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Canadian Occupational Performance Measure (COPM) 4 th Edition

Developers: Law M, Baptiste S, McColl M, Carswell A, Polatajko H and Pollock, N.

Access: Can be ordered from the Canadian Association of Occupational Therapists at

Cost: At Nov 2005, the COPM DVD Kit (2005, 4 th Edition) including COPM Manual, Self-Instructional DVD & Workbook and 100 Evaluation Forms cost $225.45 USD. Manual alone costs $46 USD. Three packages of 100 Forms costs $43.95 USD.

Copyright: All materials are copyrighted and must be purchased prior to use with clients.

Description: The COPM is an outcome measure that is used to detect change in a client’s perception of occupational performance over time. The specific focus of the COPM on client –identified problems is intended to facilitate collaborative goal setting, between the therapist and client.

Administration: Via semi-structured interview, the client is asked to identify any activities that are difficult to perform across the areas of self-care, work and leisure. The client is then asked to identify the five most important problems on a scale of 1 (not important at all) to 10 (extremely important), then rate his or her performance and level of satisfaction in these activities.

Administration Time: The COPM takes approximately 30 minutes to administer.

Scoring and Interpretation: Full scoring details are available in the COPM Manual. The client scores each of the five identified problem areas (both at assessment and re- evaluation) on a scale of 1 to 10 for both performance (1 = not able to perform task to 10 able to complete task well) and satisfaction (1 = not satisfied to 10 extremely satisfied). The performance and satisfaction scores of the selected activities are summed and averaged over the number of problems, to produce scores out of 10. A difference between the initial and subsequent score (change score) of two or more is considered clinically significant (Carswell et al. 2004).

Scoring Time: 5-10 minutes.

Population Groups: Adults in rehabilitation, young children with disabilities (COPM completed by parents), clients attending pain management programs, depressive disorders, stroke.

Languages: The COPM has been translated into 20 languages including: French, Hebrew, Icelandic, Japanese, German, Danish, Swedish, Greek, Spanish, Mandarin, Chinese, Korean, Norwegian, Russian, Slavic and Portuguese.


COPM summary prepared by the Occupational Therapy Program, University of Western Sydney Funded by the Motor Accidents Authority of NSW, May 2006


Carswell, A., McColl, M.A., Baptiste, S., Law, M., Polatajko, H., & Pollock, N. (2004). The Canadian Occupational Performance Measure: A research and clinical literature review. Canadian Journal of Occupational Therapy, 71(4),


Cup, E.H., Scholte op Reimer, W.J., Thijssen M.C., & van Kuyk-Minis, M.A. (2003). Reliability and validity of the Canadian Occupational Performance Measure in stroke patients. Clinical Rehabilitation, 17(4),402-409.

Eyssen, I., Beelen, A., Dedding, C, Cardol, M., & Dekker, J. (2005). The reproducibility of the Canadian Occupational Performance Measure. Clinical Rehabilitation, 19(8), 888-894.

Finch, E., Brooks, D., Stratford, P.W., & Mayo, E.N. (2002). Canadian Occupational Performance Measure (COPM). In: Physical rehabilitation outcome measures (2 nd ed.; pp.101-102). Ontario: Lippincott, Williams & Wilkins.

Law, M., Baptiste, S., Carswell, S., McColl, A., Polatajko, H., & Pollock, N. (2005). Canadian Occupational Performance Measure Manual (4 th ed.). Toronto:


McColl, M., & Pollock, N. (2005). Measuring occupational performance using a client centred perspective. In: M. Law, C., Baum, & W. Dunn. Measuring occupational performance: Supporting best practice in occupational therapy. (2 nd ed., p. 86). Thorofare NJ: Slack Incorporated.

McColl, M., Law, M., Baptiste, S., Pollock, N, Carswell, A., & Polatajko, H. (2005). Targeted applications of the Canadian Occupational Performance Measure. Canadian Journal of Occupational Therapy, 72(5), 298-300.

Law, M., King, Russell, M., Stewart, D. Hurley, P., & Bosch, E. (2005). All About Outcomes: An educational program to help you understand, evaluate and choose adult outcome measures. [CD-ROM]. Thorofare NJ: Slack Incorporated.

Neistadt, M. (2000). Occupational therapy evaluation for adults. Maryland:

Lippincott Williams & Wilkins.

Wressle, E., Marcussen, J., & Henriksson, C. (2002). Clinical utility of the Canadian Occupational Performance Measure - Swedish Version. Canadian Journal of Occupational Therapy, 69(1),40-48.


COPM summary prepared by the Occupational Therapy Program, University of Western Sydney Funded by the Motor Accidents Authority of NSW, May 2006

ICF Levels:

Level Addressed by Measure



Body Function/ Structure



Psychometric Properties:

Published Data Available for the Measure





Face 4

Content 1, 3, 4 Criterion 1, 3, 4 Construct 1, 3, 4

Reliability Test – retest 1, 2, 4

Intra – rater Inter – rater 7


Other information available Responsiveness to change 1, 2, 4

Standardised 3, 6 Clinically important change 4 Clinical utility 3, 4, 5

1. Data summarised in Finch et al (2002)

2. Data summarised in Neistadt (2000).

3. Data summarised in Law, King et al (2001)

4. Data summarised in Carswell et al (2004)

5. Data summarised in Law, Baum & Dunn (2005)

6. Law, Baptiste et al (2005)

7. Eyssen et al (2005)


COPM summary prepared by the Occupational Therapy Program, University of Western Sydney Funded by the Motor Accidents Authority of NSW, May 2006