(b) Results of the second round of consultation on the COPM limitations

Statements/limits	Average score	T-difference
D14-attention, comprehension, or major behavioral disorders	3.27	0.91
D15-anosognosia or denial of difficulties	3.24	1.00
D3-institutional functioning	3.20	0.58
D13-communication disorders	3.20	0.77
D32-lack of knowledge of these models in initial training	3.20	0.92
D19-the goals are most often set by the doctor or therapist	2.94	1.03
D23-the certainty in France that reeducation must come first	2.94	0.95
D5-lack of awareness of the occupation-centered approach	2.91	1.10
D8-difficulty in developing or making quotations for some patients	2.91	1.10
D2-institute organizational system	2.82	0.95
D31-the lack of French-language scientific data on the subject	2.79	1.05
D30-the apathy of the people to integrate this approach	2.73	0.88
D20-lack of knowledge by occupational therapists in France	2.64	1.03
D12-patients wishing to recover lost functions	2.61	1.17
D9-patient misunderstanding of scales	2.58	1.15
D21-ignorance of actions centered on the needs of the individual	2.58	0.97
D25-lack of supervision and monitoring	2.58	0.83
D7-presence of certain biases depending on the therapist's attitude	2.52	1.09
D10-the adhesion of the whole team	2.48	0.97
D1-pathocentric approach	2.45	1.18
D4-ignorance of occupational therapist's actions	2.45	1.09
D26-the discrepancy with the request of the entourage and the person concerned	2.42	1.06
D27-appropriate question wording	2.42	1.00
D28-the use of the word “occupation”	2.39	1.12
D11-patient adherence to the numerical scoring system	2.36	0.99
D24-the difficulty of accepting disability	2.27	1.04
D6-the financing and reimbursement system	2.24	0.97
D29-the rating is difficult to explain	2.24	1.15
D16-passive opposition of the team to this tool	2.18	0.95
D22-time spent on maintenance	2.12	0.89
D17-failure to return the patient home prior to assessment	2.09	1.07
D18-lifestyle habits that indirectly harm his health	1.94	0.93