The Canadian Occupational Performance Measure (COPM): a valuable tool for children with cerebral paresis

Larsen, Anette Enemark

doi:10.1111/dmcn.14617

Cited by 1 publication

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“…The Canadian Association of Occupation Therapists (CAOT) have reported an MCID of 2 points for the COPM [46]. The validity of this threshold has been disputed [47], however, and the authors are unaware of any study conclusively demonstrating MCIDs for COPM in children. The CAOT also report that "the COPM is an individualized measure, so the meaning of the change scores may vary by individual" [46].…”

Section: Discussionmentioning

confidence: 99%

Outcomes following intensive day rehabilitation for young people in Western Australia

Gill,

Davidson,

Stevenson

et al. 2024

PRM

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PURPOSE: Intensive rehabilitation aims to improve and maintain functioning in young people who experience disability due to illness or injury. Day rehabilitation may have advantages for families and healthcare systems over inpatient models of rehabilitation. METHODS: This study evaluated the goals and outcomes of a cohort of young people in Western Australia who attended a specialist intensive day rehabilitation programme (“iRehab”) at Perth Children’s Hospital. Analysis of the iRehab service database was performed. Rehabilitation goals and outcomes were recorded as per the Canadian Occupational Performance Measure (COPM), Children’s Functional Independence Measure (WeeFIM), and Goal Attainment Scale (GAS). RESULTS: There were 586 iRehab admissions between August 11, 2011, and December 31, 2018. Admissions were divided by diagnosis: Cerebral Palsy (228, 38.5%), Acquired Brain Injury (125, 21.3%), Spinal Cord Disorders (91, 15.5%), and Other (141, 24.2%). Mean COPM Performance increased by 2.78 points from admission to discharge (95% CI 2.58 to 2.98, p < 0.001). Mean COPM Satisfaction was 3.29 points higher at discharge than admission (95% CI 3.07 to 3.51, p < 0.001). Mean total WeeFIM score improved by 6.51 points between admission and discharge (95% CI 5.56 to 7.45, p < 0.001), and by 3.33 additional points by six months post discharge (95% CI 2.14 to 4.53, p < 0.001). Mean GAS T-scores increased by 27.85 (95% CI 26.73 to 28.97, p < 0.001) from admission to discharge, and by 29.64 (95% CI 28.26 to 31.02, p < 0.001) from admission to six months post discharge, representing improvement consistent with team expectations. CONCLUSION: This study describes a model by which intensive rehabilitation can be delivered in a day rehabilitation setting. A diverse population of young people who experienced disability achieved significant improvements in occupational performance, independence, and goal attainment after accessing intensive day rehabilitation. Improvements were measured in all diagnostic subgroups and were maintained six months after discharge.

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Section: Discussionmentioning

confidence: 99%

Outcomes following intensive day rehabilitation for young people in Western Australia

Gill,

Davidson,

Stevenson

et al. 2024

PRM

View full text Add to dashboard Cite

show abstract

The Canadian Occupational Performance Measure (COPM): a valuable tool for children with cerebral paresis

Abstract: This commentary is on the original article by Kang et al. on pages 1154–1160of this issue.

Cited by 1 publication

References 4 publications

Outcomes following intensive day rehabilitation for young people in Western Australia

Outcomes following intensive day rehabilitation for young people in Western Australia

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