Özkan Esma, Ercan Doğu Selma, Noguchi Takuya, Örsel Sibel
Department of Occupational Therapy, Gulhane Faculty of Health Sciences, University of Health Sciences, Ankara, Türkiye.
Department of Occupational Therapy, Hamidiye Faculty of Health Sciences, University of Health Sciences, Istanbul, Türkiye.
OTJR (Thorofare N J). 2025 Apr;45(2):179-188. doi: 10.1177/15394492241265377. Epub 2024 Jul 26.
The concept of positive occupations that enhance physical, mental, and social well-being is a novel idea that integrates positive psychology and occupational therapy. Valid and reliable scales are required to assess positive occupations for well-being in mental health settings. In this regard, the Assessment of Positive Occupation-15 (APO-15) is unique, as it evaluates positive occupations that promote health and well-being. This study aimed to investigate the validity and reliability of and determine the cutoff value of the Turkish version of the APO-15 in individuals with serious mental illness (SMI). The study was conducted with 106 individuals with SMI. The structural validity of the scale items was determined using confirmatory factor analysis, while the reliability of the scale was analyzed with Cronbach's alpha (α) and McDonald's omega (ω) coefficients. The comparative fit index (0.964) and the Tucker-Lewis index (0.955) demonstrated a good fit. Cronbach's alpha coefficients were .826, .814, .707, and .674, and the total scale score was 0.924. McDonald's ω coefficients for the four scale dimensions were 0.832, 0.818, 0.716, and 0.727. The cutoff point of 49.50 for the APO-15 for point sensitivity (0.727) and specificity (0.766) yielded good results. The Turkish version of the APO-15 is an effective and reliable tool for assessing well-being in mental health settings.
积极职业概念能够提升身心健康和社会幸福感，这是一个融合了积极心理学和职业疗法的新颖理念。在心理健康环境中评估促进幸福感的积极职业需要有效且可靠的量表。在这方面，积极职业评估量表15（APO - 15）独具特色，因为它评估的是促进健康和幸福的积极职业。本研究旨在调查APO - 15土耳其语版本在重度精神疾病（SMI）患者中的有效性和可靠性，并确定其临界值。该研究对106名SMI患者进行。量表项目的结构效度通过验证性因素分析确定，量表的信度则用克朗巴哈系数（α）和麦克唐纳欧米伽系数（ω）进行分析。比较拟合指数（0.964）和塔克 - 刘易斯指数（0.955）显示拟合良好。克朗巴哈系数分别为0.826、0.814、0.707和0.674，总量表得分是0.924。四个量表维度的麦克唐纳欧米伽系数分别为0.832、0.818、0.716和0.727。APO - 15临界值为49.50时，点灵敏度（0.727）和特异性（0.766）产生了良好结果。APO - 15土耳其语版本是评估心理健康环境中幸福感的有效且可靠工具。
