ASF Next Step Analysis
This study used a retrospective approach by reviewing existing data collected from participants of the ASF Next Step program. The sample for this analysis included individuals with chronic stroke or acquired brain injury ( > 6 months), ranging from 24 - 93 years of age. These individuals were receiving rehabilitation services through the Next Step program. Inclusion criteria included individuals who experienced a stroke or had an acquired brain injury; participated in the ASF Next Step Program; and completed a Canadian Occupational Performance Measure (COPM) assessment. Exclusion criteria included individuals who did not complete a COPM.
Instruments
a. Demographic Questionnaire: Demographic data previously collected from ASF participants was
de-identified to characterize the demographic profiles of individuals with chronic stroke. Demographic characteristics of interest included age, gender, ethnicity, time since stroke or acquired brain injury, and date of ASF intake assessment.
b. Canadian Occupational Performance Measure (COPM): The COPM is a client-centered assessment tool used to measure an individual’s perceived occupational performance and satisfaction with activities. This allows the client to identify and prioritize up to five activities in three of the following areas; self-care, productivity, and leisure (Eyssen, Steultjens, Oud, Bolt, Maasdam, & Dekker, 2011). These three categories are further divided into self care: personal care, functional mobility, and community management; productivity: paid/unpaid work, household management, and play/school; and leisure: quiet recreation, active recreation, and socialization. Clients evaluate the activity’s importance, their current performance, and performance satisfaction on a scale from 1 (lowest satisfaction or priority) to 10 (highest satisfaction or priority). The COPM is reassessed post rehabilitation and used as an outcome measure (Cup, Reimer, Thijssen, & van Kuyk-Minis, 2003). This instrument has been found to be valid and reliable (Cup, Reimer, Thijssen, & van Kuyk-Minis, 2003).
Instruments
a. Demographic Questionnaire: Demographic data previously collected from ASF participants was
de-identified to characterize the demographic profiles of individuals with chronic stroke. Demographic characteristics of interest included age, gender, ethnicity, time since stroke or acquired brain injury, and date of ASF intake assessment.
b. Canadian Occupational Performance Measure (COPM): The COPM is a client-centered assessment tool used to measure an individual’s perceived occupational performance and satisfaction with activities. This allows the client to identify and prioritize up to five activities in three of the following areas; self-care, productivity, and leisure (Eyssen, Steultjens, Oud, Bolt, Maasdam, & Dekker, 2011). These three categories are further divided into self care: personal care, functional mobility, and community management; productivity: paid/unpaid work, household management, and play/school; and leisure: quiet recreation, active recreation, and socialization. Clients evaluate the activity’s importance, their current performance, and performance satisfaction on a scale from 1 (lowest satisfaction or priority) to 10 (highest satisfaction or priority). The COPM is reassessed post rehabilitation and used as an outcome measure (Cup, Reimer, Thijssen, & van Kuyk-Minis, 2003). This instrument has been found to be valid and reliable (Cup, Reimer, Thijssen, & van Kuyk-Minis, 2003).