Psychometric Properties of the Chinese Version of the Oxford Participation and Activities Questionnaire in People with Stroke

Shamay S M Ng; Lily Y W Ho; Nga-Huen Chan; Tai-Wa Liu; Billy So

doi:10.3390/ijerph192315450

Psychometric Properties of the Chinese Version of the Oxford Participation and Activities Questionnaire in People with Stroke

Int J Environ Res Public Health. 2022 Nov 22;19(23):15450. doi: 10.3390/ijerph192315450.

Authors

Shamay S M Ng^{1

2}, Lily Y W Ho^{1

3}, Nga-Huen Chan^{1

2}, Tai-Wa Liu⁴, Billy So^{1

2}

Affiliations

¹ Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong SAR, China.
² Research Centre for Chinese Medicine Innovation, The Hong Kong Polytechnic University, Hung Hom, Hong Kong SAR, China.
³ School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Hong Kong SAR, China.
⁴ School of Nursing and Health Studies, Hong Kong Metropolitan University, Ho Man Tin, Hong Kong SAR, China.

Abstract

The Oxford Participation and Activities Questionnaire was developed for generic use in the assessment of participation and activity levels. However, it is not available in Chinese and has not been tested in the stroke population. The Oxford Participation and Activities Questionnaire was translated into Chinese and culturally adapted. Its psychometric properties were examined in 100 people with stroke. The participation and activity levels of people with stroke and healthy people were also compared. Content validity and internal consistency (Cronbach's α = 0.86-0.91) were excellent. The test-retest reliability (intraclass correlation coefficient = 0.91-0.94) was also satisfactory. The standard error of the measurement was 4.10-5.31, and the minimal detectable change was 11.37-14.71. Convergent and divergent validity were supported by hypothesis testing. The instrument had a five-factor structure without a ceiling effect. Its routine activity and social engagement scores discriminated people with stroke from healthy people. In conclusion, the Chinese version of the Oxford Participation and Activities Questionnaire is reliable and valid for assessing participation and activity levels in the stroke population.

Keywords: Oxford Participation and Activities Questionnaire; activity and participation; psychometric testing; stroke rehabilitation.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

East Asian People*
Humans
Psychometrics
Reproducibility of Results
Stroke*
Surveys and Questionnaires

Grants and funding

This work was supported by the research funding of the Research Centre for Chinese Medicine Innovation of The Hong Kong Polytechnic University (Ref. No. P0041139) awarded to Shamay Ng and her team. The funder had no roles in study design, collection, analysis and interpretation of data, writing of the report, and decision to submit the article for publication.