Psychometric properties of the occupational value with pre-defined items in stroke patients
Eklund, Mona LU
; Pálsdóttir, Anna María
LU
; Pessah-Rasmussen, Hélène
LU
and Bellosta-López, Pablo
(2025)
In Scandinavian Journal of Occupational Therapy
32(1).
- Abstract
Background: In stroke rehabilitation, instruments assessing the value individuals attribute to everyday activities are vital. The Occupational Value with pre-defined items (OVal-pd) questionnaire was devised for this purpose. Aim: To evaluate the psychometric properties of the Swedish OVal-pd—floor and ceiling effects, internal consistency, construct validity, responsiveness, long-term stability, and measurement error—in individuals with stroke who maintained independence in activities of daily living and had preserved cognitive abilities. Methods: Stroke patients (n = 95) were included in a secondary analysis of a randomized controlled trial with a 14-month follow-up. Participants completed the OVal-pd and questionnaires addressing... (More)
Background: In stroke rehabilitation, instruments assessing the value individuals attribute to everyday activities are vital. The Occupational Value with pre-defined items (OVal-pd) questionnaire was devised for this purpose. Aim: To evaluate the psychometric properties of the Swedish OVal-pd—floor and ceiling effects, internal consistency, construct validity, responsiveness, long-term stability, and measurement error—in individuals with stroke who maintained independence in activities of daily living and had preserved cognitive abilities. Methods: Stroke patients (n = 95) were included in a secondary analysis of a randomized controlled trial with a 14-month follow-up. Participants completed the OVal-pd and questionnaires addressing quality of life, emotional status, and mental fatigue. Cronbach’s α, Pearson’s correlation, ROC analysis, intraclass correlations, and smallest detectable change were calculated. Results: The Swedish OVal-pd showed good psychometric properties concerning construct validity, internal consistency, test-retest stability, with no floor or ceiling effects. However, the low rate of improvement in mental fatigue over the follow-up period limited the ability to evaluate responsiveness using an anchor-based method. Conclusion: The 18-item Swedish OVal-pd is suitable for use in clinical and research contexts, though further trials are recommended. Significance: The OVal-pd can facilitate dialogue between individuals with stroke and occupational therapists and be used for cross-sectional comparisons.
(Less)
- author
- Eklund, Mona
LU
; Pálsdóttir, Anna María
LU
; Pessah-Rasmussen, Hélène
LU
and Bellosta-López, Pablo
- organization
-
- Sustainable occupations and health in a life course perspective (research group)
- Department of Health Sciences
- Mental Health, Activity and Participation (research group)
- Teachers at the Medical Programme
- Neurology, Lund
- Stroke policy and quality register research (research group)
- Department of Clinical Sciences, Lund
- publishing date
- 2025-12-16
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Occupational therapy, outcomes, reliability, responsiveness, validity, well-being
- in
- Scandinavian Journal of Occupational Therapy
- volume
- 32
- issue
- 1
- article number
- 2597214
- publisher
- Taylor & Francis
- external identifiers
-
- pmid:41399851
- scopus:105024983870
- ISSN
- 1103-8128
- DOI
- 10.1080/11038128.2025.2597214
- language
- English
- LU publication?
- yes
- additional info
- Publisher Copyright: © 2025 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
- id
- c661f9aa-6447-4887-9e4b-c475011b6672
- date added to LUP
- 2026-03-03 13:01:05
- date last changed
- 2026-05-27 01:35:32
@article{c661f9aa-6447-4887-9e4b-c475011b6672,
abstract = {{<p>Background: In stroke rehabilitation, instruments assessing the value individuals attribute to everyday activities are vital. The Occupational Value with pre-defined items (OVal-pd) questionnaire was devised for this purpose. Aim: To evaluate the psychometric properties of the Swedish OVal-pd—floor and ceiling effects, internal consistency, construct validity, responsiveness, long-term stability, and measurement error—in individuals with stroke who maintained independence in activities of daily living and had preserved cognitive abilities. Methods: Stroke patients (n = 95) were included in a secondary analysis of a randomized controlled trial with a 14-month follow-up. Participants completed the OVal-pd and questionnaires addressing quality of life, emotional status, and mental fatigue. Cronbach’s α, Pearson’s correlation, ROC analysis, intraclass correlations, and smallest detectable change were calculated. Results: The Swedish OVal-pd showed good psychometric properties concerning construct validity, internal consistency, test-retest stability, with no floor or ceiling effects. However, the low rate of improvement in mental fatigue over the follow-up period limited the ability to evaluate responsiveness using an anchor-based method. Conclusion: The 18-item Swedish OVal-pd is suitable for use in clinical and research contexts, though further trials are recommended. Significance: The OVal-pd can facilitate dialogue between individuals with stroke and occupational therapists and be used for cross-sectional comparisons.</p>}},
author = {{Eklund, Mona and Pálsdóttir, Anna María and Pessah-Rasmussen, Hélène and Bellosta-López, Pablo}},
issn = {{1103-8128}},
keywords = {{Occupational therapy; outcomes; reliability; responsiveness; validity; well-being}},
language = {{eng}},
month = {{12}},
number = {{1}},
publisher = {{Taylor & Francis}},
series = {{Scandinavian Journal of Occupational Therapy}},
title = {{Psychometric properties of the occupational value with pre-defined items in stroke patients}},
url = {{http://dx.doi.org/10.1080/11038128.2025.2597214}},
doi = {{10.1080/11038128.2025.2597214}},
volume = {{32}},
year = {{2025}},
}