Psychometric properties and factor structure of the 13-item satisfaction with daily occupations scale when used with people with mental health problems
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BACKGROUND: In mental health care practice and research it is increasingly recognized that clients' subjective perceptions of everyday occupations, such as satisfaction, are important in recovery from mental illness. Instruments thus need to be developed to assess satisfaction with everyday occupations. The aim of the present study was to assess psychometric properties of the 13-item Satisfaction with Daily Occupation (SDO-13) when used with people with mental health problems, including its internal consistency, factor structure, construct validity and whether the scale produced ceiling or floor effects. An additional question concerned if the factor structure varied whether the participants were, or were not, presently engaged in the activity they rated. METHODS: The interview-based SDO-13 includes items pertaining to work/studies, leisure, home maintenance, and self-care occupations. Whether the person currently performs an occupation or not, he/she is asked to indicate his/her satisfaction with that occupation. The SDO-13 was completed with 184 persons with mental illness. Residual variables were created to remove the variation linked with currently performing the targeted occupation or not and to assess the factor structure of the SDO-13. The indicators of general satisfaction with daily occupations, self-esteem and global functioning were used to assess construct validity. The statistical methods included tests of homogeneity, confirmatory factor analysis and Pearson correlations. RESULTS: The internal consistency was satisfactory at 0.79. A three-factor solution indicated that the construct behind the SDO-13 was composed of three facets; Taking care of oneself and the home, Work and studies, and Leisure and relaxation. The same factor structure was valid for both original scores and the residuals. An expected pattern of correlations with the indicators was mainly found, suggesting basic construct validity. No ceiling or floor effects were found. CONCLUSIONS: Taken together, the findings suggest the SDO-13 is a reliable and robust instrument that may be used to get an overview of the satisfaction people living with mental illness derive from their daily occupations.
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SDO has good internal consistency and construct validity.
“The original SDO, without the balance questions, has shown good internal consistency and construct validity [26].”
From Exploring mediators of the recovery process over time among mental health service users, using a mixed model regression analysis based on cluster RCT data (2020) · cites this paper as [26]
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Cites
(1992) · PubMed · Cited by 33,716 · see citing works
Society and the Adolescent Self-Image
Rosenberg, M. (1965) · doi:10.1515/9781400876136 · Cited by 30,126 · see citing works
Ryan, R. M., & Deci, E. L. (2000) · American Psychologist · doi:10.1037//0003-066x.55.1.68 · Cited by 27,815 · see citing works
Health Measurement Scales: A Practical Guide to Their Development and Use
Streiner, D. L., Norman, G. R., & Cairney, J. (1989) · Cited by 9,595 · see citing works
Cohen, J. (1992) · Psychological Bulletin · doi:10.1037//0033-2909.112.1.155 · Cited by 8,771 · see citing works
Statistics notes: Cronbach's alpha: Table 1
Bland, J. M., & Altman, D. G. (1997) · BMJ · doi:10.1136/bmj.314.7080.572 · Cited by 5,300 · see citing works
The Global Assessment Scale: A Procedure for Measuring Overall Severity of Psychiatric Disturbance
Endicott, J. (1976) · Archives of General Psychiatry · doi:10.1001/archpsyc.1976.01770060086012 · Cited by 4,982 · see citing works
McHorney, C. A., Ware, J. E., Rachel Lu, J. F., & Sherbourne, C. D. (1994) · Medical Care · doi:10.1097/00005650-199401000-00004 · Cited by 4,458 · see citing works
Moral Identity and Developmental Theory
Lapsley, D. K. (2015) · Human Development · doi:10.1159/000435926 · Cited by 3,836 · see citing works
Leamy, M., Bird, V., Boutillier, C. L., Williams, J., & Slade, M. (2011) · British Journal of Psychiatry · doi:10.1192/bjp.bp.110.083733 · Cited by 3,038 · see citing works
A motivational approach to self: integration in personality.
