Abstract
Study design
Cross-sectional study.
Objectives
To examine the construct validity and the ability to detect change, of the Italian version of the Canadian Occupational Performance Measure (COPM) in a spinal cord injury (SCI) population.
Settings
Rehabilitation service of the Paraplegic Center of Ostia, Italy.
Methods
Thirty-nine spinal cord injury participants were recruited. The clinimetric properties of the measure were assessed following international guidelines. Cronbach’s alpha and the intraclass correlation coefficient were assessed for internal consistency and test-retest reliability, respectively. Construct validity was evaluated, by calculating correlation between COPM and the Spinal Cord Independence Measure (SCIM) through Pearson’s correlation coefficient and Spearman’s Rho. The ability to detect change was evaluated on the overall sample.
Results
The COPM was shown to be reliable in a spinal cord injury sample with positive and statistically significant results for Cronbach’s alpha (0.89) and ICC (0.99 for the performance subtest and 0.98 for the satisfaction subtest). Correlation coefficients did not show a correlation between the COPM total score and the SCIM. The COPM scores improved significantly during in-patient rehabilitation, moreover the mean change between the start of treatment and the end of the therapy as evaluated with the Wilcoxon signed-rank test was −4.25 points for the performance score and −2.96 points for the satisfaction score.
Conclusions
This study showed that the COPM is a reliable tool for assessing SCI clients’ perceived performance of daily activities and their satisfaction with their performance.
Similar content being viewed by others
Log in or create a free account to read this content
Gain free access to this article, as well as selected content from this journal and more on nature.com
or
Data availability
The datasets generated and/or analyzed during the current study are available from the corresponding author on reasonable request.
References
Singh A, Tetreault L, Kalsi-Ryan S, Nouri A, Fehlings MG. Global prevalence and incidence of traumatic spinal cord injury. Clin Epidemiol. 2014;6:309–31.
Schipper H, Clinch JJ, Olweny CL. Quality of life studies: definitions and conceptual issues. In: Spilker B (ed.) Quality of life and pharmacoeconomics in clinical trials. Philadelphia: Lippincott-Raven; 1996. p. 11–23.
Healthypeople.gov. Office of Disease Prevention and Health Promotion. Available from: https://www.healthypeople.gov/sites/default/files/HRQoLWBFullReport.pdft. Accessed 15 Dec 2019.
Ware JE Jr, Sherbourne CD. The MOS 36-Item Short-Form Health Survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30:473–83.
Chen TH, Li L, Kochen MM. A systematic review: How to choose appropriate health-related quality of life (HRQOL) measures in routine general practice? J Zhejiang Univ Sci B. 2005;6:936–40.
Ware JE Jr. The status of health assessment 1994. Annu Rev Public Health. 1995;16:327–54.
Haley SM, Coster WJ, Binda-Sundberg K. Measuring physical disablement: the contextual challenge. Phys Ther. 1994;74:443–51.
Townsend E. Enabling occupation: an occupational therapy perspective. Ottawa: Canadian Association of Occupational Therapists; 1997.
Cup EH, Scholte op Reimer WJ, Thijssen MC, van KuykMinis MA. Reliability and validity of the Canadian Occupational Performance Measure in stroke patients. Clin Rehabil. 2003;17:402–9.
Clark NM, Janz NK, Dodge JA, Mosca L, Lin X, Long Q, et al. The effect of patient choice of intervention on health outcomes. Conte Clin Trials. 2008;29:679–86.
Heyn L, Finset A, Eide H, Ruland CM. Effects of an interactive tailored patient assessment on patient-clinician communication in cancer care. Psychooncology. 2013;22:89–96.
Law M, Baptiste S, Carswell A, McColl MA, Polatajko H, Pollock N. Canadian Occupational Performance Measure. Toronto: Canadian Association of Occupational Therapists; 2005.
Chompoonimit A, Nualnetr N. The impact of task-oriented client-centered training on individuals with spinal cord injury in the community. Spinal Cord. 2016;54:849–54.
Johanson ME, Jaramillo JP, Dairaghi CA, Murray WM, Hentz VR. Multicenter survey of the effects of rehabilitation practices on pinch force strength after tendon transfer to restore pinch in tetraplegia. Arch Phys Med Rehabil. 2016;97:105–16.
