Study design Cross-sectional study. Objectives To examine the construct validity and the ability to detect change, of the Italian version of the Canadian Occupational Performance Measure (COPM) in a spinal cord injury (SCI) population. Settings Rehabilitation service of the Paraplegic Center of Ostia, Italy. Methods Thirty-nine spinal cord injury participants were recruited. The clinimetric properties of the measure were assessed following international guidelines. Cronbach's alpha and the intraclass correlation coefficient were assessed for internal consistency and test-retest reliability, respectively. Construct validity was evaluated, by calculating correlation between COPM and the Spinal Cord Independence Measure (SCIM) through Pearson's correlation coefficient and Spearman's Rho. The ability to detect change was evaluated on the overall sample. Results The COPM was shown to be reliable in a spinal cord injury sample with positive and statistically significant results for Cronbach's alpha (0.89) and ICC (0.99 for the performance subtest and 0.98 for the satisfaction subtest). Correlation coefficients did not show a correlation between the COPM total score and the SCIM. The COPM scores improved significantly during in-patient rehabilitation, moreover the mean change between the start of treatment and the end of the therapy as evaluated with the Wilcoxon signed-rank test was -4.25 points for the performance score and -2.96 points for the satisfaction score. Conclusions This study showed that the COPM is a reliable tool for assessing SCI clients' perceived performance of daily activities and their satisfaction with their performance.

中文翻译：

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构建有效性、重测可靠性以及检测加拿大职业绩效测量在脊髓损伤人群中变化的能力。


研究设计横断面研究。目的 检查意大利版加拿大职业绩效测量 (COPM) 在脊髓损伤 (SCI) 人群中的结构有效性和检测变化的能力。设置 意大利奥斯蒂亚截瘫中心康复服务。方法 招募了 39 名脊髓损伤参与者。该测量的临床测量特性是根据国际指南进行评估的。分别评估克朗巴赫α和组内相关系数的内部一致性和重测可靠性。通过 Pearson 相关系数和 Spearman 的 Rho 计算 COPM 与脊髓独立测量 (SCIM) 之间的相关性，评估结构有效性。对整个样本评估了检测变化的能力。结果 COPM 在脊髓损伤样本中被证明是可靠的，Cronbach's α (0.89) 和 ICC（表现子测试为 0.99，满意度子测试为 0.98）呈阳性且具有统计显着性结果。相关系数未显示 COPM 总分与 SCIM 之间的相关性。住院康复期间COPM评分显着改善，此外，根据Wilcoxon符号秩检验评估，治疗开始和治疗结束之间的平均变化为-4.25分（表现得分）和-2.96分（满意度）分数。结论 本研究表明，COPM 是评估 SCI 客户日常活动感知表现及其满意度的可靠工具。