Deci, E. L., & Ryan, R. M. (1990) · PubMed · Cited by 2,704 · see citing works
Streiner, D. L., & Norman, G. R. (2008) · doi:10.1093/acprof:oso/9780199231881.001.0001 · Cited by 2,631 · see citing works
Model of Human Occupation: Theory and Application
Kielhofner, G. (2002) · Cited by 1,568 · see citing works
Model of Human Occupation: Theory and Application
Trakoli, A. (2010) · Occupational Medicine · doi:10.1093/occmed/kqq002 · Cited by 1,251 · see citing works
An Occupational Perspective of Health
Snashall, D. (2015) · Occupational Medicine · doi:10.1093/occmed/kqv134 · Cited by 769 · see citing works
Sinclair, S. J., Blais, M. A., Gansler, D. A., Sandberg, E. H., Bistis, K., & LoCicero, A. (2010) · Evaluation & the Health Professions · doi:10.1177/0163278709356187 · Cited by 607 · see citing works
Reflections on doing, being and becoming*
Wilcock, A. A. (1999) · Australian Occupational Therapy Journal · doi:10.1046/j.1440-1630.1999.00174.x · Cited by 522 · see citing works
Boutillier, C. L., Leamy, M. C., Bird, V. J., Davidson, L., Williams, J., & Slade, M. (2011) · Psychiatric Services · doi:10.1176/appi.ps.001312011 · Cited by 481 · see citing works
A theory of the human need for occupation
Wilcock, A. A. (1993) · Journal of Occupational Science · doi:10.1080/14427591.1993.9686375 · Cited by 387 · see citing works
The concurrent validity of the Global Assessment of Functioning (GAF)
Startup, M., Jackson, M. C., & Bendix, S. (2002) · British Journal of Clinical Psychology · doi:10.1348/014466502760387533 · Cited by 366 · see citing works
Reflections on Doing, Being and Becoming
Wilcock, A. A. (1998) · Canadian Journal of Occupational Therapy · doi:10.1177/000841749806500501 · Cited by 353 · see citing works
An Occupational Perspective of Health
Wilcock, A. A., & Hocking, C. (2024) · Routledge eBooks · doi:10.4324/9781003525233 · Cited by 339 · see citing works
Value Dimensions, Meaning, and Complexity in Human Occupation - A Tentative Structure for Analysis
Persson, D., Erlandsson, L.-K., Eklund, M., & Iwarsson, S. (2001) · Scandinavian Journal of Occupational Therapy · doi:10.1080/110381201300078447 · Cited by 326 · see citing works
Self-citationHealth and the Human Spirit for Occupation
Yerxa, E. J. (1998) · American Journal of Occupational Therapy · doi:10.5014/ajot.52.6.412 · Cited by 286 · see citing works
Value Dimensions, Meaning, and Complexity in Human Occupation - A Tentative Structure for Analysis
Persson, D. (2001) · Scandinavian Journal of Occupational Therapy · doi:10.1080/11038120119727 · Cited by 279 · see citing works
A proposed model of lifestyle balance
Matuska, K. M., & Christiansen, C. H. (2008) · Journal of Occupational Science · doi:10.1080/14427591.2008.9686602 · Cited by 254 · see citing works
Goldberg, B., Brintnell, E. S., & Goldberg, J. (2002) · Occupational Therapy in Mental Health · doi:10.1300/j004v18n02_03 · Cited by 228 · see citing works
Focus on Psychometrics Single-Item Indicators in Nursing Research
Youngblut, J., & Casper, G. (1993) · Research in Nursing & Health · doi:10.1002/nur.4770160610 · Cited by 213 · see citing works
Holmes, W. C., & Shea, J. A. (1997) · Quality of Life Research · doi:10.1023/a:1018464200708 · Cited by 205 · see citing works
Gold, L. H. (2014) · PubMed · Cited by 179 · see citing works
Torrey, W. C., Mueser, K. T., McHugo, G. H., & Drake, R. E. (2000) · Psychiatric Services · doi:10.1176/appi.ps.51.2.229 · Cited by 174 · see citing works
Eklund, M., & Leufstadius, C. (2007) · Canadian Journal of Occupational Therapy · doi:10.1177/000841740707400403 · Cited by 110 · see citing works
Self-citationBENGTSSON‐TOPS, A. (2004) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/j.1365-2850.2003.00718.x · Cited by 84 · see citing works
Satisfaction with Daily Occupations: A Tool for Client Evaluation in Mental Health Care
Eklund, M. (2004) · Scandinavian Journal of Occupational Therapy · doi:10.1080/11038120410020700 · Cited by 79 · see citing works
Self-citationDo Different Subjective Evaluation Criteria Reflect Distinct Constructs?
