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Dhas BN, Alhadi SAAAA, Al That GMRD, Al Abdulla SSH. Psychometric properties of the Arabic Occupational Balance Questionnaire (OBQ11-A). Ann Med 2024; 56:2346945. [PMID: 38677318 PMCID: PMC11057472 DOI: 10.1080/07853890.2024.2346945] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/08/2023] [Accepted: 04/02/2024] [Indexed: 04/29/2024] Open
Abstract
BACKGROUND Occupational balance (OB) is a desirable outcome of rehabilitation because it is related to various health indices. The Occupational Balance Questionnaire (OBQ) is a self-report measure of occupational balance. AIMS/OBJECTIVES To examine the test-retest reliability, participant-level content validity, construct validity, internal consistency, and convergent validity of an Arabic occupational balance questionnaire (OBQ11-A). MATERIALS AND METHODS A total of 103 participants were recruited through convenience sampling. Test-retest reliability was examined using intraclass correlation coefficients, participant-level content validity using percentage of agreement in survey questions, construct validity using factor analysis, internal consistency using Cronbach's alpha, and convergent validity by examining associations with quality-of-life. RESULTS Intraclass Correlation Coefficient values for the total OBQ11-A scores and individual items were greater than 0.7 between the test and retest. The majority of respondents endorsed the relevance, comprehensiveness, and comprehensibility of the OBQ11-A. Cronbach's alpha for the OBQ11-A total score was 0.899. Nine of the 11 OBQ11-A items had factor loadings greater than 0.7. Moderate associations were found between the total OBQ11-A scores and physical health (n = 101; ρ = .52, p < .001), psychological health (n = 101; ρ = .49, p < .001), social relationships (n = 101; ρ = .36, p < .001), and environmental domains (n = 101; ρ = .57, p < .001) of the quality-of-life measure. CONCLUSIONS OBQ11-A demonstrates acceptable psychometric properties for research purposes.
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Leigh L, Skuthan A. The Effect of IVF Treatments for Infertility on Occupational Balance. OTJR-OCCUPATION PARTICIPATION AND HEALTH 2024:15394492241267255. [PMID: 39087238 DOI: 10.1177/15394492241267255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/02/2024]
Abstract
The utilization of assisted reproductive technologies (ART), including in vitro fertilization (IVF), has doubled in the past decade. The occupational balance of women undergoing infertility and its treatments is unknown. A qualitative study to investigate the occupational balance of women undergoing IVF for infertility was completed. Ten women currently undergoing or having undergone IVF were interviewed. Thematic analysis was used to analyze the effect of IVF on occupational balance. Three themes emerged, tunnel vision, it's all on me, and I'm not enough, highlighting the challenges faced by women during the IVF journey that affect their occupational balance. Participants reported a lack of occupational balance due to the intense focus on IVF, overwhelming responsibilities, inadequate support, anxiety, depression, and self-doubt. Comprehensive, holistic support and intervention are necessary to address the occupational well-being of women undergoing IVF and can be provided by OTPs.
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Ortiz-Rubio A, Håkansson C, Rasmussen HP, Lexell EM. Occupational balance and stroke impact among community-dwelling stroke survivors 65 years or older: a cross-sectional study. Aust Occup Ther J 2024. [PMID: 38711275 DOI: 10.1111/1440-1630.12962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2023] [Revised: 03/28/2024] [Accepted: 04/19/2024] [Indexed: 05/08/2024]
Abstract
INTRODUCTION Occupational balance has been investigated in different populations but less in stroke survivors. Previous studies have focussed on occupational balance among stroke survivors of working age (15-64 years of age), showing they did not perceive they had occupational balance. There is, therefore, a lack of knowledge of how older stroke survivors perceive their occupational balance. The aims of this study were to describe occupational balance in community-dwelling stroke survivors 65 years or older and to investigate if there were any associations between their perceived stroke impact and occupational balance. METHODS A cross-sectional study was performed with 58 stroke survivors, with a median age of 75 years at stroke onset and a median time since stroke onset of 11 months. The participants were recruited from a local stroke register and answered questionnaires on occupational balance and stroke impact. Data were analysed with descriptive statistics, correlations and logistic regression. RESULTS The participants had a median score of 29 (min 12 to max 33), indicating a very high occupational balance, a low stroke impact, and a good recovery (median 82.5; min 0 to max 100). An association between participation and occupational balance (OR 1.13; 95% CI 1.04-1.23) was found. CONCLUSION The stroke survivors perceived a low stroke impact and a high occupational balance. It is possible that older community-dwelling stroke survivors, of whom many have retired, juggle less occupations leaving them with more time to engage in those occupations they want to, leading to a better occupational balance.
