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Canadian Occupational Performance Measure (COPM)
Available for purchase at this website: Canadian Occupational Performance Measure (COPM)
Supplemental – Highly Recommended: Cerebral Palsy (CP)
Supplemental: Spinal Cord Injury (SCI), SCI-Pediatric (age 2 and over for parent report; age 6 and over for child report) and Stroke
Exploratory: Spinal Muscular Atrophy (SMA) and Duchenne Muscular Dystrophy (DMD)
Short Description of Instrument
Construct measured: Performance and satisfaction in leisure productivity and self- care from client perspective.
Generic vs. disease specific: Generic
Means of administration: Typically administered by an Occupational Therapist
Intended respondent: Participant, although a caregiver may respond on the participant’s behalf
# of items: The five most urgent problems are identified.
# of subscales and names of sub-scales: N/A
# of items per sub-scale: N/A
Comments/Special Instructions
Scoring: Importance is ranked, performance and satisfaction are scored separately from 1–10. Scores (importance and performance and importance and satisfaction) can then be multiplied for a maximum of 100.
Background: The COPM is designed to detect change in an individual’s self- perception of occupational performance over time. The instrument has been validated for ages 6–65+. The COPM has been translated into 24 languages.
Strengths/Weaknesses: Some authors have commented that the tool can be time consuming and difficult to administer; requires the administrator to be comfortable with a patient centered approach; and due to the non-standardized interview, quality and consistency may vary between administrators. The COPM may be used for all levels and severities of injury, but may be less appropriate for acute and early Phase trials/interventions.
The COPM has been well-established in adult and pediatric clinical samples (Cup et al., 2003; Dedding et al., 2004; Eyssen et al., 2005; Cusick 2006). Although it was adapted for very young children (Cusick et al., 2007), the COPM focuses assessment of performance in self-care, productivity and leisure (Law et al., 1990). The COPM has been used in SCI studies, several of which demonstrated its responsiveness to change (Mulcahey et al., 1995; Wangdell & Friden, 2010)
Psychometric Properties: Recent studies have featured psychometric properties including clinical utility, validity and responsiveness. The results were very positive, demonstrating support for the reliability and validity of the COPM. Clinical utility, examined through several different studies supports the use of the COPM with a wide variety of clients in various settings (Dedding et al., 2004; Verkerk et al., 2006).
Administration: Time to administer is 10–20 minutes, no equipment is required, training can be conducted by reading an article/manual.
Bickes MB, Deloache SN, Dicer JR, Miller SC. Effectiveness of Experiential and Verbal Occupational Therapy Groups in a Community Mental Health Setting. Occup Ther Mental Health. 2001;17(1):51–72.
Bodiam, C. The Use of the Canadian Occupational Performance Measure for the Assessment of Outcome on a Neurorehabilitation Unit. Br JOccup Ther.1999;62(3):123–126.
Cup EH, Scholte op Reimer WJ, Thijssen MC, & van Kuyk-Minis MA. Reliability and validity of the Canadian Occupational Performance Measure in stroke patients. Clin Rehabil. 2003;17(4):402–409.
Cusick, A., Lannin, N. A., & Lowe, K. (2007). Adapting the Canadian Occupational Performance Measure for use in a paediatric clinical trial. Disabil Rehabil, 29(10), 761–766.
Dedding C, Cardol M, Eyssen IC, Dekker J, Beelen A. Validity of the Canadian Occupational Performance Measure: a client-centred outcome measurement. Clin Rehabil. 2004;18(6):660–667.
Eyssen IC, Steultjens MP, Oud TA, Bolt EM, Maasdam A, Dekker J. Responsiveness of the Canadian occupational performance measure. J Rehabil Res Dev. 2011;48(5):517–528.
Kirsh B & Cockburn L. The Canadian Occupational Performance Measure: a tool for recovery-based practice. Psychiatr Rehabil J. 2009;32(3):171–176.
Law M, Baptiste S, McColl M, Opzoomer A, Polatajko H, Pollock N. The Canadian occupational performance measure: an outcome measure for occupational therapy. Can J Occup Ther. 1990;57(2):82–87.
McColl MA, Law M, Baptiste S, Pollock N, Carswell A, Polatajko HJ. Targeted applications of the Canadian Occupational Performance Measure. Can J Occup Ther. 2005;72(5):298–300.
Verkerk GJ, Wolf MJ, Louwers AM, Meester-Delver A, Nollet F. The reproducibility and validity of the Canadian Occupational Performance Measure in parents of children with disabilities. Clin Rehabil. 2006;20(11):980–988.
Wangdell J. & Friden J. Satisfaction and performance in patient selected goals after grip reconstruction in tetraplegia. J Hand Surg Eur Vol, 2010;35(7):563–568.
Cusick A, Lannin NA, Lowe K. Adapting the Canadian Occupational Performance Measure for use in a paediatric clinical trial. Disabil Rehabil. 2007;29(10):761–766.
Cusick A, McIntyre S, Novak I, Lannin N, Lowe K. A comparison of goal attainment scaling and the Canadian Occupational Performance Measure for paediatric rehabilitation research. Pediatr Rehabil. 2006;9(2):149–157.
Mulcahey MJ, Smith BT, Betz RR, Weiss AA. Outcomes of tendon transfer surgery and occupational therapy in a child with tetraplegia secondary to spinal cord injury. Am J Occup Ther. 1995;49(7):607–617.
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