Enhancing a Client-Centred Practice with the Canadian Occupational Performance Measure

Table 1

An overview of the included papers ().

Reference name/number	Goal/aim	Study design	Method	Materials (sample and context)
Bjørkedal et al. [31]	To qualitatively evaluate the feasibility of client-centred OT intervention focused on enabling meaningful occupations and supporting the recovery process for individuals with schizophrenia in the early phases of recovery.	Qualitative study.	A qualitative study comprising an eight-week client-centred OT intervention and semistructured interviews with five of the six clients out of 10 who completed the intervention. The COPM was used to initiate and guide the intervention, and the Canadian Model of Client-Centred Enablement was used for the client-therapist relationship.	Ten participants with schizophrenic disorders, five of whom (three women and two men) participated in postintervention semistructured interviews. They were recruited from the community and lived in their own apartments.
Colquhoun et al. [34]	To survey OTs currently using the COPM to gather their perceptions about the use of the COPM on a routine basis.; A secondary objective was to propose a meaningful template for summarizing routine COPM data.	Mixed method study.	The OTs were given a short-answer written questionnaire that focused on the key areas, derived from the literature, in the routine outcome measures used. These questions related to the feasibility of the COPM and the value of the data. In addition, the resulting five months of COPM data were summarized into a proposed template based on what the OTs found meaningful.	Three female OTs, with six, eight, and 31 years of practice. They had been working in the geriatric unit for one year, five years, and one year, respectively.
Colquhoun et al. [35]	To determine whether COPM administration was associated with changes in eight dimensions of OT practice.	Mixed-method study.	A before-and-after study with repeated tests. The eight practice dimensions were assessed after three months of usual care (no COPM use) and after three months of intervention (COPM use) using chart-stimulated recall (CSR) interviews and chart audit.	24 OTs working in eight inpatient geriatric rehabilitation facilities across two large urban centres. Potential sites were identified by geographic area and the presence of inpatient geriatric rehabilitation units.
Donovan et al. [32]	To describe the occupational concerns and goals of mothers who care for children with disabilities.	Qualitative study.	A qualitative design analysing retrospective data collected using the COPM.	38 mothers of children with disabilities.
Enemark Larsen and Carlsson [19]	To evaluate the utility of the COPM in an interdisciplinary geriatric rehabilitation context (RCC) in Copenhagen in terms of (a) its utility to both OTs and physiotherapists, (b) its utility to document change, and (c) the therapists’ experiences with the administration and usability of the COPM.	Mixed-method study.	Data were collected from a pre- and postassessment with the COPM and a questionnaire answered by all participating therapists.	18 therapists (11 physiotherapists and seven OTs) participated in the project group.; 185 elderly clients referred to the RCC by home care personnel or general practitioners participated in the study through consecutive sampling over a period of eight months.
Engelbrecht et al. [36]	To determine whether healthcare workers could successfully identify the occupational performance priorities of adult people with disabilities (PWD) living in a Kwaguqa community in the Mpumalanga province of South Africa.	Mixed-method study.	A nonexperimental descriptive design using descriptive survey questionnaires, for example, the COPM, which captured quantitative and qualitative data.	25 adults (17 men and 8 women) from the Thembelihle Self Help Centre and the Kwaguqa Association for the Disabled Workshop with mobility or dexterity problems, aged 18 to above 60 years of age, plus seven female healthcare workers responsible for the service in the Kwaguqua area.
Gustafsson et al. [33]	To investigate the goal-setting process and clinical utility of the COPM from the perspective of OTs within a spinal cord injury unit (SIU).	Qualitative study.	A focus group interview was conducted with seven OTs working in an SIU to explore their experiences and use of goalsetting and the COPM. Inductive thematic analysis identified key themes from their comments.	Seven female OTs, with a mean age of 29.7 (SD 8.38) years. Their clinical experience working in the hospital SIU ranged from less than 6 months to more than 20 years.
Hannah [29]	To summarize the psychological impact of severe hand injuries, to discuss coping strategies for the social impacts of severe hand injuries, and to outline assessments and strategies that can be used by hand therapists to treat the whole person, develop patient-centred goals, and improve therapy outcomes.	An opinion study based on a literature review.	Opinion based on a literature review.	No material included as due to the study format.
Parker [11]	To determine clients’ and OTs’ perceptions of the CCP in OT in the UK	PhD dissertation. Different studies—a review, a survey, and a qualitative design.	A mixed-method study examining the views of clients and therapists was undertaken using a systematic review to examine global evidence of client-centred outcome measures, a survey of the experiences of a sample of therapists and individual client and OT interviews.	Study (1): 25 OTs opted to attend the focus group. The gender profile of the group was 3 males and 22 females. Study (2): 230 questionnaires were sent to OTs, and 25% were returned. Study (3): four OTs with 4–30 years of education and four clients aged 35–81 years.
Richard and Knis-Matthews [1]	To compare the intervention goals identified by clients and an OT using the COPM.	Qualitative study.	In-depth interviews were conducted with an OT and her clients in conjunction with the use of the COPM.	Seven clients living in a long-term residential programme and diagnosed with schizophrenia and one OT who had worked at the programme for three years at the time of the study.
Stevens et al. [28]	To identify the currently available patient-specific measurement instruments used in the process of goalsetting and to assess their feasibility.	A qualitative systematic review.	After a systematic search in PubMed, EMBASE, CINAHL, PsychINFO, and REHABDATA, patient-specific instruments were included, structured within a goal-setting practice framework and subjected to a qualitative thematic analysis of feasibility.	25 patient-specific instruments were identified, and 11, one of which was the COPM, were included.
Tuntland et al. [30]	To investigate the validity, responsiveness, interpretability, and feasibility of the COPM when used by various health professions in home-dwelling older adults receiving assistance.	A quantitative study on psycometrics.	A quantitative study following the COSMIN guidelines and recommendations for evaluating methodological quality.	The sample included 225 participants, mean age 80.8 years, in need of rehabilitation for various health conditions. Data collection was conducted at baseline and at a 10-week follow-up. The assessments were conducted by 12 nurses, 33 OTs, 27 physiotherapists, five auxiliary nurses, and one social educator.