The Canadian Occupational Performance Measure (COPM) is a clinician-administered interview style questionnaire which measures the client’s self-perception of occupational performance.
The client is asked to identify a number of activities of difficulty. Then, the client rates their perceived performance, importance, and satisfaction regarding each activity on a 1-10 scale. It is recommended to administer the COPM multiple times in order to determine changes in scores over time.
ICF Domain
Participation ▶ General tasks and demands
Administration
- Issues rated 1-10 in importance.
- Goals rated 1-10 in performance and satisfaction.
- Higher scores reflect greater importance, performance, or satisfaction.
- Mean scores for performance & satisfaction can be obtained.
Number of Items
Up to 5 items/goals selected from identified issues
Equipment
None
Languages
English, French, Hebrew, Mandarin, Persian, Spanish and 30+ others.
Training Required
Training is required and can be accessed here.
Availability
Can be purchased here.
# of studies reporting psychometric properties: 3
Interpretability
MCID:
- Performance: 2.0
- Importance: 2.0
- Satisfaction: 2.0
- *Values referred to as Minimally Worthwhile Treatment Effect
SEM: not established for SCI
MDC: not established for SCI
Reliability
- Test-retest reliability of the COPM is High for performance (ICC = 0.99) and satisfaction subscales (ICC = 0.98).
- Internal consistency of the COPM is High for performance (alpha = 0.93) and satisfaction subscales (alpha = 0.89).
(Beradi et al. 2019)
Validity
- There is Moderate correlation with the COPM subscales and the Functional Independence Measure (FIM) Motor subscale (r = 0.388-0.514).
- There is Low correlation with the COPM subscales and the Klein-Bell ADL Scale (rho = 0.07) and the SCIM III (r = 0.22-0.30, rho = 0.17-0.30).
(Donelly et al. 2004, Samuelsson et al. 2004, Beradi et al. 2019)
Responsiveness
Not established in SCI.
Floor/Ceiling Effect
Not established in SCI.
Reviewers
Dr. Janice Eng, John Zhu, Jeremy Mak, Risa Fox
Date Last Updated
3 August 2020
Berardi A, Galeoto G, Guarino D, Marquez MA, Santis RD, Valente D, Caporale G, Tofani M. Construct validity, test-retest reliability, and the ability to detect change of the canadian occupational performance measure in a spinal cord injury population. Spinal Cord Series and Cases 2019;52:1-8.
https://www.nature.com/articles/s41394-019-0196-6
Boswell-ruys CL, Harvey LA, Barker JJ, Ben M, Middleton JW, Lord SR. Training unsupported sitting in people with chronic spinal cord injuries: a randomized controlled trial. Spinal Cord. 2010;48(2):138-43.
http://www.ncbi.nlm.nih.gov/pubmed/19597520
Donnelly C, Eng JJ, Hall J, et al. Client-centred assessment and the identification of meaningful treatment goals for individuals with a spinal cord injury. Spinal Cord. 2004;42(5):302-7.
http://www.ncbi.nlm.nih.gov/pubmed/14993893
Samuelsson KA, Tropp H, Gerdle B. Shoulder pain and its consequences in paraplegic spinal cord-injured, wheelchair users. Spinal Cord. 2004;42(1):41-6.
http://www.ncbi.nlm.nih.gov/pubmed/14713943
