4. What are the cross-cultural considerations using the COPM?

Answer: The research to date demonstrates that because the COPM is a client-centred measure and the interview is semi-structured, many cultural considerations are addressed within the measure. It appears that the COPM is relatively robust and clients and therapists from a number of different countries have responded very positively. The COPM may be more difficult to use in cultures that are very hierarchical and where the health professions are seen as the unquestioned authority, or cultures where the notions of distinguishing self-care, productivity and leisure are antithetical.