappa 0.3). Conclusion. The content validity of the COPM seems to depend on how and with which clients it is administered. Caution must be taken to secure OPIs on the higher levels of the TCOP, while maintaining the clients’ right to nominate OPI preferences. Therefore, an introductory course and on-going support are recommendable. Bearing this in mind, the COPM seems useful to identify individual clients’ prioritized OPIs in a Danish context.

Relationship between nomophobia and occupational performance among university students

2020 ◽  
pp. 030802262095098
Author(s):  
Berkan Torpil ◽  
Esra Ünsal ◽  
Ebru Yıldız ◽  
Serkan Pekçetin
Keyword(s):  
University Students ◽  
Self Care ◽  
Occupational Therapists ◽  
Digital Age ◽  
Cross Sectional Study ◽  
Performance Measure ◽  
Occupational Performance ◽  
Sectional Study ◽  
Cross Sectional ◽  
Canadian Occupational Performance Measure

Introduction Nomophobia is a contemporary phobia that emerged in the digital age and is becoming increasingly common. University students are at higher risk for nomophobia. This study aims to develop an understanding of nomophobic university students’ problem areas in their daily occupations. Methods This cross-sectional study was conducted with 181 university students between January and March 2020. The Nomophobia Questionnaire was used to determine the students’ level of nomophobia and they were separated into groups based on nomophobia severity. The Canadian Occupational Performance Measure was used to determine the students’ occupational performance and satisfaction in the occupations they identified as being most problematic for them. Canadian Occupational Performance Measure scores were compared between nomophobia severity groups. Results All students in the study had some degree of nomophobia (mild = 56, moderate = 95, severe = 30). Canadian Occupational Performance Measure performance and satisfaction scores were significantly lower in students with severe nomophobia compared to the mild/moderately nomophobic students ( p<.05). The occupations of greatest concern were in the areas of productivity (studying, 20.89%), self-care (sleeping, 9.87%), and leisure (doing sport, 8.23%). Conclusion This study demonstrated a relationship between nomophobia and occupational performance difficulties in university students. Occupational therapists should consider nomophobia when evaluating occupational performance difficulties in university students.

Occupational performance in mothers of children with cerebral palsy

2019 ◽  
Vol 26 (4) ◽  
pp. 1-7 ◽  
Author(s):  
Naser Havaei ◽  
Mandana Rezaei ◽  
Hamid Reza Rostami ◽  
Ahmad Mohammadi ◽  
Babak Kashefimehr ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Cross Sectional Study ◽  
Performance Measure ◽  
Demographic Variables ◽  
Typically Developing ◽  
Occupational Performance ◽  
Cross Sectional ◽  
Occupational Satisfaction ◽  
Canadian Occupational Performance Measure ◽  
Children With Cerebral Palsy

Background/Aims Caring for children with cerebral palsy may affect different domains in the caregiver's life. This study aimed to compare the occupational performance of mothers of a child who has cerebral palsy with mothers of a typically developing child. Methods A total of 41 mothers with a child who has cerebral palsy and 45 mothers with a typically developing child were recruited in this cross-sectional study. The age-matched mothers had only one child. The Canadian Occupational Performance Measure was used to collect data on the occupational performance and satisfaction of mothers. Findings There was a statistically significant between-group difference in maternal occupational performance and occupational satisfaction (P<0.05), with mothers of children with cerebral palsy reporting lower scores for both. There were no relationships between demographic variables and the occupational performance and satisfaction of mothers with a child with cerebral palsy (P>0.05). The age of children with cerebral palsy had a direct positive relationship with the mothers' level of occupational satisfaction (P<0.05). Conclusion Mothers who take care of a child with cerebral palsy face significant reductions in occupational performance and satisfaction compared to mothers with a typically developing child, and therefore may need help and education in performing and organising their daily activities and roles.

