Client-Centred Rehabilitation - Arthritis Community Research ...

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Appendix A: Canadian Occupational Performance Measure (COPM) – 1 st and 2 nd editions Developed by Law M, Baptiste S, Carswell-Opzoomer A, McColl MA, Polatajko H, Pollock N, 1991. 2 nd Edition 1994. Purpose of COPM is "to enable occupational therapy clients to participate in a meaningful way in determining the course of occupational therapy intervention" (Law et al 1994) • Measure based on the model of occupational performance, and to meet ten criteria for an outcome measure as set by the 3 rd volume of the guidelines (Towards Outcome Measures) • individualised, standardised but not normative measure • for use with all age spans, all disability groups, all developmental levels; targets physical and/or mental disability in occupational performance (see Townsend 1997 for definition) • allows for proxy response when client unable to respond • measure of change in client's (or proxy's) perception of occupational performance; measures client identified problems/concerns/issues and considers client's satisfaction with performance, rating of importance and perception of current performance Process: Step1: Problem definition – client identifies specific things they are concerned with in the areas of self-care, leisure and productivity (e.g sitting, playing golf, operating machinery) Step 2: Weighting – client rates those concerns for importance on a 1-10 scale Step 3: Scoring – client chooses up to five of these problems that will be addressed and measured in COPM, and rates those five out of ten on how well they think they are currently performing that activity and how satisfied they are with that performance. Overall performance and satisfaction are calculated by weighting according to importance. Intervention usually occurs following this step. Step 4: Reassessment – client reassesses the same five problem areas as to how well they believe they are performing and how satisfied they are with that performance. These scores are then compared to the original. Step 5: Follow-up – the client is asked if there are problems remaining, or new problems that have emerged that they would like to address. If client wishes to continue intervention, process is begun again with a new COPM form.
Validity: Chan and Lee (1997): Content - 9 member panel expert review found COPM inadequate in assessing occupational performance or performance components, but adequate in reflecting client's problems in occupational performance – interview processes critical, yet not standardized Criterion related evidence – convergent validity not found between COPM-performance subscale and the Klein-Bell ADL (KBADL) (some correlations virtually zero or negative) no convergent or discriminant validity between COPM and Functional Independence Measure (FIM) there was convergent validity between COPM-performance subscale and FIM motor subscale, as well as discriminant validity between FIM cognitive subscale and COPM performance. There was no convergent validity observed between the initial assessment of COPM satisfaction subscale and the Satisfaction with Performance Scale Questionnaire (SPSQ); there was a stronger relationship in the pre-discharge assessment significant and positive relationship between both subscales of COPM and Social/<strong>Community</strong> subscale of SPSQ; however there was no differentiated convergent, discriminant validity between them or between COPM and Home Management subscale Chan and Lee feel that research should be directed to improving the instrument, that currently it is good at reflecting client's problems in occupational performance (and according to McColl et al 2000 may bring out a wider variety than simply asking client), but less desirable in facilitating therapists to make meaningful clinical decisions when client's performance is dependent on competence in performance components McColl et al (2000) – Construct validity: COPM performance subscale not significantly correlated to any of the three other scales (SPSQ, the Reintegration to Normal Living Index (RNL) or Life Satisfaction scale (LSS) Significant but low correlation between COPM -satisfaction and SPSQ, RNL, LSS Significant and high correlation between COPM Satisfaction and Performance subscales
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ARTHRITIS COMMUNITY RESEARCH & EVAL
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2 Table of Contents Executive Summa
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4 Executive Summary Objectives ♦
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6 Chapter 1: Background 1.1 Arthrit
Page 9 and 10: Articles considered relevant from t
Page 11 and 12: applicable to our conceptualization
Page 13 and 14: likert-type scale) 16 barriers to c
Page 15 and 16: 1990), checklists of physician=s an
Page 17 and 18: communication," giving insight into
Page 19 and 20: A national survey of acute care hos
Page 21 and 22: Although GAS usually involves devel
Page 23 and 24: Much of the work to date at the sys
Page 25 and 26: 3.1.2 Setting The SCI, ABI, MS, Hip
Page 27 and 28: 26 Table 1: Demographics for Focus
Page 29 and 30: 28 expertise. Rehab specialists don
Page 31 and 32: 30 ARTH #2 Preparation for life in
Page 33 and 34: 32 had been involved in goal settin
Page 35 and 36: 34 “.... But in terms of professi
Page 37 and 38: 36 readmission were important to ou
Page 39 and 40: 38 abrupt and left them feeling iso
Page 41 and 42: 40 Chapter 4: Components of Client-
Page 43 and 44: 42 continuum are aware of the roles
Page 45 and 46: 44 Family involvement Family involv
Page 47 and 48: 46 Table 3: System Level Indicators
Page 49 and 50: 48 In summary, there is no single m
Page 51 and 52: 50 ♦ Experimental designs evaluat
Page 53 and 54: 52 Carroll, L., Sullivan, F.M., & C
Page 55 and 56: 54 Guinn, R.M. (1993). Operational
Page 57 and 58: 56 Malec, J.F., Smigielski, J.S., &
Page 59: 58 Turnbull, J. (1998). Evaluating
Page 63 and 64: Law M, Polatajko H, Pollock N, McCo
Page 65 and 66: Advantages of GAS GAS is beneficial
Page 67 and 68: Picker survey data indicates proble
Page 69 and 70: Survey Program Survey Frequency: mo
Page 71 and 72: among different sub-populations (ch
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