Mangusheva O. Using the Canadian Occupational Performance Measure to enhance client-centeredness and occupational focus of occupational therapy services in Ukraine

The dissertation focuses on examining the use of the Canadian Occupational Performance Measure (COPM) in Ukraine. The importance of ensuring the principles of client-centeredness and occupational focus of occupational therapy services is emphasized. The aim of the study was to scientifically substantiate, develop and describe a practical model and recommendations for the use of the cross-culturally adapted and validated Ukrainian version of the COPM to enhance client-centeredness and occupational focus of occupational therapy services in Ukraine. The object of the study is the impact of the COPM on client-centeredness and occupational focus of occupational therapy services in Ukraine. Research methods: the study used mixed methods design, theoretical analysis and generalization of data from special scientific and methodological literature, developed questionnaires to generate preliminary data, conduct cognitive debriefing and semi-structured interviews, grounded theory for qualitative analysis, quantitative analysis of the COPM documentation, modified Delphi method and methods of mathematical statistics. The scientific novelty of the dissertation is that: - for the first time, we studied the impact of using the validated version of the COPM on client-centeredness and occupational focus of occupational therapy services among Ukrainian occupational therapists and clients of occupational therapy in Ukraine; - for the first time, we explored individual experience and peculiarities of the use of the COPM with the military/veterans and civilians, specifics of occupational needs of Ukrainian military servicemen in the context of the ongoing war; - for the first time, we developed a scientifically substantiated model and practical recommendations for using the COPM in acute and subacute rehabilitation of military/veterans and civilians in Ukraine with the goal of setting occupation-focused and client-centered goals for individual rehabilitation program as a foundation for measuring the effectiveness of occupational therapy interventions. According to the results of the dissertation research, it was concluded that the COPM has potential to enhance client-centeredness and occupational focus of occupational therapy services, facilitate professional development of occupational therapy practitioners and professional practice grounded in the occupational paradigm of the profession. The developed model and practical recommendations of administration of the COPM in Ukraine facilitate the quality of occupational therapy services to the military and civilian population of Ukraine due to their focus on occupational result of rehabilitation.