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Responsiveness of the Swedish version of the Canadian Occupational Performance Measure
Linköpings universitet, Institutionen för samhälls- och välfärdsstudier. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Närsjukvården i centrala Östergötland, Geriatriska kliniken.
Linköpings universitet, Institutionen för klinisk och experimentell medicin, Rehabiliteringsmedicin. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Rekonstruktionscentrum, Rehabiliteringsmedicinska kliniken US.
Linköpings universitet, Institutionen för samhälls- och välfärdsstudier. Linköpings universitet, Hälsouniversitetet.
1999 (engelsk)Inngår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, Vol. 6, nr 2, s. 84-89Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

In a client-centred approach, clients and therapists work together to define the occupational performance problem, the focus of and need for intervention and the preferred outcomes. Application of specific theories or techniques to involve clients in goal-setting may influence the therapist to use a client participation approach. The Canadian Occupational Performance Measure (COPM) presents a structure for formulating the treatment goals identified by the client in co-operation with the therapist. The aim of this study was to test the responsiveness of the Swedish version of the COPM. After translation into Swedish, the COPM was introduced to 21 occupational therapists who performed data collection. A sample of 108 clients within geriatric, neurologic and orthopaedic rehabilitation identified 418 problems at initial scoring and reassessment. Inclusion criteria for patients were the need for rehabilitation interventions and the ability to communicate well enough in an interview. The results indicate that the Swedish version of the COPM is responsive to change, with 73% of the problems identified having a change in score of 2 points or more.

sted, utgiver, år, opplag, sider
1999. Vol. 6, nr 2, s. 84-89
HSV kategori
Identifikatorer
URN: urn:nbn:se:liu:diva-14364DOI: 10.1080/110381299443771OAI: oai:DiVA.org:liu-14364DiVA, id: diva2:23338
Tilgjengelig fra: 2007-03-23 Laget: 2007-03-23 Sist oppdatert: 2009-08-21
Inngår i avhandling
1. Client participation in the rehabilitation process
Åpne denne publikasjonen i ny fane eller vindu >>Client participation in the rehabilitation process
2002 (engelsk)Doktoravhandling, med artikler (Annet vitenskapelig)
Abstract [en]

This thesis evaluates the rehabilitation process with respect to client participation. The Swedish version of a client-centred structure, the Canadian Occupational Performance Measure (COPM), is evaluated from the perspectives of the clients, the occupational therapists and the members of a rehabilitation team. Data have been collected through diaries, the COPM, assessments of ability to perform activities of daily living, mobility, self-assessments of pain and health, interviews with clients, interviews with staff, and focus groups interviews.

The results show that a structured method is needed in order to improve clients’ active participation in goal formulation.

The Swedish version of the COPM has high responsiveness to change over time. The use of the COPM improved client participation in the goal-formulation process, according to the results from a study with experiment and control groups. The clients perceived that treatment goals were identified, they were able to recall the goals and felt that they were active participants. They also perceived they had a higher ability to manage after the rehabilitation period was completed compared to clients in the control group.

The clinical utility of the Swedish version of the COPM was confirmed in focus-group interviews with occupational therapists. The occupational therapists perceived the COPM as helpful in the goal-setting process and planning of treatment interventions. Even though problems are identified, they are directly related to, and formulated as, goals. Clients receive feedback on improvement over time. The COPM ensures a client-centred approach, facilitates communication within the rehabilitation team, and encourages therapists in their professional role. Therapists need knowledge about the theoretical foundation of the instrument and have to develop a personal interview technique.

When the COPM is used in a team setting, it provides the team with broader information on what is purposeful occupation to the client. The focus is on occupational performance rather than function. According to team members the use of the COPM as a team tool increased client participation, was a good outcome measure, resulted in distinct goals, and focused on goals that were meaningful to the client.

Implementation of a client-centred approach is facilitated when a structured method is used, but this is not enough. Involvement and motivation from all team members are required, as well as support during the introduction and implementation period. Support from management, knowledge about the underlying theory, time for discussions and reflections as well as opportunities to develop a personal interview technique are pointed out as important factors for a successful implementation.

sted, utgiver, år, opplag, sider
Linköping: Linköping University Electronic Press, 2002. s. 70
Serie
Linköping University Medical Dissertations, ISSN 0345-0082 ; 722
Emneord
Occupational therapy, Client-centred practice, https://www.diva-portal.org/liu/webform/form.jsp#paper0COPM, Participation, Rehabilitation, Goal formulation, Outcome
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-8594 (URN)91-7373-167-6 (ISBN)
Disputas
2002-04-05, Berzeliussalen, Campus US, Linköpings Universitet, Linköping, 09:00 (engelsk)
Opponent
Veileder
Merknad
On the day of the defence date the status on article V was Submitted.Tilgjengelig fra: 2007-03-23 Laget: 2007-03-23 Sist oppdatert: 2012-01-25bibliografisk kontrollert

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