Cultural Adaptation and Psychometric Properties of the Spanish Version of the Occupational Balance Questionnaire: An Instrument for Occupation-Based Research

Paula Peral-Gómez, Sofía López-Roig, María Ángeles Pastor-Mira, Ester Abad-Navarro, Desirée Valera-Gran, Carita Håkansson, Petra Wagman, Paula Peral-Gómez, Sofía López-Roig, María Ángeles Pastor-Mira, Ester Abad-Navarro, Desirée Valera-Gran, Carita Håkansson, Petra Wagman

Abstract

Occupational balance (OB) may be a major determinant of health outcomes due to its role in bringing a sense of purpose in the occupations that are personally experienced as a process of getting health and wellness. The Occupational Balance Questionnaire (OBQ) is a reliable instrument for measuring OB, although it has not been adapted and validated in Spain so far; therefore, this study had a double aim: (1) to translate and cross-culturally adapt the original OBQ version into Spanish (OBQ-E); (2) to analyze the psychometric properties for its use in the Spanish population. Standard procedures were used for the cross-adaptation process and pilot testing was carried out using three different samples to extend the applicability of the OBQ-E. Validation measures of the final version of the OBQ-E were conducted in a sample of 219 participants. The OBQ-E showed that items and instructions were culturally appropriate and written clearly. Psychometric testing showed excellent internal consistency (Cronbach's alpha = 0.87; Guttman split-half coefficient = 0.85), good test-retest reliability (rs (Spearman rho) = 0.73), and acceptable convergent validity (overall status, rs = 0.37; Related Quality of Life, rs = 0.42; Satisfaction with Life Scale, rs = 0.54). The findings suggest that the OBQ-E may be a suitable instrument for assessing OB in the Spanish population; hence, it is a promising tool for epidemiological research that will significantly contribute to the understanding of OB as a health-related factor. Nevertheless, further investigation is also warranted to explore the potentiality of this instrument for clinical purposes.

Keywords: adaptation; occupational balance; psychometric testing; questionnaire; validation.

Conflict of interest statement

The authors declare no conflict of interest. D.V.-G. belongs to Editorial Board for this Special Issue in the International Journal of Environmental Research and Public Health and declare that they had no role in the peer review process of the manuscript.

Figures

Figure 1
Figure 1
Flow chart for the cross-cultural adaptation and translation process of the OBQ-E.

