Kanada Okupasyonel Performans Ölçeği’nin Serebral Palsili Çocuklarda Geçerlilik Güvenilirlik ve Kullanım Talimatlarının Türkçeleştirilmesi

Abstract

This study planned to evaluate the Canadian Occupational Performance Measure (COPM), which assesses the person-centered occupational performance, in children with Cerebral Palsy (CP) and translate its instructions into Turkish. The study included 76 children between the ages of 8-18 years, who scored 27 points or more on the Modified Mini Mental Test and were appropriate for levels 1 and 2 in the Communication Function Classification System. The translation procedure defined by Beaton was conducted. Validity of the COPM was tested with convergent and divergent construct validity analyses; and the COPM’s reliability was tested with intrnal consistency and test- retest methods. For convergent construct validity, the correlation between the COPM and the Pediatric Disability Evaluation Inventory (PEDI) was examined and correlations were found in the social functions, self-care and mobility sub-headings. As a result of the divergent construct validity analysis, no significant difference was found between the performance and satisfaction scores of COPM between girls and boys (p=0.75, p=0.11) and it was found to be consistent according to gender. According to the results of the item analysis, Cronbach's alpha was between 0.60- 0.79 and the internal consistency was found acceptable. The test-retest analysis for COPM yielded excellent reliability for time related equability for performance and satisfaction parameters (ICC>0,9). As a result, it was found that COPM is a valid- reliable measurement tool in children aged 8-18 years with CP. Children were assessed with the COPM in accordance with the instructions, and it was observed that the most frequently reported occupational areas were leisure, productivity and self-care, respectively. Studies in the literature administered the COPM with parents, and self-care activities were frequently reported as a problem. Further studies are needed on the benefit of administering the COPM to both the child and the parent separately and setting a common goal.