Cristina de Diego-Alonso, OT, PT, MSc, is Research and Teaching Staff, MOTUS Research Group, Faculty of Health Sciences Research, Department of Physical Therapy, Universidad San Jorge, Campus Universitario, Villanueva de Gállego, Zaragoza, Spain.
Pablo Bellosta-López, PT, PhD, is Research and Teaching Staff, MOTUS Research Group, Faculty of Health Sciences, Department of Physical Therapy, Universidad San Jorge, Campus Universitario, Villanueva de Gállego, Zaragoza, Spain;
Am J Occup Ther. 2024 May 1;78(3). doi: 10.5014/ajot.2024.050454.
Stroke survivors experience changes in participation level, satisfaction with participation, and participation balance, making it necessary to have a validated tool for their assessment.
To evaluate the psychometric properties of the Spanish version of the Satisfaction With Daily Occupations and Occupational Balance (SDO-OB) in stroke survivors.
Psychometric study.
National multicenter study (rehabilitation centers, and hospitals).
One hundred forty stroke survivors with and without a primary caregiver.
Participants completed the SDO-OB, the five-level version of the EQ-5D (EQ-5D-5L), and the Activity Card Sort (ACS). Internal consistency, convergent validity, known-groups validity, and floor and ceiling effects were assessed. Intraobserver reliability was assessed 1 wk apart.
The internal consistency was acceptable; Cronbach's α = .80, 95% confidence interval (CI) [0.75, 0.85]. A moderate correlation was found between the SDO-OB summed participation level and summed participation satisfaction (ρ = .53). Both SDO-OB summed scores correlated with ACS scores (0.25 < ρ < .61). However, only summed participation satisfaction scores correlated with the emotional component of the EQ-5D-5L (ρ = .32). The SDO-OB discriminated between groups with and without a caregiver (p = .001) and had no floor or ceiling effects (<7%). Good intraclass correlation coefficients (ICCs) were obtained for summed participation level (ICC = .91; 95% CI [.85, .94]) and summed participation satisfaction (ICC = .86; 95% CI [.78, .92]). Standard error of measurement and minimum detectable change were 0.7 and 1.9 points, respectively, for summed participation level and 4.5 and 12.4, respectively, for summed participation satisfaction.
The Spanish version of the SDO-OB presented good psychometric properties, making it a suitable instrument to address participation level, participation satisfaction, and participation balance in stroke survivors. Plain-Language Summary: After a stroke, survivors experience changes in their participation in daily activities and how satisfied they are with them. This study examined whether a tool called Satisfaction With Daily Occupations and Occupational Balance (SDO-OB) could provide reliable information about this. We looked at 140 stroke survivors from different places in Spain to see whether they had someone caring for them, how healthy they were, and how their participation in daily activities changed after stroke. We found that the SDO-OB is helpful for understanding a stroke survivor's situation and can identify areas needing intervention and track changes caused by intervention plans.
中风幸存者经历参与水平、参与满意度和参与平衡的变化，因此有必要使用经过验证的工具对其进行评估。
评估西班牙版日常活动满意度和职业平衡（SDO-OB）在中风幸存者中的心理测量特性。
心理测量研究。
全国多中心研究（康复中心和医院）。
140 名有和没有主要照顾者的中风幸存者。
参与者完成了 SDO-OB、EQ-5D 的 5 级版本（EQ-5D-5L）和活动卡片分类（ACS）。评估了内部一致性、收敛有效性、已知组有效性以及地板和天花板效应。相隔 1 周评估了观察者间的可靠性。
内部一致性可接受；克朗巴赫的α=0.80，95%置信区间（CI）[0.75，0.85]。SDO-OB 总和参与水平和总和参与满意度之间存在中度相关性（ρ=0.53）。SDO-OB 总和评分与 ACS 评分相关（0.25<ρ<0.61）。然而，只有总和参与满意度与 EQ-5D-5L 的情感成分相关（ρ=0.32）。SDO-OB 可区分有和没有照顾者的组（p=0.001），且没有地板或天花板效应（<7%）。总和参与水平（ICC=0.91；95%CI[0.85，0.94]）和总和参与满意度（ICC=0.86；95%CI[0.78，0.92]）获得了良好的组内相关系数（ICC）。测量误差和最小可检测变化分别为总和参与水平的 0.7 点和 1.9 点，以及总和参与满意度的 4.5 点和 12.4 点。
西班牙版 SDO-OB 具有良好的心理测量特性，是评估中风幸存者参与水平、参与满意度和参与平衡的合适工具。
