Date Presented 03/21/24
The study provides a reliable and valid Chinese version of the Occupational Balance Questionnaire (OBQ11–C) for people with depression in the clinical and research field of OT.
Primary Author and Speaker: Yun-Ling Chen
Contributing Authors: Wei-Ting Ko, Pei-Chi Su, Ming-Hong Hsieh, Yin-To Liao, Po-Chung Ju, Yung-Teng Chan, Petra Wagman, Carita Håkansson
INTRODUCTION: Occupational balance (OB) is a subjective feeling that encompass of having the right amount of occupations and the right variation between occupations in life (Wagman et al., 2012). The purpose of the study is to translate the Occupational Balance Questionnaire (OBQ11) (Håkansson et al., 2020) into Chinese version (OBQ11-C) and to examine the psychometric properties for people with depression in Taiwan.
DESIGN AND METHOD: A rigorous and standardized procedure was used to translate the OBQ11 (Pan et al., 2020). The content of OBQ11-C was reviewed by 10 experts from all over Taiwan. The subjects with depressive disorder were recruited from two psychiatric outpatient clinic in Central Taiwan. 10 subjects were conducted the cognitive debriefing. And 161 subjects (131 subjects completed the re-test) were used to examine the reliability and validity using classical test theory by PASW 20.0 and Rasch analysis by Winsteps 5.3.0 (average age=39.2±14.0, range=20-66; 66.5% female).
RESULTS: The OBQ11-C had acceptable content validity which showed both expert and client scale-level CVI/Ave were 0.93 and item-level CVI were ranged from 0.8 to 1.0. The internal consistency (Cronbach’s α=0.901), item-total correlation (0.489-0.767), and test-retest reliability (ICC=0.815) were good. In total, 292 subjects (N=161+131) were used for Rasch analysis. The results supported the four-rating scale structure and unidimensionality (Items Infit Mnsq: 0.69-1.27 and Outfit Mnsq: 0.66-1.26; PCA analysis). Item separation (3.95), item reliability (0.94), person separation (2.87), and person reliability (0.89) were good. The hierarchical item ordering was reasonable and might had cultural differences with OBQ11.
CONCLUSIONS: The study provides a reliable and valid OBQ11-C for people with depression. It could be the basis to design individualized and occupation-based evaluation and intervention programs, in order to reduce the burden of disease in the country, society and families.
References
Håkansson, C., Wagman, P., & Hagell, P. (2020). Construct validity of a revised version of the Occupational Balance Questionnaire. Scandinavian Journal of Occupational Therapy, 27(6), 441-449. https://doi.org/10.1080/11038128.2019.1660801
Pan, A. W., Lai, J. S., & Correia, H. (2020). Applying ten steps translation process in quality of life scales. Formosan Journal of Medicine, 24(1), 92-101. https://doi.org/10.6320/fjm.202001_24(1).0010
Wagman, P., Håkansson, C., & Björklund, A. (2012). Occupational balance as used in occupational therapy: A concept analysis. Scandinavian Journal of Occupational Therapy, 19(4), 322-327. https://doi.org/10.3109/11038128.2011.596219
