lecture 4: semi-structured interviews - the COPM Flashcards
1
Q
what is the point of using semi-structured interviews?
A
- keep focus and ensure key issues are not missed
- relates assessments more explicitly to theoretical frameworks or models
- share reporting format, aid with documentation
- increase validity and reliability of responses
- easier to follow up and assess change
- BUT both strucutred and un-structured interviews are important
2
Q
what is the COPM?
A
- individualized, EB, client-centred outcome measure
- designed to capture a client’s self-perception of performance living over time
- its culturally sensitive
- standardized assessment including…
> identifying OPIs (NOT GOALS)
> measuring changes in performance and satisfaction
> capturing the importance of OPI to the individual
> goal setting facilitation
3
Q
how is the COPM administered?
A
- semi-structured interview
- visual rating scale
- paper/tablet
4
Q
why use the COPM?
A
- demonstrates EBP
- valid and reliable
- enables us to measure change/outcomes - demonstrates client-centered practice
- enables identification of OPIs
- provides vehicle for continuing care
- provides focus for reporting and documenting changes
- may improve continuity of care
5
Q
who founded the COPM?
A
Mary Law
Sue Baptiste
Anne Carswell
Mary Ann McColl
Helene J. Polatajko
Nancy Pollock
6
Q
what are the psychometric properties of the COPM?
A
- clinical utility
- improve goal setting
- define work of OT
- increase person-centeredness
- improve quality of OT practice (knowledge, decision making, documentation) - reliability (test-retest)
- validity
- content
- convergent and divergent
7
Q
what is the flow of the COPM?
A
- identify OPIs
- rate and choose most important OPIs
- score performance & satisfaction
- set goals intervention
- reassess
8
Q
what is step 1 of the COPM?
A
- identify the OPIs
- identified via interview
> tell me about a typical day
> tell me about the things you need to do that are giving you trouble
> what are you worried about being able to do?
- OPIs within domains fo self-care, productivity, and leisure
9
Q
what is step 2 of the COPM?
A
- rate and choose OPIs
- have client rate OPIs on a scale from 1-10
> 1 = not important
> 10 = extremely importnat
- if have tie in scoring, have them choose only a few
10
Q
what is step 3 of the COPM?
A
- score performance and satisfaction
PERFORMANCE
- using the same 1-10 scale, rate how well you think you currently perform
- if currently not doing it because in hospital = 1
- need to clarify independence and dependence
SATISFACTION
- using the same 1-10 scale, rate how satisfied you are with performance
11
Q
what is step 4 of the COPM?
A
- set goals intervention
- implement goals to alter the rating of each activity
12
Q
what is step 5 of the COPM?
A
- reassessment
- rescore the selected OPIs on satisfaction and performance
- if score has changes more than 2 points = clinically significant
* if bring up new OPI do not include in calculation - no comparison available
13
Q
what are clinical considerations of the COPM?
A
- keep open mind
- dont worry about address OPIs right away
- avoid making judgments about realism
- explore less obvious occupations
- try to distinguish subtle changes in OPIs
- express that you may not be able to address all OPIs right away
- consider the perspectives on significance
- try to prompt if the client says everything is fine/no issues (ex. what would your family say are concerns)
- end with summary of identified OPIs
14
Q
what is the main communication pitfall of the COPM?
A
lack of uptake
- does not acknowledge
- abrupt topic changes
- makes assumptions
- fails to explore
15
Q
what communication behaviours facilitate problem identification?
A
- reflective listening (clarification, summary, seek opinion, share thought process)
- acknowledges and affirmation (ex. hmmm)
- open-ended questions and specific tasks
