Canadian Occupational Performance Measure Supported by Talking Mats: An Evaluation of the Clinical Utility.

Vita Hagelskjær,Pia Susanne Christensen,Mette Krohn,Jeanette Reffstrup Christensen

doi:10.1155/2019/9367315

Vita Hagelskjær, Pia Susanne Christensen + Show 2 more

Open Access

https://doi.org/10.1155/2019/9367315

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Abstract

Background Some clients with cognitive and communicative impairments after a brain injury are unable to participate in the Canadian Occupational Performance Measure (COPM) without support. The study originates from an assumption that some of these clients are able to participate independently in the COPM interview by using a visual material. Aim The aim was to investigate the clinical utility of COPM supported by Talking Mats (TM) for community-based clients with cognitive and communicative impairments. Methods Six clients (51–60 years) were included. After matching the visual material of TM to COPM, the COPM interview was administered twice with an interval of 10 days, once using TM and once without. Interviews were videotaped and studied by six evaluators. Results The most obvious benefits of using TM as a supportive tool in the COPM interview were related to the first two steps of the COPM interview. Conclusion Using TM in the COPM interview with clients with cognitive and communicative impairments after a brain injury is recommended as the basis for goal setting. The present study demonstrates a possibility to include a COPM interview to clients who had not been able to complete a COPM interview and thus start a rehabilitation process in a client-centered manner.

Highlights

Bytoften Living and Activity Center (BLAC) is a community-based rehabilitation center in Jutland, Denmark
The present study demonstrates a possibility to include a Canadian Occupational Performance Measure (COPM) interview to clients who had not been able to complete a COPM interview and start a rehabilitation process in a client-centered manner
The results of how the two types of interview influenced the quality of the COPM are presented within four themes: (1) how Talking Mats (TM) affected the completion of the COPM interview; (2) how TM affected a client-centered approach; (3) how TM affected the quality of the dialogue in the COPM interview; and (4) how the use of TM in the COPM interview empowered the client

Summary

Introduction

Bytoften Living and Activity Center (BLAC) is a community-based rehabilitation center in Jutland, Denmark. To empower clients at BLAC in their rehabilitation process and to provide for their active participation in goal setting, the occupational therapists (OTs) use the Canadian Occupational Performance Measure (COPM). Some clients with cognitive and communicative impairments after a brain injury are unable to participate in the Canadian Occupational Performance Measure (COPM) without support. The study originates from an assumption that some of these clients are able to participate independently in the COPM interview by using a visual material. Using TM in the COPM interview with clients with cognitive and communicative impairments after a brain injury is recommended as the basis for goal setting. The present study demonstrates a possibility to include a COPM interview to clients who had not been able to complete a COPM interview and start a rehabilitation process in a client-centered manner

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