Vincent C, Gagnon DH, Dumont F. Pain, fatigue, function and participation among long-term manual wheelchair users partnered with a mobility service dog. Disabil Rehabil Assist Technol. 2019;14:99–108.
Burns AS, Marino RJ, Kalsi-Ryan S, Middleton JW, Tetreault LA, Dettori JR, et al. Type and timing of rehabilitation following acute and subacute spinal cord injury: a systematic review. Glob Spine J. 2017;7:175S–194S.
Wangdell J, Reinholdt C, Fridén J. Activity gains after upper limb surgery for spasticity in patients with spinal cord injury. J Hand Surg Eur. 2018;43:613–20.
Mulcahey MJ, Vogel LC, Sheikh M, Arango-Lasprilla JC, Augutis M, Garner E, et al. Recommendations for the National Institute for Neurologic Disorders and Stroke spinal cord injury common data elements for children and youth with SCI. Spinal Cord. 2017;55:331–40.
Spadaro A, Lubrano E, Massimiani MP, Gaia P, Perrotta FM, Parsons WJ, et al. Validity, responsiveness and feasibility of an Italian version of the Canadian Occupational Performance Measure for patients with ankylosing spondylitis. Clin Exp Rheuma. 2010;28:215–22.
Thyer L, Brown T, Roe D. The Validity of the Canadian Occupational Performance Measure (COPM) When Used in a Sub-Acute Rehabilitation Setting with Older Adults. Occup Ther Health Care. 2018;32:137–53.
Donnelly C, O’Neill C, Bauer M, Letts L. Canadian Occupational Performance Measure (COPM) in primary care: a profile of practice. Am J Occup Ther. 2017;71:1–8.
Yang SY, Lin CY, Lee YC, Chang JH. The Canadian occupational performance measure for patients with stroke: a systematic review. J Phys Ther Sci. 2017;29:548–55.
Tuntland H, Aaslund MK, Langeland E, Espehaug B, Kjeken I. Psychometric properties of the Canadian Occupational Performance Measure in home-dwelling older adults. J Multidiscip Health. 2016;9:411–23.
Švajger A, Piškur B. The clinical utility of the Canadian Occupational Performance Measure in vocational rehabilitation: a qualitative study among occupational therapists in Slovenia. Work. 2016;54:223–33.
Marinho FS, Moram CB, Rodrigues PC, Franzoi AC, Salles GF, Cardoso CR. Profile of disabilities and their associated factors in patients with type 2 diabetes evaluated by the Canadian occupational performance measure: the Rio De Janeiro type 2 diabetes cohort study. Disabil Rehabil. 2016;38:2095–101.
van de Ven-Stevens LA, Graff MJ, Peters MA, van der Linde H, Geurts AC. Construct validity of the Canadian Occupational Performance Measure in participants with tendon injury and Dupuytren disease. Phys Ther. 2015;95:750–7.
Padankatti SM, Macaden AS, Cherian SM, Thirumugam M, Pazani D, Kalaiselvan M, et al. A patient-prioritized ability assessment in haemophilia: the Canadian Occupational Performance Measure. Haemophilia. 2011;17:605–11.
Gustafsson L, Mitchell G, Fleming J, Price G. Clinical utility of the Canadian Occupational Performance Measure in spinal cord injury rehabilitation. Br J Occup Ther. 2012;75:337–42. https://doi.org/10.4276/030802212X13418284515910.
Kjeken I, Slatkowsky-Christensen B, Kvien TK, Uhlig T. Norwegian version of the Canadian Occupational Performance Measure in patients with hand osteoarthritis: validity, responsiveness, and feasibility. Arthritis Rheum. 2004;51:709–15.
Persson E, Rivano-Fischer M, Eklund M. Evaluation of changes in occupational performance among patients in a pain management program. J Rehabil Med. 2004;36:85–91.
Wressle E, Lindstrand J, Neher M, Marcusson J, Henriksson C. The Canadian Occupational Performance Measure as an outcome measure and team tool in a day treatment programme. Disabil Rehabil. 2003;25:497–506.
Colquhoun H, Letts L, Law M, MacDermid J, Edwards M. Feasibility of the Canadian Occupational Performance Measure for routine use. Br J Occup Ther. 2010;73:48–54.
Nieuwenhuizen MG, de Groot S, Janssen TWJ, van der Maas LCC, Beckerman H. Canadian Occupational Performance Measure performance scale: validity and responsiveness in chronic pain. JRRD. 2014;51:727–46.
