This paper describes the development of an outcome measure, COPM, which is designed to be used with these guidelines for client-centred clinical practice. The COPM is an outcome measure designed for use by OT's to assess client outcomes in the areas of self-cares, productivity and leisure. Using a semi-structured interview; the COPM is a five step process which measures individual, client-centred problem areas in daily function. Two scores, for performance and satisfiction with performance are obtained. This paper decribes the rationale and development of the COPM as well as information about its use for therapists.

American Journal of Physical Medicine & Rehabilitation, 75(1), 1996, pp 40-43.
Previous studies examining the relationship between cognition and ability to benefit from inpatient rehabilitation have found cognitive dysfunction to be associated with a poor rehabilitation outcome. To examine whether cognitive dysfunction precluded effective rehabilitation, 52 consecutive admissions to a geriatric rehabilitation unit were assigned Mini Mental State Examination (MMSE) scores. Functional gains were assessed by the change in Functional Independence Measure (FIM) score from admission to discharge. Neither MMSE score alone nor in combination with age was significantly associated with change in FIM (r = 0.10; R = 0.25; P r = 0.58; R = 0.58; P r = 0.49; R = 0.51; P . <0.0001) and discharge><0.0004). Patients evidenced a similar increase in functional status regardless of cognitive ability, but cognitively impaired individuals entered the inpatient unit with a lower functional status, and their level of function at discharge was also impaired relative to cognitively intact cohorts. Low MMSE scores were associated with a greater likelihood of nursing home placement, but a considerable percentage (38%) of individuals with severe cognitive impairment returned home following discharge. These findings suggest that geriatric patients with cognitive dysfunction should be considered for admission to rehabilitation programs if functional gains will affect quality of life or disposition.

Jyoti Khadka, Vijaya K Gothwal, Colm McAlinden, Ecosse L Lamoureux and Konrad Pesudovs Health and Quality of Life Outcomes 2012, 10:80 doi:10.1186/1477-7525-10-80 Published: 13 July 2012 Abstract (provisional) Background A critical component that influences the measurement properties of a patient-reported outcome (PRO) instrument is the rating scale.

This presentation was given at the South African conference in July this year (2012) - I happened to be there. Daleen Casteleijn has just completed her PhD on this topic.

Please note that this file does take a while to open.

Unsworth, C. (2000). Measuring the outcome of occupational therapy: Australian Journal of Occupational Therapy, 47, 147-158.
Unsworth has written a great deal on this topic - including the development of the AUSTOMS.

This set of slides is put together by Alison Laver-Fawcett and provides an overview of information in relation to PROMS - Patient Reported Outcome Measures