Behaviour Change Domains Likely to Influence Occupational Therapist Use of the Canadian Occupational Performance Measure.
Heather L Colquhoun, Rafat Islam, Katrina J Sullivan and 3 others
PMID 32508548WHAT IT FOUND
Experienced occupational therapists said client characteristics and anticipated client reactions were the strongest social influence on COPM use.
They also described conflicting confidence, skills, and a preference for individual assessment, not team direction.
Key findings
01Six behaviour-change domains were judged most relevant to occupational therapist COPM use: Social influences, Social professional role and identity, Beliefs about consequences, Beliefs about capabilities, Skills, and Behavioural regulation.
02The strongest social influence on whether therapists used the COPM appeared to be clients, not other team members.
03Therapists said COPM use would be facilitated if it were automatically embedded into assessment protocols or electronic records.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
The sample was 15 experienced female occupational therapists from one large Canadian department, so it may not reflect less experienced therapists or other practice cultures. The study identified potential influences, not tested actual barriers. The authors state these factors cannot be established as barriers until tested. The analysis was specific to routine COPM use and may not transfer to other outcome measures. The authors attempted to recruit as many therapists as possible but note saturation may not have been achieved. The interview guide did not ask participants whether they used the COPM, so actual use rates were not reported.
The easy way to misread this
Do not read these domains as proven causes of low COPM use. The authors state that the study identified potential influences and that the factors cannot be established as actual barriers until they are tested.