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 Functional independence of long-living elderly at hospital admission

2014 ◽  
Vol 23 (3) ◽  
pp. 673-679
Author(s):  
Tânia Maria Lourenço ◽  
Maria Helena Lenardt ◽  
Denise Faucz Kletemberg ◽  
Márcia Daniele Seima ◽  
Nathalia Hammerschmidt Kolb Carneiro
Keyword(s):  
Hospital Admission ◽  
Social Cognitive ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Cross Sectional Study ◽  
Teaching Hospitals ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Social ◽  
Functional Independence Measurement

The aim of this quantitative cross-sectional study was to assess the functional independence of long-living elderly at the time of hospitalization. The study was conducted in two teaching hospitals, in the period between January and June of 2011, with 116 long-living elderly. The Functional Independence Measure Scale was applied for data collection and data analyses were performed using descriptive statistics. The score of the total Functional Independence Measure varied from 48 to 126, with a mean of 105.9% (±17.9), which represents functional independence. The motor Functional Independence Measurement of 30 to 91 (77.3%; ±14.5) and the social/cognitive Functional Independence Measurement of 18 to 35 (28.6%; ±4.9). At the hospital admission, the long-living elderly appeared to be independent in all of the Functional Independence Measurement domains. Knowing the functional capacity is essential to plan care throughout the entire hospitalization process.

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. 

scholarly journals Percepção de cuidadores sobre o desempenho ocupacional de crianças escolares de oito anos e seus fatores associados / Perception of the caregivers about the occupational performance of eight years old schoolchildren and their associated factors

2018 ◽  
Vol 2 (2) ◽  
pp. 432-448
Author(s):  
Camilla Oleiro da Costa ◽  
Jeronimo Costa Branco ◽  
Ricardo Azevedo da Silva
Keyword(s):  
Rio Grande ◽  
Cross Sectional Study ◽  
Performance Measure ◽  
Healthy Children ◽  
Occupational Performance ◽  
Rio Grande Do Sul ◽  
Chi Square ◽  
Cross Sectional ◽  
Canadian Occupational Performance Measure ◽  
The City

Desempenho ocupacional (DO) é a habilidade que os indivíduos têm de realizar atividades rotineiras e de desempenhar papeis e tarefas. Na infância, as crianças estão adquirindo habilidades para a realização de suas ocupações. Fatores clínicos, atrasos no desenvolvimento e o próprio ambiente são alguns dos fatores que interferem no DO, além da percepção dos cuidadores dessas crianças. Verificar os fatores associados ao baixo DO de crianças escolares de oito anos numa amostra na cidade de Pelotas, Rio Grande do Sul. Estudo transversal com 88 pares de crianças escolares de oito anos e seus cuidadores principais. Foram utilizados dois questionários sociodemográficos e a Medida Canadense de Desempenho Ocupacional. Os dados quantitativos foram analisados por média, desvio padrão e frequência absoluta e relativa. A associação das variáveis foi verificada pelo Qui-quadrado de Pearson e valores de p0,05 foram considerados estatisticamente significativos. A média de DO foi de 6,03 (+2,21) e a de satisfação de 5,99 (+2,89). Cerca de 60,2% das crianças apresentaram baixas médias de desempenho e satisfação. Morar com a mãe (p = 0,041) foi associado ao baixo DO, havendo também tendência de associação para a satisfação com o desempenho ocupacional. As médias de desempenho e satisfação encontradas foram consideradas baixas por tratarem-se de crianças saudáveis. Atividades problemáticas foram percebidas pelos cuidadores em todos os domínios avaliados. A percepção da mãe com relação ao desempenho da criança pode estar associada a expectativa e exigências exacerbadas e ao desconhecimento das capacidades dos filhos. AbstractOccupational Performance (OP) is the ability of individuals to perform routine activities and play roles and tasks. At childhood, the children are acquiring skills to perform their occupations. Clinical factors, development delays and even the environment are some factors that interfere in the OP, besides the perception of the caregivers of these children. To verify the factors associated with OP below the average of eight years old schoolchildren in a sample in the city of Pelotas, Rio Grande do Sul. Cross-sectional study with 88 pairs of schoolchildren of eight years old and their main caregivers. Two sociodemographic questionnaires and the Canadian Occupational Performance Measure (COPM) were used. The quantitative data were analyzed by average, standard deviation and absolute and relative frequency. The association of variables was verified by Chi-square of Pearson and values of p 0.05 were considered statistically significant. The average OP was 6.03 (+2.21) and the satisfaction score was 5.99 (+2.89). About 60.2% of the children presented low averages of performance and satisfaction. Live with the mother (p = 0.041) was associated with low OP, there is also a tendency of association for the satisfaction with occupational performance. The averages of performance and satisfaction found were considered low because they were healthy children. Problematic activities were perceived by caregivers in all domains evaluated. The perception of the mother with relation to child's performance may be associated to the expectation and the exacerbated requirements and the unfamiliarity capabilities' sons.Keywords: COPM; Canadian Occupational Performance Measure; Occupational Performance; Occupational Therapy.

