Utility of the Canadian Occupational Performance Measure as an admission and outcome measure in interdisciplinary community-based geriatric rehabilitation

Abstract

In a community-based geriatric rehabilitation project, the Canadian Occupational Performance Measure (COPM) was used to develop a coordinated, interdisciplinary, and client-centred approach focusing on occupational performance. The purpose of this study was to evaluate the utility of the COPM as an admission and outcome measure in an interdisciplinary geriatric rehabilitation context in Denmark. Eighteen occupational and physiotherapists administered the COPM among elderly citizens. Of 185 citizens referred to the study, 152 were admitted to rehabilitation based on health indices, and 124 completed the COPM after their admission, identifying 404 occupational performance issues in all. Post-assessment data were obtained from 95 participants and revealed statistically significant positive change (p < 0.001) in both performance and satisfaction with performance. Furthermore the therapists answered a questionnaire evaluating their experiences, showing that they found development in knowledge and community between the professions to benefit both therapists and citizens, and gained a better insight into their clients' everyday lives through the COPM. In conclusion, the COPM may be useful as an admission and outcome measurement for the rehabilitation of elderly citizens; however, aspects of education and administration must be considered before the instrument can be successfully administered in an interdisciplinary geriatric rehabilitation context.

Predictors of time to complete toileting for children with spina bifida

“…Children with spina bifida often present with cognitive and perceptual problems impacting their executive functions and thus the intrarater reliability when self-assessing could be reduced. Occupational therapists commonly use the COPM as a baseline and evaluation measure (Law et al, 2005;Stuber & Nelson, 2010) and should be aware that the tool should not be used in isolation with this target group performing CIC toileting (Enemark Larsen & Carlsson, 2012;Law et al;Donlau et al, 2011). Children with spina bifida often present with cognitive and perceptual problems impacting executive functions and thus reliability when self-assessing could be reduced.…”

Study protocol: to investigate effects of highly specialized rehabilitation for patients with multiple sclerosis. A randomized controlled trial of a personalized, multidisciplinary intervention

“…The conversation follows clinical guidelines for target setting content and includes COPM [19-22] as identification and qualification of the decision basis for the objective. The conversation leads to identification of the primary goal within the five main areas (see above) and specific subsidiary goals and described cf.…”

Assessment of impairment in activities of daily living in mild cognitive impairment using an individualized scale

“…Through a semi-structured interview, patients identify their difficulties performing ADL in self-care, productivity, and leisure. There is evidence that the COPM can be effective for measuring changes in the occupational performance difficulties outlined 9,10,11 . The COPM identifies the activities that individuals want, need or are expected to do, but cannot, or those activities for which interviewees are not satisfied with their current performance.…”

“…The COPM can be considered an established tool that translates the theory of a client-centered approach into practice 12 . The measure has been applied and validated in individuals with a range of different medical disorders 9,10,11,12,13,14,15,16,17,18 , but the literature on the use of the COPM in individuals with MCI remains scant.…”

“…Moreover, this method of assessment can be more sensitive for distinguishing healthy elderly from MCI elderly 8 . The Canadian Occupational Performance Measure (COPM) is an instrument that can identify individual difficulties in performing ADL 9,10,11 . The COPM is based on the CMOP, a client-centered instrument.…”