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Descriptive evaluation of community based children's occupational therapy services using COPM.

Caroline Mills1,2,3, Stephanie Ritchie1, Annette Zucco4

  • 1School of Health Sciences, Western Sydney University, Sydney, NSW, Australia.

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|June 30, 2025
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Summary

Community occupational therapy improved young children's performance and satisfaction, but long wait times persist. Further research is needed to optimize therapy dosage for better outcomes in pediatric occupational therapy.

Keywords:
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Area of Science:

  • Pediatric occupational therapy
  • Primary health services
  • Child development

Background:

  • Community occupational therapy is vital for early childhood development.
  • This study investigates service characteristics, parent-reported outcomes, and dose-outcome relationships.

Purpose of the Study:

  • To explore community occupational therapy service provision for young children.
  • To assess parent-rated outcomes using the Canadian Occupational Performance Measure (COPM).
  • To examine the relationship between intervention dose and therapy outcomes.

Main Methods:

  • Retrospective file review of 60 children (aged 0-6 years).
  • Analysis of service provision characteristics.
  • Comparison of pre- and post-intervention COPM performance and satisfaction scores.
  • Spearman rank order correlation to assess dose-outcome relationship.

Main Results:

  • Individual therapy for handwriting and motor skills was most common (85%).
  • Average wait time was 26.4 weeks.
  • Significant improvements in COPM performance and satisfaction scores were observed (p < 0.001).
  • No correlation found between intervention dose and outcomes.

Conclusions:

  • Service provision predominantly focuses on handwriting and motor skills, with notable wait times.
  • Findings can inform future service development, addressing wait times and equity.
  • Further research is required to determine optimal therapy dosage for pediatric occupational therapy.