Reliability and validity of the Assessment of Client's Enablement (ACE)

2018 ◽  
Vol 81 (7) ◽  
pp. 369-375 ◽  
Author(s):  
Tatsunori Sawada ◽  
Taeko Kitahashi ◽  
Ayami Kose ◽  
Samantha Ashby ◽  
Yu Karamatsu ◽  
...  
Keyword(s):  
Convergent Validity ◽  
Intraclass Correlation ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Performance Measure ◽  
Occupational Therapist ◽  
Occupational Performance ◽  
Retest Reliability ◽  
Canadian Occupational Performance Measure ◽  
Test Retest Reliability

Introduction Goal-setting in client-centred occupational therapy is often problematic. The Assessment of Client's Enablement was developed to measure the gap between an occupational therapist's and client's ratings of occupational performance. This study examines the reliability and convergent validity of the assessment. Method The assessment was used by 22 occupational therapists with 44 clients. Convergent validity was examined between the assessment (client, occupational therapist and gap scores), Canadian Occupational Performance Measure performance and Functional Independence Measure scores. Test–retest reliability was assessed by intraclass correlation coefficient. Forty-four clients participated in the test–retest reliability study. Findings Good-to-moderate correlation was found in the assessment scores (intraclass correlation coefficients of 0.86, 0.95 and 0.78 for client, occupational therapist and gap scores, respectively). The validation study was completed by 34 clients. The correlation between Canadian Occupational Performance Measure and Assessment of Client's Enablement scores was significant (client score, Spearman’s Rank Order Correlation (rs) = 0.47; occupational therapist score, rs = 0.45). The correlation between Functional Independence Measure and the assessment's occupational therapist scores was significant (rs = 0.43). Conclusion The study confirms the reliability and convergent validity of the Assessment of Client's Enablement. The assessment requires less time to administer than similar instruments and requires no formal training, making it feasible in rehabilitation settings.

scholarly journals Prevalência, desempenho cognitivo e funcionalidade de idosos com Doença de Alzheimer em instituições de longa permanência de Bento Gonçalves

2017 ◽  
Vol 5 (1) ◽  
pp. 23 ◽  
Author(s):  
Daniela Fernandes Tonholi ◽  
Gisele Oltramari
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Cognitive Performance ◽  
Junior High School ◽  
Functional Independence Measure ◽  
The Elderly ◽  
Functional Independence ◽  
Cross Sectional Study ◽  
Functional Evaluation ◽  
Cross Sectional

Aims: To determine the prevalence, cognitive performance and functionality of elderly people with Alzheimer's disease in long-stay institutions for the elderlyin the city of Bento Gonçalves. Methods: Cross-sectional study including 24 elderly residents in long-stay institutions for the elderly, sociodemographic datawere obtained, and the elderly were subjected to functional evaluation by the Functional Independence Measure and evaluation of cognitive performancethrough the mental state the Mini (MMSE). Results: Most of the residents were female (83%), as 54.2% schooling had completed junior high school, mostof the elderly (70.8%) was admitted by the will of the family, 100% of the elderly showed cognitive performance bad, and the smaller the more dependentcognitive performance was the individual. Conclusion: institutionalized elderly with Alzheimer's disease had negative results on cognitive performance,as well as deficits in their ability to perform activities of daily living, thus altering their functionality.Keywords: aging; functionality; cognition; Alzheimer Disease; long-stay institutions.

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