Role Checklist Research Articles

Social Inclusion Through Making Neighbourhood Connections: Experiences of Older Adults With Intellectual Disabilities of Local Volunteering and Leisure, Facilitated by Local Connectors

ABSTRACTBackgroundThe social networks of adults with intellectual disabilities are often small and may be limited to family, paid staff and others with disabilities. This study explored the social inclusion of six individuals who joined mainstream leisure clubs or became local volunteers.MethodThis qualitative intervention study provided structured support and education to local connectors, existing members of clubs/organisations who provided one‐to‐one support to new members with intellectual disabilities. After 4 months, qualitative interviews were conducted to explore the experiences of the six participants with disability. Data were analysed using content analysis.FindingsIndividuals joining mainstream leisure clubs or volunteering, with natural supporters, creates opportunities for making new acquaintances and expanding social networks. Finding local connectors and opportunities for shared volunteering or leisure activities based on personal goals/interests are key to individuals forming new acquaintances close to where they live. Barriers and facilitators to participation are identified.ConclusionsAdults with intellectual disabilities becoming volunteers or joining mainstream leisure clubs has the potential to lead to enhanced opportunities for social inclusion in their neighbourhoods. Implications for policy and practice are examined. Recommendations for further research are explored. A Valued Social Role Checklist developed from this study offers a tool when sourcing social roles.

Life satisfaction and time-use among full-time and part-time working mothers in Brazil.

Working part-time or full-time is a persistent dilemma for women, especially mothers, as they strive to manage their time across various roles. However, the existing literature remains unclear on whether part-time work contributes more to life satisfaction than full-time work. This study aims to describe and compare time-use patterns in different occupational roles and levels of life satisfaction among 795 mothers in Brazil who are employed either part-time or full-time. Data was collected through an online survey and the snowball technique. Regression and correlation analyses were performed on the data obtained from the following instruments: the Role Checklist for assessing time-use within occupational roles, the Satisfaction with Life Scale, and demographic information. Our analysis revealed no significant differences in life satisfaction between mothers working full-time and those working part-time (t (793)=1.160, p = 0.24). However, life satisfaction scores were positively correlated with the number of occupational roles performed (r = 0.222, p < 0.01), higher family income (P < 0.001), and engagement in social roles such as Friend (r = 0.106, p = 0.003), Hobbyist/Amateur (r = 0.08, p = 0.018), and Caregiver (r = 0.07, p = 0.026). While our society places significant emphasis on time spent at work, our findings highlight that life satisfaction extends far beyond the dichotomy of working part-time or full-time. There are deeper dimensions to consider, including the number of occupational roles, family income, and engagement in social roles, which have a more substantial impact on overall life satisfaction.

블렌디드 러닝 실행 지원을 위한 학생 역할 체크리스트 개발 연구

A lack of practical guidance or instructions for students who are expected to play a pivotal role in learning during blended learning was noted. Thus, to fill this gap, a checklist was developed to outline the roles students were expected to play and specific behaviors expected of them within blended learning. Initially, a set of preliminary items comprising 16 statements across 3 categories, namely, “student-agency,” “collaboration for collective learning,” and “responsible digital utilization,” was derived through literature review and written inquiries. These items were refined and categorized based on expert opinions. Subsequently, a questionnaire survey targeting teachers was conducted to validate the relevance of these preliminary items, revealing that while most items in the “student-agency” and “collaboration for collective learning” categories were integrated into two factors comprising 16 statements, they were not distinctly separated from each other. As a result, a final checklist comprising 16 items grouped into two categories, “student-agency and collaborative learning participation” and “technical and environmental support for learning,” was developed. The finding that items related to individual student-agency and mutual collaboration did not segregate underscores the need for further research by re-evaluating the meaning of autonomy and practically understanding autonomy and collaboration. This suggests the necessity for additional studies rooted in the refinement and expansion of concepts and the exploration of specific practical applications. Expectations are set for this checklist to help facilitate and support blended learning through future efforts aimed at refining concepts, maximizing understanding, and exploring practical implementation methods.

