Using the COPM in Research Studies
We recently read an excellent research paper on a randomized, controlled trial in the Scandinavian Journal of Occupational Therapy (Nielsen, Andersen, Petersen, Polatajko, & Nielsen, 2018). This study used the COPM as the outcome measure of a comparison of usual practice (called occupational therapy [OT] re-enablement) with an intensive client-centred occupational therapy (ICC-OT) for older-adults requiring home care services. The primary outcome was self-rated occupational performance measured by the COPM. Two other measures assessed the components of occupation: the Assessment of Motor and Process Skills (AMPS), and the physical and mental components of health-related quality of life using the 36-Item Short Form Survey (SF-36). The participants with various health issues and eligible for home services, were assessed at three time points: baseline, after three months, and after six months.
Fifty-nine participants over the age of sixty were in the ICC-OT group, which consisted of a maximum of 22 visits over 11 weeks. Sixty participants were in the usual practice group that had a maximum of three visits from OTs in addition to regular visits from home assistants, who carried out the OT instructions. All participants, from both groups, received usual practice OT for the final three months.
The results of this research demonstrated that the ICC-OT group significantly improved the participants’ perceptions of their occupational performance at three and six months as measured by the COPM when compared to the usual practice group. The ICC-OT participants’ satisfaction with their occupational performance also improved. The authors note that the motor and process skills on the AMPS as well as the physical and mental health (SF-36) of the ICC-OT group were better after three and six months. Further, the observation that there was a lingering benefit in occupational performance at the six-month assessment, indicates that the strategies learned through the ICC-OT appeared to have been successfully implemented in the participants’ lives.
If you are interested in reading the paper in detail, it is available through the URL in the reference below.
Nielsen, T.L., Andersen, N.T., Petersen, K.S., Polatajko, H., & Nielsen, C.V. (2018). Intensive client-centred occupational therapy in the home improves older adults’ occupational performance. Results from a Danish randomized controlled trial. Scandinavian Journal of Occupational Therapy.
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