Enhancing a Client-Centred Practice with the Canadian Occupational Performance Measure.
A Enemark Larsen, B Rasmussen, J R Christensen
PMID 30050391WHAT IT FOUND
The COPM interview seemed to help occupational therapists understand client priorities and set collaborative goals, but it appeared to do so only when therapists had strong communication skills, shared power, and supportive settings.
Key findings
01The scoping review included twelve studies that reported experiences of the COPM and client-centred practice.
02The included studies reported that the COPM interview seemed to enhance client-centred practice by helping therapists understand client priorities and form collaborative goals.
03In an included study, 82% of clients said the COPM interview and scoring were useful, and effective use required communication skills, power sharing and supportive conditions.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
The review was a scoping review, so it was not designed to give an exhaustive answer. The authors did not consult stakeholders, which is an optional part of scoping reviews. The search was limited to studies in English, Danish, Swedish or Norwegian, so relevant work in other languages may have been missed. The authors narrowed the search to 'client-centred' and did not include terms such as 'patient-centred' or 'patient-focused care'. The included studies were mostly qualitative, so the findings describe experiences and themes rather than measured effects.
The easy way to misread this
Do not read the review as evidence that the COPM improves rehabilitation outcomes. It synthesised experiences and themes, and the authors said certain conditions were necessary for the COPM interview to enhance client-centred practice.