Document Type : Original Articles


1 Department of Occupational Therapy, Faculty of Rehabilitation Sciences, Hamadan University of Medical Sciences, Hamadan, Iran

2 Department of Occupational Therapy, Faculty of Rehabilitation Sciences, Hamadan University of Medical Sciences, Hamadan, Iran.

3 Department of Educational Psychology, Kharazmi University, Tehran, Iran.


Background: Leisure activities are an important part of life for people with multiple sclerosis )MS). Unfortunately, there are no proper assessment tools for evaluating the leisure activities of MS patients. The current research purposed to develop such a questionnaire and to determine its factor structure.
Methods: This psychometric study aimed to determine the factor structure of a questionnaire for evaluating the leisure activities of MS patients and was conducted in explanatory and confirmatory phases.
Results: The questionnaire was completed, and the data were entered in SPSS for the explanatory phase and using linear structural relations (LISREL) for the confirmatory phase. The lowest Eigenvalue was 1.01, which corresponds to the Kaiser criterion. The validity coefficients of the extracted factors are considerable. There is a very slight difference between the highest coefficient that
is related to the third factor (0.846) and the lowest coefficient that is related to the fifth factor (0.799), indicating the number of factors was correctly determined. Confirmatory factor analysis illustrated that the goodness-of-fit (GFI) and the comparative fit index (CFI) indices were considerable (higher than 0.95),showing good fit of data. RMSEA was 0.024.
Conclusion: It can be concluded that the 5-factor structure (difficult, social,spiritual/religious, outdoor-physical, and cultural-artistic activities) of the multiple sclerosis leisure questionnaire with 50 items is confirmed.


  1. Jopp DS, Hertzog C. Assessing adult leisure activities: an extension of a self-report activity questionnaire. Psychological assessment. 2010;22(1):108.
  2. Cheung M, Ting W, Chan L, Ho K, Chan W. Leisure participation and health-related quality of life of community dwelling elders in Hong Kong. Asian J Gerontology and Geriatrics. 2009;4:15-23.
  3. Silverstein M, Parker MG. Leisure activities and quality of life among the oldest old in Sweden. Research on aging. 2002;24(5):528-47.
  4. Drummond AE, Parker C, Gladman JR, Logan P. Development and validation of the Nottingham Leisure Questionnaire (NLQ). Clinical rehabilitation. 2001;15(6):647-56.
  5. Arab-Moghaddam N, Henderson KA, Sheikholeslami R. Women's leisure and constraints to participation: Iranian perspectives. Journal of leisure research. 2007;39(1):109.
  6. Taylor HL, Jacobs Jr DR, Schucker B, Knudsen J, Leon AS, Debacker G. A questionnaire for the assessment of leisure time physical activities. Journal of chronic diseases. 1978;31(12):741-55.
  7. Walker GJ, Deng J, Diser R. Culture, self-construal, and leisure theory and practice. Journal of leisure research. 2005;37(1):77-99.
  8. Haase A, Steptoe A, Sallis JF, Wardle J. Leisure-time physical activity in university students from 23 countries: associations with health beliefs, risk awareness, and national economic development. Preventive Medicine. 2004;39(1):182-90.
  9. Hellström A, Hellström P, Willman A, Fagerström C. Associations between sleep disturbances and leisure activities in late-life. Sleep Medicine. 2013;14:e151-e2.
  10. Hosseini SMS, Asgari A, Rassafiani M, Yazdani F, Mazdeh M. Leisure time activities of Iranian patients with multiple sclerosis: a qualitative study. Health Promotion Perspectives. 2016;6(1):47.
  11. Hosseini SMS, Sarhady M, Nurani Gharaborghe S, Mazdeh M. Leisure of People With Multiple Sclerosis: A Content Analysis. Iranian Rehabilitation Journal. 2017;15(1):23-30.
  12. Hooman HA. Multivariate data analysis in behavioral research: Parsa; 2011.
  13. Habibi A. Practical Education of LISREL. 2 ed2012.
  14. Kaiser HF. On Cliff's formula, the Kaiser-Guttman rule, and the number of factors. Perceptual and Motor Skills. 1992;74(2):595-8.
  15. Byrne BM. A primer of LISREL: Basic applications and programming for confirmatory factor analytic models: Springer Science & Business Media; 2012.
  16. Bentler PM. Comparative fit indexes in structural models. Psychological bulletin. 1990;107(2):238.
  17. Yi TI, Han JS, Lee KE, Ha SA. Participation in leisure activity and exercise of chronic stroke survivors using community-based rehabilitation services in seongnam city. Annals of rehabilitation medicine. 2015;39(2):234-42.
  18. Khemthong S, Packer T, Passmore A, Dhaliwal S. Development of a Classification of Leisure Participation (CLP) Scale: Perceptions of leisure activities of women with and without chronic conditions. 2005.
  19. Kautzmann LN. Identifying leisure interests: a self-assessment approach for adults with arthritis. Occupational Therapy in Health Care. 1984;1(2):45-52.
  20. Javidan M, Dastmalchian A. Culture and leadership in Iran: The land of individual achievers, strong family ties, and powerful elite. The Academy of Management Executive. 2003;17(4):127-42.
  21. Foroghi N. Leisure in Lifestyle and traditions. Kosar Journal. 2004;58.
  22. Jalali Farahani M. Management of leisure and recreational sports. Tehran University Press; 2010.
  23. Joudrey AD, Wallace JE. Leisure as a coping resource: A test of the job demand-control-support model. Human Relations. 2009;62(2):195-217.
  24. Leung GTY, Fung AWT, Tam CWC, Lui VWC, Chiu HFK, Chan WM, et al. Examining the association between late‐life leisure activity participation and global cognitive decline in community‐dwelling elderly Chinese in Hong Kong. International journal of geriatric psychiatry. 2011;26(1):39-47.
  25. Lin M-J. A Study on the Relationships of Service Quality and Satisfaction of Leisure Activities among the Retired Elderly in Caotun Town. International Conference on Gerontic Technology and Service Management2009.
  26. Scarmeas N, Levy G, Tang M-X, Manly J, Stern Y. Influence of leisure activity on the incidence of Alzheimer’s disease. Neurology. 2001;57(12):2236-42.
  27. Pendleton H, Schultz-Krohn W, BCP S. Pedretti’s Occupational Therapy. 6 ed: Elsevier; 2006.
  28. Trottier AN, Brown GT, Hobson SJ, Miller W. Reliability and validity of the leisure satisfaction scale (LSS–short form) and the adolescent leisure interest profile (ALIP). Occupational Therapy International. 2002;9(2):131-44.