Skip to main content
Top
Published in: Health and Quality of Life Outcomes 1/2015

Open Access 01-12-2015 | Research

Rasch Analysis of the Profiles of Occupational Engagement in people with Severe mental illness (POES) instrument

Authors: Ulrika Bejerholm, Åsa Lundgren-Nilsson

Published in: Health and Quality of Life Outcomes | Issue 1/2015

Login to get access

Abstract

Purpose

The Profiles of Occupational Engagement in people with Severe mental illness (POES) instrument was developed to study time use profiles of occupations and measure the extent they are characterized by engagement. However, the dimensional factors are not known. The aim of the present study was to establish the internal construct validity of the POES using the Rasch measurement model.

Methods

A sample of 192 outpatients in Sweden was administered the POES and data were subjected to Rasch analysis.

Results

The POES showed good fit to the Rasch model after accommodation for local dependency. The nine items had high reliability as measured by person separation index, and no threshold disordering was present. Differential item functioning analysis showed no significant differences across groups of age, sex, diagnosis, or country of origin.

Conclusion

The POES is a unidimensional scale that represents a continuum of occupational engagement. The transformed POES sum score can be used on an interval scale to measure status and changes in occupational engagement in mental health practice and research.
Literature
1.
go back to reference Bejerholm U, Eklund M. Occupational engagement in persons with schizophrenia: Relationships to self-related variables, psychopathology, and quality of life. Am J Occup Ther. 2007;61:21–32.CrossRefPubMed Bejerholm U, Eklund M. Occupational engagement in persons with schizophrenia: Relationships to self-related variables, psychopathology, and quality of life. Am J Occup Ther. 2007;61:21–32.CrossRefPubMed
3.
go back to reference Harvey A. Quality of life and the use of time theory and measurement. J Occup Sci. 1993;1:27–30.CrossRef Harvey A. Quality of life and the use of time theory and measurement. J Occup Sci. 1993;1:27–30.CrossRef
4.
go back to reference Hunt E, McKay E. A scoping review on time use research in occupational therapy and occupational science. Scand J Occup Ther. 2014;22:1–12.CrossRefPubMed Hunt E, McKay E. A scoping review on time use research in occupational therapy and occupational science. Scand J Occup Ther. 2014;22:1–12.CrossRefPubMed
5.
go back to reference Wilcock A. Occupational science: The study of human as occupational beings. In: Kramer P, Hinojosa J, Royeen C, editors. Perspectives in human occupation. Participation in life. Baltimore, Maryland: Lippincott Williams & Wilkins; 2003. p. 157–80. Wilcock A. Occupational science: The study of human as occupational beings. In: Kramer P, Hinojosa J, Royeen C, editors. Perspectives in human occupation. Participation in life. Baltimore, Maryland: Lippincott Williams & Wilkins; 2003. p. 157–80.
6.
go back to reference Bejerholm U, Hansson L, Eklund M. Profiles of occupational engagement in people with schizophrenia, POES: Development of a new instrument based on time-use diaries. Br J Occup Ther. 2006;69:58–68.CrossRef Bejerholm U, Hansson L, Eklund M. Profiles of occupational engagement in people with schizophrenia, POES: Development of a new instrument based on time-use diaries. Br J Occup Ther. 2006;69:58–68.CrossRef
7.
go back to reference Ujimoto V. Time budget methodology in social science research. In: Pentland W, Harvey A, Lawton M, McColl M, editors. Time use research in the social sciences. New York: Kluwer Academic/Plenum Publishers; 1999. p. 231–42. Ujimoto V. Time budget methodology in social science research. In: Pentland W, Harvey A, Lawton M, McColl M, editors. Time use research in the social sciences. New York: Kluwer Academic/Plenum Publishers; 1999. p. 231–42.
8.
go back to reference Bejerholm U, Eklund M. Time use and occupational performance among persons with schizophrenia. Occup Ther Ment Health. 2014;20:27–47.CrossRef Bejerholm U, Eklund M. Time use and occupational performance among persons with schizophrenia. Occup Ther Ment Health. 2014;20:27–47.CrossRef
