Poster Session
Issue Date: August 2016
Published Online: August 01, 2016
Updated: January 01, 2021
Reliability and Validity of the Complexity of Co-Occupation Scale
Author Affiliations
  • Texas Woman’s University
  • Parkland Memorial Hospital
  • Texas Woman’s University
Article Information
Alzheimer's Disease and Dementia / Assessment Development and Testing / Education of OTs and OTAs / Mental Health / Neurologic Conditions / Assessment/Measurement
Poster Session   |   August 01, 2016
Reliability and Validity of the Complexity of Co-Occupation Scale
American Journal of Occupational Therapy, August 2016, Vol. 70, 7011500065.
American Journal of Occupational Therapy, August 2016, Vol. 70, 7011500065.

Date Presented 4/9/2016

We developed a measure of co-occupation for potential use in research and clinical practice. We present two research phases: (1) construct validity through confirmatory factor analysis and (2) interrater reliability. Use of the scale since development will be also discussed.

Primary Author and Speaker: Arwen Beckinger

Additional Authors and Speaker: Noralyn Pickens, Ashley Overturf

PURPOSE: The purpose of this study is to run a confirmatory factor analysis (CFA) and establish interrater reliability of the Complexity of Co-occupation (CoCO) scale. This poster describes two phases in the research.
• Phase I research question: Will the four-factor structure of the CoCO scale remain stable through a confirmatory factor analysis?
• Phase II research question: Will the interrater reliability of the CoCO scale meet a minimally acceptable level?
RATIONALE: Co-occupation occurs through the transformation of occupation through mutually engaged shared physicality, shared emotionality, and shared intentionality. However, a 2014 exploratory factor analysis found an additional factor—shared communication. This study in progress seeks to confirm the new four-factor structure of the CoCO scale and to evaluate initial interrater reliability. The purpose of occupational therapy is to promote participation with others, which often presents as co-occupation. This research addresses an assessment of participation in occupation with others as well as an American Occupational Therapy Foundation priority to determine means of evaluating occupational therapy client-centered outcomes.
DESIGN: This a psychometric study, specifically a CFA to validate the underlying constructs of the CoCO and methods to establish preliminary interrater reliability.
PARTICIPANTS: Phase 1 had 62 participants, ages 21–54 yr (60 women, 2 men), from two MOT program locations who all completed two semesters of their professional program.
Phase 2 had 4 raters: 2 novice and 2 expert occupational therapists.
METHOD: In Phase 1, the participants engaged in a face-to-face training module on co-occupation, with practice scoring using the CoCO scale and video clips. Following training, each participant was sent three unique YouTube videos for a desired total of 186 units scored. Data are currently underway using an online tool via PsycDATA.
In Phase 2, interrater reliability will engage 4 therapists, 2 novices and 2 experts, scoring the CoCO for five videos selected via a random numbers generator from the 186 videos in Phase 1.
ANALYSIS: In Phase 1, data will be entered into SPSS for a CFA. Demographic data will be separated from the rating data. In Phase 2, data will be analyzed using a Krippendorff’s α.
RESULTS: In Phase 1, data will be interpreted on the basis of whether the factors load as expected in the CFA, addressing the interrelationships among the scale items. In Phase 2, data will be interpreted on the basis of a determined coefficient and whether it meets a satisfactory level of .80.
DISCUSSION: Both phases of the study are occurring at time of submission. If we find satisfactory reliability and a validity factor structure, the CoCO tool could be a valuable tool to measure and understand co-occupation as experienced by clients in a range of contexts including mental health practice and dementia care.
IMPACT STATEMENT: Our professional organization calls for reliable and valid tools for clinical practice and research. Understanding and measuring how occupations are co-created is of value to the profession in that we treat our clients as individuals and as families/units of care within the sociocultural dimensions of care.