Updating and validating the Domestic and Community Skills Assessment

IF 2.1 4区医学 Q2 REHABILITATION

Australian Occupational Therapy Journal Pub Date : 2026-06-16 DOI:10.1111/1440-1630.70100

Neil Woodroffe, Kate E. Webster, Siann Bowman

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Abstract

Introduction

This study outlines the revision and content validity process for the Domestic and Community Skills Assessment, Third Edition (DACSA-3). The DACSA-3 is an occupational therapy instrumental activities of daily living (IADL) assessment, which can be used to assess a person with a mental health condition.

Methods

The DACSA-3 was developed by considering past development and research, technology changes, and current occupational therapy theories. Nine content experts (occupational therapists with mental health experience) were involved in a qualitative and quantitative review of the DACSA-3 to establish content validity using the content validity ratio (CVR) and content validity index (CVI), with recommended minimum thresholds of 0.78.

Consumer and community involvement

The DACSA-3 was reviewed by two content reviewers (professionals with lived mental health experience) to ensure that recovery oriented language was included.

Results

The Initial Interview was retained and updated. The Supporting Interview was removed, because it lacked construct validity. The Observation Checklist was renamed to Context List and updated to include environmental and personal factors that may influence task performance. The Objective Assessment subtests were updated and reduced from 17 to 14 subtests. The money handling, personal presentation, and postage handling subtests were removed, because they were no longer relevant or did not fit the occupational category of IADL. The scoring criteria for each subtest were improved by aligning with the rating scale definitions to prevent discrepancies between ratings and clinical judgement. The CVR of DACSA-3 items ranged from 0.78 to 1.00, and the CVI of the DACSA-3 was 0.98.

Conclusion

The DACSA-3 is a revised, contemporary occupational therapy assessment of IADL, which has content validity. The CVR and CVI exceeded the minimum recommended thresholds, and thus, the content validity of the DACSA-3 was established. Modifications were made to the DACSA-3 to reduce the administration time and it no longer contains a screening tool.

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更新和验证家庭和社区技能评估。

前言：本研究概述了家庭和社区技能评估第三版（daca -3）的修订和内容效度过程。DACSA-3是一种职业治疗日常生活工具活动（IADL）评估，可用于评估患有精神健康状况的人。方法：综合考虑过去的发展与研究、技术变化和当前职业治疗理论，开发DACSA-3。采用内容效度比（CVR）和内容效度指数（CVI）对DACSA-3进行定性和定量评价，建议最低阈值为0.78。消费者和社区参与：daca -3由两名内容审稿人（具有实际精神卫生经验的专业人员）审查，以确保纳入以康复为导向的语言。结果：保留并更新了初次访谈。支持访谈被删除，因为它缺乏结构效度。观察检查表被重命名为上下文列表，并更新为包括可能影响任务性能的环境和个人因素。客观评估子测试得到更新，从17个子测试减少到14个。金钱处理、个人陈述和邮资处理子测试被删除，因为它们不再相关或不适合IADL的职业类别。每个子测试的评分标准通过与评分量表定义对齐来改进，以防止评分与临床判断之间的差异。DACSA-3项目的CVR为0.78 ~ 1.00，CVI为0.98。结论：DACSA-3是修订后的现代职业治疗评估，具有内容效度。CVR和CVI均超过了推荐的最小阈值，因此建立了DACSA-3的内容效度。对daca -3进行了修改，以减少管理时间，它不再包含筛选工具。

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来源期刊

Australian Occupational Therapy Journal 医学-康复医学

CiteScore

2.80

自引率

16.70%

发文量

审稿时长

6-12 weeks

期刊介绍： The Australian Occupational Therapy Journal is a leading international peer reviewed publication presenting influential, high quality innovative scholarship and research relevant to occupational therapy. The aim of the journal is to be a leader in the dissemination of scholarship and evidence to substantiate, influence and shape policy and occupational therapy practice locally and globally. The journal publishes empirical studies, theoretical papers, and reviews. Preference will be given to manuscripts that have a sound theoretical basis, methodological rigour with sufficient scope and scale to make important new contributions to the occupational therapy body of knowledge. AOTJ does not publish protocols for any study design The journal will consider multidisciplinary or interprofessional studies that include occupational therapy, occupational therapists or occupational therapy students, so long as ‘key points’ highlight the specific implications for occupational therapy, occupational therapists and/or occupational therapy students and/or consumers.