Development and Validation of the Occupational Self-Assessment–Short Form (OSA–SF)

  • Evguenia S. Popova
    Evguenia S. Popova, MS, OTR/L, is PhD Candidate, Rehabilitation Sciences Program, University of Illinois at Chicago.
  • Rikki K. Ostrowski
    Rikki K. Ostrowski, MS, OTR/L, is OTD Student, Department of Occupational Therapy, University of Illinois at Chicago.
  • Jennifer J. Wescott
    Jennifer J. Wescott, OTD, OTR/L, is Occupational Therapist, Pediatric Therapy Network, Chicago. She was OTD Student, Department of Occupational Therapy, University of Illinois at Chicago, at the time of the study.
  • Renée R. Taylor
    Renée R. Taylor, PhD, is Professor, Department of Occupational Therapy, University of Illinois at Chicago; rtaylor@uic.edu

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<jats:title>Abstract</jats:title> <jats:p>Importance: The Occupational Self-Assessment, Version 2.2 (OSA 2.2), is a client-centered measure of clients’ perceived occupational competence and value. The OSA 2.2 has previously demonstrated good structural validity and internal consistency; however, the administration length could deter therapists from using this assessment in acute care and acute inpatient rehabilitation.</jats:p> <jats:p>Objective: To evaluate reliability and validity of the OSA 2.2 in acute care and acute inpatient rehabilitation and to develop and validate the OSA–Short Form (OSA–SF).</jats:p> <jats:p>Design: We performed a descriptive psychometric analysis using the Rasch analytic approach.</jats:p> <jats:p>Setting: The data were collected in acute care and acute inpatient rehabilitation.</jats:p> <jats:p>Participants: Our convenience sample consisted of 86 patients in acute care and acute inpatient rehabilitation.</jats:p> <jats:p>Outcomes and Measures: Participants rated their perceived occupational competence and value by completing the OSA 2.2.</jats:p> <jats:p>Results: We examined psychometric properties of the OSA 2.2 and OSA–SF using a partial credit Rasch model. The 21-item OSA 2.2 was reduced to a 12-item OSA–SF through iterative removal of items on the basis of item-misfit statistics. The OSA–SF demonstrated adequate rating scale functioning, dimensionality, item and person goodness of fit, item targeting, item hierarchies, and item and person separation.</jats:p> <jats:p>Conclusions and Relevance: Findings indicate that the OSA–SF is a valid and reliable measure that can guide client-centered goal setting and intervention planning for adults receiving acute care and acute inpatient rehabilitation.</jats:p> <jats:p>What This Article Adds: The OSA 2.2 and the OSA–SF offer a client-centered approach to evaluating patients’ self-reported ability and ratings of the importance of performing everyday occupations. These assessments can guide client-centered goal setting in acute care and acute inpatient rehabilitation.</jats:p>

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