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Occupational therapy outcomes for clients with traumatic brain injury and stroke using the Canadian Occupational Performance Measure.

The purpose of this study was to determine whether 155 ethnically diverse clients with traumatic brain injury (TBI) and stroke (cerebrovascular accident; CVA) who received occupational therapy services perceived that they reached self-identified goals related to tasks of daily life as measured by th...

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Published in:American Journal of Occupational Therapy Vol. 61; no. 3; pp. 328 - 335
Main Authors: Phipps S, Richardson P
Format: research tables/charts Journal Article
Published: American Occupational Therapy Association May/Jun2007
Online Access:View this record in EBSCOhost
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      dt: May/Jun2007
      vid: 61
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      pub: American Occupational Therapy Association
      place: North Bethesda, Maryland
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        atl: Occupational therapy outcomes for clients with traumatic brain injury and stroke using the Canadian Occupational Performance Measure.
      aug:
        au:
          Phipps S
          Richardson P
        affil: Department of Occupational Therapy and Recreation Therapy, Rancho Los Amigos National Rehabilitation Center, 7601 East Imperial Highway, Downey, CA 90242, USA. sphipps@ladhs.org
      sug:
        subj:
          Brain Injuries Rehabilitation
          Stroke Rehabilitation
          Occupational Therapy
          Task Performance and Analysis
          Adult
          Aged
          Aged, 80 and Over
          Clinical Assessment Tools
          Descriptive Statistics
          Female
          Male
          Middle Age
          One-Way Analysis of Variance
          P-Value
          Paired T-Tests
          Record Review
          Retrospective Design
          Scales
          Treatment Outcomes
          Human
          Adult: 19-44 years
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Female
          Male
      ab: The purpose of this study was to determine whether 155 ethnically diverse clients with traumatic brain injury (TBI) and stroke (cerebrovascular accident; CVA) who received occupational therapy services perceived that they reached self-identified goals related to tasks of daily life as measured by the Canadian Occupational Performance Measure (COPM). This study found that a statistically and clinically significant change in self-perceived performance and satisfaction with tasks of daily life occurred at the end of a client-centered occupational therapy program (p < .001). There were no significant differences in performance and satisfaction between the TBI and CVA groups. However, the group with right CVA reported a higher level of satisfaction with performance in daily activities than the group with left CVA (p = .03). The COPM process can effectively assist clients with neurological impairments in identifying meaningful occupational performance goals. The occupational therapist also can use the COPM to design occupation-based and client-centered intervention programs and measure occupational therapy outcomes.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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