Canadian Occupational Performance Measure (COPM)

Canadian Occupational Performance Measure (COPM)

Components Include..

Introduction and Theoretical Application

How Does This Relate to the COPM?

What is the COPM?

All of this defines the underpinnings of COPM! The COPM is based on client-centeredness

• Developed approximately 15 years ago
• Initially developed to assist therapists in evaluating their interventions
• Used by other health professionals today
• Has a direct relation to the Occupational Therapy Practice Framework (OTPF) in that it is heavily client-centered
• Individualized

• Flexibility and openness to needs of patient and family
• Assumes everyone has a capability of choice
• Emphasizes needs of the individual, based on what they say
• It is a partnership rather than a gap in power
• Therapist is an enabler and not in a "higher power" than the patient
• Measures success by achieving what the patient initially wanted to achieve and was defined through an interview process with the enabler, or therapist
• Connected to unique environments and contexts of patients
• Assumes patient autonomy
• Callaborative process between patient and therapist

• The COPM was designed to be specifically looked at in direct conjunction with the CMOP, or the Canadian Model of Occupational Performance.
• The CMOP looks at person (affective, cognitive, and physical), the environment (physical, social, culture, and institutional), and the occupation (productivity, leisure, and self-care).

But First...

The client-centered practice approach...

• Originated with Carl Rogers, who emphasized the importance of developing a partnership between patient and therapist
• Can be emphasized regardless of clinical circumstances

Is

What

Client-Centeredness?

https://www.google.com/search?ch&q=carl+rogers+occupational+therapy&imgrc=5YH05TRZF5czqM%3A

Sound familiar?? That's because....

Procedures & Protocols for Administering COPM

Procedures and Protocols for Administering the COPM

Scoring (cont.)

• When all scores have been gathered for performance and satisfaction, they can be totaled and divided by the number of problems to get the average performance and average satisfaction scores. There are sections corresponding with each total and each average score.

Step 2: Rating Importance

• Occupations are rated in relation to importance
• Rated on a ten point scale
• 1 = Not important
• 10 = Extremely important
• Using the scale sheet, record clients' percieved performance of occupational issue
• Basis for clients participation in setting goals and intervention planning

Steps 3 & 4: Scoring

• Client uses step 2 to choose 5 of their current problems that are most significant to them
• May be related to the occupations they found most important
• Problems chosen and their corresponding ratings of importance are put into the scoring section
• The identified problems provide foundation for your intervention strategy
• For each identified problem, have the client perform self-assessments of their:
• performance in the problem area
• satisfaction of their performance in the problem area

Step 5: Reassessment

• Follows initial assessment on a date established by client and therapist prior to intervention
• Performance and satisfaction are rescored, but not the importance section
• Performance and satisfaction totals and averages are calculated once more
• During step 5, changes in performance and satisfaction from the initial COPM assessment are calculated by subtracting the values from the initial assessment from the values from the second assessment.

Procedures & Protocols for Administering COPM

The use of the COPM in Practice

Sampling, Normative Data, Standard and Criterion Scores, Reliability, and Validity

The COPM's sister model is the PEO Model! The PEO Model includes all of these elements and the additional element of occupational performance.

References

• 1st: Identify the problem
• Interview
• Interview skills are essential
• Occupations are identified based on: want to do, need to do, or expected to do
• Problem occupations are identified based on clients' satisfaction and the ability to perform them
• Client does not need to include ALL occupational performance areas and sub divisions
• Therapist follows clients' leads

SO....

• Semi-structured interview
• Rates clients priorities
• Assess performance and satisfaction
• Sensitive to clinets' point of view
• Identifies problems in occupational performance as stated by the patient
• Conducted at the beginning of therapy and throughout therapy to determine goals and progress
• Has 3 parts:
• Self-care (ADL & IADL)
• Productivity (Education & Work)
• Leisure (Play, Leisure, & Social Participation)
• All these areas support OCCUPATIONAL PERFORMANCE
• Occupational performance is defined as the ability to perform meaningful occupations and their satisfaction

Standarized (Law et al.)

From 1991-2003

88 articles

reliability: 3 of the 88 studies showed strong test-retest reliability in performance and satisfaction scores after a week from each other..

Validity: occupational performance was supported by 11 articles

The Canadian Occupational Performance Measure: A research and clinical literature review

Anne Carswell ■ Mary Ann McColl ■ Sue Baptiste ■ Mary Law ■ Helene Polatajko ■ Nancy Pollock

The COPM is the outcome measurement tool developed in relation to the CMOP and the PEO Model to evaluate all of these elements, using the client centered approach of a partnership between client and therapist because we take into consideration what the client WANTS and THEIR views of their level of performance

The COPM Components

• Self-care
• Personal care, functional mobility, & community management
• Productivity
• Paid/unpaid work
• Household management
• School & play
• Leisure
• Quiet & active recreation
• Socialization

Factors Potentially Biasing Results

Interpretation of the COPM

The COPM is used in over 35 countries and has been officially translated into 21 languages!

Clinical Application of the Assessment

Caregivers' judgements (age or cognition) (law article)

• ALL populations with a VARIETY of MENTAL and PHYSICAL disabilities
• If client can not answer for his or her self, caregivers are INTERVIEWED
• Can be used across many CULTURES

http://www.thecopm.ca/learn/#wp-video-lightbox/1/

The Canadian Occupational Performance Measure: A research and clinical literature review

Anne Carswell ■ Mary Ann McColl ■ Sue Baptiste ■ Mary Law ■ Helene Polatajko ■ Nancy Pollock