Translation and validation of the Role Checklist into the Malay version among retirees

Introduction: Retirees undergo role transition after leaving their job. Hence, occupational therapists may assess retirees’ roles to identify their current roles’ satisfaction and anticipation. As Malaysian culture and language differed from the origin of the Role Checklist, this study aimed to translate and validate the Role Checklist into the Malay version cross-culturally. Methodology: A forward–backwards translation was conducted, followed by pilot testing among 9 experts and 20 retirees. A cross-sectional study was done among 122 Malaysian retirees to identify the translated instrument’s test–retest reliability, discriminant and convergent validity. Findings: The Role Checklist – Malay achieved almost perfect Average Content Validity Index (0.95–0.98) and Average Face Validity Index (0.92–0.96), good to excellent test–retest reliability with intraclass correlation coefficients = 0.654–0.976, and moderate to perfect agreement of Cohen’s kappa (0.620–1.00). Additionally, there were significant differences in the total number of roles ( p &lt; 0.001) and total desired future roles ( p &lt; 0.001) between retirees living in the community and institution. The total number of roles was positively correlated with the SWLS – Malay ( rs = 0.593, p &lt; 0.001), EQ-5D-3L – Malay ( rs = 0.366, p &lt; .001) and MSPSS – Malay ( rs = 0.314, p &lt; 0.001). Conclusion: The Role Checklist – Malay was a valid and reliable instrument among Malaysian retirees.

Role Value, Occupational Balance, and Quality of Life: A Cross-Sectional Study on Exploring the Urban Older People Perspective in South Korea.

The purpose of this study was to investigate the role value, occupational balance, and quality of life among urban older adults in South Korea. We recruited 90 urban older adults in Seoul, Gyeonggi-do and Chungcheong-do. Assessments used (1) Role Checklist, (2) Life Balance Inventory (LBI), and (3) WHO Quality of Life Scale abbreviated version (WHOQOL-BREF). Our results showed that the roles that were perceived as very valuable were as family members, housekeepers, and guardians (in descending order). The roles that were perceived as less valuable were students, volunteers, and organizational members (in descending order). The activities that individuals were actively pursuing were hygiene management, rest, and healthy eating (in descending order). By contrast, the activities that were not being actively pursued were composing (music, poetry), preparing for event planning, dancing, yoga, and taekwondo. The total score of the Role Checklist and WHOQOL-BREF total (r = 0.343, p < 0.01), K-LBI total and WHOQOL-BREF total (r = 0.386, p < 0.01), and role value total and K-LBI (r = 323, p < 0.01) showed a statistically significant correlation. As a result of the regression analysis, the sub-item of work balance that affected the quality of life was managing appearance (R2 = 51.7, p < 0.001). These data showed that the role of urban older adults in Korea was mainly played within the family. The level of participation was low in the areas of instrumental daily life activities, work, leisure, and social participation. We propose that this population needs to be provided with opportunities for active aging through broader professional participation.

Adaptation and Preliminary Validation of the Arabic Version of the Role Checklist Version 3 (RCv3).

Arab occupational therapists are in need either to develop their own outcome measures or to translate well-known outcome measures to their culture. The objective of this study was to translate, cross-culturally adapt, and validate preliminarily the Role Checklist Version 3 (RCv3) into Arabic language. The translation and cross-cultural adaptation process of the RCv3 into Arabic language was conducted in four main steps: (a) forward translation, (b) back translation, (c) expert panel review process, and (d) psychometric testing (Validity). The expert panel established the face validity and the content validity of the Arabic RCv3. Pilot testing was conducted, and the utility and content validity of the tool were confirmed. The final version of the Arabic RCv3 is now available for use in the Arab countries. However, further psychometric properties including reliability and responsiveness of this tool is warranted, thus supporting its wide use and proper application.

Depression or anxiety symptoms associated with occupational role transitions in Brazilian adults with a traumatic spinal cord injury: A multivariate analysis.

