Group items tagged

As part of a national programme to provide mechanisms for quality improvement in the mental health sector, New Zealand has established the MH-Smart Programme. The programme aims to introduce the routine use of standardised assessments that, with repeated use, can reflect consumer changes, outcomes or results. This paper describes the process and rationale for assessing the suitability of measures of functioning.

Healthcare systems are being reviewed in response to the changing demographics of the New Zealand population. Service evaluation is used to judge the merit of particular approaches and interventions and is essential for clinical accountability and quality healthcare programmes. Goal Attainment Scaling is an individualised evaluation methodology developed in the 1960s that has gained popularity in a variety of occupational therapy fields. This article describes Goal Attainment Scaling, presents the benefits, limitations and discusses its use as an outcome measure in a research study evaluating the impact of an outreach nurse case management service for older people. The clinical utility of Goal Attainment Scaling for occupational therapists is explored.

This article discusses and compares the use of COPM, GAS, PEGS and PACS as OM for paed practice. It has a very helpful graph which shows the use of each over the past 20 years. It discusses the positives of using each, and how they vary in their 'individual' and 'client centred' goal setting, particularly discussing WHO is setting the goals. The article makes a relevant point about the difference between individualised OM and client centred OM.

This article looks at the comparison of using the COPM and GAS as outcome measures and the study compared the utility of the COPM and GAS as parent gener- ated outcome measures for a paediatric programme for children with cerebral palsy. The COPM and GAS allowed families to generate individualized outcome measures that were directly relevant to the programme purpose, their concerns and priorities for their child. They were also found to be sensitive enough to measure change in the proven treatment group - that is, the COPM and GAS are sensitive enough to change where real change is present. The COPM was found to be more specific in what it measured, however as the GAS had no pre-determined activities, it was able to reach a wider range of activities, and therefore outcomes.

This articles discusses the use of the COPM and GAS for planning, documenting and measuring progress in client-centered goals in a short term community based rehab. It discusses the effectiveness of using both tools to ensure covering broader goals (COPM) and the GAS for breaking it down into appropriate size goals to show progress.

This article looks at the construct and criterion validity of the COPM when being used with parents of children with disabilities, and two different OTs/ It has some interesting points about the 'self-perception' of goal importance and how that can change over time - even within a week. The article looks more at the goal setting side, however the goals set will impact the outcomes.

This article looks at the comparison between the GAS and the Paediatric Evaluation of Disability Index (PEDI) and the Gross Motor Function Measure (GMFM). In this study Occupational Therapists, Speech and LAnguage Therapists and Physical Therapists were asked to use the GAS as well as continuing to use established outcome measures (PEDI and GMFM). Over a 6 month period these were reviewed twice and it was found that the three assessments were complimentary in their ability to measure individual change. The GAS helped measure goals that were outside the range of the (standardised) PEDI and GMFM.

This article discusses the COPM in relation to the CMOP - the model from which it was designed. It examines issues associated with application of the COPM in targeted clinical and non-clinical situations. The paper suggests considerations required to ensure that the highest quality of information is derived from the COPM in all situations. Although the paper emphasizes the centrality of the client-centred approach, it also demonstrates the flexibility and adaptability of the COPM to different situations, clients, settings and purposes. The paper also discusses cultural considerations when using a client centred approach, particularly in relation to peoples comfort with making such decisions.

I have not read the full article however they talk about 'bottom-up' and 'top-down' cognitive assessments - a point to consider in OT??

This is a brief write up on a CD-Rom program one can get to help with evaluation Outcome Measures. Linda - have you seen this one?

This article discusses some of the unique aspects of the Dutch COPM The Dutch Canadian Occupational Perfor- mance Measure (COPM) is a valid measure of a client's self-perception of occupational performance in the areas of self-care, pro- ductivity and leisure. . The COPM provides information that can- not be obtained with current standardized instruments.

This article discusses 'divergent' and 'convergent' validity - terms I had not come across before. The study rates the COPM as being unique in taking into account the person's experience of the impact of their perceived health on their quality of life. It discusses the COPM a tool that allows recording of the difficulty at the activity level, impairment level, spiritual level and environmental level.

This article is helpful for relating ICF to OT and the use of ICF when looking at outcomes. "The application of ICF has proved to be helpful to occupational therapists in identifying age-appropriate roles and reflects the person's independence and well-being (44,96). ICF facilitates increased precision in recording and monitoring different health condi- tions (72,97-99), e.g. the field of rehabilitation coun- selling, vocational assessment, and job placement (100,101). It is similar to many OT models in devel- oping tasks and activities for clients and recognizing the interaction between person and environment (80,92,102)."

Although a small study, draws on AMPS and COPM The aim of this paper was to investigate the effectiveness of client-centred occupational therapy using the Canadian Occupational Performance Measure (COPM) and the Assessment of Motor and Process Skills (AMPS). Both the COPM and the AMPS change scores demonstrated statistically significant improvement (p < 0.01) in occupational performance. Significant correlations were found between COPM - Performance and AMPS - Motor skills (r(s) = 0.64, p < 0.05), and COPM - Satisfaction and AMPS - Process skills (r(s) = 0.62, p < 0.05) in a group positive towards client-centred occupational therapy. The COPM was a valuable tool in guiding and measuring the client-centred occupational therapy for children with developmental disabilities.