9.
go back to reference Bejerholm U, Eklund M. Engagement in occupations among men and women with schizophrenia. Occup Ther Int. 2006;13:100–21.CrossRefPubMed Bejerholm U, Eklund M. Engagement in occupations among men and women with schizophrenia. Occup Ther Int. 2006;13:100–21.CrossRefPubMed
10.
go back to reference Bejerholm U. Occupational balance in people with schizophrenia. Occup Ther Ment Health. 2010;26:1–17.CrossRef Bejerholm U. Occupational balance in people with schizophrenia. Occup Ther Ment Health. 2010;26:1–17.CrossRef
11.
go back to reference Bejerholm U, Areberg C. Factors related to return to work potential among persons with mental illness. Scand J Occup Ther. 2014;21:277–86.CrossRefPubMed Bejerholm U, Areberg C. Factors related to return to work potential among persons with mental illness. Scand J Occup Ther. 2014;21:277–86.CrossRefPubMed
12.
go back to reference Bejerholm U, Björkman T. Empowerment in Supported Employment Research and Practice-Is it relevant? Int J Soc Psychiatry. 2011;57:588–95.CrossRefPubMed Bejerholm U, Björkman T. Empowerment in Supported Employment Research and Practice-Is it relevant? Int J Soc Psychiatry. 2011;57:588–95.CrossRefPubMed
13.
go back to reference Areberg C, Bejerholm U. The effects of IPS on participants’ engagement, quality of life, empowerment and motivation - a randomized controlled trial. Scand J Occup Ther. 2013;20:420–8.CrossRefPubMed Areberg C, Bejerholm U. The effects of IPS on participants’ engagement, quality of life, empowerment and motivation - a randomized controlled trial. Scand J Occup Ther. 2013;20:420–8.CrossRefPubMed
14.
go back to reference Edgelow M, Krupa T. Randomized controlled pilot study of an occupational time-use intervention for people with serious mental illness. Am J Occup Ther. 2011;65:267–76.CrossRefPubMed Edgelow M, Krupa T. Randomized controlled pilot study of an occupational time-use intervention for people with serious mental illness. Am J Occup Ther. 2011;65:267–76.CrossRefPubMed
15.
go back to reference Bejerholm U, Eklund M. Construct validity of a newly-developed instrument: Profiles of Occupational Engagement in Persons with Schizophrenia, POES. Nord J Psychiatry. 2006;60:200–6.CrossRefPubMed Bejerholm U, Eklund M. Construct validity of a newly-developed instrument: Profiles of Occupational Engagement in Persons with Schizophrenia, POES. Nord J Psychiatry. 2006;60:200–6.CrossRefPubMed
16.
go back to reference Svensson E. Guidelines to statistical evaluation of data from rating scales and questionnaires. J Rehab Med. 2001;33:47–8.CrossRef Svensson E. Guidelines to statistical evaluation of data from rating scales and questionnaires. J Rehab Med. 2001;33:47–8.CrossRef
17.
go back to reference Tennant A, McKenna SP, Hagell P. Application of Rasch analysis in the development and application of quality of life instruments. Value Health. 2004;7 Suppl 1:22–6.CrossRef Tennant A, McKenna SP, Hagell P. Application of Rasch analysis in the development and application of quality of life instruments. Value Health. 2004;7 Suppl 1:22–6.CrossRef
18.
go back to reference Rasch G. Probabilistic models for some intelligence and attainment tests. Chicago: University and Chicago Press; 1960. Rasch G. Probabilistic models for some intelligence and attainment tests. Chicago: University and Chicago Press; 1960.
19.
go back to reference Hagquist C, Bruce M, Gustavsson J. Using the Rasch model in nursing research: An introduction and illustrative example. Int J Nurs Stud. 2009;46:380–93.CrossRefPubMed Hagquist C, Bruce M, Gustavsson J. Using the Rasch model in nursing research: An introduction and illustrative example. Int J Nurs Stud. 2009;46:380–93.CrossRefPubMed
20.
go back to reference Chang Y, Ailey S, Heller T, Chen M. Rasch analysis of the mental health recovery measure. Am J Occup Ther. 2013;67:469–77.CrossRefPubMed Chang Y, Ailey S, Heller T, Chen M. Rasch analysis of the mental health recovery measure. Am J Occup Ther. 2013;67:469–77.CrossRefPubMed
