Canadian Occupational Performance Measure: Benefits and Limitations Highlighted Using the Delphi Method and Principal Component Analysis

Table 2

(a) Results of the second round of consultation on the COPM benefits

Statements/interests	Average score	-difference
A1 favors the occupational-centered approach	4.00	0
A28 participates in the occupational therapy diagnosis	3.70	0.68
A29 allows to start from the needs of activities that make sense	3.64	0.78
A2 identifies the person’s specific problems	3.61	0.79
A7 allows for the implementation of negotiated objectives	3.61	0.79
A26 provides arguments for team syntheses	3.57	0.56
A19 evaluates performance and satisfaction	3.55	0.79
A35 opens up the accompaniment to new areas	3.55	0.79
A5 provides a rating of performance and satisfaction	3.52	0.80
A25 encourages the involvement of the person	3.52	0.80
A38 restores the power to decide on its objectives	3.52	0.83
A39 allows to get out of a logic centered on the pathology	3.52	0.87
A40 - allows the results of the intervention to be measured	3.48	0.76
A24 allows the client’s voice to be heard	3.48	0.80
A37 promotes the person’s commitment	3.45	0.79
A8 gives the opportunity to make choices	3.45	0.79
A18 gives the floor to the person	3.42	0.87
A46 gives meaning to the occupational therapist’s work	3.42	0.83
A3 promotes negotiation between client/occupational therapist	3.39	0.75
A36 allows therapeutic orientations	3.34	0.75
A20 enables the habilitation	3.36	0.78
A30 promotes the person’s decision	3.34	0.78
A12 allows to understand the problems of everyday life	3.33	0.74
A44 facilitates teamwork	3.33	0.92
A17 empowers the client and the occupational therapist	3.33	0.78
A21 ensures a reassessment	3.30	0.92
A14 leaves a space for the expression of one’s desires	3.27	0.88
A6 promotes dialogue	3.24	0.79
A11 studies the activities in the context of the usual life	3.24	0.83
A45 favors the psychosocial approach	3.24	0.79
A43 considers the environment through discourse	3.21	0.78
A4 identifies the representations of the person	3.21	0.82
A10 encourages collaborative work	3.18	0.81
A16 takes into account the person’s environment	3.15	0.71
A41 puts the person back at the center of attention	3.12	0.86
A42 promotes awareness of problems	3.12	0.78
A15 promotes the positioning of the therapist	3.09	0.84
A32 allows for confidence building	3.06	0.90
A23 objectively evaluates the impact of the intervention	3.06	0.86
A27 allows for the framing of the practice	3.00	1.00
A31 targets objectives for the whole team	3.00	0.79
A33 provides a framework to guide the interview	3.00	0.75
A22 helps to identify the role/domain of the occupational therapist	3.00	0.95
A13 allows self-assessment for users	2.94	0.97
A9 gives voice to caregivers	2.64	0.82
A34 encourages the establishment of COOP	2.36	0.93

(b) Results of the second round of consultation on the COPM limitations

Statements/limits	Average score	-difference
D14-attention, comprehension, or major behavioral disorders	3.27	0.91
D15-anosognosia or denial of difficulties	3.24	1.00
D3-institutional functioning	3.20	0.58
D13-communication disorders	3.20	0.77
D32-lack of knowledge of these models in initial training	3.20	0.92
D19-the goals are most often set by the doctor or therapist	2.94	1.03
D23-the certainty in France that reeducation must come first	2.94	0.95
D5-lack of awareness of the occupation-centered approach	2.91	1.10
D8-difficulty in developing or making quotations for some patients	2.91	1.10
D2-institute organizational system	2.82	0.95
D31-the lack of French-language scientific data on the subject	2.79	1.05
D30-the apathy of the people to integrate this approach	2.73	0.88
D20-lack of knowledge by occupational therapists in France	2.64	1.03
D12-patients wishing to recover lost functions	2.61	1.17
D9-patient misunderstanding of scales	2.58	1.15
D21-ignorance of actions centered on the needs of the individual	2.58	0.97
D25-lack of supervision and monitoring	2.58	0.83
D7-presence of certain biases depending on the therapist’s attitude	2.52	1.09
D10-the adhesion of the whole team	2.48	0.97
D1-pathocentric approach	2.45	1.18
D4-ignorance of occupational therapist’s actions	2.45	1.09
D26-the discrepancy with the request of the entourage and the person concerned	2.42	1.06
D27-appropriate question wording	2.42	1.00
D28-the use of the word “occupation”	2.39	1.12
D11-patient adherence to the numerical scoring system	2.36	0.99
D24-the difficulty of accepting disability	2.27	1.04
D6-the financing and reimbursement system	2.24	0.97
D29-the rating is difficult to explain	2.24	1.15
D16-passive opposition of the team to this tool	2.18	0.95
D22-time spent on maintenance	2.12	0.89
D17-failure to return the patient home prior to assessment	2.09	1.07
D18-lifestyle habits that indirectly harm his health	1.94	0.93