Document Type : Original Articles

Authors

1 Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran

2 Institute for Cognitive Sciences Studies (ICSS), Tehran, Iran

3 Occupational Therapy program, Faculty of Health and Life Sciences, Oxford Brookes University, Oxford, UK

4 Department of occupational therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran

10.30476/jrsr.2023.99427.1391

Abstract

Background: Leisure as an occupation plays an important role in people's daily lives. This study aimed to translate and culturally adapt the original Nottingham Leisure Questionnaire to Persian and assess the psychometric properties of the Persian version.
Method: One hundred and forty healthy individuals participated in this cross-sectional study. Face and content validity were assessed by determining the impact score of the item, content validity ratio, and content validity index methods. Convergent validity was assessed using the correlation method between the Nottingham Leisure Questionnaire and the Occupational Balance Questionnaire-11, Meaningful Activity Participation Assessment, 36-item short-form health survey, and Satisfaction with Life Scale. The reliability of the Persian version of the Nottingham Leisure Questionnaire was assessed by internal consistency and test-retest reliability. Data analysis was conducted using SPSS. v. 23.0 software at a significance level of 0.05.
Results: Face and content validity demonstrated an acceptable range (impact score: 2.2 to 4, content validity ratio: 0.57 to 1, and content validity index: 0.87 to 1). Significant correlations between assessment tools supported Convergent Validity. There was moderate internal consistency (α = 0.77) and excellent test-retest reliability for the number of leisure scores (interclass correlation coefficient [ICC] = 0.894) and frequency of leisure participation scores (ICC = 0.883).
Conclusions: The Persian version of the Nottingham Leisure Questionnaire is a psychometrically valid, reliable, and useful instrument to assess leisure in healthy Persian-speaking participants.
 
 
 

