使用儿童作业表现测量（COPM）对基于社区的儿童职业治疗服务进行描述性评估。
Descriptive evaluation of community based children's occupational therapy services using COPM.
作者信息
Mills Caroline, Ritchie Stephanie, Zucco Annette, Hazeltine Kirralee, Sheaves Jessica, Liu Karen P Y
机构信息
School of Health Sciences, Western Sydney University, Sydney, NSW, Australia.
Translational Health Research Institute (THRI), Western Sydney University, Sydney, NSW, Australia.
出版信息
Hong Kong J Occup Ther. 2025 Jun 26:15691861251354878. doi: 10.1177/15691861251354878.
BACKGROUND
Community occupational therapy forms a critical primary health service in supporting the development of young children. This study aims to explore characteristics of service provision, parent rated outcomes and the relationship between dosing and service outcomes.
METHODS
A retrospective file review was completed to examine the services received by 60 children, aged 0-6 (mean age 3.8 years). Characteristics of service provision were described. Parent-reported performance and satisfaction scores of the Canadian Occupational Performance Measure (COPM) before and after the intervention were compared. Spearman rank order correlation was used to explore the relationship between intervention "dose" and therapy outcomes.
RESULTS
Most children ( = 51; 85%) received individual therapy for handwriting and motor skills. The average wait time was 26.4 weeks (SD = 19.0). Results of COPM showed improvements in both performance and satisfaction scores ( < 0.001). Spearman rank order correlation showed no relationship between dosing and outcomes. This study has reported the predominant service provision around handwriting and motor skills with a long wait time.
CONCLUSION
Findings may assist in future service development, including the service to be provided, considering wait times and equity considerations. Further work is needed to explore what dosage yields the best outcomes.
背景
社区职业治疗在支持幼儿发育方面构成一项关键的初级卫生服务。本研究旨在探索服务提供的特点、家长评定的结果以及治疗剂量与服务结果之间的关系。
方法
完成一项回顾性档案审查，以检查60名0至6岁（平均年龄3.8岁）儿童接受的服务。描述了服务提供的特点。比较了干预前后家长报告的加拿大职业表现测量（COPM）的表现和满意度得分。使用斯皮尔曼等级相关来探索干预“剂量”与治疗结果之间的关系。
结果
大多数儿童（n = 51；85%）接受了针对书写和运动技能的个体治疗。平均等待时间为26.4周（标准差 = 19.0）。COPM的结果显示表现和满意度得分均有改善（P < 0.001）。斯皮尔曼等级相关显示剂量与结果之间无关系。本研究报告了围绕书写和运动技能的主要服务提供情况以及较长的等待时间。
结论
研究结果可能有助于未来的服务发展，包括考虑等待时间和公平性因素后应提供的服务。需要进一步开展工作以探索何种剂量能产生最佳结果。
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