References

    1. Wilcock A.A. Occupation and Health: Are They One and the Same? J. Occup. Sci. 2007;14:3–8. doi: 10.1080/14427591.2007.9686577.
    1. Park S., Lee H.J., Jeon B.-J., Yoo E.-Y., Kim J.-B., Park J.-H. Effects of Occupational Balance on Subjective Health, Quality of Life, and Health-Related Variables in Community-Dwelling Older Adults: A Structural Equation Modeling Approach. PLoS ONE. 2021;16:e0246887. doi: 10.1371/journal.pone.0246887.
    1. Wilcock A.A. Occupational Science: Bridging Occupation and Health. Can. J. Occup. Ther. 2005;72:5–12. doi: 10.1177/000841740507200105.
    1. Håkansson C., Björkelund C., Eklund M. Associations between Women’s Subjective Perceptions of Daily Occupations and Life Satisfaction, and the Role of Perceived Control. Aust. Occup. Ther. J. 2011;58:397–404. doi: 10.1111/j.1440-1630.2011.00976.x.
    1. Håkansson C., Lissner L., Björkelund C., Sonn U. Engagement in Patterns of Daily Occupations and Perceived Health among Women of Working Age. Scand. J. Occup. Ther. 2009;16:110–117. doi: 10.1080/11038120802572494.
    1. Wagman P., Håkansson C. Exploring Occupational Balance in Adults in Sweden. Scand. J. Occup. Ther. 2014;21:415–420. doi: 10.3109/11038128.2014.934917.
    1. Wilcock A.A., Chelin M., Hall M., Hamley N., Morrison B., Scrivener L., Townsend M., Treen K. The Relationship between Occupational Balance and Health: A Pilot Study. Occup. Ther. Int. 1997;4:17–30. doi: 10.1002/oti.45.
    1. Håkansson C., Ahlborg G., Jr. Perceptions of Employment, Domestic Work, and Leisure as Predictors of Health among Women and Men. J. Occup. Sci. 2010;17:150–157. doi: 10.1080/14427591.2010.9686689.
    1. Hunt E., McKay E.A., Dahly D.L., Fitzgerald A.P., Perry I.J., Person-Centred A. Analysis of the Time-Use, Daily Activities and Health-Related Quality of Life of Irish School-Going Late Adolescents. Qual. Life Res. 2015;24:1303–1315. doi: 10.1007/s11136-014-0863-9.
    1. Håkansson C., Ahlborg G. Occupational Imbalance and the Role of Perceived Stress in Predicting Stress-Related Disorders. Scand. J. Occup. Ther. 2018;25:278–287. doi: 10.1080/11038128.2017.1298666.
    1. Matuska K., Bass J., Schmitt J.S. Life Balance and Perceived Stress: Predictors and Demographic Profile. OTJR Occup. Particip. Health. 2013;33:146–158. doi: 10.3928/15394492-20130614-03.
    1. Eklund M., Orban K., Argentzell E., Bejerholm U., Tjörnstrand C., Erlandsson L.-K., Håkansson C. The Linkage between Patterns of Daily Occupations and Occupational Balance: Applications within Occupational Science and Occupational Therapy Practice. Scand. J. Occup. Ther. 2017;24:41–56. doi: 10.1080/11038128.2016.1224271.
    1. Dür M., Unger J., Stoffer M., Drăgoi R., Kautzky-Willer A., Fialka-Moser V., Smolen J., Stamm T. Definitions of Occupational Balance and Their Coverage by Instruments. Br. J. Occup. Ther. 2015;78:4–15. doi: 10.1177/0308022614561235.
    1. Wagman P., Håkansson C. Introducing the Occupational Balance Questionnaire (OBQ) Scand. J. Occup. Ther. 2014;21:227–231. doi: 10.3109/11038128.2014.900571.
    1. Eklund M., Argentzell E. Perception of Occupational Balance by People with Mental Illness: A New Methodology. Scand. J. Occup. Ther. 2016;23:304–313. doi: 10.3109/11038128.2016.1143529.
    1. Dür M., Steiner G., Fialka-Moser V., Kautzky-Willer A., Dejaco C., Prodinger B., Stoffer M.A., Binder A., Smolen J., Stamm T.A. Development of a New Occupational Balance-Questionnaire: Incorporating the Perspectives of Patients and Healthy People in the Design of a Self-Reported Occupational Balance Outcome Instrument. Health Qual. Life Outcomes. 2014;12:45. doi: 10.1186/1477-7525-12-45.
    1. Eklund M., Erlandsson L.-K., Persson D., Hagell P. Rasch Analysis of an Instrument for Measuring Occupational Value: Implications for Theory and Practice. Scand. J. Occup. Ther. 2009;16:118–128. doi: 10.1080/11038120802596253.
    1. Håkansson C., Wagman P., Hagell P. Construct Validity of a Revised Version of the Occupational Balance Questionnaire. Scand. J. Occup. Ther. 2020;27:441–449. doi: 10.1080/11038128.2019.1660801.