Psychological morbidity is commonly experienced by people with a spinal cord injury (SCI), but whether it is associated with occupational role transitions in is unknown. To analyze whether anxiety or depression symptoms are independently associated to increased likelihoods of role transitions in adults with SCI. Cross-sectional study; multivariate analysis using a heteroscedastic Dirichlet regression. Thirty persons with traumatic SCI. Role Checklist (e.g. role transitions: dependent variables) and Beck's Depression Inventory and State-Trait Anxiety Inventory (independent variables), adjusted for socio-demographic, functional, and injury-level confounders. Greater depression symptoms independently increased the likelihood of occupational role transitions, either for roles loss [adjusted Odds Ratio (AOR): 1.04; 95% confidence interval (CI):1.009-1.080] or roles gain [AOR: 1.07; 95% CI:1.02-1.13], as opposed to continued occupational roles. Higher anxiety as a trait, in turn, independently reduced the likelihood of occupational roles gain [AOR: 0.93; 95% CI: 0.869-0.992]. The "worker" role was the one lost more frequently (83%). Psychological morbidity is associated to occupational role transitions, as opposed to continued roles. Further research (e.g. with larger samples, longitudinal design, using structural equation modelling) should elucidate on the intricate relationships between mental health status and occupational role transitions in people experiencing SCI.

Results of an occupational self-analysis program in people with acquired brain injury. A pilot study

ABSTRACTPurpose: The aim of this study was to evaluate the benefits of an occupational self-analysis program in people with acquired brain injury (ABI) in the areas of subjective health perception and occupational participation.Material and Method: This study explored the benefits of an occupational self-analysis program in people with ABI. The intervention group comprised 7 participants; the control group included 5 participants. Outcomes were measured using the SF-36 Health Survey and the Role Checklist. The contents of solicited participant diaries and a focus group discussion were also analyzed.Results: Compared to the control group, the intervention group showed statistically significant improvements in the SF-36 energy/fatigue subscale. The qualitative analysis revealed that participants in the intervention group increased their occupational participation in activities of daily living (ADL), social involvement, and leisure.Conclusion: The program helped participants improve their health perception and increase their occupational participation through learning about their supports and barriers for engaging in meaningful activities.

Changes in Occupational Roles and Common Mental Disorders in Mothers of Children With Congenital Zika Syndrome.

The functional limitations and long-term dependence of children with congenital Zika syndrome (CZS) may lead to changes in maternal occupational roles, which can have a negative impact on mothers' well-being and mental health. To investigate changes in occupational roles and their effects on the mental health of mothers who have a child with CZS. Cross-sectional study. Rehabilitation centers of the Brazilian Unified Health System in Alagoas, Northeast Brazil. Forty mothers of children with CZS. The Role Checklist and the Self-Reporting Questionnaire-20 were used to assess the mothers' involvement in occupational roles and common mental disorders (CMDs), respectively. The relationship between changes in occupational roles and CMDs was analyzed using a logistic regression model. Our study showed that loss of paid work (p = .026) is associated with poor mental health of mothers of children with CZS. Strengthening public policies to reduce the economic impact of CZS on families, offering multidisciplinary counseling, and implementing psychoeducational strategies for promoting maternal psychological adjustment are needed. The time and money spent by mothers in daily care activities for children with CZS contribute to a reduction in family income and social well-being and have a negative impact on mothers' mental health.

From thinking to acting: occupational self-analysis tools for use with people with intellectual disability. A pilot study.

Occupational self-analysis programmes have been developed to promote health, mainly in older adults. However, we have found no published studies dealing with this in people with intellectual disability (ID). The aim of this study was to examine the effectiveness of an occupational self-analysis programme in people with ID, focusing on the areas of subjective health perception and participation. This study explored the benefits of the 'Occupational Self-Analysis Programme' in people with ID. The intervention group comprised 12 participants and the control group comprised 13 participants. Outcomes were measured using the SF-36 Health Survey and the Role Checklist. The contents of participants' journals and a focus group discussion were also analysed. Compared with the control group, the intervention group showed statistically significant improvements in role limitations because of physical health and role limitations because of emotional problems, social functioning and the cumulative scores of the mental component in the SF-36 Health Survey. The qualitative analysis revealed that participants in the intervention group increased their participation in activities related with daily living, leisure, employment seeking and acquisition, and social participation. These participants also became more aware of issues that lead to a greater engagement in meaningful occupations. This programme allowed participants to engage in meaningful activities with other people and to increase their perceived health status by raising awareness of the strengths and difficulties of participation.

