Session Information
Session Type: Abstract Submissions (ARHP)
Background/Purpose: Occupational balance is one of the foundations on which occupational therapy is based. Occupational balance is defined diversely and mainly derived from the perspective of occupational therapists. Empirical evidence for occupational balance, as well as instruments to assess occupational balance based on qualitative analysis is scarce. The aim of the present project was to develop a questionnaire on occupational balance and explore measurement properties in the data of people with and without chronically autoimmune diseases.
Methods: The study consisted of three parts: a development of the occupational balance questionnaire based on a qualitative study, an exploration of its internal consistency and content validity conducted with Rasch analysis, and a suggestion for a revised version. Findings of the Rasch analysis and patient feedback were used to develop a revised version of the questionnaire. A German version was designed first which was translated back and forward into an English version according to the standard procedure by three native speakers. Patients were involved into item generation. This study was a part of a larger study, named the GOBI study – Gender, Occupational balance and Immunology.
Results: We developed seven questionnaire items based on the analysis of the life stories of 90 people with and without chronic autoimmune diseases (table 1.). The inclusion of people’s perspectives into item generation, contributes to the content validity of the questionnaire. The Rasch analysis of the data from 251 people, 132 patients with rheumatoid arthritis, 43 patients with systemic lupus erythematous and 76 healthy people showed a person separation index of 0.51. These findings indicate questionable internal consistency and that occupational balance might not be a unidimensional construct. Consequently, a revised version was developed with the involvement of 10 further patients and 10 healthy people.
Conclusion: To our knowledge, this is one of the first studies, developing a patient reported outcome measure for occupational balance using qualitative research, the involvement of patients into item generation, and an exploration of internal consistency and construct validity in quantitative data. In this study we found seven underlying dimensions of occupational balance on which we based the questionnaire items. The findings of the Rasch analysis resulted in a need of a revised version which needs to be validated in further research.
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Table 1. Items of the revised occupational balance questionnaire |
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Nr. |
Item |
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1 |
How often do you find your activities of daily living too simple? |
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2 |
How often do you find your activities of daily living too difficult? |
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3 |
Do you generally receive enough appreciation for activities of daily living? |
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4 |
How much is your health affected by your activities of daily living? |
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5 |
Do you get enough rest and sleep? |
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6 |
Do your daily activities provide sufficient alternations between active and non-active actions, such as an alteration to posture or physical position, perhaps between sitting and standing? |
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7 |
How well can you adapt your activities of daily living to changed living conditions, such as a changed state of health, a change of profession, or a change in the family circle? |
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8 |
Could you take sufficient care of yourself while caring for another (such as a family member, loved one, etc.)? |
Disclosure:
M. Dür,
FWF Austrian Science Fund,
2;
G. Steiner,
None;
M. Stoffer,
None;
A. Kautzky-Willer,
None;
V. Fialka-Moser,
None;
C. Dejaco,
None;
B. Prodinger,
None;
A. Binder,
None;
J. S. Smolen,
None;
T. A. Stamm,
None.
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