Occupational Therapy Program Student Theses, Dissertations and Capstones

Document Type

Dissertation

Occupational participation of older Puerto Rican adults

Degree Name

Doctor of Philosophy (PhD) in Occupational Therapy

Copyright Statement

All rights reserved. This publication is intended for use solely by faculty, students, and staff of Nova Southeastern University. No part of this publication may be reproduced, distributed, or transmitted in any form or by any means, now known or later developed, including but not limited to photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the author or the publisher.

Department

College of Health Care Sciences – Occupational Therapy Department

Publication Date / Copyright Date

2-2008

Publisher

Nova Southeastern University

Abstract

"February 2008" A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Occupational Therapy. Typescript Project Advisor : Max Ito Older adults may undergo changes in occupational participation patterns due to the process of aging, to institutionalization, or to illness. Measuring occupational participation of older adults using a client-centered approach has become a professional mandate for occupational therapists. The Activity Card Sort was developed to measure the level of client activity participation in instrumental, socio-cultural, and leisure activities. With the authors' permission, a valid method of translation and cultural adaptation of the ACS was developed based on a sample of older Puerto Rican adults and occupations relevant to this population derived from a previous study. The final version used in this analysis included 82 picture cards of older adults participating in typical Puerto Rican occupations which clients were to sort into five categories. The purpose of this study was to determine the validity and reliability of the translated and culturally-adapted Puerto Rican Spanish version of the Activity Card Sort (PR-ACS) for older Spanish-speaking adults living in Puerto Rico. This study included 146 participants, two groups of 106 community-living, healthy older adults aged 60 or older and 40 adults with multiple sclerosis (MS) aged 50 or older. The study explored evidence of validity by examining the relationship of the PR-ACS current activity scores with other variables. Reliability evidence included test-retest and internal consistency. Results showed that the PR-ACS was able to discriminate between clients with different levels of functioning (t = 6.86; p = .00), and was positively associated with the Puerto Rican Version of the RAND 36-Short Form Health Survey (r = 0.66; p = .00). Good test-retest reliability (r = 0.82) and high internal consistency of the total scores of the combined sample (r = 0.91) and the sample of healthy older adults (.91) were demonstrated, as well as good internal consistency of these scores for the sample of individuals with MS (.77). The findings suggest the PR-ACS is a reliable and valid instrument to use with the Puerto Rican elderly population.

Disciplines

Occupational Therapy

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