    1. Romero-Tébar A., Rodríguez-Hernández M., Segura-Fragoso A., Cantero-Garlito P.A. Analysis of Occupational Balance and Its Relation to Problematic Internet Use in University Occupational Therapy Students. Healthcare. 2021;9:197. doi: 10.3390/healthcare9020197.
    1. Rodríguez-Fernández P., González-Santos J., Santamaría-Peláez M., Soto-Cámara R., González-Bernal J.J. Exploring the Occupational Balance of Young Adults during Social Distancing Measures in the COVID-19 Pandemic. Int. J. Environ. Res. Public Health. 2021;18:5809. doi: 10.3390/ijerph18115809.
    1. González-Bernal J.J., Santamaría-Peláez M., González-Santos J., Rodríguez-Fernández P., León del Barco B., Soto-Cámara R. Relationship of Forced Social Distancing and Home Confinement Derived from the COVID-19 Pandemic with the Occupational Balance of the Spanish Population. J. Clin. Med. 2020;9:3606. doi: 10.3390/jcm9113606.
    1. Fayers P., Bottomley A., EORTC Quality of Life Group. Quality of Life Unit Quality of Life Research within the EORTC—The EORTC QLQ-C30. Eur. J. Cancer. 2002;38(Suppl. 4):S125–S133. doi: 10.1016/S0959-8049(01)00448-8. European Organisation for Research and Treatment of Cancer.
    1. Nolte S., Liegl G., Petersen M.A., Aaronson N.K., Costantini A., Fayers P.M., Groenvold M., Holzner B., Johnson C.D., Kemmler G., et al. General Population Normative Data for the EORTC QLQ-C30 Health-Related Quality of Life Questionnaire Based on 15,386 Persons across 13 European Countries, Canada and the Unites States. Eur. J. Cancer. 2019;107:153–163. doi: 10.1016/j.ejca.2018.11.024.
    1. Arraras J.I., Arias F., Tejedor M., Pruja E., Marcos M., Martínez E., Valerdi J. The EORTC QLQ-C30 (Version 3.0) Quality of Life Questionnaire: Validation Study for Spain with Head and Neck Cancer Patients. Psychooncology. 2002;11:249–256. doi: 10.1002/pon.555.
    1. Diener E., Emmons R.A., Larsen R.J., Griffin S. The Satisfaction with Life Scale. J. Pers. Assess. 1985;49:71–75. doi: 10.1207/s15327752jpa4901_13.
    1. Atienza F.L., Pons D., Balaguer I., García-Merita M. Propiedades psicométricas de la escala de satisfacción con la vida en adolescentes. Psicothema. 2000;12:314–319.
    1. Pepper D., Hodgen J., Lamesoo K., Kõiv P., Tolboom J. Think Aloud: Using Cognitive Interviewing to Validate the PISA Assessment of Student Self-Efficacy in Mathematics. Int. J. Res. Method Educ. 2018;41:3–16. doi: 10.1080/1743727X.2016.1238891.
    1. Terwee C.B., Bot S.D.M., de Boer M.R., van der Windt D.A.W.M., Knol D.L., Dekker J., Bouter L.M., de Vet H.C.W. Quality Criteria Were Proposed for Measurement Properties of Health Status Questionnaires. J. Clin. Epidemiol. 2007;60:34–42. doi: 10.1016/j.jclinepi.2006.03.012.
    1. Faremi Y.A. Reliability Coefficient of Multiple–Choice and Short Answer Objective Test Items in Basic Technology: Comparative Approach. J. Educ. Policy Entrep. Res. 2016;3:59–69.
    1. Cohen J. Statistical Power Analysis for the Behavioral Sciences. 2nd ed. Routledge; New York, NY, USA: 1988.
    1. Yu Y., Manku M., Backman C.L. Measuring Occupational Balance and Its Relationship to Perceived Stress and Health: Mesurer l’équilibre Occupationnel et Sa Relation Avec Le Stress Perçus et La Santé. Can. J. Occup. Ther. 2018;85:117–127. doi: 10.1177/0008417417734355.
    1. Muñiz J., Elosua P., Hambleton R.K., International Test Commission International Test Commission Guidelines for test translation and adaptation: Second edition. Psicothema. 2013;25:151–157. doi: 10.7334/psicothema2013.24.
    1. Beaton D.E., Bombardier C., Guillemin F., Ferraz M.B. Guidelines for the Process of Cross-Cultural Adaptation of Self-Report Measures. Spine. 2000;25:3186–3191. doi: 10.1097/00007632-200012150-00014.
    1. Carvajal A., Centeno C., Watson R., Martínez M., Sanz Rubiales Á. ¿Cómo Validar Un Instrumento de Medida de La Salud? An. Sist. Sanit. Navar. 2011;34:63–72. doi: 10.4321/S1137-66272011000100007.
    1. Streiner D. Health Measurement Scales: A Practical Guide to Their Development and Use. 5th ed. Oxford University Press; New York, NY, USA: 2015.
    1. Instituto Nacional de Estadística (INE) [(accessed on 16 June 2021)]; Available online:

Source: PubMed

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