Leisure, which is further delineated into the following subcategories: a. Quiet recreation b. Active recreation c. The next step of the assessment involves the identification of the 5 most important problems, which are then rated relative to performance and satisfaction and are scored along a scale of 1 to 10 with 1 not being able to do the activity and 10 being able to do the activity extremely well, which is then calculated as a total score i.

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Fees You can ask your health care provider about how the COPM will be included within your fees for ongoing assessment and intervention. Check with your health care provider if you are eligible for funding to assist with the assessment and intervention fees. People with disability living in Australia may also be eligible for a health care rebate through Medicare or funding from the National Disability Insurance Scheme. Formal resources are available outlining the instructions for using and scoring the assessment.

To administer the assessment, health professionals need to complete self-paced and guided training which is available in hard-copy includes a training DVD or through an online training module on the comprehensive COPM website. Cost The assessment itself is available in paper and pen form, as a digital pdf or through the COPM Web App for tablet, computer or smartphone.

Descriptions of the assessment, training options, practical examples for using it and the evidence base for COPM can also be found on the website.

Different versions, including translations, can be purchased there. Method The client rates the importance of the activities which are selected in the interview with the health professional and prioritises up to five to focus on during intervention. Each of the five priority areas the client has chosen to focus on are rated using point scales on two domains: Performance — clients and family rate how well they can complete the activity Satisfaction with Performance — clients and family rate how satisfied they are with their current ability to complete the activity.

The average of the scores for both Performance and the Satisfaction domains before and after the intervention are compared to see what progress has been made and whether the intervention needs to be adjusted.

Things to note The COPM was developed to be used by occupational therapists to guide a client-centred approach to measuring the outcomes of therapy and interventions. It has also been adopted by other health professionals and health care and rehabilitation teams to guide client-centred, individualised care. It is one of the most commonly used measures in paediatric rehabilitation, reflecting its usefulness in clinical practice and research, and user confidence in its psychometric properties 2.

Psychometric properties reviewed Validity — the COPM has good to excellent internal consistency of both Performance and Satisfaction scales in children with cerebral palsy i. This is evidence of item cohesiveness and, thus, construct validity 3. Further evidence for construct validity is demonstrated by overlap of items identified on the COPM with items on the Pediatric Evaluation of Disability Inventory and quality-of-life measures 4. The COPM was found to have a significant overlap with problems identified by an open-ended-question interview - which is evidence for criterion validity 4.

Reliability — Inter-rater agreement has been examined by comparing numbers of items and the mean scores of items that were prioritised in both of two administrations of the COPM, one week apart 4. Although there are no published reports of test-retest reliability of the COPM used with children, the COPM has strong test-retest reliability when used with adult client groups 5.

Responsiveness — has been established by demonstrating that the magnitude of effect in experimentally proven interventions in randomised trials is substantially larger than the effect size in the comparison, control groups e. An increase of 2 points on the scale is considered to represent a clinically important change 7. NOTE: Assessments should have strong psychometric properties. These properties refer mainly to i validity — whether the tool measures what it is meant to measure, ii reliability — whether the results of the tool are stable under different conditions and, for tools which measure outcome iii responsiveness — whether the test is responsive to change.

The Canadian Occupational Performance Measure website. Paediatric application of individualised client-centred outcome measures: A literature review. British Journal of Occupational Therapy, 71 7 , See abstract Cusick, A. Adapting the Canadian Occupational Performance Measure for use in a paediatric clinical trial. Disability and Rehabilitation, 29 10 , See abstract Verkerk, G. The reproducibility and validity of the Canadian Occupational Performance Measure in parents of children with disabilities.

Clinical Rehabilitation, 20 11 , See abstract Carswell, A. Canadian Journal of Occupational Therapy, 71 4 , See abstract.


Canadian Occupational Performance Measure (COPM)



Canadian Occupational Performance Measure




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