Feasibility and informativeness of the Canadian occupational performance measure for identifying priorities in patients with Parkinson’s disease

ABSTRACT

Objective

The aim of this study was to examine the feasibility and informativeness of the Canadian Occupational Performance Measure (COPM) for identifying the priorities of patients with Parkinson’s disease (PD).

Methods

The COPM was administered in patients with PD who were admitted to the hospital. Feasibility was investigated by confirming the acceptability and practicality of the COPM interview. To investigate informativeness, identified priorities were classified according to the International Classification of Functioning, Disability and Health (ICF) and were cross-referenced with data from similar studies using the Patient-Specific Functional Scale (PSFS) and the Patient-Specific Index for PD (PSI-PD).

Results

All 61 patients who participated in this study completed the COPM, and a total of 197 priorities were identified. The most frequently identified priorities were “Recreation and leisure,” “Preparing meals,” “Walking,” “Doing housework,” and “Caring for household objects.” The priorities identified using the PSFS and the PSI-PD were less diverse and focused on “Mobility” or “Self-care.”

Conclusions

The COPM is a feasible and informative tool for identifying priorities in patients with PD. Its informativeness was demonstrated by its ability to identify diverse priorities across the ICF domains of “Activity and participation” that had not been identified in the studies using the PSFS and PSI-PD.

KEYWORDS:

• Parkinson’s disease (PD)
• Canadian Occupational Performance Measure (COPM)
• patient-specific measurement tools
• international classification of functioning
• Disability and Health (ICF)
• priority

Acknowledgments

The authors thank the physical therapists and occupational therapists in the Department of Rehabilitation at Sapporo Nishi-Maruyama Hospital for their assistance with data collection.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

The author(s) reported there is no funding associated with the work featured in this article.