Utility of the Canadian Occupational Performance Measure in community-based brain injury rehabilitation

Narina Jenkinson, Tamara Ownsworth, David Shum

Research output: Contribution to journalArticlepeer-review

32 Citations (Scopus)


PRIMARY OBJECTIVE: To investigate the clinical utility of the Canadian Occupational Performance Measure (COPM) for community-based individuals with acquired brain injury (ABI).

METHODS AND PROCEDURES: Thirty-four individuals with ABI (M = 5.32 years post-injury, SD = 3.92) were administered the COPM with self- and relative ratings of performance and satisfaction obtained. Relatives completed the Brain Injury Community Rehabilitation Outcome 39 (BICRO-39) scales. Measures of awareness of deficits, emotional status and cognitive function were obtained. A sub-group of participants was randomly allocated into a no-intervention group (n = 15) or an 8-week treatment group (n = 10). Initial assessments and 8-week follow-up assessments were conducted.

MAIN OUTCOMES AND RESULTS: A pre- and post-assessment comparison for the treatment group identified a significant improvement on most COPM ratings (p < 0.05), but not the BICRO-39 (p > 0.05). However, self-ratings of satisfaction improved for the no-intervention group (p < 0.05). Self-ratings of satisfaction were significantly correlated with anxiety (r = -0.42, p < 0.05), although there were no other significant associations between COPM ratings and awareness, mood state and cognitive function.

CONCLUSIONS: The findings generally support the utility of the COPM in community-based rehabilitation; however, the need for self-ratings to be interpreted in the context of other outcome indicators is recommended.

Original languageEnglish
Pages (from-to)1283-94
Number of pages12
JournalBrain Injury
Issue number12
Publication statusPublished - Nov 2007
Externally publishedYes


  • Activities of Daily Living
  • Adult
  • Brain Injuries
  • Community Health Services
  • Epidemiologic Methods
  • Female
  • Humans
  • Male
  • Middle Aged
  • Patient Satisfaction
  • Journal Article
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't


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