中文版加拿大職能表現測驗於精神分裂症患者之效度研究

The Validity Study of the Chinese Version Canadian Occupational Performance Measure in People with Schizophrenia in Taiwan

潘璦琬(Ay-Woan Pan) ； 喬慧燕(Hui-Yan Chiao) ； 熊秉荃(Ping-Chuan Hsiung) ； 陳詞章(Tsyr-Jang Chen) ； 鍾麗英(Lyinn Chung)

《職能治療學會雜誌》 25卷2期 (2007/12) Pp. 1-14

https://doi.org/10.6594/JTOTA.2007.25(2).01

摘要

Previous national survey of occupational therapy assessments usage (Hsiao, Pan, Chung & Lu, 2000) revealed that most of the clinical assessment targeted at performance components. As a result, there has been a need for a valid and reliable assessment that aims at assessing occupational performance area of the clients. The Canadian Occupational Performance Measure is a generic and individualized measure designed to detect clients’ perceived occupational performance competence and satisfaction. The COPM is used worldwide with proved psychometric properties. The purpose of the study is to examine the discriminative and criterion-related validity of the Chinese version of COPM (COPM-C) used in clients with schizophrenia.
One hundred and two patients were recruited from the community rehabilitation settings in the Taipei metropolitan area located in northern Taiwan. Ninty-eight subjects who completed the informed consent and the cognitive screening by Mini-Mental Status Exam were included in the study. The discriminative validity of the COPM-C was examined by comparing the between-group differences of the COPM-C scores among different groups classified by symptom severity and onset duration. The criterion-related validity was tested using World Health Organization Quality of Life-Chinese brief version (WHOQOL-BREF) and modified Chinese Sickness Impact Profile (SIPCM).
The results showed that higher COPM-C scores were associated with lower severity scores in Brief Symptom Rating Scale. There was a significant low to moderate correlation among the COPM-C performance and satisfaction scores and subscales of the WHOQOL-BREF as well as subscales of SIP-CM. (ρ= .238~ .437, p＜ .05 ; ρ= - .285~ - .418, p＜ .05). The results supported the discriminative and criterion-related validity of the COPM-C. Occupational therapists can apply the COPM-C in persons with schizophrenia in community rehabilitation settings as a clinical outcome measure for clinical use.

關鍵字

加拿大職能表現測驗 ； 精神分裂症 ； 效度

並列摘要

Previous national survey of occupational therapy assessments usage (Hsiao, Pan, Chung & Lu, 2000) revealed that most of the clinical assessment targeted at performance components. As a result, there has been a need for a valid and reliable assessment that aims at assessing occupational performance area of the clients. The Canadian Occupational Performance Measure is a generic and individualized measure designed to detect clients’ perceived occupational performance competence and satisfaction. The COPM is used worldwide with proved psychometric properties. The purpose of the study is to examine the discriminative and criterion-related validity of the Chinese version of COPM (COPM-C) used in clients with schizophrenia.
One hundred and two patients were recruited from the community rehabilitation settings in the Taipei metropolitan area located in northern Taiwan. Ninty-eight subjects who completed the informed consent and the cognitive screening by Mini-Mental Status Exam were included in the study. The discriminative validity of the COPM-C was examined by comparing the between-group differences of the COPM-C scores among different groups classified by symptom severity and onset duration. The criterion-related validity was tested using World Health Organization Quality of Life-Chinese brief version (WHOQOL-BREF) and modified Chinese Sickness Impact Profile (SIPCM).
The results showed that higher COPM-C scores were associated with lower severity scores in Brief Symptom Rating Scale. There was a significant low to moderate correlation among the COPM-C performance and satisfaction scores and subscales of the WHOQOL-BREF as well as subscales of SIP-CM. (ρ= .238~ .437, p＜ .05 ; ρ= - .285~ - .418, p＜ .05). The results supported the discriminative and criterion-related validity of the COPM-C. Occupational therapists can apply the COPM-C in persons with schizophrenia in community rehabilitation settings as a clinical outcome measure for clinical use.

並列關鍵字

Canadian Occupational Performance Measure COPM ； Schizophrenia ； Validity