ABSTRACT
Objective：Our institute provides inpatient intensive rehabilitation to severely disabled children and their parents. Rehabilitation aims are patient-specific, thus using individual scales to evaluate rehabilitation is essential. Here, we adopted the Canadian Occupational Performance Measure (COPM) to perform this evaluation in thirty-one cases.Methods：For the COPM, patients set goals in five subjects, and evaluates their performance levels and satisfaction levels on a scale of 1-10, before and after rehabilitation, and the mean scores are compared.Results：The COPM scores were significantly elevated in all cases at discharge. Patient had an average increase of 3.9 points for both performance and satisfaction scores. The scores of children with medical complexity tended to exceed those who did not require complex medical care. We identified a correlation between satisfaction and performance scores.Conclusion：We quantitatively measured the development of patients to measure the effectiveness of our intervention for two months using the COPM, which cannot be clarified by other objective evaluation tools for gross motor skills, functional independence, etc.. Although satisfaction scores are subjective, herein, their validity was shown by the correlation to the performance scores. Overall, COPM can contribute to top-down approaches to rehabilitation.
ABSTRACT
ObjectiveTo explore the occupational needs of hand injury patients and the effects of activity-based analysis and occupation-based interventions. MethodsFrom January, 2021 to June, 2022, 212 patients who accepted occupational therapy for wrist-hand injury in Rehabilitation Center of the First Affiliated Hospital of Nanjing Medical University were interviewed using Canadian Occupational Performance Measure (COPM) to collect the activities that they wanted to do, needed to do, were expected to do, but unable to do. Two senior occupational therapists conducted the activity analysis of the summarized needs, identified occupational components, designed a purposeful occupation-based intervention program, and evaluated the performance and satisfaction using COPM. ResultsA cumulative total of 84 occupational needs were proposed, covering five major domains: work, basic activities of daily living, instrumental activities of daily living, leisure and sleep. The activities mostly impaired involved using computer (8.28%), using chopsticks (6.42%), wringing towels (6.25%), travelling on transport (4.90%) and lifting heavy objects (4.73%). The performance and satisfaction improved after treatment (t > 16.572, P < 0.001). ConclusionThe occupational needs are culturally specific for local hand injury patients; the use of an activity-based analysis and occupation-based intervention is effective on meeting the occupational needs.
ABSTRACT
Objective：Our institute provides inpatient intensive rehabilitation to severely disabled children and their parents. Rehabilitation aims are patient-specific, thus using individual scales to evaluate rehabilitation is essential. Here, we adopted the Canadian Occupational Performance Measure (COPM) to perform this evaluation in thirty-one cases.Methods：For the COPM, patients set goals in five subjects, and evaluates their performance levels and satisfaction levels on a scale of 1-10, before and after rehabilitation, and the mean scores are compared.Results：The COPM scores were significantly elevated in all cases at discharge. Patient had an average increase of 3.9 points for both performance and satisfaction scores. The scores of children with medical complexity tended to exceed those who did not require complex medical care. We identified a correlation between satisfaction and performance scores.Conclusion：We quantitatively measured the development of patients to measure the effectiveness of our intervention for two months using the COPM, which cannot be clarified by other objective evaluation tools for gross motor skills, functional independence, etc.. Although satisfaction scores are subjective, herein, their validity was shown by the correlation to the performance scores. Overall, COPM can contribute to top-down approaches to rehabilitation.
ABSTRACT
Background and Objectives@#Person-centered care aims to involve people in making decisions for their health care. The Canadian Occupational Performance Measure (COPM) is an easy-to-use functional assessment scale that can facilitate person-centered care. However, cultural nuances and individual differences in English proficiency may affect the administration of the original tool. This study translated and adapted the COPM to Filipino. @*Methodology@#Two translators independently translated the COPM to Filipino. A multidisciplinary expert panel reviewed the translations and composed an initial Filipino version. The initial Filipino version was translated back to the source language. A second expert panel meeting produced a pre-final Filipino version of the tool. Pre-test and cognitive interviews followed, and revisions were made to generate a final version of the tool. @*Results@#The expert panel discussed issues such as preservation of the original thought, understandability to the local population, consistency with the terms used, and avoidance of redundancy during the evaluation of the proposed translations. Meanwhile, analysis of cognitive interviews revealed that despite the issues encountered in some of the translated words, the participants found the adapted version to be generally understandable and easy to follow. The semi-structured interview format also allowed elaborated assessment and goal setting for self-care, productivity, and leisure. @*Conclusion@#Findings of this study suggest the potential usefulness of the Filipino version of the COPM in further facilitating person-centered goal-setting in the Filipino context. Future studies are warranted to examine the psychometric properties of the instrument for use in specific client groups, conditions, or settings.
