Kielhofner G, Mallinson T, Forsyth K, Lai J S
Department of Occupational Therapy, University of Illinois at Chicago, 1919 West Taylor Street, Chicago, Illinois 60612, USA.
Am J Occup Ther. 2001 May-Jun;55(3):260-7. doi: 10.5014/ajot.55.3.260.
This study examined the validity of the Occupational Identity, Occupational Competency, and Occupational Behavior Settings scales of the second version of the Occupational Performance History Interview (OPHI-II). The study also asked whether the scales' items were targeted to and could effectively discriminate between persons at different levels of adaptation.
Data were collected from 151 raters on 249 subjects from eight countries and in six languages. Many-faceted Rasch analysis was used to analyze the data.
The items of each scale worked effectively to measure the underlying construct for which they were designed. All three scales validly measured more than 90% of the subjects, who varied by nationality, culture, age, and diagnostic status. Each scale's items were appropriately targeted to the subjects, and all three scales distinguished subjects into approximately three different levels. More than 90% of the raters used the three scales validly and had approximately the same degree of severity or leniency. The scales were valid across subjects with physical dysfunction and psychiatric conditions as well as subjects with no active diagnosed condition.
The three scales of the OPHI-II are valid across age, diagnosis, culture, and language and effectively measure a wide range of persons. Raters can readily use the OPHI-II validly without formal training.
本研究检验了职业表现历史访谈第二版(OPHI-II)中的职业认同、职业能力和职业行为环境量表的有效性。该研究还探讨了量表项目是否针对不同适应水平的人群,以及能否有效区分这些人群。
收集了来自八个国家、使用六种语言的249名受试者的151名评估者的数据。采用多面Rasch分析对数据进行分析。
每个量表的项目都有效地测量了其设计所针对的潜在结构。所有三个量表都有效地测量了超过90%的受试者,这些受试者在国籍、文化、年龄和诊断状态方面存在差异。每个量表的项目都适用于受试者,并且所有三个量表都将受试者分为大约三个不同水平。超过90%的评估者有效地使用了这三个量表,并且具有大致相同程度的严格或宽松度。这些量表在患有身体功能障碍和精神疾病的受试者以及未被诊断出患有活动性疾病的受试者中均有效。
OPHI-II的三个量表在年龄、诊断、文化和语言方面均有效,并且能够有效地测量广泛的人群。评估者无需经过正式培训即可轻松有效地使用OPHI-II。