Measuring occupational performance and client priorities in the community: The COPM

Abstract

The primary aim of this study was to examine changes in clients' occupational performance and satisfaction with their performance within a community trust setting, using the Canadian Occupational Performance Measure (COPM). Given the rapid throughput of clients and the pressure of limited resources, the authors postulated that occupational therapy interventions were focusing on clients' self-care needs as a matter of priority for clients to be independent at home. Therefore, at a time when services are seeking to be increasingly client-focused, the authors' secondary aim was to explore whether self-care needs were also the clients' highest priorities. Fourteen occupational therapists and 62 clients took part in the study. The therapists used the COPM to assess the client; the clients completed the COPM at initial interview and at the end of the intervention. Inferential statistics were then used to ascertain any change over the intervention period. The findings showed a statistically significant change in clients' occupational performance and satisfaction with their performance, in all settings, following occupational therapy. There were notable differences in occupational performance goals between men and women, in that a higher percentage of self-care goals were identified by the men. Self-care goals were the most frequently cited goals in all of the settings.

Occupational performance, pain, and global quality of life in women with upper extremity fractures

“…This is similar to what was found in a study of women with a Colles fracture (4). Other studies that included mixed groups regarding gender and diagnoses found quite different distributions (32,37,38). Our findings may therefore indicate a characteristic pattern of performance problems in elderly women with fractures of the antebrachium.…”

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

“…Occupational Therapy International differences in the distribution of OPIs with variations related to the different settings, conditions, and ages [25,37,38]. The clients identified most of the OPIs in self-care (n = 200, 40%), as seen in other studies [36,37].…”

“…Occupational Therapy International differences in the distribution of OPIs with variations related to the different settings, conditions, and ages [25,37,38]. The clients identified most of the OPIs in self-care (n = 200, 40%), as seen in other studies [36,37]. Because the COPM is known to help clients express what they really find distressing in their present lives, this finding makes sense, as many adults may express frustration and maybe humiliation with not being able to perform the self-care activities that they learned in childhood.…”

“…As such, it can be interpreted as an example of the COPM's ability to help clients identify issues with the occupations that really matter to them in their current situation [2,4,39]. However, this could also be interpreted as the OTs' preference for the selfcare area, as OTs often takes responsibility for training the clients' self-care abilities [5,11,25,37]. Bearing this in mind, OTs must listen carefully to the clients to enable that the clients express what they really want to change and not what they expect the OTs to handle.…”

Removal notice

“…The COPM has been used to measure the effectiveness of rehabilitation in neurological populations (Dawson et al, 2013;Nilsen et al, 2012;Page et al, 2013;Polatajko et al, 2012;Roberts et al, 2008;Taylor et al, 2012). One of the difficulties with using the COPM in neurological rehabilitation is the presence of aphasia (Chan and Lee, 1997;Chen et al, 2002;Dawson et al, 2013;Gilbertson and Langhorne, 2000;Parker and Sykes, 2006;Taylor et al, 2012;Wressle et al, 2002).…”