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Affiliation(s)
- Araceli Ortiz-Rubio
- Division of Occupational Therapy, Department of Physiotherapy, Faculty of Health Sciences, University of Granada, Granada, Spain
| | - Carita Håkansson
- Division of Occupational and Environmental Medicine, Lund University, Lund, Sweden
| | - Hélène Pessah Rasmussen
- Department of Neurology, Rehabilitation Medicine, Memory Disorders and Geriatrics, Skåne University Hospital, Lund/Malmö, Sweden
- Department of Clinical Sciences, Lund University, Lund, Sweden
| | - Eva Månsson Lexell
- Department of Neurology, Rehabilitation Medicine, Memory Disorders and Geriatrics, Skåne University Hospital, Lund/Malmö, Sweden
- Department of Health Sciences, Lund University, Lund, Sweden
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Romero-Ayuso DM, Toledano-González A, Pinilla-Cerezo M, Sánchez-Rodríguez Ó, García-Arenas JJ, Triviño-Juárez JM, Ortíz-Rubio A. Occupational Balance and Emotional Regulation in People With and Without Serious Mental Illness. Can J Occup Ther 2024; 91:100-109. [PMID: 37271981 DOI: 10.1177/00084174231178440] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Background. Serious mental illness affects daily functioning, including occupational balance. Purpose. This study aims to compare occupational balance and emotional regulation between people with serious mental illness and the healthy population and to examine the relationship between occupational balance and emotional regulation. Method. A cross-sectional study was performed. Occupational balance and emotional regulation were measured using the Occupational Balance Questionnaire and the Emotional Regulation Questionnaire, respectively. A multivariate analysis (analysis of covariance) was conducted. Findings. The sample consisted of 112 individuals, divided into two groups: the serious mental illness group (n = 55); and the healthy group (n = 57). People with serious mental illness reported lower occupational balance and lower cognitive reappraisal than the healthy population. Furthermore, the higher cognitive reappraisal, the higher the occupational balance, and the higher the expressive suppression, the lower the occupational balance. Conclusion. The results provide preliminary evidence of the relationship between occupational balance and emotional regulation.
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Hernandez R, Schneider S, Wagman P, Håkansson C, Spruijt-Metz D, Pyatak EA. Validity and Reliability of the Occupational Balance Questionnaire (OBQ11) in a U.S. Sample of Adults With Type 1 Diabetes. Am J Occup Ther 2023; 77:7704205120. [PMID: 37624996 PMCID: PMC10494968 DOI: 10.5014/ajot.2023.050173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/27/2023] Open
Abstract
IMPORTANCE Although occupational balance (OB) is a construct of importance to occupational therapy, existing OB assessments have not been validated in clinical populations. OBJECTIVE To examine the validity and reliability of the 11-item version of the Occupational Balance Questionnaire (OBQ11) in U.S. adults with Type 1 diabetes. DESIGN Data were analyzed from adults with Type 1 diabetes enrolled in a larger longitudinal study examining the relationships among blood glucose, emotion, and functioning. Dimensionality of the OBQ11 was assessed with item response theory (IRT); convergent validity was tested by examining whether associations between the OBQ11 and other constructs were consistent with a priori hypotheses. SETTING Three outpatient clinical sites in the United States. PARTICIPANTS Data from 208 U.S. adults with Type 1 diabetes were included in the analyses (42% Latino, 29% White, 14% African American, 7% multiethnic, and 8% other). OUTCOMES AND MEASURES Assessments administered include the OBQ11, Patient Health Questionnaire (depression), and Diabetes Self-Management Questionnaire. RESULTS Overall, results from IRT models and correlational tests supported the reliability and validity of the OBQ11. For instance, higher scores on the OBQ11 were significantly associated with better self-ratings of diabetes management behaviors (r = .28, p < .001), lower depression symptoms (r = -.53, p < .001), and greater positive affect (r = .32, p < .001). A single-factor generalized partial credit model fit the OBQ11 acceptably well, supporting its unidimensionality. CONCLUSIONS AND RELEVANCE The OBQ11 may be a reliable and valid measure of OB appropriate for use in clinical populations such as adults with diabetes. What This Article Adds: OB is not often formally assessed by occupational therapists in the United States, even though the contributions of OB to health and well-being are core components of the philosophy of occupational therapy. The current evidence supports the validity of the OBQ11 in a clinical population of adults with Type 1 diabetes and demonstrates significant associations between OB and health management behaviors. Study results may encourage greater consideration and assessment of OB in occupational therapy clinical practice in the United States.
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Affiliation(s)
- Raymond Hernandez
- Raymond Hernandez, PhD, OTR/L, is Postdoctoral Scholar, Dornsife Center for Economic & Social Research, University of Southern California, Los Angeles;
| | - Stefan Schneider
- Stefan Schneider, PhD, is Senior Research Scientist, Dornsife Center for Economic & Social Research, and Professor, Department of Psychology, University of Southern California, Los Angeles
| | - Petra Wagman
- Petra Wagman, PhD, Reg OT, is Associate Professor, Department of Rehabilitation, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Carita Håkansson
- Carita Håkansson, PhD, Reg OT, is Senior Lecturer, Division of Occupational and Environmental Medicine, Lund University, Lund, Sweden
| | - Donna Spruijt-Metz
- Donna Spruijt-Metz, PhD, MFA, was Director of the USC mHealth Collaboratory, Dornsife Center for Economic & Social Research; Director of Responsible Conduct in Research, Keck School of Medicine; and Professor, Department of Psychology, University of Southern California, Los Angeles, at the time of this research
| | - Elizabeth A Pyatak
- Elizabeth A. Pyatak, PhD, OTR/L, CDCES, DipACLM, FAOTA, is Associate Professor, Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles
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Ercan Doğu S, Günal A, Pekçetin S, Örsel S, Wagman P, Håkansson C. Validity and reliability of the Turkish Occupational Balance Questionnaire (OBQ11-T) in mental health. Scand J Occup Ther 2023:1-7. [PMID: 36632045 DOI: 10.1080/11038128.2022.2164351] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
BACKGROUND People with psychiatric disabilities often find it difficult to maintain a satisfactory occupational balance. AIMS/OBJECTIVES This study aimed to investigate the validity and reliability of the Turkish version of the Occupational Balance Questionnaire (OBQ11-T) in mental health. MATERIAL AND METHODS OBQ11-T was applied to 149 people for construct validity analysis and to 61 of them for reliability analysis. Validity was determined using factor analyses. The reliability of the OBQ between the first and second evaluations was assessed using the intraclass correlation coefficient (ICC) for each item and the total OBQ11-T score. Internal consistency was assessed using Cronbach's alpha. RESULTS The results of factor analysis revealed one factor that explains 35.94% of the total variance in the model. OBQ11-T item 1 had the lowest and OBQ11-T item 4 had the highest factor loadings. The model fits the data according to the indices of relative fit (RMSEA = 0.087, CMIN/DF = 2.129, CFI = 0.901). There was an excellent correlation between test and retest OBQ11-T total scores (ICC = 0.905). All items of the OBQ11-T showed good reliability. Cronbach's alpha for the OBQ11-T total score was 0.839, indicating acceptable internal consistency. CONCLUSIONS AND SIGNIFICANCE The current study showed that OBQ11-T is a valid and reliable tool for measuring the self-rated occupational balance of people with mental illness.
