Goal Setting According to Level of Mobility Independence in Home-Visit Rehabilitation Using Canadian Occupational Performance Measure

Abstract

Objectives: This study aimed to clarify the differences in goal setting and achievement trends in home-visit rehabilitation at different levels of independence in mobility.

Methods: Goals set at the beginning of home-visit rehabilitation were retrospectively examined using the Canadian Occupational Performance Measure (COPM). All goals were classified into nine categories in three domains based on the principles of the COPM. The participants were divided into three groups according to their level of independence in mobility. The proportion of participants with goals in each category was compared. Additionally, the COPM performance and satisfaction scores at the beginning of rehabilitation and 3 months later were compared.

Results: In total, 245 participants were categorized into the assisted (n=48), supervised (n=65), and independent groups (n=132). Functional mobility (36.3%) was the most common goal, accounting for the largest number of patients within each group. The percentages of those with goals in the categories of personal care (P = 0.013), community management (P < 0.001), household management (P < 0.001), quiet recreation (P < 0.001), and active recreation (P = 0.024) were significantly different among the three groups. All three groups showed significant improvements in performance scores (assisted group, P = 0.014; supervised group, P < 0.001; independent group, P < 0.001) and satisfaction scores (P < 0.001 in all three groups) in the self-care domain.

Conclusions: Goal categories for home-visit rehabilitation varied according to the level of independence in mobility. Nevertheless, goals in the self-care domain are likely to be achieved, regardless of mobility independence, after home-visit rehabilitation.