Measurement properties of the Spanish COPM in older adult rehabilitation inpatients.

IF 1.9 4区 医学 Q2 REHABILITATION
Elisabet Capdevila, Mariona Portell, Eva Penelo, María Rodríguez-Bailón
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引用次数: 0

Abstract

Aims: To analyse the measurement properties of the Spanish version of the COPM (Canadian Occupational Performance Measure) in older adult rehabilitation inpatients.

Method: A sample of 172 users from 17 inpatient care facilities for older adults (47% nursing homes) participated in a quantitative prospective study. We examined validity by correlating the COPM with the Barthel Index (BI), the Lawton Instrumental Activities of Daily Living scale (IADL), the EuroQol-five domains-three level questionnaire (EQ-5D-3L), and the Client-Centred Rehabilitation Questionnaire (CCRQ) and by examining associations with demographic variables. Reliability was evaluated through test-retest and responsiveness through differences in change scores in two types of care facilities.

Results: Participants prioritised 637 occupational performance problems, mainly in the area of self-care (70.5%). The COPM scale scores were significantly correlated with BI, IADL, EQ-5D-3L (except the pain dimension), and CCRQ (except the family involvement and continuity dimensions). COPM scores did not show statistically significant differences concerning educational level. Regarding reliability, high test-retest correlations were obtained (>.80). Nursing home users showed less responsiveness to rehabilitation than other users (change score < 2 vs. > 2 points).

Conclusion and significance: The Spanish COPM provides satisfactory measurement properties as a client-centred instrument in older adult rehabilitation inpatient.

西班牙老年康复住院病人 COPM 的测量特性。
目的:分析西班牙文版 COPM(加拿大职业表现测量)在老年康复住院患者中的测量特性:来自 17 家老年人住院护理机构(47% 为疗养院)的 172 名使用者参与了一项定量前瞻性研究。我们通过将 COPM 与巴特尔指数 (BI)、劳顿日常生活活动工具量表 (IADL)、EQ-5D-3L 和以客户为中心的康复问卷 (CCRQ) 相关联,以及与人口统计学变量相关联,对其有效性进行了检验。可靠性通过重复测试进行评估,响应性则通过两类护理机构中变化分数的差异进行评估:结果:受试者共提出了 637 个职业表现问题,主要集中在生活自理方面(70.5%)。COPM量表得分与BI、IADL、EQ-5D-3L(疼痛维度除外)和CCRQ(家庭参与和持续性维度除外)有显著相关性。在教育程度方面,COPM 分数没有显示出明显的统计学差异。在可靠性方面,测试-重复相关性较高(>.80)。与其他使用者相比,疗养院使用者对康复的反应较慢(变化分值小于 2 分与大于 2 分):西班牙 COPM 作为一种以客户为中心的工具,在老年康复住院患者中具有令人满意的测量特性。
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来源期刊
CiteScore
3.40
自引率
15.80%
发文量
45
审稿时长
6-12 weeks
期刊介绍: The Scandinavian Journal of Occupational Therapy is an internationally well-recognized journal that aims to provide a forum for occupational therapy research worldwide and especially the Nordic countries. Scandinavian Journal of Occupational Therapy welcomes: theoretical frameworks, original research reports emanating from quantitative, qualitative and mixed methods studies, literature reviews, case studies, presentation and evaluation of instruments, evaluation of interventions, learning and teaching in OT, letters to the editor.
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