Eklund Mona, Bäckström Martin, Eakman Aaron M
Department of Health Sciences, Occupational Therapy and Occupational Science, Lund University, PO Box 157, SE-221 00, Lund, Sweden.
Department of Psychology, Lund University, Lund, Sweden.
Health Qual Life Outcomes. 2014 Dec 24;12:191. doi: 10.1186/s12955-014-0191-3.
In mental health care practice and research it is increasingly recognized that clients' subjective perceptions of everyday occupations, such as satisfaction, are important in recovery from mental illness. Instruments thus need to be developed to assess satisfaction with everyday occupations. The aim of the present study was to assess psychometric properties of the 13-item Satisfaction with Daily Occupation (SDO-13) when used with people with mental health problems, including its internal consistency, factor structure, construct validity and whether the scale produced ceiling or floor effects. An additional question concerned if the factor structure varied whether the participants were, or were not, presently engaged in the activity they rated.
The interview-based SDO-13 includes items pertaining to work/studies, leisure, home maintenance, and self-care occupations. Whether the person currently performs an occupation or not, he/she is asked to indicate his/her satisfaction with that occupation. The SDO-13 was completed with 184 persons with mental illness. Residual variables were created to remove the variation linked with currently performing the targeted occupation or not and to assess the factor structure of the SDO-13. The indicators of general satisfaction with daily occupations, self-esteem and global functioning were used to assess construct validity. The statistical methods included tests of homogeneity, confirmatory factor analysis and Pearson correlations.
The internal consistency was satisfactory at 0.79. A three-factor solution indicated that the construct behind the SDO-13 was composed of three facets; Taking care of oneself and the home, Work and studies, and Leisure and relaxation. The same factor structure was valid for both original scores and the residuals. An expected pattern of correlations with the indicators was mainly found, suggesting basic construct validity. No ceiling or floor effects were found.
Taken together, the findings suggest the SDO-13 is a reliable and robust instrument that may be used to get an overview of the satisfaction people living with mental illness derive from their daily occupations.
在精神卫生保健实践和研究中，人们越来越认识到服务对象对日常活动的主观感受，如满意度，对精神疾病康复至关重要。因此需要开发相关工具来评估对日常活动的满意度。本研究的目的是评估13项日常活动满意度量表（SDO - 13）用于有精神健康问题的人群时的心理测量特性，包括其内部一致性、因子结构、结构效度以及该量表是否产生天花板效应或地板效应。另一个问题是，参与者是否正在从事他们所评价的活动，因子结构是否会有所不同。
基于访谈的SDO - 13包括与工作/学习、休闲、家庭维护和自我护理活动相关的项目。无论此人目前是否从事某项活动，均要求其表明对该活动的满意度。184名患有精神疾病的患者完成了SDO - 13量表。创建残差变量以消除与当前是否从事目标活动相关的变异，并评估SDO - 13的因子结构。使用日常活动总体满意度、自尊和整体功能指标来评估结构效度。统计方法包括同质性检验、验证性因子分析和Pearson相关性分析。
内部一致性良好，为0.79。三因子模型表明，SDO - 13背后的结构由三个方面组成：自我与家庭照料、工作与学习、休闲与放松。原始分数和残差的因子结构相同。主要发现了与指标的预期相关模式，表明基本的结构效度。未发现天花板效应或地板效应。
综上所述，研究结果表明SDO - 13是一种可靠且稳健的工具，可用于了解患有精神疾病的人从日常活动中获得的满意度概况。
