Shelley Mulligan, PhD, OTR/L, FAOTA, is Associate Professor, Department of Occupational Therapy, University of New Hampshire, Durham;
Am J Occup Ther. 2021 Mar-Apr;75(2):7502345030p1-7502345030p8. doi: 10.5014/ajot.2021.043158.
Occupational performance measures are essential for guiding client-centered interventions for children and for measuring progress and program outcomes.
To evaluate and report on the psychometric properties of a new assessment tool, the Children's Occupational Performance Questionnaire (COPQ).
Descriptive and correlational methods were used.
A convenience sample primarily from the northeastern United States was recruited, consisting of the caregivers of 156 children and 25 older children who completed the COPQ as a self-report. Participants' ages ranged from 2 mo to 19 yr. Seventy-five percent of them identified as typically developing, and 25% had a medical condition or disability affecting development.
Data from completed questionnaires assessing children with and without disabilities were used to explore aspects of the COPQ's content validity, including age trends and item difficulty. Internal consistency reliability was also examined for each of the five domains: Personal Activities of Daily Living, Instrumental Activities of Daily Living, Social Participation, Play/Leisure, and Education/Work.
Each COPQ domain showed strong internal consistency reliability (Cronbach's α = .96-.99). Age trends indicated increasing competency in occupational performance with age across domains and supported occupational performance as a developmental construct.
The COPQ shows promise as a reliable occupational performance measure for children for both clinical and research purposes. Potential items for modification or deletion were identified to reduce redundancy and increase efficiency. Further study of the tool's psychometrics and normative data collection are needed.
The COPQ addresses all areas of occupational performance and is being developed as a valid, reliable assessment tool for children. It aims to assist in guiding occupational therapy interventions and detecting changes in occupational performance in response to treatment.
职业表现衡量标准对于指导以客户为中心的干预措施、衡量进展和项目成果至关重要。
评估和报告一种新评估工具——儿童职业表现问卷（COPQ）的心理测量学特性。
使用描述性和相关性方法。
主要从美国东北部招募了一个方便样本，包括 156 名儿童及其照顾者，其中 25 名年龄较大的儿童作为自我报告完成了 COPQ。参与者的年龄从 2 个月到 19 岁不等。其中 75%的人被认定为正常发育，25%的人有影响发育的医疗状况或残疾。
使用完成的问卷数据评估有无残疾的儿童，以探索 COPQ 的内容有效性的各个方面，包括年龄趋势和项目难度。还检查了五个领域（个人日常生活活动、工具性日常生活活动、社会参与、游戏/休闲和教育/工作）的每个 COPQ 领域的内部一致性可靠性。
COPQ 显示出作为一种用于临床和研究目的的可靠儿童职业表现衡量标准的潜力。确定了潜在的修改或删除项目，以减少冗余并提高效率。需要进一步研究该工具的心理测量学和规范数据收集。
COPQ 涵盖了职业表现的所有领域，正在开发成为一种针对儿童的有效、可靠的评估工具。它旨在帮助指导职业治疗干预措施，并检测治疗后职业表现的变化。
