初级保健中的加拿大职业表现测量量表（COPM）：实践概况
Canadian Occupational Performance Measure (COPM) in Primary Care: A Profile of Practice.
作者信息
Donnelly Catherine, O'Neill Colleen, Bauer Martha, Letts Lori
机构信息
Catherine Donnelly, PhD, OT Reg (Ont.), is Associate Professor, School of Rehabilitation Therapy, Queen's University, Kingston, Ontario, Canada;
Colleen O'Neill, BSc (OT), OT Reg (Ont.), is Occupational Therapist, McMaster Family Health Team, McMaster University, Hamilton, Ontario, Canada.
出版信息
Am J Occup Ther. 2017 Nov/Dec;71(6):7106265010p1-7106265010p8. doi: 10.5014/ajot.2017.020008.
OBJECTIVE
This study aimed to understand how the Canadian Occupational Performance Measure (COPM) can be used as an outcome measure in primary care and to identify the occupational performance profiles in this setting.
METHOD
First, the COPM was administered to all eligible clients at two sites. Second, a focus group with participating occupational therapists explored the feasibility of using the COPM in primary care.
RESULTS
A total of 161 COPMs were initially administered. Self-care goals were identified most frequently (n = 248), followed by productivity (n = 229) and leisure (n = 179) goals (total goals = 656). Mean initial performance and satisfactions scores were 3.2 and 2.8, respectively. The average change (n = 22) scores were 2.1 and 2.6, respectively.
CONCLUSION
The COPM is an invaluable tool to guide initial assessments and offer an occupation-focused lens. Given the lifespan approach and an emphasis on screening and assessment, the challenge was finding the opportunity for readministration.
目的
本研究旨在了解加拿大职业表现测量工具（COPM）如何用作初级保健中的结果测量指标，并确定该环境下的职业表现概况。
方法
首先，在两个地点对所有符合条件的客户进行COPM测量。其次，与参与研究的职业治疗师进行焦点小组讨论，探讨在初级保健中使用COPM的可行性。
结果
最初共进行了161次COPM测量。自我护理目标被识别的频率最高（n = 248），其次是生产力目标（n = 229）和休闲目标（n = 179）（目标总数 = 656）。初始表现得分和满意度得分的平均值分别为3.2和2.8。平均变化（n = 22）得分分别为2.1和2.6。
结论
COPM是指导初始评估并提供以职业为重点视角的宝贵工具。鉴于采用全生命周期方法并强调筛查和评估，面临的挑战是找到重新测量的机会。
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