Subject(s)
Patient-Centered CareABSTRACT
Objective : Recently, children with more severe disabilities are being hospitalized for inpatient rehabilitation. Therefore, it is becoming more difficult to adequately assess the effect of rehabilitation by conventional methods alone. The objective of this study is to evaluate the usefulness of the Canadian Occupational Performance Measure (COPM), which is an open-ended questionnaire that allows patients to prioritize their needs and rate their performance in different tasks of daily living as well as their satisfaction in performing them. Methods : The COPM performance and satisfaction scores of 81 patients hospitalized for over one month were measured at admission and discharge. Changes during inpatient rehabilitation were evaluated in each case. Results : The mean age at admission was 8.2 yrs. The mean length of inpatient stay was 56.2 days. The children included 31 girls and 50 boys. The distributions according to the Gross Motor Function Classification System (GMFCS) were Levels Ⅰ, Ⅱ, Ⅲ, Ⅳ, and Ⅴ in 3.7%, 8.6%, 28.4%, 32.1%, and 27.2% of patients, respectively. The mean COPM performance score and satisfaction score increased from 3.41 to 5.71 and 3.22 to 5.88 respectively with significant difference. The GMFCS level did not affect the changes in COPM scores. Conclusion : The COPM may work as a useful assessment method for relatively short-term inpatient rehabilitation children since it identifies child-unique problems that are mostly not assessed by conventional methods.
ABSTRACT
La Educación inclusiva busca la igualdad de oportunidades para todos, y la Terapia Ocupacional puede contribuir para este proceso por medio del desarrollo del desempeño ocupacional. En este sentido se busca analizar las contribuciones de la Terapia Ocupacional para la educación inclusiva mediante los aspectos relacionados al desempeño ocupacional de personas con discapacidad. Por lo tanto, este estudio se caracterizó como una revisión que incluye obras de literatura especializada sobre la educación inclusiva, Terapia Ocupacional y desempeño ocupacional, destacando la Medida Canadiense de desempeño Ocupacional (COPM), que es fundamentada en las directrices de la Terapia Ocupacional para la Práctica Basada en el Cliente. A pesar de la carencia de estudios sobre este tema, fueron seleccionados artículos completos, publicados en la última década en la lengua inglesa y portuguesa. Se puede concluir que la COPM permite identifcar las principales actividades problemas, proporcionando subsidios para mejorar el desempeño y lograr satisfacción en las actividades seleccionadas. La actuación del terapeuta ocupacional en interacción con las personas con discapacidad en la educación inclusiva, puede contribuir signifcativamente para el desarrollo satisfactorio del rol ocupacional, promoviendo un desempeño ocupacional competente, favoreciendo una amplia gama de posibilidades ocupacionales.
Inclusive education seeks equality of opportunity for all and Occupational Therapy can contribute to this process through the development of occupational performance. In this regard, we attempted to analyze the Occupational Therapy contributions for inclusive education through of the aspects related to occupational performance of the people with disabilities. Therefore, this study was characterized as a review that included works of literature on inclusive education, occupational therapy and occupational performance, giving prominence to the Canadian Occupational Performance Measure (COPM), which is based on the Guidelines of Occupational Therapy Practice-Based Client. We selected yet, despite the lack of studies, articles published in the last decade in English and Portuguese. It can be concluded that the COPM identifes the main activities problems and offer suggestions for improving the performance and satisfaction of selected activities. The role of the occupational therapist with people with disabilities in inclusive education can contribute signifcantly to the development of satisfactory occupational roles, promoting a competent occupational performance favoring the discovery of new occupational opportunities.
Subject(s)
Humans , Disabled Persons , Education , Mainstreaming, Education , Occupational TherapyABSTRACT
Objective To observe the different needs of Uighur and Han stroke patients for oceupational activities using the Canadian occupational performance measure (COPM).Methods The COPM was employed to evaluate 51 stroke patients in hospital before and after treatment.Thirty were from the Han ethnic group and 21 were Uighur.The first evaluation was performed at admission to confirm their occupational activity problems.Interventions were then planned using a patient-centered occupational therapy model.At discharge the second evaluation was performed to assess and compare the effects of treatment.Results In the first evaluation,both the Uighur and Han stroke patients had problems with self-care activities which were more prominent than those with productive and leisure activities.Older Uighur patients had special occupational activity needs resulltng from their religious practices.Compared witb the first evaluation,the total performance and satisfaction scores had improved significantly by the second evaluation for both the Han and Uighur patients,but their satisfaction scores were lower than their occupational activities performance scores.Conclusion Different nationalities may have different occupational activities needs.The COPM is easy to use and helpful in confirming occupational activity problems.Its use can contribute to the plan ning of primary goals for rehabilitation and treatment programs and help assess the effect of rebabilitation.
ABSTRACT
@#Objective To apply Canadian Occupational Performance Measure (COPM) on the patients injured in Sichuan Earthquake. Methods COPM was applied to evaluate 51 patients in hospital before and 1 months after treatment. The first evaluation confirmed the problems on occupational activities for them. Then the plan was made to solve the problems. The second evaluation was to assess the effect of the treatment.Results The problem of self-care activity is more than that of productive activities and leisure activities(P<0.01). Total scores of performance of occupational activity and satisfaction improved(P<0.01, P<0.01)Conclusion COPM is helpful to confirm the problems of occupational activities and contribute to develope the primary goals for rehabilitation and treatment programs.