The Revised Role Checklist: Improved Utility, Feasibility, and Reliability.

Area of Science:

• Occupational Therapy
• Rehabilitation Science
• Human Occupation Studies

Background:

• The Role Checklist, developed in 1981 and aligned with the Model of Human Occupation (MOHO), measures role performance.
• Recent updates in MOHO (2008) differentiate occupational performance into 10 roles, necessitating an updated Role Checklist.
• The original Role Checklist required updating to accurately reflect current occupational therapy practice and theoretical models.

Purpose of the Study:

• To describe changes in the Role Checklist Version 3.
• To establish the utility, feasibility, and reliability of the Role Checklist Version 3.
• To evaluate the Role Checklist Version 3 as an electronic instrument for measuring occupational participation.

Main Methods:

• The Role Checklist Version 3 was administered electronically to 114 occupational therapists and students.
• Test-retest reliability was assessed using Cohen's Kappa and Cronbach's alpha.
• Qualitative themes regarding utility and feasibility were identified.

Main Results:

• Test-retest reliability was acceptable to excellent for present role incumbency (κ = 0.74-1.00), desired future role engagement (κ = 0.44-1.00), and satisfaction with performance (α = 0.77-0.98).
• 91% of participants found the checklist useful for treatment planning.
• 75% of participants recommended Version 3 over the original Role Checklist.

Conclusions:

• The Role Checklist Version 3 is a reliable and feasible electronic instrument for occupational therapists.
• The updated version effectively measures occupational participation.
• The Role Checklist Version 3 demonstrates utility for treatment planning in occupational therapy.