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Canadian Occupational Performance Measure the state of the art - a review
Anette Enemark Larsen1, Mary Law2
1Department of Occupational Therapy, Institute of Midwifery and Therapy, Faculty of Health, Copenhagen University College, Copenhagen N, Denmark.
Scandinavian Journal of Occupational Therapy
|April 4, 2025
Summary
This study clarifies the Canadian Occupational Performance Measure (COPM) to improve its use. Understanding its client-centered nature, occupational performance, psychometric properties, and administration steps ensures valid and reliable documentation for therapists.
Area of Science:
- Occupational Therapy
- Rehabilitation Science
Background:
- Occupational therapists use interventions to improve client occupational performance and document outcomes.
- The Canadian Occupational Performance Measure (COPM) is a globally recognized tool for this documentation.
- Misinterpretations and uncertainties in administering the COPM have been observed.
Purpose of the Study:
- To address common misinterpretations and uncertainties in administering the COPM.
- To provide clear information for accurate and effective use of the COPM.
Main Methods:
- A state-of-the-art literature review was conducted.
- 856 relevant papers were identified on PubMed.
- 36 papers were included in the synthesis, along with existing author work.
Main Results:
- Four key issues regarding COPM administration were addressed: client-centeredness, occupational performance definition, psychometric properties, and administration steps.
- Specific guidance was provided on understanding and applying the COPM's core content and five-step administration process.
- The review clarified the psychometric status and scope of the COPM.
Conclusions:
- Enhanced understanding and commitment to these four issues by therapists can improve COPM validity, reliability, and applicability.
- Guidelines are provided to optimize the administration of the COPM for better client outcome documentation.