Change in life roles and quality of life for older adults after traumatic brain injury.

Traumatic Brain Injury (TBI) is a major health problem for adults aged 50-65 years. Mild/moderate TBI in older adults has implications for the workforce and the individual's quality of life (QOL). To compare changes in life roles, QOL, daily activity performance, perceptions of support available and rehabilitative experiences among older adults with predominantly mTBI and orthopaedic injury (OI). The study included 15 individuals with TBI (13 mild, 2 moderate) and 15 with OI (50-65 years), with injuries sustained more than 6 months prior to. A semi-structured interview retrieved background information, and satisfaction with life roles and daily activities. The World Health Organisation Quality of Life Questionnaire - 100 Version was used to examine QOL, and The Role Checklist was administered to assessed change in life roles. Independent samples t-tests revealed older adults with mTBI experienced more role losses, had lower QOL, and were less satisfied with daily activity performance than those with OI. Regression analysis revealed mTBI significantly predicts QOL (except physical domain) when controlling for gender, age at injury and time since injury. Findings demonstrate the detrimental impact of predominantly mild TBI on older adults' life roles and QOL, and highlights need for services that adequately support older adults who have experienced mTBI, so they can return to their pre-injury life roles and maintain QOL.

A study of measuring participation according to the International Classification of Functioning, Disability and Health with the Revised Role Checklist

Objective: To empirically test the hypothesis that the 10 roles on the Revised Role Checklist are represented in the International Classification of Functioning, Disability and Health participation areas. Design: Cross-sectional survey. Subjects: Investigators from Japan, Norway, Sweden, Switzerland, the United Kingdom and the United States recruited a total of 295 adults from the general population. There were 103 (34.9%) male and 191 (64.7%) female participants with one participant not indicating gender. The age distribution of participants was from <25 (n = 68) to 75+ with a mode of 25–34 years. Main measure: The Revised Role Checklist Part 1 was used to assess perceived incumbency in 10 roles. In addition, subjects were asked to provide role examples. Results: Of the 7087 examples provided by participants, 6578 (92.8%) fit the original hypothesis that the roles in the Revised Role Checklist were covered in participation areas. Fit was determined when the role example was either named in the associated International Classification of Functioning, Disability and Health participation area or when the criteria of: “does this example conceivably fit in the respective area as ‘a person’s involvement in life situations’ fit relative to each role.” Slight modification of the scope of three roles of the original hypothesis resulted in a 97.6% match. Conclusion: The roles in the Revised Role Checklist are well represented in the International Classification of Functioning, Disability and Health categories of participation.

The Revised Role Checklist: Improved Utility, Feasibility, and Reliability.

The Role Checklist is used by occupational therapists across the globe. Developed in 1981 and consistent with the Model of Human Occupation (MOHO), until recently, the Role Checklist was not updated. This is of concern as the Role Checklist originally was established to measure role performance. In 2008, Kielhofner, in the fourth edition of A Model of Human Occupation, differentiated occupational performance in 10 roles which clearly fall into occupational participation in the Role Checklist Version 3. The objective of the study was to describe changes and establish utility, feasibility, and reliability of the Role Checklist Version 3. The Role Checklist Version 3 was administered electronically to N = 114 occupational therapists and students. A short time span was used due to sensitivity to history bias. Test-retest reliability using Cohen's Kappa and Cronbach's alpha mirrored analysis done on the original version. Qualitatively, nine themes emerged regarding utility and feasibility. Test-retest reliability is acceptable to excellent for present role incumbency (κ = 0.74-1.00), desired future role engagement (κ = 0.44-1.00), and satisfaction with performance (α = 0.77-0.98). Participants (91%) found it useful for treatment planning and 75% would recommend Version 3 over the original Role Checklist. Data support the Role Checklist Version 3 as a reliable, electronic instrument feasible for occupational therapists to measure participation.