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Affiliation(s)
- Selma Ercan Doğu
- Department of Occupational Therapy, Faculty of Hamidiye Health Sciences, University of Health Sciences, Istanbul, Turkey
| | - Ayla Günal
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Tokat Gaziosmanpaşa University, Tokat, Turkey
| | - Serkan Pekçetin
- Department of Occupational Therapy, Faculty of Gulhane Health Sciences, Health Sciences University, Ankara, Turkey
| | - Sibel Örsel
- Department of Psychiatry, University of Health Sciences Diskapi Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
| | - Petra Wagman
- Department of Rehabilitation, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Carita Håkansson
- Department of Occupational and Environmental Medicine, Lund University, Lund, Sweden
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Bahadır Z, Yaran M, Özkan E, Ekici G, Huri M, Akel S. Translation, Psychometric and Concept Analysis of the Occupational Balance-Questionnaire Based on a Turkish Population. Occup Ther Health Care 2023; 37:101-118. [PMID: 34866521 DOI: 10.1080/07380577.2021.2010160] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
Occupational balance is a crucial concept in occupational therapy, accepted as a key component of health and well-being. The Occupational Balance-Questionnaire (OB-Quest) is designed as a standardized instrument to assess occupational balance. This study investigated the validity and reliability of the OB-Quest Turkish, which consisted of translation, cross-cultural adaptation, and analysis psychometric properties phases. The factor structure of the OB-Quest indicated a good model fit. The criterion-related validity showed a positive correlation with Beck Depression Inventory and a negative correlation with the 12-item Short Form Survey. The OB-Quest-Turkish showed questionable internal consistency and an excellent correlation between test-retest.Supplemental data for this article is available online at https://doi.org/10.1080/07380577.2021.2010160 .
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Affiliation(s)
- Zeynep Bahadır
- Occupational Therapy, Atlas University, İstanbul, Turkey
| | - Mahmut Yaran
- Occupational Therapy, Ondokuz Mayıs University, Samsun, Turkey
| | - Esma Özkan
- Occupational Therapy, Sağlık Bilimleri University, Ankara, Turkey
| | - Gamze Ekici
- Occupational Therapy, Hacettepe University, Ankara, Turkey
| | - Meral Huri
- Occupational Therapy, Hacettepe University, Ankara, Turkey
| | - Semin Akel
- Occupational Therapy, İstanbul Kültür University, İstanbul, Turkey
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Translation and validation of the Chinese version of the Friedman life balance scale among nursing students: A psychometric analysis. Nurse Educ Pract 2023; 66:103505. [PMID: 36462275 DOI: 10.1016/j.nepr.2022.103505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2022] [Revised: 11/08/2022] [Accepted: 11/10/2022] [Indexed: 11/16/2022]
Abstract
AIM To conduct a Chinese translation and validation of the Friedman Life Balance Scale (FLBS). BACKGROUND Prevalence of mental disorders is high among nursing students. Life balance is important for nursing students, which may help them increase efficiency in their studies and develop physical and psychological health. Yet, little is known about life balance in nursing students. Therefore, it is crucial to evaluate the status of life balance of the students to lay the foundation for exploring its associated factors. DESIGN A multi-centre cross-sectional design. METHOD The study was comprised of 420 nursing students from 15 hospitals and two educational institutes in East, North and Northeast China from July 2021 to January 2022. The Chinese version of the FLBS was translated and adapted based on published, standardized, international guidelines. Psychometric evaluation included floor and ceiling effects, factorial validity, convergent validity, discriminant validity, internal consistency, test-retest reliability, diagnosis accuracy and calibration. The tests used for validity included floor and ceiling effects, confirmatory factor analysis, average extracted variance (AVE) value, composite reliability, correlations with life satisfaction and subjective well-being. The tests used for reliability incudes Cronbach's alpha and intraclass correlation coefficients. Diagnosis accuracy was tested by the area under the curve and calibration was tested by Hosmer-Lemeshow goodness-of-fit test. RESULTS The Chinese version of the Friedman life balance scale did not demonstrate floor or ceiling effect, showing content validity is not limited. Confirmatory factor analysis showed acceptable model fit after it was modified. Convergent validity and discriminant validity of the Friedman life balance scale were supported, except subscales two and three were not discriminated well by AVE technique. The internal consistency was acceptable and the test-retest reliability was good with 0.858. The area under the curve was 0.762 and the optimal cut-off point for depressive symptoms was 44. Hosmer-Lemeshow goodness-of-fit test showed the calibration to be acceptable. Life balance is moderate among Chinese nursing students. The subscale "self-forgive, compassion, love" had the highest correlations with well-being and life satisfaction. CONCLUSIONS The Chinese version of the Friedman life balance scale is a suitable instrument for assessing life balance in Chinese-speaking contexts. It also may have potential utility in identifying nursing students with or without depressive symptoms that may need further examination. Future work should examine additional samples of Chinese nursing students, as well as, perhaps other student populations to determine the extent to which the psychometric properties of the FLBS generalize to other students and contexts.