21.
go back to reference Lundgren-Nilsson Å. Tennant, A: Past and present issues in rasch analysis: The functional independence measure (fimtm) revisited. J Rehabil Med. 2011;43:884–91.PubMed Lundgren-Nilsson Å. Tennant, A: Past and present issues in rasch analysis: The functional independence measure (fimtm) revisited. J Rehabil Med. 2011;43:884–91.PubMed
22.
go back to reference Tennant A, Conaghan P. The Rasch measurement model in rheumatology: What is it and why use it? When should it be applied, and what should one look for in a Rasch paper? Arthritis Rheum. 2007;57:1358–62.CrossRefPubMed Tennant A, Conaghan P. The Rasch measurement model in rheumatology: What is it and why use it? When should it be applied, and what should one look for in a Rasch paper? Arthritis Rheum. 2007;57:1358–62.CrossRefPubMed
23.
go back to reference Andrich D. Rasch Models for Measurement. Quantitative Applications in the Social Sciences. London: Sage Publications; 1988. Andrich D. Rasch Models for Measurement. Quantitative Applications in the Social Sciences. London: Sage Publications; 1988.
24.
go back to reference Guttman LA. The basis for Scalogram analysis. In: Stouffer S, Guttman LA, Suchman FA, Lazarsfeld PF, Star SA, Clausen JA, editors. Studies in social psychology in World War II. Measurment and Prediction. Princeton: Princeton University Press; 1950. p. 60–90. Guttman LA. The basis for Scalogram analysis. In: Stouffer S, Guttman LA, Suchman FA, Lazarsfeld PF, Star SA, Clausen JA, editors. Studies in social psychology in World War II. Measurment and Prediction. Princeton: Princeton University Press; 1950. p. 60–90.
25.
go back to reference Lundgren-Nilsson Å, Dencker A, Jakobsson S, Taft C, Tennant A. Construct validity of the Swedish version of the revised Piper Fatigue Scale in an oncology sample-A Rasch analysis. Value Health. 2014;17:360–3.CrossRefPubMed Lundgren-Nilsson Å, Dencker A, Jakobsson S, Taft C, Tennant A. Construct validity of the Swedish version of the revised Piper Fatigue Scale in an oncology sample-A Rasch analysis. Value Health. 2014;17:360–3.CrossRefPubMed
26.
go back to reference Ruggeri M, Leese M, Thornicroft G, Bisoffi G, Tansella M. Definition and prevalence of severe and persistent mental illness. Br J Psychiatry. 2000;177:149–55.CrossRefPubMed Ruggeri M, Leese M, Thornicroft G, Bisoffi G, Tansella M. Definition and prevalence of severe and persistent mental illness. Br J Psychiatry. 2000;177:149–55.CrossRefPubMed
27.
go back to reference Bejerholm U, Areberg C, Hofgren C, Sandlund M, Rinaldi M. Individual Placement and Support in Sweden- A randomized controlled trial. Nord J Psychiatry. 2015;69:57–66.CrossRefPubMed Bejerholm U, Areberg C, Hofgren C, Sandlund M, Rinaldi M. Individual Placement and Support in Sweden- A randomized controlled trial. Nord J Psychiatry. 2015;69:57–66.CrossRefPubMed
28.
go back to reference Kolakowska T. BPRS. Oxford: Oxford University; 1976. Kolakowska T. BPRS. Oxford: Oxford University; 1976.
29.
go back to reference Overall J, Gorham D. Brief psychiatric and rating scale. Psychol Rep. 1962;10:799–812.CrossRef Overall J, Gorham D. Brief psychiatric and rating scale. Psychol Rep. 1962;10:799–812.CrossRef
30.
go back to reference Kielhofner G. Model of human occupation: theory and application. Baltimore, Maryland: Lippincott Williams & Wilkins; 2008. Kielhofner G. Model of human occupation: theory and application. Baltimore, Maryland: Lippincott Williams & Wilkins; 2008.
31.
go back to reference Law M, Cooper B, Strong S, Stewart D, Rigby P, Letts L. The person environment occupation model: A transactive approach to occupational performance. Can J Occup Ther. 1996;63:9–23.CrossRef Law M, Cooper B, Strong S, Stewart D, Rigby P, Letts L. The person environment occupation model: A transactive approach to occupational performance. Can J Occup Ther. 1996;63:9–23.CrossRef
32.
go back to reference Masters G. A Rasch model for partial credit scoring. Psychometrika. 1982;47:149–74.CrossRef Masters G. A Rasch model for partial credit scoring. Psychometrika. 1982;47:149–74.CrossRef