Papéis ocupacionais de indivíduos com anemia falciforme

A anemia falciforme pode afetar o desempenho dos papéis ocupacionais do indivíduo devido à crise vaso-oclusiva dolorosa e internações frequentes. O objetivo deste estudo foi verificar quais papéis ocupacionais estão sendo menos desempenhados no presente; o porquê estão sendo menos desempenhados; e identificar o grau de importância de cada papel ocupacional com menor desempenho para a vida de pessoas com anemia falciforme, que são atendidas no Hemocentro de Uberaba/Fundação Hemominas. Nesta pesquisa participaram 30 pessoas com anemia falciforme. Os dados foram coletados por meio do formulário do instrumento Lista de Identificação de Papéis Ocupacionais e, para maior compreensão desses dados obtidos pelo mesmo, utilizou-se a metodologia do grupo focal. Os resultados demonstraram que os papéis menos desempenhados no presente foram os de religioso, estudante, trabalhador, voluntário e participante em organizações. Já os papéis mais importantes no presente foram: estudante, cuidador, trabalhador, voluntário e passatempo/amador. Conclui-se que as ocupações do tempo presente dos indivíduos entrevistados estão bastante afetadas em função das condições clínicas impostas pela anemia falciforme, tais como os papéis de estudante e de trabalhador, já que a maioria eram adultos jovens.

Establishing Concurrent Validity of the Role Checklist Version 2 with the OCAIRS in Measurement of Participation: A Pilot Study.

Persons experiencing problems with adaptation following disease, disability, or overwhelming life circumstances are often referred by their physicians to occupational therapists. Given time constraints, therapists may skip administration of a client-centered participation focused assessment and instead use an impairment or limitation focused assessment. This approach assumes that skill remediation will naturally lead to return of participation in valued occupational roles because most participation measures take 30 minutes or longer. In response to the need for an efficient measure of desired role participation, this study establishes concurrent validity of the 10–15-minute Role Checklist Version 2 (RCV2: QP) with the 50 minute Occupational Circumstances Assessment And Rating Scale (OCAIRS) in measuring occupational participation in individuals recovering from surgery following liver transplantation. 20 subjects (mean age of 55 and a mean time-since-transplant of 5.2 months) completed both instruments. The hypothesis was supported (r = .63), showing concurrent validity between the OCAIRS and the RCV2: QP. This provides therapists with an efficient, client-centered measure of occupational participation for a client-centered treatment plan. Using the RCV2: QP in place of the OCAIRS provides a more efficient assessment tool for occupational therapists to set treatment goals and monitor client progress over time.

Translation Guidelines for the Role Checklist Version 2: Quality of Performance Feasibility Study in Iceland and China

Abstract Date Presented 4/7/2016 Translation guidelines for the Role Checklist Version 2: Quality of Performance are evaluated for feasibility and utility to produce valid translated assessments in Icelandic and Mandarin. Valid translations can reveal important trends in international role participation. Primary Author and Speaker: Leah Van Antwerp Additional Authors and Speakers: Jeffrey Crabtree, Patricia Scott Contributing Authors: Kristjana Fenger, Lena Haglund, Fengyi Kuo

As alterações nos papéis ocupacionais de cuidadores de pessoas com deficiência visual.

Introdução: A deficiência visual traz mudanças e reorganizações na vida ocupacional da pessoa que a tem e de seus familiares/cuidadores. Objetivo: Descrever o perfil e conhecer a configuração dos papéis ocupacionais dos cuidadores informais de pessoas com deficiência visual, atendidos em um centro universitário de pesquisa em uma cidade de grande porte. Metodologia: Estudo descritivo e transversal, que foi realizado utilizando aplicação do instrumento “Lista de Identificação dos Papéis Ocupacionais”. Participaram da pesquisa 17 sujeitos. A análise estatística foi realizada baseada nas frequências. Resultados: Nota-se que a maioria dos cuidadores é do sexo feminino 82% (n=14), sendo 64% (n=11) mães, em relação à ocupação 65% (n=11) não trabalham e 59% (n=10) tem baixa escolaridade. Observa-se que todos os papéis ocupacionais apresentaram diminuição nas frequências de realizações do passado para o presente, ou seja, antes do cuidar, mais papéis ocupacionais eram realizados pelos sujeitos pesquisados do que após o início do cuidar. Dentre esses papéis ocupacionais, os que mais sofreram quedas foram os de trabalhador (65%/n=11), estudante (59%/n=10) e membro familiar (24%/n=4). Conclusão: O cuidar de uma pessoa com deficiência visual, neste estudo, mostrou consequências importantes como perdas ou mudanças de papéis ocupacionais, principalmente o de trabalhador, bem como alterações na rotina e sobrecarga.