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Ercan Doğu S, Örsel S. The relationship between psychopathology, occupational balance, and quality of life among people with schizophrenia. Aust Occup Ther J 2022. [PMID: 36562348 DOI: 10.1111/1440-1630.12855] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2022] [Revised: 11/18/2022] [Accepted: 11/28/2022] [Indexed: 12/24/2022]
Abstract
OBJECTIVE There is an increased risk of occupational imbalance and poor quality of life (QoL) if one has schizophrenia. Although evidence suggests a relationship between psychopathology and QoL, the association of occupational balance (OB) with QoL in schizophrenia is unclear. This study aimed to investigate the associations among psychopathology, occupational balance, and QoL in schizophrenia. METHODS This was a cross-sectional study carried out in a Community Mental Health Center (CMHC). Ninety-five individuals aged 18 years or older with the diagnosis of schizophrenia participated in the study. All participants completed a sociodemographic form, Positive and Negative Syndrome Scale (PANSS), Calgary Depression Scale in Schizophrenia (CDSS), Occupational Balance Questionnaire-11 Turkish Version (OBQ11-T), and the World Health Organisation Quality of Life Assessment Instrument (WHOQOL-100-TR). Relationships among clinical and depressive symptoms, OB, and QoL variables were examined through correlation analysis, and then multiple linear regression analysis was performed to determine the variables that have influences on QOL. RESULTS The study participants had low OB scores and the lowest mean in the WHOQOL-social relationships subscale. WHOQOL-overall QoL score demonstrated a moderate negative correlation with the PANSS-total score and PANSS-general psychopathology subscale score (r = -0.422, r = -0.463, P < 0.001) and a mild negative correlation with the CDSS-total score (r = -0.390, P < 0.001). OBQ11-T total score showed a moderate positive correlation with the WHOQOL-overall score (r = 0.549; P < 0.001). Findings from the multiple linear regression analysis revealed that OBQ11-T (β = -0.467, P = 0.000) and PANSS-general psychopathology (β = -0.221, P = 0.045) were significant predictors of the overall QoL, explaining 48% of the variance in the overall QoL (adjusted R2 = .43, P < 0.001). CONCLUSION Our study findings showed that OB and general psychopathology are determinants that should be considered in improving the QoL in individuals with schizophrenia. Thereby, addressing the symptoms of general psychopathology and occupational factors to improve the QoL may be achieved with the incorporation of occupation-based programmes to routine treatment. However, further research is required.
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Affiliation(s)
- Selma Ercan Doğu
- Hamidiye Faculty of Health Sciences, Department of Occupational Therapy, University of Health Sciences, Istanbul, Turkey
| | - Sibel Örsel
- Department of Psychiatry, University of Health Sciences Diskapi Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
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Peral-Gómez P, Espinosa-Sempere C, Navarrete-Muñoz EM, Hurtado-Pomares M, Juárez-Leal I, Valera-Gran D, Sánchez-Pérez A. The Spanish version of Occupational Balance Questionnaire: psychometric properties and normative data in a representative sample of adults. Ann Med 2022; 54:3211-3218. [PMID: 36368922 PMCID: PMC9662058 DOI: 10.1080/07853890.2022.2145016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND The Occupational Balance Questionnaire (OBQ) is an instrument that assesses occupational balance (OB). It has been transculturality adapted and validated in different countries, showing adequate psychometric properties. To date, no general population-based cut-off points for OB have been developed. OBJECTIVE To assess the psychometric proprieties of the Spanish version OBQ (OBQ-E) and to estimate reference norms and the cut-off for OBQ-E in a representative sample of Spanish adults. MATERIALS AND METHODS A total of 797 adults were included in this validity study. Internal consistency, intra and test-retest reliability of OBQ-E were examined. To obtain the convergent validity and the divergent validity, the Satisfaction with Life Scale (SLS) and the Hospital Anxiety and Depression Scale (HAD) were used respectively, compared with OBQ-E. To determine extreme and moderate disturbed OB stratified by age, sex, and educational level were used the 5 and 15% percentiles of OBQ-E. RESULTS The OBQ-E showed good internal consistency (α-Cronbach = 0.87), intraclass reliability (ICC = 0.87), and test-retest reliability (rho = 0.83). Convergent (SLS) and divergent (HAD) validity were moderate (rho = 0.39 and rho = -0.46, respectively). The lowest extreme disturbed OB cut-off point in men (17.2) and in women (24) appeared at the primary education level, under 40 years of age (men) and 40-65 years of age (women). CONCLUSIONS The OBQ-E presents adequate psychometric properties, and its normative data can be used as a reference to assess and monitor the occupational balance in the general Spanish population.KEY MESSAGESThe 'Occupational Balance Questionnaire' (OBQ), stands out as a specific measure of the concept of Occupational Balance, considered as satisfaction with the number and variation of occupations in which the person participates.The OBQ is a short and simple instrument that can be a useful tool for use in population-based and epidemiological studies to monitor OB and explore the associated factors or implications of disturbed OB.The Spanish version of the OBQ (OBQ-E) seems to be a reliable and valid questionnaire to assess the perception of balance between occupations, related to health and well-being in the Spanish adult population.