Priebe, S., Kaiser, W., Huxley, P. J., Röder‐Wanner, U., & Rudolf, H. (1998) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199807000-00001 · Cited by 64 · see citing works
Eklund, M., & Gunnarsson, A. B. (2006) · Australian Occupational Therapy Journal · doi:10.1111/j.1440-1630.2006.00586.x · Cited by 52 · see citing works
Self-citationTungström, S., Söderberg, P., & Armelius, B. (2005) · Psychiatric Services · doi:10.1176/appi.ps.56.4.439 · Cited by 51 · see citing works
Work status, daily activities and quality of life among people with severe mental illness
Eklund, M. (2009) · Quality of Life Research · doi:10.1007/s11136-008-9431-5 · Cited by 50 · see citing works
Self-citationEklund, M., & Gunnarsson, A. B. (2008) · British Journal of Occupational Therapy · doi:10.1177/030802260807101106 · Cited by 43 · see citing works
Self-citationEklund, M., & Sandqvist, G. (2006) · Scandinavian Journal of Occupational Therapy · doi:10.1080/11038120500239578 · Cited by 38 · see citing works
Self-citationA review and critique of well-being in occupational therapy and occupational science
Aldrich, R. M. (2010) · Scandinavian Journal of Occupational Therapy · doi:10.3109/11038121003615327 · Cited by 35 · see citing works
What, exactly, is occupational satisfaction?
Morgan, W. J. (2010) · Journal of Occupational Science · doi:10.1080/14427591.2010.9686698 · Cited by 25 · see citing works
Psychometric evaluation of the Danish version of Satisfaction with Daily Occupations (SDO)
Eklund, M., & Morville, A.-L. (2013) · Scandinavian Journal of Occupational Therapy · doi:10.3109/11038128.2013.853097 · Cited by 15 · see citing works
Self-citation
Flagged first, then by citations
Research works printed but not linked: 2
- [8]McClelland DC Human Motivation 1987 New York Press Syndicate of the University of Cambridge
- [20]Law M Babtiste S Carswell A McColl MA Polatajko H Pollock N Canadian Occupational Performance Measure (3rd edition) 1998 Toronto CAOT Publications
Cited by
Sorted by citations
Eklund, M., Orban, K., Argentzell, E., Bejerholm, U., Tjörnstrand, C., Erlandsson, L.-K., & Håkansson, C. (2017) · Scandinavian Journal of Occupational Therapy · doi:10.1080/11038128.2016.1224271 · Cited by 140 · see citing works
Self-citationEklund, M., Tjörnstrand, C., Sandlund, M., & Argentzell, E. (2017) · BMC Psychiatry · doi:10.1186/s12888-017-1524-7 · Cited by 93 · see citing works
Self-citationPerception of occupational balance by people with mental illness: A new methodology
Eklund, M., & Argentzell, E. (2016) · Scandinavian Journal of Occupational Therapy · doi:10.3109/11038128.2016.1143529 · Cited by 81 · see citing works
Self-citationEklund, M., Argentzell, E., Bejerholm, U., Tjörnstrand, C., & Brunt, D. A. (2017) · BMC Psychiatry · doi:10.1186/s12888-017-1472-2 · Cited by 35 · see citing works
Self-citationArgentzell, E., Bäckström, M., Lund, K., & Eklund, M. (2020) · BMC Psychiatry · doi:10.1186/s12888-020-02924-2 · Cited by 34 · see citing works
Self-citationPilot Study of Let’s Get Organized: A Group Intervention for Improving Time Management
Holmefur, M., Lidström-Holmqvist, K., Roshanai, A. H., Arvidsson, P., White, S., & Janeslätt, G. K. (2019) · American Journal of Occupational Therapy · doi:10.5014/ajot.2019.032631 · Cited by 23 · see citing works
Håkansson, C., Gunnarsson, A. B., & Wagman, P. (2021) · Journal of Occupational Science · doi:10.1080/14427591.2021.1939111 · Cited by 21 · see citing works
Wästberg, B. A., Persson, E. B., & Eklund, M. (2015) · Occupational Therapy In Health Care · doi:10.3109/07380577.2015.1048036 · Cited by 16 · see citing works
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Hultqvist, J., Markström, U., Tjörnstrand, C., & Eklund, M. (2016) · Scandinavian Journal of Occupational Therapy · doi:10.1080/11038128.2016.1200669 · Cited by 15 · see citing works
Self-citationEklund, M., & Tjörnstrand, C. (2020) · Journal of Occupational Science · doi:10.1080/14427591.2019.1620121 · Cited by 14 · see citing works
“General occupational satisfaction is a oneitem estimate of satisfaction with daily occupations, often used to validate the SDO (Eklund et al., 2014) but in the current study used in its own right as an additional aspect of occupation.”
