Psychometric Properties of the Spanish Version of the Satisfaction With Daily Occupations and Occupational Balance in Spanish Stroke Survivors

Abstract

Abstract Importance: Stroke survivors experience changes in participation level, satisfaction with participation, and participation balance, making it necessary to have a validated tool for their assessment. Objective: To evaluate the psychometric properties of the Spanish version of the Satisfaction With Daily Occupations and Occupational Balance (SDO–OB) in stroke survivors. Design: Psychometric study. Setting: National multicenter study (rehabilitation centers, and hospitals). Participants: One hundred forty stroke survivors with and without a primary caregiver. Outcomes and Measures: 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. Results: 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. Conclusions: 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.