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    PloS one. 2021 Nov 15. doi: 10.1371/journal.pone.0259648. pii: PONE-D-21-06754
    Development and validation of a self-reported questionnaire to assess occupational balance in parents of preterm infants.
    Dür M1,  Röschel A2,  Oberleitner-Leeb C3,  Herrmanns V4,  Pichler-Stachl E5,  Mattner B6,  Pernter SD7,  Wald M8,  Urlesberger B9,  Kurz H10,  Frischer T11,  Zwiauer K12,  Berger A13
    Author information
    1Department of Pediatrics and Adolescent Medicine, Division of Neonatology, Pediatric Intensive Care and Neuropediatrics, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria.
    2Department of Health Sciences, IMC University of Applied Sciences Krems, Krems, Austria.
    3Department of Pediatrics and Adolescent Medicine, Division of Neonatology, Pediatric Intensive Care and Neuropediatrics, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria.
    4Department of Pediatrics with Neonatology, St. Josef Hospital Vienna, Vienna, Austria.
    5Department for Pediatrics and Adolescent Medicine, Division of Neonatology, Medical University of Graz, Graz, Austria.
    6Department of Pediatrics and Adolescent Medicine, Division of Neonatology, Pediatric Intensive Care, Wilhelminen Hospital, Vienna, Austria.
    7Department of Pediatrics and Adolescent Medicine, Division of Neonatology, University Hospital Salzburg, Salzburg, Austria.
    8Department of Pediatrics and Adolescent Medicine, Division of Neonatology, University Hospital Salzburg, Salzburg, Austria.
    9Department for Pediatrics and Adolescent Medicine, Division of Neonatology, Medical University of Graz, Graz, Austria.
    10Department of Pediatrics and Adolescent Medicine, Social Medical Center East-Danube Hospital Vienna, Vienna, Austria.
    11Sigmund Freud University, Vienna, Austria.
    12University Hospital for Pediatrics and Adolescent Medicine, University Hospital Sankt Pölten, St. Pölten-Karl Landsteiner University for Health Sciences, Krems, Austria.
    13Department of Pediatrics and Adolescent Medicine, Division of Neonatology, Pediatric Intensive Care and Neuropediatrics, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria.
    Abstract

    BACKGROUND: Parents' meaningful activities (occupations) and occupational balance are relevant to neonatal care. Valid and reliable self-reported measurement instruments are needed to assess parents' occupational balance and to evaluate occupational balance interventions in neonatal care. The aims of this study were to develop a self-reported questionnaire on occupational balance in informal caregivers (OBI-Care) and to examine its measurement properties including construct validity and internal consistency.

    METHODS AND FINDINGS: A mixed method multicenter study design was employed. Items of the OBI-Care were created with parents of preterm infants based on qualitative research methods. Measurement properties were analyzed with quantitative data of parents of preterm infants. Construct validity was assessed by determining dimensionality, overall and item fit to a Rasch model, differential item functioning and threshold ordering. Internal consistency was examined by determining inter-item and item-total correlations, Cronbach's alpha and Rasch's person separation index. Fourteen parents participated in item creation. Measurement properties were explored in data of 304 parents. Twenty-two items, summarized in three subscales were compiled to the OBI-Care. Items showed an overall fit and except one item, an item fit to the Rasch model. There was no evidence of differential item functioning and all items displayed ordered thresholds. Each subscale had good values of person separation indices and Cronbach's alpha.

    CONCLUSIONS: The OBI-Care demonstrates construct validity and internal consistency and is thus a suitable measurement instrument to assess occupational balance of parents of preterm infants in neonatal care. OBI-Care is generic and can be applied in various health care settings.


    Publikations ID: 34780508
    Quelle: öffnen
     
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