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Affiliation(s)
- Paula Peral-Gómez
- Grupo de Investigación en Terapia Ocupacional (InTeO), Miguel Hernández University, Alicante, Spain.,Department of Surgery and Pathology, Miguel Hernández University, Alicante, Spain
| | - Cristina Espinosa-Sempere
- Grupo de Investigación en Terapia Ocupacional (InTeO), Miguel Hernández University, Alicante, Spain.,Department of Surgery and Pathology, Miguel Hernández University, Alicante, Spain
| | - Eva M Navarrete-Muñoz
- Grupo de Investigación en Terapia Ocupacional (InTeO), Miguel Hernández University, Alicante, Spain.,Department of Surgery and Pathology, Miguel Hernández University, Alicante, Spain.,Alicante Institute for Health and Biomedical Research (ISABIAL-FISABIO Foundation), Alicante, Spain
| | - Miriam Hurtado-Pomares
- Grupo de Investigación en Terapia Ocupacional (InTeO), Miguel Hernández University, Alicante, Spain.,Department of Surgery and Pathology, Miguel Hernández University, Alicante, Spain
| | - Iris Juárez-Leal
- Grupo de Investigación en Terapia Ocupacional (InTeO), Miguel Hernández University, Alicante, Spain.,Department of Surgery and Pathology, Miguel Hernández University, Alicante, Spain
| | - Desireé Valera-Gran
- Grupo de Investigación en Terapia Ocupacional (InTeO), Miguel Hernández University, Alicante, Spain.,Department of Surgery and Pathology, Miguel Hernández University, Alicante, Spain
| | - Alicia Sánchez-Pérez
- Grupo de Investigación en Terapia Ocupacional (InTeO), Miguel Hernández University, Alicante, Spain.,Department of Surgery and Pathology, Miguel Hernández University, Alicante, Spain.,Alicante Institute for Health and Biomedical Research (ISABIAL-FISABIO Foundation), Alicante, Spain
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González-Román L, Peral-Gómez P, Garrido-Pedrosa J, Zango-Martín I, Wagman P, Sánchez-Pérez A. Occupational balance of Spanish occupational therapist – a challenge. Scand J Occup Ther 2022; 30:444-451. [PMID: 36379230 DOI: 10.1080/11038128.2022.2145994] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND Occupational balance is a central aspect in occupational therapy. Awareness of occupational balance/imbalance among occupational therapists could influence the orientation of their professional interventions. OBJECTIVE To describe and compare the occupational balance status of occupational therapists working in Spain. MATERIAL AND METHODS Cross-sectional descriptive study using an online questionnaire. Participants were occupational therapists working in Spain who answered a questionnaire including 22 questions on the sociodemographic and employment data and the Spanish version of the Occupational Balance Questionnaire (OBQ-E) ranging 0-65 where higher ratings equal better occupational balance. RESULTS A total of 648 currently working occupational therapists participated. Mostly women, with median age of 32 years, without partner, children, or dependents. The median OBQ-E was 37 (IQR = 27; 45). Statistically significant differences were found between the medians of participants varying in the categories 'hired as an occupational therapist', weekly work hours, and population working with children and adults. CONCLUSIONS AND SIGNIFICANCE Spanish occupational therapists presented a moderate occupational balance that varied between subgroups. Professional recognition, working hours, and the population they attend are aspects that influence their occupational balance. Knowledge of occupational therapists' occupational balance could contribute to the development of policies aimed at promoting it.
