The Validity of the Canadian Occupational Performance Measure (COPM) When Used in a Sub-Acute Rehabilitation Setting with Older Adults

Abstract

This study investigated the validity of the Canadian Occupational Performance Measure (COPM) when included as one of the scales used by therapists with older adults on an inpatient sub-acute rehabilitation setting. Quantitative data from 36 participants in a sub-acute rehabilitation setting was obtained via the COPM, the Functional Independence Measure (FIM) and the Short Form 36 Health Survey (SF-36) using a pre-post methodology. Pearson's r correlations and linear regression analyses were computed. The COPM Performance admission score was significantly correlated with the FIM Total and FIM Physical admission scores (p <.05) while the COPM Satisfaction admission score was significantly correlated with the FIM Total and FIM Physical admission scores (p <.05). The COPM Performance discharge score was significantly associated with the FIM Total, FIM Physical, and SF-36 Physical Health discharge scores (p <.01) while the COPM Satisfaction discharge scores was significantly associated with the FIM Total, FIM Physical, and SF-36 Physical Health discharge scores (p<.01) respectively. Linear regression analyses determined that the COPM's Performance admission score uniquely explained 8.4% of the SF-36 Physical Health discharge score's total variance (p <.05). The results contribute to the COPM's evidence base, supporting its convergent validity and predictive validity.

Portrait des pratiques évaluatives des ergothérapeutes œuvrant au Québec

“…Bien qu’elle semble être un outil fréquemment utilisé en santé mentale au Canada (Rouleau et al, 2015), la MCRO a été peu rapportée dans la présente étude ( n = 61; 7,0%). Or, en plus d’être accessible, facile et rapide à administrer (Law et al, 2014), la MCRO a été validée auprès d’aînés ayant divers diagnostics (Chan et Lee, 1997; McNulty et Beplat, 2008; Thyer, Brown et Roe, 2018) et fait partie des outils recommandés par les guides de pratique pour l’évaluation ergothérapique de la clientèle gériatrique (Bortnick, 2017). Cependant, le besoin d’être formé et de se procurer le matériel requis pour utiliser la MCRO (http://www.thecopm.ca/) peuvent être des obstacles, considérant le nombre limité d’heures de formation et l’accès plus difficile aux écrits scientifiques en gériatrie, comparativement à ceux rapportés par les ergothérapeutes travaillant en petite enfance.…”

Potential Value of Customized Video Self-Modelling for Motor Skill Learning in Individuals with Cerebral Palsy: A Case-Study Approach

“…The questionnaire also captured participants' satisfaction with their performance at each stage of testing, measured on a 1-10 scale with 1 being the lowest rating and 10 the highest. The COPM is considered a reliable and validated performance measurement tool for clinicians working with individuals with various disabilities (Lalor et al, 2019;Roe et al, 2019;Thyer et al, 2018).…”

Goal Setting Among Experienced and Novice Occupational Therapists in a Rehabilitation Center

“…It also helps to identify priorities from a client's perspective (Law et al, 2005). It can improve the client's sense of participation and motivation in occupational therapy process, including decision making and goal setting (Thyer et al, 2019). The COPM uses a 10-point scale and can be repeated in regular intervals, facilitating the evaluation of the goal setting process in a client-centered way (Law et al, 2005).…”

“…Also, their goal setting techniques may vary. Training in interviewing and goal setting, empowerment and advocacy, using formal tools and clinical experience can all support the therapist, especially when working with challenging client groups (e.g., brain injury) and within organizational and other contextual barriers to client-centeredness (Barclay, 2002;Hunt, Le Dorze, Trentham, et al, 2015;McAndrew et al, 2000;Leach et al, 2010;Prescott et al, 2018;Prescott et al, 2019;Thyer et al, 2019). Not many studies to date explored the differences between expert occupational therapists and novices (Hodgetts et al, 2007;Swan et al, 2019).…”