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丹麦版加拿大职业表现量表的临床实用性。

Clinical utility of the Danish version of the Canadian Occupational Performance Measure.

机构信息

Department of Occupational Therapy, Department of Midwifery, Physiotherapy, Occupational Therapy and Psychomotor Therapy, University College Copenhagen, Copenhagen, Denmark.

The Research Initiative for Activity Studies and Occupational Therapy, General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.

出版信息

Scand J Occup Ther. 2021 Apr;28(3):239-250. doi: 10.1080/11038128.2019.1634150. Epub 2019 Jul 3.

DOI:10.1080/11038128.2019.1634150
PMID:31269403
Abstract

BACKGROUND

The Canadian Occupational Performance Measure (COPM) is intended to help clients identify and evaluate their occupational performance issues. As it enhances client-centred practice (CCP), more frequent use of the COPM might fulfill the political agenda of patient involvement in Denmark. However, in a study translating the COPM into Danish, challenges were found highlighting the need to study its clinical utility.

AIM

To examine the clinical utility of the Danish version of the COPM (COPM-DK) and help determine whether to recommend a more routinely use.

METHODS

Data gathered during qualitative interviews with 16 occupational therapists (OTs) from various settings were subjected to a qualitative content analysis.

RESULTS

The COPM-DK appeared to have clinical utility, especially regarding the meaning and relevance of the information obtained, and seemed to facilitate an occupational lens and CCP. The OTs' difficulties and concerns when using the COPM and their personal and environmental commitment to the COPM seemed associated with how they performed the COPM. Thus, training was recommended to facilitate a valid and reliable use.

CONCLUSION

Given the benefits and the perceived utility of the COPM-DK, a more routinely use, to place OTs and CCP in the center of Danish healthcare system, is recommended.Key MessagesThe utility of the Danish version of the Canadian Occupational Performance Measure is supported, according to Danish occupational therapists in various rehabilitation settings and hospitals.Using the Canadian Occupational Performance Measure seems to enhance a client-centred practice with collaborative goals and helps to establish partnership, being of value to the interdisciplinary team, too.The utility and acceptability of the Canadian Occupational Performance Measure seemed to be linked to the occupational therapists' experience and understanding of the Canadian Occupational Performance Measure's content and form, thus an introduction course is recommended to avoid a use that affects the assessment's validity and reliability.

摘要

背景

加拿大职业表现测量表(COPM)旨在帮助客户识别和评估其职业表现问题。由于它增强了以客户为中心的实践(CCP),因此更频繁地使用 COPM 可能会满足丹麦患者参与的政治议程。然而,在将 COPM 翻译成丹麦语的研究中,发现了一些挑战,这突出表明需要研究其临床实用性。

目的

检验丹麦版 COPM(COPM-DK)的临床实用性,并帮助确定是否推荐更常规地使用。

方法

对来自不同环境的 16 名职业治疗师(OT)的定性访谈中收集的数据进行了定性内容分析。

结果

COPM-DK 似乎具有临床实用性,尤其是在获得的信息的意义和相关性方面,并且似乎有助于促进职业视角和 CCP。OT 在使用 COPM 时遇到的困难和关注,以及他们对 COPM 的个人和环境承诺,似乎与他们如何执行 COPM 有关。因此,建议进行培训以促进有效和可靠的使用。

结论

鉴于 COPM-DK 的益处和实用性,建议更常规地使用 COPM-DK,将 OT 和 CCP 置于丹麦医疗保健系统的中心位置。

关键信息

丹麦职业治疗师在各种康复环境和医院中支持丹麦版加拿大职业表现测量表的实用性。

使用加拿大职业表现测量表似乎增强了以客户为中心的实践,具有协作目标,并有助于建立伙伴关系,对跨学科团队也很有价值。

加拿大职业表现测量表的实用性和可接受性似乎与职业治疗师对加拿大职业表现测量表的内容和形式的经验和理解有关,因此建议开设入门课程,以避免影响评估的有效性和可靠性的使用。

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