Ch 4: Assessments

Question 1

Canadian Occupational Performance Measure

Answer 1

Semistructured interview with ordinal scale to measure changes in client perception of performance and satisfaction with performance in self-care,
productivity, and leisure occupations

Question 2

Time to Administer: COPM

Answer 2

30-40 minutes

Question 3

Validity: COPM

Answer 3

Numerous studies support COPM as a valid measure of occupational performance. Combined COPM and Functional Independence Measure (FIMIM) scores were 65% accurate in predicting discharge status

Question 4

Reliability: COPM

Answer 4

Test-retest reliability at 1-2-week intervals ranges from 0.63 to 0.89 for performance; and 0.76 to 0.88 for satisfaction

Question 5

Sensitivity: COPM

Answer 5

More sensitive to perceived changes in client status than other disability meausres including Short Form 36 and FIM
-A 2-point change in score is clinically significant

Question 6

Strengths: COPM

Answer 7

-Psychometrics studied in wide range of diagnoses
-Translated into 20 languages and used in more than 35 countries around the world

Question 8

Australian Therapy Outcome Measure for Occupational Therapy (AusTOMs)

Answer 8

-Consists of 12 function-focused scales (ex. self-care and domestic life) that are scored across four domains derived from International Classification of Functioning.
-Disability and Health (ICF).
-Occupational performance is rated by therapist after completion of other standardized assessments.
-Useful tool for documentation of progress, program evaluation, etc.

Question 9

Time to Administer: AusTOMs

Answer 9

5-10 minutes (scores based on other standardized assessment outcomes)

Question 10

Validity: AusTOMs

Answer 10

Construct Validity established with EuroQuol-5D

Question 11

Reliability: AusTOMs

Answer 11

Self-care scale: Moderate to high interrater relability across three domains (Intraclass Correlation Coefficient (CC) = 0,79): somewhat lower for impairment domain (ICC= 0.70).
-Intrarater reliability also moderate to high (ICCs - 0.74-0.94) across domains

Question 12

Sensitivity: AusTOMs

Answer 12

Sensitivity to change is documented, particularly in clients at acute and subacute facities and for those with neurological diagnoses.

Question 13

Strengths: AusTOMs

Answer 13

-Scoring allows holistic assessment across levels of occupational performance (impairment through participation).
-Tests are quick to administer/complete.

Question 14

Weaknesses: AusTOMs

Answer 14

-Scores are based on therapist perception of client outcomes.
-Reliability studies ongoing