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Affiliation(s)
- Loreto González-Román
- Health, Participation, Occupation and Care Research Group (GrEUIT). Escola Universitària d’Infermeria i Teràpia Ocupacional de Terrassa (EUIT), Universitat Autònoma de Barcelona, Terrassa, Spain
| | - Paula Peral-Gómez
- Department of Surgery and Pathology, Miguel Hernández University, Alicante, Spain
- Grupo de Investigación en Terapia Ocupacional (InTeO), Miguel Hernández University, Alicante, Spain
| | - Jessica Garrido-Pedrosa
- Health, Participation, Occupation and Care Research Group (GrEUIT). Escola Universitària d’Infermeria i Teràpia Ocupacional de Terrassa (EUIT), Universitat Autònoma de Barcelona, Terrassa, Spain
| | - Inmaculada Zango-Martín
- Health, Participation, Occupation and Care Research Group (GrEUIT). Escola Universitària d’Infermeria i Teràpia Ocupacional de Terrassa (EUIT), Universitat Autònoma de Barcelona, Terrassa, Spain
| | - Petra Wagman
- Department of Rehabilitation, Jönköping University, Jönköping, Sweden
| | - Alicia Sánchez-Pérez
- Department of Surgery and Pathology, Miguel Hernández University, Alicante, Spain
- Grupo de Investigación en Terapia Ocupacional (InTeO), Miguel Hernández University, Alicante, Spain
- Alicante Institute for Health and Biomedical Research (ISABIAL), Alicante, Spain
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12
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Dür M, Röschel A, Oberleitner-Leeb C, Herrmanns V, Pichler-Stachl E, Mattner B, Pernter SD, Wald M, Urlesberger B, Kurz H, Frischer T, Zwiauer K, Matter IS, Berger A. Associations Between Parental Occupational Balance, Subjective Health, and Clinical Characteristics of VLBW Infants. Front Pediatr 2022; 10:816221. [PMID: 35299673 PMCID: PMC8922994 DOI: 10.3389/fped.2022.816221] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/16/2021] [Accepted: 02/03/2022] [Indexed: 11/23/2022] Open
Abstract
Objective Very low birthweight (VLBW) infants have an increased risk of mortality and frequently suffer from complications, which affects parental occupational balance. Occupational balance is the satisfaction with one's meaningful activities, which include everyday activities that people need to, want to, and are expected to do. In contrast to work-life balance, the construct of occupational balance addresses different activities equally and it applies to all persons, regardless of whether they are working or not. Parental occupational balance might be related to parents' and VLBW infants' health. Therefore, the objective of this study was to investigate associations between parental occupational balance, subjective health, and clinical characteristics of VLBW infants. Methods A cross-sectional multicenter study was conducted in six Austrian neonatal intensive care units. Occupational balance and subjective health of parents of VLBW infants were assessed with six self-reported questionnaires. The following clinical characteristics of VLBW infants were extracted from medical records: gestational age, birthweight, Apgar scores, Clinical Risk for Babies II Score, and complications of prematurity. Spearman's rank coefficients were calculated. Results In total, 270 parents, 168 (62%) female and their VLBW infants, 120 (44%) female, were included in this study. Parents' mean age was 33.7 (±6.0) years, mean gestational age of VLBW infants was 27 + 3 (±2) weeks. Associations between parental occupational balance, subjective health, and clinical characteristics of VLBW infants were identified (r s = 0.13 - 0.56; p ≤ 0.05), such as the correlation between occupational areas (r s = 0.22, p ≤ 0.01), occupational characteristics (r s = 0.17, p = 0.01), and occupational resilience (r s = 0.18, p ≤ 0.01) with bronchopulmonary dysplasia of VLBW infants. Conclusion Occupational balance is associated with parents' and VLBW infants' health. Interventions to strengthen parental occupational balance might increase parental health and thereby also improve health and developmental outcomes of their VLBW infants.
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Affiliation(s)
- Mona Dür
- Department of Health Sciences, IMC University of Applied Sciences Krems, Krems, Austria
- Division of Neonatology, Department of Pediatrics and Adolescent Medicine, Pediatric Intensive Care and Neuropediatrics, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria
- Duervation, Krems, Austria
| | - Anna Röschel
- Department of Health Sciences, IMC University of Applied Sciences Krems, Krems, Austria
| | - Christiane Oberleitner-Leeb
- Division of Neonatology, Department of Pediatrics and Adolescent Medicine, Pediatric Intensive Care and Neuropediatrics, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria
| | - Verena Herrmanns
- Department of Pediatrics, Clinic Donaustadt, Gesundheitsverbund Vienna, Vienna, Austria
- Department of Pediatrics With Neonatology, St. Josef Hospital Vienna, Vienna, Austria
| | - Elisabeth Pichler-Stachl
- Division of Neonatology, Department for Pediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria
| | - Barbara Mattner
- Division of Neonatology, Department of Pediatrics and Adolescent Medicine, Pediatric Intensive Care, Wilhelminen Hospital, Vienna, Austria
| | - Silvia-Desiree Pernter
- Division of Neonatology, Department of Pediatrics and Adolescent Medicine, University Hospital Salzburg, Salzburg, Austria
| | - Martin Wald
- Division of Neonatology, Department of Pediatrics and Adolescent Medicine, University Hospital Salzburg, Salzburg, Austria
| | - Berndt Urlesberger
- Division of Neonatology, Department for Pediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria
| | - Herbert Kurz
- Department of Pediatrics, Clinic Donaustadt, Gesundheitsverbund Vienna, Vienna, Austria
| | - Thomas Frischer
- Faculty for Medicine, Sigmund Freud University, Vienna, Austria
| | - Karl Zwiauer
- University Hospital for Pediatrics and Adolescent Medicine, University Hospital St. Pölten, Sankt Pölten, Austria
- Karl Landsteiner University for Health Sciences, Krems, Austria
| | - Inu Sarah Matter
- Division of Neonatology, Department of Pediatrics and Adolescent Medicine, Pediatric Intensive Care and Neuropediatrics, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria
| | - Angelika Berger
- Division of Neonatology, Department of Pediatrics and Adolescent Medicine, Pediatric Intensive Care and Neuropediatrics, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria
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N Dhas B, Wagman P, Marji FA, Håkansson C, Carrasco R. Translation and initial validation of the occupational balance questionnaire to Arabic—Occupational Balance Questionnaire-A. Br J Occup Ther 2021. [DOI: 10.1177/03080226211039432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Introduction Occupational balance (OB) is related to many health indicators, including quality of life. The Occupational Balance Questionnaire (OBQ11) was developed to measure OB, and to date, no Arabic translations of the questionnaire exist. The aim of the study was to describe the translation process of OBQ11 to Arabic and to evaluate its content validity, internal consistency, construct validity, and convergent validity. Methods OBQ11 was translated to Arabic (OBQ11-A) following standard guidelines. Content validity feedback was obtained from ten Arabic-speaking occupational therapists and in a cognitive debriefing with seven volunteers. In addition, OBQ11-A and the Family Quality of Life Survey-2006 were administered to 67 Arabic-speaking participants from a larger study about OB among parents. Results High level of agreement was found on the content of OBQ11-A from the occupational therapists. Cognitive debriefing interviews indicated that OBQ11-A was easy to understand. Cronbach’s alpha for the total OBQ11-A score was 0.864 indicating good internal consistency. Exploratory factor analysis showed acceptable factor loadings for all items. The total scores showed positive statistically significant associations with Family Quality of Life Scores ( r = 0.561, p < 0.001). Conclusions OBQ11-A may prove useful for assessing OB in Arabic-speaking populations. Further research is needed to establish its reliability.
