The Canadian Occupational Performance Measure (COPM) as Routine Practice in Community-Based Rehabilitation: A Retrospective Chart Review
Objective: To investigate whether patients experienced improved functional outcomes as a result of their admission to rehabilitation and to identify whether the service provided effective, patient-centered and goal-directed rehabilitation. Design: Retrospective chart review of admission and discharg...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-09-01
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| Series: | Archives of Rehabilitation Research and Clinical Translation |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590109521000380 |
| _version_ | 1818362882639790080 |
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| author | Glade Vyslysel, MOT Daniel Barker, PhD Isobel J. Hubbard, PhD |
| author_facet | Glade Vyslysel, MOT Daniel Barker, PhD Isobel J. Hubbard, PhD |
| author_sort | Glade Vyslysel, MOT |
| collection | DOAJ |
| description | Objective: To investigate whether patients experienced improved functional outcomes as a result of their admission to rehabilitation and to identify whether the service provided effective, patient-centered and goal-directed rehabilitation. Design: Retrospective chart review of admission and discharge data from patients accessing the service between 2011 and 2019. Setting: Community-based interdisciplinary rehabilitation service. Participants: Consecutive patients (N=612) admitted to the service. Interventions: Routine care delivered with a median duration of 181 days and an interquartile range of 120-261 days. Main Outcome Measures: The Canadian Occupational Performance Measure (COPM) administered on admission and discharge and an improvement ≥2 in the COPM subscales of performance and satisfaction. Results: Of 612 participants, 96% had the COPM administered at admission (baseline) and 68% again at discharge. Performance and satisfaction were measured in 584 patients at admission, 406 at discharge, and 404 at both time points. For performance, 243 patients (60%) experienced an improvement (≥2), with an average of 2.2 points. For satisfaction, 268 patients (66%) experienced an improvement (≥2), with an average of 2.8 points. Factors influencing outcomes, differed. For each 10 year increase in patient age, the average improvement in satisfaction was 0.26 points lower (95% confidence interval, 0.07-0.45) after adjusting for sex, duration, completion, and health condition. Conclusions: Irrespective of patient-related factors and regardless of age, sex, health condition, or discharge plan, the majority of patients reported a positive functional outcome in COPM Performance and satisfaction as a result of time spent in the community-based rehabilitation service. This service provided equitable care and patient-centered, goal-focused, and outcome-based therapy that enabled patients to improve their functional capacity. |
| first_indexed | 2024-12-13T21:39:39Z |
| format | Article |
| id | doaj.art-56fbec7375e94451a24dc13c90e2003b |
| institution | Directory Open Access Journal |
| issn | 2590-1095 |
| language | English |
| last_indexed | 2024-12-13T21:39:39Z |
| publishDate | 2021-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Archives of Rehabilitation Research and Clinical Translation |
| spelling | doaj.art-56fbec7375e94451a24dc13c90e2003b2022-12-21T23:30:34ZengElsevierArchives of Rehabilitation Research and Clinical Translation2590-10952021-09-0133100134The Canadian Occupational Performance Measure (COPM) as Routine Practice in Community-Based Rehabilitation: A Retrospective Chart ReviewGlade Vyslysel, MOT0Daniel Barker, PhD1Isobel J. Hubbard, PhD2Hunter New England Local Health District, Westlakes Community Rehabilitation Team, Toronto, NSW; Corresponding author Glade Vyslysel, MOT, Hunter New England Local Health District, Westlakes Community Rehabilitation Team, 6 James St, Toronto, NSW, Australia 2283.School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, AustraliaSchool of Medicine and Public Health, University of Newcastle, Callaghan, NSW, AustraliaObjective: To investigate whether patients experienced improved functional outcomes as a result of their admission to rehabilitation and to identify whether the service provided effective, patient-centered and goal-directed rehabilitation. Design: Retrospective chart review of admission and discharge data from patients accessing the service between 2011 and 2019. Setting: Community-based interdisciplinary rehabilitation service. Participants: Consecutive patients (N=612) admitted to the service. Interventions: Routine care delivered with a median duration of 181 days and an interquartile range of 120-261 days. Main Outcome Measures: The Canadian Occupational Performance Measure (COPM) administered on admission and discharge and an improvement ≥2 in the COPM subscales of performance and satisfaction. Results: Of 612 participants, 96% had the COPM administered at admission (baseline) and 68% again at discharge. Performance and satisfaction were measured in 584 patients at admission, 406 at discharge, and 404 at both time points. For performance, 243 patients (60%) experienced an improvement (≥2), with an average of 2.2 points. For satisfaction, 268 patients (66%) experienced an improvement (≥2), with an average of 2.8 points. Factors influencing outcomes, differed. For each 10 year increase in patient age, the average improvement in satisfaction was 0.26 points lower (95% confidence interval, 0.07-0.45) after adjusting for sex, duration, completion, and health condition. Conclusions: Irrespective of patient-related factors and regardless of age, sex, health condition, or discharge plan, the majority of patients reported a positive functional outcome in COPM Performance and satisfaction as a result of time spent in the community-based rehabilitation service. This service provided equitable care and patient-centered, goal-focused, and outcome-based therapy that enabled patients to improve their functional capacity.http://www.sciencedirect.com/science/article/pii/S2590109521000380COPMInterdisciplinaryPatient-reported outcome measuresRehabilitationStroke |
| spellingShingle | Glade Vyslysel, MOT Daniel Barker, PhD Isobel J. Hubbard, PhD The Canadian Occupational Performance Measure (COPM) as Routine Practice in Community-Based Rehabilitation: A Retrospective Chart Review Archives of Rehabilitation Research and Clinical Translation COPM Interdisciplinary Patient-reported outcome measures Rehabilitation Stroke |
| title | The Canadian Occupational Performance Measure (COPM) as Routine Practice in Community-Based Rehabilitation: A Retrospective Chart Review |
| title_full | The Canadian Occupational Performance Measure (COPM) as Routine Practice in Community-Based Rehabilitation: A Retrospective Chart Review |
| title_fullStr | The Canadian Occupational Performance Measure (COPM) as Routine Practice in Community-Based Rehabilitation: A Retrospective Chart Review |
| title_full_unstemmed | The Canadian Occupational Performance Measure (COPM) as Routine Practice in Community-Based Rehabilitation: A Retrospective Chart Review |
| title_short | The Canadian Occupational Performance Measure (COPM) as Routine Practice in Community-Based Rehabilitation: A Retrospective Chart Review |
| title_sort | canadian occupational performance measure copm as routine practice in community based rehabilitation a retrospective chart review |
| topic | COPM Interdisciplinary Patient-reported outcome measures Rehabilitation Stroke |
| url | http://www.sciencedirect.com/science/article/pii/S2590109521000380 |
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