Activity Card Sort’s existence and execute in various languages and versions: A scoping review

Abstract

Background: Activity Card Sort (ACS) measures patient activity participation, especially in older adults. It was developed to evaluate instrumental, social, and leisure activities of low and high demand in various populations. Transferring an ACS tool between diverse settings is challenging due to significant socio-economic, linguistic, and environmental impacts. Hence, to tailor ACS tools to a specific society’s socio-cultural context, comprehension of the accessible validated ACS tools and their psychometric attributes is essential. Objective: This scoping review was conducted to explore the availability of the ACS tool and to summarize the psychometric properties, such as the reliability and validity, of different languages and versions of ACS available worldwide. Materials and methods: A search was performed in PubMed, PsycNET, Cochrane, and Embase. Two independent reviewers conducted the screening process and extracted the data. The total sample included 370 articles, of which 26 studies met the inclusion criteria, providing information on psychometric properties. English and non-English versions (Arabic, Dutch, and Spanish) in different populations were included. Results: Among the 26 studies in this review, most ACS studies used the English version (62.5%). All the reported studies revealed “good” internal consistency, in which the Cronbach’s alpha (α) ranges between 0.61 and 0.91. Test-retest reliability was measured using ICC values ranging from 0.78 to 0.98 for numeric data and Kappa statistics for binary data. Two studies used Kappa statistics to test the reliability, which ranged from 0.48 to 0.85 for all domains, indicating moderate to good reliability. Measures of content validation, face validity, concurrent, convergent, and discriminative validity were also reported. Conclusion: Good psychometric properties were reported. No study is available on the Indian population using the ACS tool. Hence, developing and validating an ACS tool for the Tamil Nadu population is needed.