Highlights

Keywords

  1. Association AOT. Occupational Therapy Practice Framework: Domain and Process: AOTA; 2020.
  2. Fancourt D, Aughterson H, Finn S, Walker E, Steptoe A. How leisure activities affect health: a narrative review and multi-level theoretical framework of mechanisms of action. The Lancet Psychiatry. 2021;8(4):329-39.
  3. Nimrod G, Kleiber DA, Berdychevsky L. Leisure in coping with depression. Journal of Leisure Research. 2012;44(4):419-49.
  4. Litwiller F, White C, Gallant KA, Gilbert R, Hutchinson S, Hamilton-Hinch B, et al. The benefits of recreation for the recovery and social inclusion of individuals with mental illness: An integrative review. Leisure Sciences. 2017;39(1):1-19.
  5. Chen F, Zang Y, Dong H, Wang X, Bian J, Lin X. Effects of a hospital‐based leisure activities programme on nurses' stress, self‐perceived anxiety and depression: A mixed methods study. Journal of Nursing Management. 2022;30(1):243-51.
  6. McCormick BP, Snethen G, Smith RL, Lysaker PH. Active leisure in the emotional experience of people with schizophrenia. Therapeutic Recreation Journal. 2012;46(3):179.
  7. Nummela O, Sulander T, Rahkonen O, Uutela A. Associations of self-rated health with different forms of leisure activities among ageing people. International journal of public health. 2008;53:227-35.
  8. Fallahpour M, Borell L, Luborsky M, Nygård L. Leisure-activity participation to prevent later-life cognitive decline: a systematic review. Scandinavian journal of occupational therapy. 2016;23(3):162-97.
  9. Cruz-Ferreira A, Marmeleira J, Formigo A, Gomes D, Fernandes J. Creative dance improves physical fitness and life satisfaction in older women. Research on aging. 2015;37(8):837-55.
  10. Fancourt D, Steptoe A. Comparison of physical and social risk-reducing factors for the development of disability in older adults: a population-based cohort study. J Epidemiol Community Health. 2019;73(10):906-12.
  11. Turner H, Chapman S, McSherry A, Krishnagiri S, Watts J. Leisure assessment in occupational therapy: An exploratory study. Occupational Therapy in Health Care. 2000;12(2-3):73-85.
  12. Walker GJ, Deng J, Dieser RB. Culture, self-construal, and leisure theory and practice. Journal of Leisure Research. 2005;37(1):77-99.
  13. Laver-Fawcett AJ, Mallinson SH. Development of the activity card sort—United Kingdom version (ACS-UK). OTJR: Occupation, Participation and Health. 2013;33(3):134-45.
  14. Galea M, Woodward M. Mini-mental state examination (MMSE). The Australian journal of physiotherapy. 2005;51(3):198-.
  15. Aaronson N, Acquadro C, Alonso J, Apolone G, Bucquet D, Bullinger M, et al. International quality of life assessment (IQOLA) project. Quality of life research. 1992;1:349-51.
  16. Drummond AE, Parker C, Gladman JR, Logan P. Development and validation of the Nottingham Leisure Questionnaire (NLQ). Clinical Rehabilitation. 2001;15(6):647-56.
  17. Altintas E, Guerrien A, Vivicorsi B, Clément E, Vallerand RJ. Leisure activities and motivational profiles in adaptation to nursing homes. Canadian Journal on Aging/La Revue Canadienne du Vieillissement. 2018;37(3):333-44.
  18. Håkansson C, Wagman P, Hagell P. Construct validity of a revised version of the Occupational Balance Questionnaire. Scandinavian Journal of Occupational Therapy. 2020;27(6):441-9.
  19. Eakman AM, Carlson ME, Clark FA. The meaningful activity participation assessment: A measure of engagement in personally valued activities. The International Journal of Aging and Human Development. 2010;70(4):299-317.
  20. Cheraghifard M, Taghizadeh G, Akbarfahimi M, Eakman AM, Hosseini S-H, Azad A. Psychometric properties of Meaningful Activity Participation Assessment (MAPA) in chronic stroke survivors. Topics in Stroke Rehabilitation. 2021;28(6):422-31.
  21. Motamed N, Ayatollahi A, Zare N, Sadeghi Hassanabadi A. Validity and reliability of the Persian translation of the SF-36 version 2 questionnaire. EMHJ-Eastern Mediterranean Health Journal, 11 (3), 349-357, 2005. 2005.
  22. Diener E, Emmons RA, Larsen RJ, Griffin S. The satisfaction with life scale. Journal of personality assessment. 1985;49(1):71-5.
  23. Vakili MM, Jahangiri N. Content validity and reliability of the measurement tools in educational, behavioral, and health sciences research. Journal of Medical Education Development. 2018;10(28):106-18.
  24. Lawshe CH. A quantitative approach to content validity. Personnel psychology. 1975;28(4):563-75.
  25. Waltz CF, Bausell BR. Nursing research: design statistics and computer analysis: Davis Fa; 1981.
  26. Munro BH. Statistical methods for health care research: lippincott williams & wilkins; 2005.
  27. Fayers PM, Machin D. Quality of Life: The Assessment, Analysis and Interpretation of Patient-reported Outcomes: Wiley; 2013.
  28. Santos JRA. Cronbach’s alpha: A tool for assessing the reliability of scales. Journal of extension. 1999;37(2):1-5.
  29. Warren T. Working part‐time: achieving a successful ‘work‐life’balance? 1. The British journal of sociology. 2004;55(1):99-122.
  30. Nour K, Desrosiers J, Gauthier P, Carbonneau H. Impact of a home leisure educational program for older adults who have had a stroke (home leisure educational program). Therapeutic Recreation Journal. 2002;36(1):48-64.
  31. Specht J, King G, Brown E, Foris C. The importance of leisure in the lives of persons with congenital physical disabilities. The American journal of occupational therapy. 2002;56(4):436-45.
  32. Organization WH. WHOQOL: Measuring quality of life. 2020. 2021.
  33. Liang J, Yamashita T, Scott Brown J. Leisure satisfaction and quality of life in China, Japan, and South Korea: A comparative study using AsiaBarometer 2006. Journal of Happiness Studies. 2013;14:753-69.
  34. Brajša-Žganec A, Merkaš M, Šverko I. Quality of life and leisure activities: How do leisure activities contribute to subjective well-being? Social indicators research. 2011;102:81-91.
  35. García‐Villamisar DA, Dattilo J. Effects of a leisure programme on quality of life and stress of individuals with ASD. Journal of Intellectual Disability Research. 2010;54(7):611-9.
  36. Rodríguez A, Látková P, Sun Y-Y. The relationship between leisure and life satisfaction: Application of activity and need theory. Social Indicators Research. 2008;86:163-75.
  37. Adams KB, Leibbrandt S, Moon H. A critical review of the literature on social and leisure activity and wellbeing in later life. Ageing & Society. 2011;31(4):683-712.
  38. Yu-Jin C. Correlation between Leisure Activity Time and Life Satisfaction: Based on KOSTAT Time Use Survey Data. Occupational Therapy International. 2018;2018.