Psychosocial factors related to returning to work in U.S. Army Soldiers.

Work provides daily structure, physical and mental activity, interpersonal contact, social status, self-esteem, respect of others, and the ability to use acquired skills. Wounded, ill, or injured soldiers are often removed from duty and assigned or attached to a Warrior Transition Unit during medical and rehabilitation management. Separation from meaningful employment can lead to negative physical and behavioral health outcomes that may impact an active duty soldier's ability to resume work. This cross-sectional study explored the Model of Human Occupation (MOHO) psychosocial factors of Personal Causation, Values, Interests, Roles, Habits, and Perceptions of Environment related to returning to work in US Army Soldiers in a Warrior Transition Unit (WTU) at a large military medical center. Single data collection sessions were held for 34 soldiers using the following instruments: a demographic and work status questionnaire, the Role Checklist, and the Worker Role Interview (WRI). Descriptive statistics, Chi-square analysis, and the Mann Whitney U test were used to analyze the results. Analysis revealed that one WRI item related to Personal Causation and three items related to Roles and Habits were supportive factors for successfully returning to employment among soldiers that were working or engaged in returning to work. There are significant differences among psychosocial factors related to returning to work between soldiers who are currently working or have returned to work and those who have not. Longitudinal studies could help to clarify how these factors augment a soldier's rehabilitation at a WTU.

Does the Role Checklist Measure Occupational Participation?

Background: Among the Model of Human Occupation (MOHO) assessments, the Role Checklist is one of the most established. In spite of its widespread use, no studies have examined role examples and their association with the three embedded levels of doing, as established in the MOHO theory.Method: A cross-sectional survey of 293 respondents from the US, the UK, Japan, Switzerland, Sweden, and Norway produced 7,182 role examples. The respondents completed Part I of the Role Checklist and provided examples of each internalized role they performed. Responses were classified as occupational skill, occupational performance, or occupational participation.Results: Thirty-three percent of the examples were classified as examples of occupational participation, whereas 65% were classified as examples of occupational performance. Four roles linked mostly with occupational participation, another four roles linked mostly with occupational performance, and the two remaining roles were mixed between occupational participation and occupational performance.Discussion: The Role Checklist assesses a person’s involvement in internalized roles at the level of both occupational participation and occupational performance. There are differences among countries with regard to how roles are perceived and exemplified, and different roles relate differently to the occupational performance and occupational participation levels of doing. There are related implications for occupational therapists

O viver com a doença falciforme: percepção de adolescentes

&lt;p&gt;Este estudo transversal descritivo com abordagem quantitativa qualitativa teve como objetivo descrever e analisar a percepção de adolescentes sobre o viver com Doença Falciforme (DF); identificar e analisar quais os principais papéis ocupacionais destes adolescentes e a importância que atribuem aos papéis. Os dados foram obtidos pela Lista de Identificação de&lt;br /&gt;Papéis Ocupacionais, por caracterização sociodemográfica dos participantes e por uma entrevista semiestruturada, junto a sete adolescentes com DF, sendo os dados da entrevista submetidos à análise de conteúdo temático categorial e os dados da Lista de Identificação de Papéis Ocupacionais analisados por frequência absoluta e relativa. Conclui-se que o viver com a DF é rodeado de privações que ocorrem em vários espaços do cotidiano do adolescente e podem levá-lo a qualidade de vida insatisfatória, e repercussões negativas no futuro.&lt;/p&gt;