Effects of occupational therapy practice combining the Canadian Occupational Performance Measure and a self-monitoring sheet on engagement in meaningful occupations with the affected hand in a patient with distal radius fracture

Abstract

This single-case experimental study of client-centered occupational therapy intervention combining the interview-based Canadian Occupational Performance Measure (COPM) and a self-monitoring sheet was conducted on an outpatient with a right distal radius fracture. The goal was to enable the patient to perform cooking (as her meaningful occupation revealed by the COPM) with her affected hand. The effect of the intervention was assessed by comparing the number of times the patient was able to cook per week during the intervention period with the baseline period. The number of times the patient cooked per week significantly increased during the intervention period, and she was able to cook with her affected hand. Thus, occupational therapy practice combining the interview-based COPM and self-monitoring sheet may be effective for patients with distal radius fracture engaging in meaningful occupations with the affected hand.