Cruyt Ellen, Jarrey Mike, Eijkelkamp Ank, Vlerick Peter, De Letter Miet, Oostra Kristine, Calders Patrick, De Pauw Robby, Costenoble Axelle, Bautmans Ivan, Van de Velde Dominique, De Vriendt Patricia
Occupational Therapy Research Group, Physiotherapy and Speech-language Pathology/Audiology, Department of Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
Department of Occupational Therapy, Artevelde University of Applied Sciences, Ghent, Belgium.
Br J Occup Ther. 2023 Nov;86(11):755-766. doi: 10.1177/03080226231187827. Epub 2023 Jul 26.
Engaging in meaningful activities contributes to health and well-being. Therefore, it is important to measure this with reliable and valid evaluation tools. The Engagement in Meaningful Activities Survey (EMAS-VL) has been cross-culturally validated in Flemish and the psychometric properties determined.
The adaptation process followed the guidelines 'Translation and Adaptation of Instruments' and 'Cross-Cultural Adaptation of Self Report'. A forward and backward translation was performed. Three authors of the original EMAS were in close contact. Pretesting and cognitive interviews were performed on a sample of 10 chronically ill individuals. Psychometric analysis of survey data, collected during the COVID-19 lockdown ( = 1938 Belgian adults, Flemish speaking), was performed. Internal consistency, factorial validity and construct validity were examined.
The adaptation process involved an accurate analysis of the items of the EMAS by the expert panel and EMAS authors. The EMAS-VL showed high reliability (Cronbach's α = 0.91). Exploratory factor analysis discerned an interpretable two-factorial structure of the EMAS-VL. As hypothesized, moderate associations were found between GHQ-12 ( = -0.57) and CD-RISC ( = 0.50) so the EMAS-VL possesses satisfactory construct validity as well.
EMAS-VL is shown to be a reliable and valid instrument for evaluating meaning in activities in Flanders.
参与有意义的活动有助于健康和幸福。因此，使用可靠且有效的评估工具来衡量这一点很重要。有意义活动参与度调查（EMAS-VL）已在弗拉芒语中进行了跨文化验证，并确定了其心理测量特性。
改编过程遵循“工具的翻译与改编”和“自我报告的跨文化改编”指南。进行了正向和反向翻译。原始EMAS的三位作者保持密切联系。对10名慢性病患者进行了预测试和认知访谈。对在新冠疫情封锁期间收集的调查数据（n = 1938名讲弗拉芒语的比利时成年人）进行了心理测量分析。检验了内部一致性、因子效度和结构效度。
改编过程涉及专家小组和EMAS作者对EMAS项目的准确分析。EMAS-VL显示出高信度（克朗巴哈α系数 = 0.91）。探索性因子分析识别出了EMAS-VL可解释的双因子结构。正如假设的那样，在GHQ-12（r = -0.57）和CD-RISC（r = 0.50）之间发现了中度相关性，因此EMAS-VL也具有令人满意的结构效度。
EMAS-VL被证明是评估弗拉芒地区活动意义的可靠且有效的工具。
