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Danish translation and validation of the Occupational Balance Questionnaire


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Danish University Colleges

Danish translation and validation of the Occupational Balance Questionnaire

Hansen, Alice Ø; Boll, Mette; Skaarup, Line; Hansen, Tina; Dür, Mona; Stamm, Tanja;

Kristensen, Hanne Kaae

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Hansen, A. Ø., Boll, M., Skaarup, L., Hansen, T., Dür, M., Stamm, T., & Kristensen, H. K. (2021). Danish translation and validation of the Occupational Balance Questionnaire. Poster session presented at 2nd Cotec- Enothe congress 2021, Czech Republic.

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1. Do you generally find your activities in your everyday life under-demanding?

2. Do you generally find your activities in your everyday life over-demanding?

3. Do you generally receive enough appreciation for activities in your everyday life?

4. How often do you feel overstressed in your everyday life?

5. How much are your activities in your everyday life affected by your health?

6. Do you get enough rest?

7. Do you get enough sleep?

8. Do you have sufficient variety of different activities that you do? For example, do you do a mixture of physical activities and more sedentary ones (where you are sitting down or staying still)? Or a mixture of creative activities and activities that are more routine for you?

9. How well can you adapt your activities in your everyday life to changed living conditions, such as a changed state of health?

10. How well can you adapt your activities in your everyday life to changed living conditions, such as a change of your professional life or employment status?

Danish translation and validation of the Occupational Balance Questionnaire


Alice Ørts Hansen a,b,c, Mette Boll d, Line Skaarup d, Tina Hansen e, Mona Dür f, Tanja Stamm g and Hanne Kaae Kristensen a,c,h

To translate and validate a Danish version of the self-reported 10-item Occupational Balance

Questionnaire (OB-Quest) when used among a group of healthy adults in a Danish context.

The Danish OB-Quest is in a developmental phase

and not ready for implementation in clinical practice or research as a measurement.

One main issue is the need for the further

underpinning of the latent variable (OB) and the development of more items, by applying an

appropriate theoretical framework, to develop coherent measurements of the self-reported experience of OB.

In clinical practice OB-Quest can guide and support a research-based dialogue about occupational


The reliability (person separation index) was questionable (0.63), and the scale showed multidimensionality.

Two items (1 and 9) showed misfit to the Rasch model. Differential item function by gender was

detected in one item (item 4). After deleting items 1 and 9 and splitting item 4 into two gender-specific items, the new 9-item scale showed good overall and individual item fit.

However, reliability remained low (0.59) and some elements of the latent variable (occupational

balance) were not sufficiently represented.

The thresholds across all ten items were ordered,

reflecting that the three score categories worked as intended



Odense University Hospital

Results in detail Implications


Corresponding author: alice.oerts@rsyd.dk



The translation of the questionnaire to Danish required only minor cultural adaptations.

Ninety percent of the participants were female. The mean age (±SD) was 26.10 (7.05) years.

Our initial analysis of all ten items showed overall misfit to the Rasch model, lack of unidimensionality and questionable reliability.

Occupational balance is a key concept in occupational science and occupational therapy. However, it is not well operationalized and instruments to evaluate occupational balance are scarce.

OB-Quest was developed in 2014 by Dür et al. OB-Quest is currently available in English and German.

Given that our aim is to use OB-Quest in education, prevention and health promotion, along with rehabilitation practice and research, it is relevant to translate it to Danish and test the psychometric properties.

Translation was conducted using the dual-panel approach. Thereafter, data from 262 healthy Danish students were analyzed regarding fit to the Rasch model.

For the analysis by the Rasch model, RUMM2030 software was used.

References Methods


Dür M, Steiner G, Fialka-Moser V, Kautzky-Willer A, Dejaco C, Prodinger B, Stoffer MA, Binder A, Smolen J, Stamm TA. Development of a new occupational balance-questionnaire: incorporating the perspectives of patients and healthy people in the design of a self-reported occupational balance outcome

instrument. Health Qual Life Outcomes. 2014 Apr 5;12:45. Doi: 10.1186/1477-7525-12-45

Alice Ørts Hansen , Mette Boll , Line Skaarup , Tina Hansen , Mona

Dür , Tanja Stamm & Hanne Kaae Kristensen (2020): Danish translation and validation of the Occupational Balance Questionnaire, Scandinavian Journal of Occupational Therapy.

DOI: 10.1080/11038128.2020.1842491

a Research in Person-centered Rehabilitation, REHPA – The Danish Knowledge Centre for Rehabilitation and Palliative Care, Odense University Hospital

b Department of Orthopedic Surgery, Odense University Hospital, Odense, Denmark

C Department of Clinical Research, University of Southern Denmark, Odense, Denmark

d UCL University College, Odense, Denmark

e University College Copenhagen, Department of Midwifery, Physiotherapy, Occupational Therapy and Psychomotor Therapy, Denmark

Medicine and Rehabilitation Research – Copenhagen, Department of Physiotherapy & Occupational Therapy, Amager‐Hvidovre Hospital, Hvidovre, Denmark

f Department of Health Sciences, Master Degree Programme Applied Health Sciences, IMC University of Applied Sciences, Krems, Austria

g Section for Outcomes Research,Center for Medical Statistics, Informatics and Intelligent Systems, Medical University of Vienna, Vienna, Austria

h Health Sciences Research Centre, UCL University College, Odense, Denmark



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