Conclusion ] This review indicates that the Canadian Occupational Performance Measure is appropriate for clinicians , including physiotherapists , in assessing outcome for patients with stroke .
Reliability and validity of the Canadian Occupat189ional Performance Measure in stroke patients
Objective : To research test – retest reliability and discriminant validity of the Canadian Occupational Performance Measure ( COPM ) , a client-centred outcome measure , in stroke patients . Design : The COPM was administered twice with a mean interval of eight days ( SD 2.5 , range 5–16 ) . On both occasions the patient identified a maximum of five problems in daily activities . The problems of both interviews were compared . The problems identified during the first COPM were rated by the patient on a performance and satisfaction rating scale on both occasions . The individually identified items with use of the client-centred COPM were compared with the fixed items of st and ardized measures ( Barthel Index , Frenchay Activities Index , Stroke Adapted Sickness Impact Profile-30 , Euroqol 5D and Rankin Scale ) . Setting : Patients were interviewed at their place of residence . Subjects : Twenty-six stroke patients participated , 11 men and 15 women , aged from 26 to 83 years ( mean 68 , SD 15 ) . Twenty-four patients were six months , two patients were two months post stroke . Results : Of the 115 problems identified during the first COPM , 64 ( 56 % ) were also identified the second time . Correlation coefficients for the scores were 0.89 ( p < 0.001 ) for performance and 0.88 ( p < 0.001 ) for satisfaction . Of the individual problems identified with the COPM , 25 % or less were present in the st and ardized measures . Correlations between the scores on the COPM and the st and ardized measures were low and nonsignificant , while all st and ardized measures correlated significantly with each other . Conclusions : Test – retest reliability of the COPM was moderate for the item pool but was good for the performance and satisfaction scores . Discriminant validity was confirmed . Many patient-unique problems identified with the COPM were not evaluated by st and ardized measures
Conclusion ] This review indicates that the Canadian Occupational Performance Measure is appropriate for clinicians , including physiotherapists , in assessing outcome for patients with stroke .