title: Utility of the Canadian Occupational Performance Measure as an admission and outcome measure in interdisciplinary community-based geriatric rehabilitation.
abstract: In a community-based geriatric rehabilitation project, the Canadian Occupational Performance Measure (COPM) was used to develop a coordinated, interdisciplinary, and client-centred approach focusing on occupational performance. The purpose of this study was to evaluate the utility of the COPM as an admission and outcome measure in an interdisciplinary geriatric rehabilitation context in Denmark. Eighteen occupational and physiotherapists administered the COPM among elderly citizens. Of 185 citizens referred to the study, 152 were admitted to rehabilitation based on health indices, and 124 completed the COPM after their admission, identifying 404 occupational performance issues in all. Post-assessment data were obtained from 95 participants and revealed statistically significant positive change (p < 0.001) in both performance and satisfaction with performance. Furthermore the therapists answered a questionnaire evaluating their experiences, showing that they found development in knowledge and community between the professions to benefit both therapists and citizens, and gained a better insight into their clients' everyday lives through the COPM. In conclusion, the COPM may be useful as an admission and outcome measurement for the rehabilitation of elderly citizens; however, aspects of education and administration must be considered before the instrument can be successfully administered in an interdisciplinary geriatric rehabilitation context.
authors.affiliation: Department of Occupational Therapy, Metropolitan University College, Copenhagen, Denmark. anel@phmetropol.dk
authors.forename: Anette
authors.initials: A
authors.lastname: Enemark Larsen
authors.forename: Gunilla
authors.initials: G
authors.lastname: Carlsson
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D003153:Community Health Services; D003718:Denmark; D005260:Female; D006801:Humans; D007899:Leisure Activities; D008297:Male; D051346:Mobility Limitation; D009788:Occupational Therapy; D017063:Outcome Assessment, Health Care; D026761:Physical Therapy Specialty; D011594:Psychometrics; D012047:Rehabilitation Centers; D018709:Statistics, Nonparametric