33.
go back to reference Andrich D, Lyne A, Sheridan B, Luo G. RUMM 2030. Perth, W Australia: RUMM Laboratory Ltd; 2010. Andrich D, Lyne A, Sheridan B, Luo G. RUMM 2030. Perth, W Australia: RUMM Laboratory Ltd; 2010.
34.
go back to reference Nunnally JC. Psychometric Theory. New York: McGrawHill; 1978. Nunnally JC. Psychometric Theory. New York: McGrawHill; 1978.
35.
go back to reference Holland P, Wainer H. Differential item functioning. Hillsdale, NJ: Lawrence Erlbaum; 1993. Holland P, Wainer H. Differential item functioning. Hillsdale, NJ: Lawrence Erlbaum; 1993.
36.
go back to reference Marais I, Andrich D. Formalizing dimension and response violations of local independence in the unidimensional Rasch model. J Appl Meas. 2008;9:200–15.PubMed Marais I, Andrich D. Formalizing dimension and response violations of local independence in the unidimensional Rasch model. J Appl Meas. 2008;9:200–15.PubMed
37.
go back to reference Lundgren-Nilsson Å, Jonsdottir I, Ahlborg G, Tennant A. Construct validity of the psychological general well being index (PGWBI) in a sample of patients undergoing treatment for stress-related exhaustion: a rasch analysis. Health Qual Life Outcomes. 2013;11:1–9.CrossRef Lundgren-Nilsson Å, Jonsdottir I, Ahlborg G, Tennant A. Construct validity of the psychological general well being index (PGWBI) in a sample of patients undergoing treatment for stress-related exhaustion: a rasch analysis. Health Qual Life Outcomes. 2013;11:1–9.CrossRef
38.
go back to reference Wainer H, Kiely G. Item clusters and computer adaptive testing: A case for testlets. J Educ Meas. 1987;24:185–202.CrossRef Wainer H, Kiely G. Item clusters and computer adaptive testing: A case for testlets. J Educ Meas. 1987;24:185–202.CrossRef
39.
go back to reference Smith Jr EV. Detecting and evaluating the impact of multidimensionality using fit item statistics and principal component analysis of residuals. J Appl Meas. 2002;3:205–31.PubMed Smith Jr EV. Detecting and evaluating the impact of multidimensionality using fit item statistics and principal component analysis of residuals. J Appl Meas. 2002;3:205–31.PubMed
40.
go back to reference Dickinson D, Bellack A, Gold J. Social/communication skills, cognition, and vocational functioning in schizophrenia. Schiz Bull. 2007;33:1213–20.CrossRef Dickinson D, Bellack A, Gold J. Social/communication skills, cognition, and vocational functioning in schizophrenia. Schiz Bull. 2007;33:1213–20.CrossRef
41.
go back to reference Kurzban S, Davis L, Brekke J. Vocational, social, and cognitive rehabilitation for individuals diagnosed with schizophrenia: a review of recent research and trends. Curr Psychiatry Rep. 2010;12:345–55.CrossRefPubMed Kurzban S, Davis L, Brekke J. Vocational, social, and cognitive rehabilitation for individuals diagnosed with schizophrenia: a review of recent research and trends. Curr Psychiatry Rep. 2010;12:345–55.CrossRefPubMed
42.
go back to reference Fett A, Viechtbauerb W, Domingueza M, Penne D, van Osa J, Krabbendamc L. The relationship between neurocognition and social cognition with functional outcomes in schizophrenia: A meta-analysis. Neurosci Biobehav Rev. 2011;35:573–88.CrossRefPubMed Fett A, Viechtbauerb W, Domingueza M, Penne D, van Osa J, Krabbendamc L. The relationship between neurocognition and social cognition with functional outcomes in schizophrenia: A meta-analysis. Neurosci Biobehav Rev. 2011;35:573–88.CrossRefPubMed
43.
go back to reference Tesio L. Rasch analysis: valid, useful, or both? Eur J Phys Rehabil Med. 2008;44:365–6.PubMed Tesio L. Rasch analysis: valid, useful, or both? Eur J Phys Rehabil Med. 2008;44:365–6.PubMed
Metadata
Title
Rasch Analysis of the Profiles of Occupational Engagement in people with Severe mental illness (POES) instrument
Authors
Ulrika Bejerholm
Åsa Lundgren-Nilsson
Publication date
01-12-2015
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2015
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-015-0327-0

Other articles of this Issue 1/2015

Health and Quality of Life Outcomes 1/2015 Go to the issue