Timepoint for return to occupations post-burn injury using the Canadian Occupational Performance Measure (COPM)

Area of Science:

• Rehabilitation Medicine
• Occupational Therapy
• Burn Care Outcomes

Background:

• The Canadian Occupational Performance Measure (COPM) was implemented in a state-wide burns service to align with best practice guidelines for measuring post-burn recovery.
• The study aimed to determine the minimal important change in performance and satisfaction for burn patients and confirm the optimal reassessment timepoint.

Purpose of the Study:

• To establish the minimal important change in performance and satisfaction using the COPM for burn patients.
• To identify the most appropriate time for COPM reassessment in outpatient settings post-acute discharge.

Main Methods:

• A prospective longitudinal study involving 37 participants who completed the COPM before discharge and were reassessed during outpatient services.
• Reassessment timeframes were flexible, with assessments conducted in person, via phone, or video call.

Main Results:

• Outcomes plateaued around 12 months post-initial measurement.
• Participants commonly identified goals related to returning to work, sport, and driving.
• 86.5% of participants reported increased satisfaction with identified activities, with improvements in performance and satisfaction noted around 3 and 12 months post-injury.

Conclusions:

• For tertiary burn settings, COPM reassessment should occur between 3 and 12 months post-burn injury or upon discharge from the service.
• Findings will inform clinical practice to ensure efficient and accurate outcome assessment in burn rehabilitation.