Eyssen IC, Steultjens MP, Oud TA, Bolt EM, Maasdam A, Dekker J. Responsiveness of the Canadian Occupational Performance Measure. J Rehabil Res Dev. 2011;48:517.
Jolles BM, Buchbinder R, Beaton DE. A study compared nine patient-specific indices for musculoskeletal disorders. J Clin Epidemiol. 2005;58:791–801.
Bonavita J, Torre M, China S, Bressi F, Bonatti E, Capirossi R, et al. Validation of the Italian version of the Spinal Cord Independence Measure (SCIM III) Self-Report. Spinal Cord. 2016;54:553–60.
Catz A, Itzkovich M, Agranov E, Ring H, Tamir A. SCIM-spinal cord independence measure: a new disability scale for patients with spinal cord lesions. Spinal Cord. 1997;35:850–6.
Ozelie R, Sipple C, Foy T, Cantoni K, Kellogg K, Lookingbill J, et al. SCI Rehab Project Series: the occupational therapy taxonomy. J Spinal Cord Med. 2009;32:283–96.
Galeoto G, De Santis R, Marcolini A, Cinelli A, Cecchi R. Il consenso informato in Terapia Ocupazionale: proposta di una modulistica. G Ital Med Lav Erg. 2016;38:107–15.
Portney LG, Watkins MP. Foundations of clinical research: applications to practice. 3rd edn. Upper Saddle River, New Jersey, USA: Pearson; 2008.
Streiner DL, Norman GR. Health measurement scales: a practical guide to their development and use. 3rd edn. Oxford: Oxford University Press; 2003.
COPM. The Canadian Occupational Performance Measure. www.copm.ca. Accessed 15 Dec 2019.
Eyssen IC, Steultjens MP, Oud TA, Bolt EM, Maasdam A, Dekker J. Responsiveness of the Canadian Occupational Performance Measure. J Rehabil Res Dev. 2011;48:517–28.
Tuntland H, Aaslund MK, Langeland E, Espehaug B, Kjeken I. Psychometric properties of the Canadian Occupational Performance Measure in home-dwelling older adults. J Multidiscip Healthc. 2016;9:411–23.
Carpenter L, Baker GA, Tyldesley B. The use of the Canadian Occupational Performance Measure as an outcome of a pain management program. Can J Occup Ther. 2001;68:16–22.
Mokkink LB, Terwee CB, Patrick DL, Alonso J, Stratford PW, Knol DL, et al. The COSMIN checklist for assessing the methodological quality of studies on measurement properties of health status measurement instruments: an international Delphi study. Qual Life Res. 2010;19:539–49.
Chan CC, Lee TM. Validity of the Canadian Occupational Performance Measure. Occup Ther Int. 1997;4:231–49.
Dedding C, Cardol M, Eyssen IC, Dekker J, Beelen A. Validity of the Canadian Occupational Performance Measure: A client-centred outcome measurement. Clin Rehabil. 2004;18:660–67.
Ripat J, Etcheverry E, Cooper J, Tate RB. A comparison of the Canadian Occupational Performance Measure and the Health Assessment Questionnaire. Can J Occup Ther. 2001;68:247–53.
Verkerk GJ, Wolf MJ, Louwers AM, Meester-Delver A, Nollet F. The reproducibility and validity of the Canadian Occupational Performance Measure in parents of children with disabilities. Clin Rehabil. 2006;20:980–88.
de Vet HC, Terwee CB, Mokkink LB, Knol DL. Measurement in medicine: a practical guide. Cambridge: Cambridge University Press; 2011.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical approval
We certify that all applicable institutional and governmental regulations concerning the ethical use of human volunteers were followed during the course of this research. All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008.
Informed consent
Informed consent was obtained from all participants for being included in the study.
Additional information
Publisher’s note: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Berardi, A., Galeoto, G., Guarino, D. et al. Construct validity, test-retest reliability, and the ability to detect change of the Canadian Occupational Performance Measure in a spinal cord injury population. Spinal Cord Ser Cases 5, 52 (2019). https://doi.org/10.1038/s41394-019-0196-6
Received:
Revised:
Accepted:
Published:
Version of record:
DOI: https://doi.org/10.1038/s41394-019-0196-6


