Research Article

Clinical Utility of the Canadian Occupational Performance Measure in Older Adult Rehabilitation and Nursing Homes: Perceptions among Occupational Therapists and Physiotherapists in Spain

Table 4

The interpretative phenomenological analysis of the obtained data.

Focus group interview themesCodesSubcategoriesCategoriesComponent groups

Use of COPMAwareness (benefits) (27)Benefits or limitations expressed by the client or the family: client characteristics (age; physical, cognitive or emotional states; social and cognitive aspects); comprehension of the role of OT; participation of the client; the difficulty of grading; awareness; need and problem identification, and goal setting; and implication in the treatment process.Advantages: clients and familyAcceptable and appropriate
Listening (benefits) (8)
The implication/participation in the intervention process (17)Disadvantages: clients and family
Result improvement (10)
Characteristics of the client (13)
Unawareness of the professional role (3)
Emotional state (3)
Cognitive deterioration (3)
Difficulty in scoring (28)
Identification of the problems and goals (15)
Institutionalization, conformism (8)
Client-centered practice (15)Benefits or limitations (a) perceived by the professionals: the effectiveness and efficacy of the intervention; occupational performance problem identification; setting the goals; efficiency of the interview; evaluation of the results of the intervention; register of the changes; and decision-making process during the intervention; (b) related to knowledge and skills in CCP; and (c) related to the characteristics of the workplace (contract types, resources available, team, and the role of OT).Advantages: OT, PT, and the interdisciplinary team
Active listening (6)
Major dedication to the case/attention quality improvement (20)
Professional role and the team (8)Disadvantages: OT, PT, and the interdisciplinary team
Knowledge about the client, his/her needs and goals (16)
Competences related to use of the measure (15)
Intervention effectiveness/results (6)
Personal satisfaction (4)
Limitations CCP (11)
Environment/institution (6)
Resources (8)
Availability of time (11)
Social health/residencies characteristics (2)Benefits or perceived limitations related to their institution: philosophy or culture of the center; the grade of the implementation of the CCP; cultural and social levels; job and work organization; general cultural and social levels; resources; and evidence.Advantages: institution and society
Grade of implementation of the CCP (18)
Disadvantages: institution and society
Generation of the change/evidence (3)
Context (6)
Resources (14)
Social/cultural implications (3)

Learning processCharacteristics (4)Characteristics of the process of administration of the measure: How? (during the session, two different sessions, individual patient particularities/reactions, need in adapting the grading process, etc.)
Where? (department, room, with or without family, etc.)
When? (first time, first week, etc.).
Administration processPracticable
Sessions/administration (3)
Need in explication/adaptation (7)
The time of administration (9)
The moment of administration (7)
The process of learning (49)How was the learning process perceived? (changes at the initial stage, initial difficulties, etc.)
Reliability.
Learning process
The utility of the information, of the support provided, and of the materials and videos.Training
Interdisciplinary teamwork (26)The implication of the use of the measure to the teamwork (changes, level of the interest, participation, and renegotiations of the professional limits).Teamwork process

Future expectationsFuture (55)Use of the measure starting from the research closure. Application in the center or departments of OT; interest of the center.FutureAccessible
The occasionality of incomes (23)Includes resources needed for the measure to be used: economic and infrastructure/time/personal/materials.Resources
Professionals resources (7)
Infrastructure (7)