Mary Law,Sue Baptiste, Anne Carswell,. Mary Ann McColl,Helene Polatajko, Nancy Pollock. The Canadian Occupational Performance Measure (COPM) is an. The Canadian Occupational Performance Measure (COPM) is a measurement tool that assists therapists in using a family-centred approach to service delivery. This paper describes the development of an outcome measure, The Canadian Occupational Performance Measure (COPM), which is designed to be used with .

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This illustrated a contradiction of paradigms, for example, the traditional biomedical model, with the therapist as the expert, versus the occupational model of the COPM, the Canadian Model of Occupational Performance the CMOPin which the client is considered the expert [ 1216 ].

Analysis The qualitative content analysis was based on the recommendations of Graneheim and Lundman, focussing on latent context analysis centred on an in-depth interpretation of the underlying meaning of the text [ 27 ].

The inclusion criteria were the following: In hand therapy, the use of the COPM was thought to help the therapists focus on issues and goals that would assist the client in fulfilling important life roles [ 29 ].

Sign in or create an account. One of the strengths of the measure is its broad focus on occupational performance in all areas of life, including self-care, leisure and productivity, taking into account development throughout the lifespan and the personal life cabadian. Learn how the COPM can help your business. Similar discrepancies between therapists and clients have been seen in other studies, for example, in stroke rehabilitation [ 1543 ].

View Full Canarian List. Enemark Larsen and G. The Danish Quality Model.

Occupational Therapy International

Both scales range from 1 to 10, with higher values indicating better performance and greater satisfaction. Other reasons for not using the COPM were that the clients had suddenly became ill or been hospitalized or that they did not have the cognitive ability to undergo a COPM interview [ 21 ]. This was also seen in the study of Mortenson and Dyck in which the OTs avoided the use of the COPM because they feared it would reveal differences between what the clients wanted to achieve and what the OTs were expected to deliver [ 45 ].

The clients expressed a fundamental need to be valued as individuals, indicating that the attitudes of the OTs in these relationships are more important than their actions [ 11 ]. The COPM measures the problems in daily living — how your clients perceive their functional performance. A Profile of Practice. The authors independently read the 22 studies and discussed their inclusion and exclusion, which left eight studies.


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There are numerous examples of the COPM in use around the internet. As presented in Figure 1we identified studies, and 90 studies remained after duplicates were removed.

As recommend by Levac et al. The therapist enters the chosen problems and their importance ratings in the scoring section. A systematic review revealed five thematic conceptual elements that should be addressed when working with CCP, namely, power, listening and communicating, partnership, choice, and hope [ 6 ]. For details, please contact us. Studies on how to support the successful implementation of the COPM have shown that introductory courses, ongoing support, and follow-up supervision during the implementation process are beneficial [ 1933 — 35 ].

This is an open access article distributed under the Creative Commons Attribution Licensewhich permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

It gives you an individual benchmark to gauge the effectiveness of your services and your staff. The qualitative content analysis was based on the recommendations perfofmance Graneheim and Lundman, focussing on latent context analysis centred on an in-depth interpretation of the underlying meaning of the text [ 27 ]. In the study by Tuntland et al. Apparently, using the COPM could emphasize the importance of clinical judgement for guidance [ 31 occcupational, 33 ].

An overview of the included papers. Research on CCP has increased over the last few decades [ 613 — 15 ]. Twelve studies were identified occupatinoal used different designs and a range of clients in various settings.

She received her occupational therapy and graduate education from McGill University and her doctoral degree from the Measuree of Toronto.

Some of the reluctance seemed to be an attempt to avoid the dilemma of different goals. A comprehensive online course designed for new users of the COPM as well as those who wish to refresh their knowledge.

The COPM interview encouraged the clients to increase their attentiveness to their problems and enhanced their motivation, cooperation, and responsibility for their own therapy [ 2831 ], thus facilitating a process of self-awareness [ 1932 ].

Inclusion As recommend by Levac et al. Rasmussen1 and J. The manual and measure must be purchased.


Governance for Health in the 21st Century: The active participation of clients is an important aspect of the quality of rehabilitation processes and the aim in healthcare institutions around the world pertormance 12 ]. The importance of being acknowledged was also supported by Parker, in whose study clients expressed the overwhelming importance of how they were treated [ 11 ].

It occupationap that the more therapists align with the medical paradigm for example, in hospitals, the lower their use of the COPM interview [ 1519 ].

Enhancing a Client-Centred Practice with the Canadian Occupational Performance Measure

The COPM is intended for use as an outcome measure, and as such, should be administered at the beginning of services, and again at appropriate intervals thereafter, as determined by the client and therapist. Meet the Authors Mary Law Mary worked as an occupational therapist initially with adults in a rehabilitation centre followed by many years of clinical practice working with children with disabilities and their families.

For instance, if the OT focused on restoring physical function while working in a hospital, contradictory paradigms such as the traditional biomedical model would be inconsistent with the use of the COPM, which is based on a holistic approach [ 119 ].

The abovementioned keywords were also used to search for unpublished items on interventions of interest in SwePub and NORA. With the COPM, your staff and your clients are speaking the same language — one that both can understand.

As the COPM interview increased awareness of daily life and acknowledged the clients [ 30 ], it helped improve the degree to which the rehabilitation was client centred [ 33 ]. Occuparional, in the early stages of a rehabilitation process, clients may ignore or be unaware of OPPs, which explains why it might be difficult to use the COPM under such circumstances [ 192147 ].

Thus, active participation of clients is included as a key component in the visions of healthcare systems in many countries [ 4 ].

She gained her experiences in community clinics as well as hospital-based units. Areas of everyday living explored during the interview include self-care, productivity or leisure.