{"title":"Minimal Important Change in Canadian Occupational Performance Measure: A Systematic Review.","authors":"Hiroshi Yuine, Takeshi Sasaki, Kazuhiro Miyata, Sawako Saito, Hideki Shiraishi","doi":"10.1177/15394492251360232","DOIUrl":null,"url":null,"abstract":"<p><p>The Canadian Occupational Performance Measure (COPM) recognizes a significant clinical shift with a minimum two-point alteration post-intervention. However, there is sparse evidence supporting this criterion's clinical significance. To investigate and report minimal important change (MIC) and minimal detectable change (MDC) within the COPM in various populations. In May 2023, a search was conducted to locate studies that calculated MIC and MDC in the COPM using multiple databases. Studies were screened and extracted to assess bias risk in the final article selections. After screening 229 included studies, five studies were selected; four studies calculated MIC (performance: 0.20-3.20 points, satisfaction: 1.45-3.20 points) and one study calculated MDC (performance: 1.47-3.14 points, satisfaction: 1.80-3.98 points) within the COPM. The study populations, reassessment periods, and risk of bias varied. To effectively use COPM's MIC and MDC as references, clients and intervention conditions must be considered.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492251360232"},"PeriodicalIF":1.5000,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Otjr-Occupation Participation and Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/15394492251360232","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 0
Abstract
The Canadian Occupational Performance Measure (COPM) recognizes a significant clinical shift with a minimum two-point alteration post-intervention. However, there is sparse evidence supporting this criterion's clinical significance. To investigate and report minimal important change (MIC) and minimal detectable change (MDC) within the COPM in various populations. In May 2023, a search was conducted to locate studies that calculated MIC and MDC in the COPM using multiple databases. Studies were screened and extracted to assess bias risk in the final article selections. After screening 229 included studies, five studies were selected; four studies calculated MIC (performance: 0.20-3.20 points, satisfaction: 1.45-3.20 points) and one study calculated MDC (performance: 1.47-3.14 points, satisfaction: 1.80-3.98 points) within the COPM. The study populations, reassessment periods, and risk of bias varied. To effectively use COPM's MIC and MDC as references, clients and intervention conditions must be considered.
期刊介绍：
The aim of OTJR: Occupation, Participation and Health is to advance knowledge and science in occupational therapy and related fields, nationally and internationally, through the publication of scholarly literature and research. The journal publishes research that advances the understanding of occupation as it relates to participation and health.
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