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Affiliation(s)
| | - Petra Wagman
- Occupational Therapy, Nova Southeastern University, Fort Lauderdale, USA
| | - Firas A Marji
- Occupational Therapy, Hamad Medical Corporation, Doha, Qatar
| | - Carita Håkansson
- Division of Occupational and Environmental Medicine, Lund University, Lund, Sweden
| | - Ricardo Carrasco
- Occupational Therapy, Fort Lauderdale, Nova Southeastern University-Fort Lauderdale/Davie Campus, Fort Lauderdale, FL, USA
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Exploring the Occupational Balance of Young Adults during Social Distancing Measures in the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18115809. [PMID: 34071699 PMCID: PMC8199197 DOI: 10.3390/ijerph18115809] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Revised: 05/24/2021] [Accepted: 05/26/2021] [Indexed: 12/27/2022]
Abstract
(1) Background: A balanced life is related to good health in young people, one of the groups most affected by confinement and social distancing measures during the COVID-19 pandemic. This study aims to explore the occupational balance of young adults during home confinement and its association with different sociodemographic factors. (2) Methods: A cross-sectional study was designed, and an online survey was disseminated to collect sociodemographic and occupational balance data, using the Occupational Balance Questionnaire (OBQ). The statistical analysis was performed using the SPSS statistical software package version 24.0. (3) Results: 965 young adults between 18 and 30 years old participated in the study. A predictive model showed that the main predictors of a lower occupational balance were a negative self-perception (β= 0.377; p = <0.0001), student status (β = 0.521; p = 0.001), not receiving enough information (β = 0.951; p = 0.001) and long periods of quarantine (β = 0.036; p = 0.007). (4) Conclusions: Considering people's occupational health and related factors could lessen many of the psychosocial consequences of isolation and contribute to the well-being of young people.
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Ortiz-Rubio A, Cabrera-Martos I, Haro-Piedra E, López-López L, Rodríguez-Torres J, Granados-Santiago M, Valenza MC. Exploring perceived occupational balance in women with fibromyalgia. A descriptive study. Scand J Occup Ther 2020; 29:395-402. [PMID: 33369515 DOI: 10.1080/11038128.2020.1865449] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
BACKGROUND People with chronic pain conditions such as fibromyalgia may experience occupational limitations and imbalances in their basic and instrumental occupations of daily living, leisure, work, and social participation. OBJECTIVE To describe occupational balance in persons with fibromyalgia and to analyze whether it is associated with self-reported disability and self-efficacy to manage symptoms. METHODS A cross-sectional study was carried out. Individuals with fibromyalgia were invited to participate. Occupational balance was assessed with the Occupational Balance Questionnaire; self-reported disability was assessed with the World Health Organization Disability Assessment Schedule, WHODAS 2.0-12; and self-efficacy was evaluated with the 8-item version of the Arthritis Self-Efficacy Scale. Data were analyzed using multiple linear regression with a forward stepwise procedure. RESULTS One hundred women with fibromyalgia were included. Occupational balance was 26.96 ± 12.09; however, scores differed between the mild disability group and the moderate disability group (33.11 ± 9.99 vs. 20.29 ± 10.61, p < 0.001). Multiple linear regression analyses revealed that self-reported disability and self-reported pain management explained 58.1% of the variance in occupational balance. CONCLUSION Women with fibromyalgia showed low occupational balance. Self-reported disability and self-reported pain management were associated with occupational balance. SIGNIFICANCE Occupational therapy practitioners can design intervention programs focussing on occupational balance and self-efficacy to manage symptoms.
