RESUMO
Background. Questionnaires measuring occupational balance have been created in recent years, but those available in French are limited. Purpose. This study aimed to translate and transculturally adapt the Occupational Balance Questionnaire and to examine the internal consistency, test-retest reliability and convergent validity of the French version. Methodology. A cross-cultural validation was conducted with adults in Quebec (n = 69) and in French-speaking Switzerland (n = 47). Results. Internal consistency was good in both regions (α > 0.85). Test-retest reliability was satisfactory in Quebec (ICC = 0.629; p < 0.001), but a significant difference was found between the two measurement times in French-speaking Switzerland. Significant associations were found between the results of the Occupational Balance Questionnaire and those of the Life Balance Inventory (Quebec, r = 0.47; French-speaking Switzerland, r = 0.52). Implications. These initial results support the use of the OBQ-French in the general population of two French-speaking regions.
Description. Des questionnaires visant à mesurer l'équilibre occupationnel ont été créés ces dernières années, mais ceux disponibles en français sont limités. But. Cette étude visait à traduire et adapter transculturellement l'Occupational Balance Questionnaire et à examiner la cohérence interne, la fidélité test-retest et la validité convergente de la version en français. Méthodologie. Une validation a été effectuée auprès de personnes adultes au Québec (n = 69) et en Suisse romande (n = 47). Résultats. La cohérence interne est bonne dans les deux régions (α > 0,85). La fidélité test-retest est satisfaisante au Québec (ICC = 0,629 ; p < 0,001), mais une différence significative est relevée entre deux passations en Suisse romande. Une relation significative est démontrée entre l'équilibre occupationnel et l'équilibre de vie (Québec r = 0,47 ; Suisse romande r = 0,52). Conséquences. Ces premiers résultats soutiennent l'utilisation de l'OBQ-français auprès de la population générale de deux régions francophones.
Assuntos
Terapia Ocupacional , Adulto , Humanos , Reprodutibilidade dos Testes , Psicometria/métodos , Traduções , Inquéritos e QuestionáriosRESUMO
OBJECTIVE: To evaluate the effects of introducing the practice of targeting a discharge date for patients admitted to an inpatient stroke rehabilitation unit on process and patient outcomes. DESIGN: Comparison of retrospective (control group n = 69) and prospective (experimental group n = 60) patients. METHODS: Rehabilitation professionals assessed both groups at admission and discharge using a standard-ized assessment toolkit. Benchmarks for length of rehabilitation stay (LoRS) were introduced based on median severity-specific LoRSs in the control group. The multidisciplinary team documented facilitators and obstacles affecting the prediction of patient benchmark attainment. Categorical variables were compared using a χ2 test with exact probabilities. Ordinal and continuous variables were analysed using rank-based non-parametric analysis of variance. Effect sizes were estimated using a relative treatment effect statistic. RESULTS: The mean combined length of stay in acute care and rehabilitation beds for the experimental group (82 days) was shorter (p = 0.0084) than that of the control group (103 days). This 21-day reduction in combined length of stay included a 10-day reduction in the mean time between stroke onset and admission to the stroke rehabilitation unit (p = 0.000014). Improvements in 6 func-tional and sensorimotor outcomes with rehabilitation were of similar magnitude in both groups, while Functional Independence Measure (FIMTM) efficiency improved (p = 0.022). The team was 87% successful in predicting which patients were discharged on the LoRS benchmark. CONCLUSION: Benchmarking the length of stay in rehabilitation resulted in reduced bed occupation and system costs without adversely affecting functional and sensorimotor patient outcomes.