Development and content validity of the Abilitator : a self-report questionnaire on work ability and functioning aimed at the population in a weak labour market position

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Wikstrom , M , Anttila , H , Savinainen , M , Kouvonen , A & Joensuu , M 2020 , ' Development and content validity of the Abilitator : a self-report questionnaire on work ability and functioning aimed at the population in a weak labour market position ' , BMC Public Health , vol. 20 , no. 1 , 327 . https://doi.org/10.1186/s12889-020-8391-8

Title: Development and content validity of the Abilitator : a self-report questionnaire on work ability and functioning aimed at the population in a weak labour market position
Author: Wikstrom, Miia; Anttila, Heidi; Savinainen, Minna; Kouvonen, Anne; Joensuu, Matti
Contributor: University of Helsinki, Social Policy
Date: 2020-03-14
Language: eng
Number of pages: 14
Belongs to series: BMC Public Health
ISSN: 1471-2458
URI: http://hdl.handle.net/10138/324947
Abstract: BackgroundThe unemployed have lower work ability and poorer health than the employed. This situation deteriorates when unemployment continues. The long-term unemployed often have co-morbidities and face many other challenges. This increases the need for a multidimensional assessment of work ability and functioning in different service settings. In this study, we describe the development and analyse the content validity of the Abilitator, a self-report questionnaire on work ability and functioning for those in a weak labour market position.MethodsThe Abilitator was developed in 2014-2017. Its construct was assessed by members of academic expert panels (n=30), practical expert panels of professionals (n=700) and target group clients (n=28). The structure and the content of the questionnaire was co-developed in 29 workshops and adjusted twice based on the expert panels' feedback. The Abilitator was also implemented among target group clients (n=3360) in different services and projects. During its development the Abilitator was linked to the International Classification of Functioning, Disability and Health (ICF). The content validation process followed the guidelines recommended by the Consensus-based Standards for the selection of health Measurement Instruments (COSMIN) panel.ResultsThe construct of the Abilitator combines the multidimensional and biopsychosocial models of work ability and functioning. It also includes aspects of social inclusion and employability. It evaluates social, psychological, cognitive and physical functioning, and the ability to cope with everyday life. The content of these concepts was validated by the academic and practical expert panels. The Abilitator's 79 ICF codes covered 57% of the Generic, 77% of the Brief Vocational Rehabilitation, and 8% of the Minimal Environmental ICF Core Sets. When compared with the Work Ability Index (WAI) and the World Health Organization Disability Assessment Schedule (WHODAS 2.0), the direct equivalences of the ICF codes were 36 and 44%, respectively.ConclusionThe Abilitator sufficiently comprehensively covers the relevant aspects to enable the assessment of the overall work ability and functioning of the population in a weak labour market position.
Subject: Work ability
Functioning
Health
Well-being
Self-report
Unemployment
Employability
Inclusion
ICF
Content validity
HEALTH-CARE
INTERNATIONAL CLASSIFICATION
RATED HEALTH
FOLLOW-UP
UNEMPLOYMENT
RETURN
REHABILITATION
DISABILITY
DEFINITIONS
EUROPE
5142 Social policy
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