Psychometric Properties of the Arab Heritage Activity Card Sort

Abstract

The Activity Card Sort is a valid and reliable assessment tool that was created to assess Participation. It has been translated to several languages and adapted to different international cultures. The most recent version of this tool is the Arabic Heritage Activity Card Sort (A-ACS). The purpose of this study was to establish the psychometric properties of the new Arabic version in Jordanian adults. Forty three Jordanian patients with multiple sclerosis (MS) and 62 healthy adults were recruited to test the psychometric properties of the tool. The A-ACS correlated moderately with the participation index of the Mayo-Portland Adaptability Inventory (r = -0.458, p < 0.00) (concurrent validity), was able to discriminate between patients and healthy participants on the current and retained levels of participation (F = 5.09, p < 0.03; F = 6.01, p < 0.02, respectively) (discriminative validity), and correlated moderately with the total scores of the Mayo-Portland Adaptability Inventory (r = -0.458, p < 0.00) and the total score on the Arabic version of the self-report Performance Assessment of Self-care Skills (r = 0.581, p < 0.00) (convergent validity). The tool also showed good test-retest reliability (r = 0.80, p < 0.00) and excellent internal consistency (α = 0.90). The Arabic Heritage of the Activity Card Sort is a valid and reliable tool for Arabic-speaking occupational therapists to use when assessing participation in Jordanian patients with MS or healthy adults. Limitations of this study include using only one diagnostic group from Jordan and examining only the Recovery and Community Versions of the tool. Future studies are needed to examine further psychometric properties for patients with different diagnoses and from different countries in the Arabic region for all three versions of the A-ACS.

Test–Retest Reliability and Internal Consistency of the Activity Card Sort–Australia (18-64)

“…In terms of test–retest reliability, the original ACS was found to be highly stable ( r = .90) when administered to a sample of 20 community-living adults within a 1-week interval (Baum & Edwards, 2008). This is consistent with results for the Activity Card Sort–Hong Kong (ACS-HK; r = .98), Activity Card Sort–Puerto Rican (ACS-PR; r = .82), and Activity Card Sort–Arab Heritage (A-ACS; r = .80) versions, when they were administered to samples of healthy adults, older adults poststroke, or adults with multiple sclerosis in intervals ranging from 2 weeks to 1 month (Chan et al, 2006; Hamed & Holm, 2013; Orellano et al, 2012). Overall, ACS-HK had the highest test–retest reliability within a 2-week interval.…”

Changes in Activity Participation After Multiple Sclerosis Diagnosis

“…15 The ACS was originally developed for older adults with Alzheimer disease but has since been found reliable and valid in other populations, such as those with Parkinson disease, stroke, and traumatic brain injury, [16][17][18] and across a broad range of ages (from children to elderly adults) 15,19 and cultures. 20,21…”

Activity engagement and health quality of life in people with Parkinson’s disease

“…The activity cards are photographs of older adults performing a variety of tasks. These tasks were determined through a rigorous pilot-testing process, and several modified versions of the ACS have been translated to several languages and adapted to different international cultures [29]. The pictured activities fall into one of four domains, which are (1) instrumental activity of daily of living (IADL); (2) low-demand leisure activity; (3) high-demand leisure activity; and (4) social activity.…”