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Affiliation(s)
- Araceli Ortiz-Rubio
- Department of Physiotherapy, Faculty of Health Sciences, University of Granada, Granada, Spain
| | - Irene Cabrera-Martos
- Department of Physiotherapy, Faculty of Health Sciences, University of Granada, Granada, Spain
| | - Eva Haro-Piedra
- Department of Physiotherapy, Faculty of Health Sciences, University of Granada, Granada, Spain
| | - Laura López-López
- Department of Physiotherapy, Faculty of Health Sciences, University of Granada, Granada, Spain
| | - Janet Rodríguez-Torres
- Department of Physiotherapy, Faculty of Health Sciences, University of Granada, Granada, Spain
| | - María Granados-Santiago
- Department of Physiotherapy, Faculty of Health Sciences, University of Granada, Granada, Spain
| | - Marie Carmen Valenza
- Department of Physiotherapy, Faculty of Health Sciences, University of Granada, Granada, Spain
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Vidaña-Moya L, Eklund M, Merchán-Baeza JA, Peral-Gómez P, Zango-Martín I, Hultqvist J. Cross-Cultural Adaptation, Validation and Reliability of the Spanish Satisfaction with Daily Occupations-Occupational Balance (SDO-OB): An Evaluation Tool for People with Mental Disorders. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17238906. [PMID: 33266259 PMCID: PMC7730273 DOI: 10.3390/ijerph17238906] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/14/2020] [Revised: 11/22/2020] [Accepted: 11/26/2020] [Indexed: 11/16/2022]
Abstract
Occupation can be defined as all activities that occupy a person's time. The Satisfaction with Daily Occupations and Occupational Balance instrument evaluates the perceived satisfaction with performance and the balance in time dedicated to different occupations. The main aim was to translate the original instrument to Spanish and examine and establish the psychometric properties. This is a quantitative, cross-sectional study conducted in two stages: translation and cultural adaptation (forward translation, expert panel, back-translation, second expert panel and pre-testing and cognitive interviewing) and collecting data to evaluate psychometric properties (homogeneity, construct validity, known-groups validity, and floor/ceiling effects). One hundred participants took part in the study, adults with a diagnosis of a mental health disorder and adults without any known health problems. The Spanish version showed known-groups validity, acceptable internal consistency, and construct validity, although the relationships with some of the indicators of discriminant validity were somewhat higher than expected. The instrument shows promise as a useful screening tool for assessing activity level and satisfaction with daily occupations among a Spanish speaking population.
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Affiliation(s)
- Laura Vidaña-Moya
- Research Group GrEUIT., Escola Universitària d’Infermeria i Teràpia Ocupacional de Terrassa (EUIT), Universitat Autònoma de Barcelona, 08221 Terrassa, Spain; (L.V.-M.); (I.Z.-M.)
| | - Mona Eklund
- Department of Health Sciences, Lund University, 221 00 Lund, Sweden; (M.E.); (J.H.)
| | - Jose Antonio Merchán-Baeza
- Research Group on Methodology, Methods, Models and Outcomes of Health and Social Sciences (M3O), Faculty of Health Science and Welfare, University of Vic-Central University of Catalonia (UVIC-UCC), 08500 Vic, Spain
- Correspondence:
| | - Paula Peral-Gómez
- Research Group InTeO, Department of Pathology and Surgery, Miguel Hernández University of Elche, 03550 Alicante, Spain;
| | - Inmaculada Zango-Martín
- Research Group GrEUIT., Escola Universitària d’Infermeria i Teràpia Ocupacional de Terrassa (EUIT), Universitat Autònoma de Barcelona, 08221 Terrassa, Spain; (L.V.-M.); (I.Z.-M.)
| | - Jenny Hultqvist
- Department of Health Sciences, Lund University, 221 00 Lund, Sweden; (M.E.); (J.H.)
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Wagman P, Ahlstrand I, Björk M, Håkansson C. Occupational balance and its association with life satisfaction in men and women with rheumatoid arthritis. Musculoskeletal Care 2020; 18:187-194. [PMID: 32011082 DOI: 10.1002/msc.1454] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2019] [Revised: 12/05/2019] [Accepted: 12/07/2019] [Indexed: 12/15/2022]
Abstract
INTRODUCTION Despite improved treatments and reduced disability, people with rheumatoid arthritis (RA) experience difficulties in daily life, which may negatively affect their balance of everyday life activities (occupational balance). The aim of this study was to describe occupational balance and its association with self-rated life satisfaction in men and women with RA. METHODS A survey, including demographic and health-related questions, was sent to 1,277 people who met the following criteria: with RA >4 years, aged 18-80 years, included in the Swedish Rheumatology Quality Register (SRQ), and had at least one registered visit to the participating rheumatology units in the year before inclusion. The 682 who answered all items in the Occupational Balance Questionnaire (OBQ) were included in the study. Their answers were analysed with descriptive statistics, and logistic regression analyses were conducted on men and women separately. RESULTS Significantly higher occupational balance was identified in those participants who were >65 years, had no children at home, had a lower disease activity score, were not continuously stressed and reported low pain intensity. The results of the logistic regression analyses of both genders showed that higher occupational balance was significantly associated with a higher probability for rating themselves as being satisfied with life as a whole. CONCLUSION Occupational balance was identified as related to satisfaction with life as a whole, which is valuable information for health professionals. Enhanced occupational balance may be achieved in people with RA by working towards reducing their stress and pain.
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Affiliation(s)
- Petra Wagman
- Department of Rehabilitation, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Inger Ahlstrand
- Department of Rehabilitation, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Mathilda Björk
- Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden
| | - Carita Håkansson
- Division of Occupational and Environmental Medicine, Lund University, Lund, Sweden
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