BackgroundMethodSelf-citationSvedell, L. A., Lidström-Holmqvist, K., Lindvall, M. A., Cao, Y., & Msghina, M. (2023) · Frontiers in Sports and Active Living · doi:10.3389/fspor.2023.1133256 · Cited by 15 · see citing works
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Self-citationEklund, M., Lund, K., & Argentzell, E. (2023) · Scandinavian Journal of Occupational Therapy · doi:10.1080/11038128.2023.2184717 · Cited by 8 · see citing works
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Self-citationHultqvist, J., Markström, U., Tjörnstrand, C., & Eklund, M. (2018) · Scandinavian Journal of Caring Sciences · doi:10.1111/scs.12587 · Cited by 7 · see citing works
Self-citationHultqvist, J., Månsson, T. S., Timpka, J., Henriksen, T., Nyholm, D., Odin, P., & Eklund, M. (2019) · Occupational Therapy In Health Care · doi:10.1080/07380577.2019.1692269 · Cited by 7 · see citing works
Self-citationEklund, L., Gunnarsson, A. B., Jansson, J.-Å., Pooremamali, P., & Eklund, M. (2021) · BMC Psychiatry · doi:10.1186/s12888-021-03388-8 · Cited by 7 · see citing works
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Self-citationEklund, M., Brunt, D. A., & Argentzell, E. (2019) · Scandinavian Journal of Occupational Therapy · doi:10.1080/11038128.2019.1622771 · Cited by 6 · see citing works
Self-citationJackman, M. M. (2016) · Evidence-based practices in behavioral health · doi:10.1007/978-3-319-40537-7_12 · Cited by 6 · see citing works
Holmefur, M., Roshanai, A. H., White, S., Janeslätt, G. K., Vimefall, E., & Lidström-Holmqvist, K. (2021) · Trials · doi:10.1186/s13063-021-05578-x · Cited by 6 · see citing works
Eklund, M. (2017) · Work · doi:10.3233/wor-172639 · Cited by 6 · see citing works
Self-citationWork experiences, resources, and beliefs among vulnerable subgroups of mental health care users
Eklund, M., Jansson, J.-Å., Eklund, L., Pooremamali, P., & Gunnarsson, A. B. (2021) · Work · doi:10.3233/wor-213559 · Cited by 5 · see citing works
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Self-citationEklund, M., Bäckström, M., & Bejerholm, U. (2017) · Scandinavian Journal of Occupational Therapy · doi:10.1080/11038128.2017.1335776 · Cited by 1 · see citing works
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Nilsson, K. L., & Paulsson, U. (2015) · Lund University Publications Student Papers (Lund University)
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Self-citationHolmefur, M., Roshanay, A., White, S., Janeslätt, G. K., Vimefall, E., & Lidström-Holmqvist, K. (2021) · Figshare · doi:10.6084/m9.figshare.16641895
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Self-citationLönn, M. E., Westberg, K. H., Holst, A.-C., & Erlandsson, L. (2026) · Occupational Therapy International · doi:10.1155/oti/9972405
- Authors
- Eklund, M., Bäckström, M., & Eakman, A. M.
- Affiliations
- Lund University (SE)
- Colorado State University (US)
- Corresponding author
- Eklund, Mona
- Venue
- Health and Quality of Life Outcomes
- Published
- 2014-12
- Volume
- 12
- Issue
- 1
- Pages
- 191-191
- ISSN
- 1477-7525 (ISSN-L)
- PMC
- PMC4302612
- OpenAlex
- W2146993660
- Cited by
- 37
- References
- 43
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 2 · 2023: 4 · 2021: 6 · 2020: 2 · 2019: 4 · 2018: 1 · 2017: 5 · 2016: 5 · 2015: 2
- FWCI
- 12.44
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Health and Quality of Life Outcomes (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Lund University Publications (Lund University) (submittedVersion, other-oa)
- Funders
- Vetenskapsrådet (521-2011-561)
- Forskningsrådet om Hälsa, Arbetsliv och Välfärd
- Topics
- Health Sciences › Health Professions › Occupational Therapy › Occupational Therapy Practice and Research
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Social Sciences › Education › Health Education and Validation
- Keywords
- daily occupations, job satisfaction, mental illness, psychometric properties, factor structure, construct validity, internal consistency, floor and ceiling effects, self-care, work and study, leisure and relaxation, self-esteem, global functioning
- MeSH terms
- Adult, Mental Disorders, Education, Employment, Factor Analysis, Statistical, Female, Humans, Job Satisfaction, Leisure Activities, Male, Mental Health, Middle Aged, Occupational Therapy, Personal Satisfaction, Psychometrics, Quality of Life, Self Care, Work, Reproducibility of Results
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