Development of an occupational challenge assessment tool using Bayesian structural equation modeling
Purpose. The purpose of this study was to develop an assessment tool specifically for evaluating occupational challenge, and to test its validity and reliability.Methods. Our prototype Occupational Challenge Assessment (OCA) was developed from the relevant literature with inputs from an expert panel and was generated by assessing content and face validity. This was tested by recruiting 103 hospitalized patients with physical dysfunction. The final version of the OCA was developed by assessing item validity, item response, construct validity, structural validity, hypothesis testing (convergent and discriminant validity), concurrent validity, internal consistency reliability, and test–retest validity using Bayesian structural equation modeling for categorical data.Results. The final version of the OCA included 13 items and addressed both personal challenge and environmental challenge. It had satisfactory validity and reliability.Discussion. The OCA can be used to assess the state of occupational challenge for clients with physical dysfunction. Furthermore, it may be able to properly quantify the occupational challenge. Use of the OCA may assist occupational therapists with supporting the transition of clients from hospitalization to community living.