Related Experiment Video
Updated: Jun 18, 2026
10:32
Development of a Virtual Reality Assessment of Everyday Living Skills
Published on: April 23, 2014
Updating and validating the Domestic and Community Skills Assessment
Neil Woodroffe1, Kate E Webster1, Siann Bowman1
1School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Victoria, Australia.
Australian Occupational Therapy Journal
|June 17, 2026
Summary
The revised Domestic and Community Skills Assessment, Third Edition (DACSA-3) is a valid occupational therapy tool for assessing instrumental activities of daily living (IADL) in individuals with mental health conditions. Its content validity was confirmed by expert review, exceeding recommended thresholds.
Area of Science:
- Occupational Therapy
- Psychometrics
- Mental Health Assessment
Background:
- The Domestic and Community Skills Assessment, Third Edition (DACSA-3) is an occupational therapy assessment tool for instrumental activities of daily living (IADL).
- It is utilized for individuals with mental health conditions.
- This study details the revision and content validity process for the DACSA-3.
Purpose of the Study:
- To revise the DACSA-3 assessment tool.
- To establish the content validity of the revised DACSA-3.
- To ensure the assessment is contemporary and relevant for occupational therapy practice.
Main Methods:
- A revision process incorporating past research, technological advancements, and current occupational therapy theories.
- Content validity was established through qualitative and quantitative reviews by nine occupational therapy experts using Content Validity Ratio (CVR) and Content Validity Index (CVI).
- Two reviewers with lived mental health experience ensured recovery-oriented language was incorporated.
Main Results:
- The DACSA-3 was updated, retaining the Initial Interview and renaming the Observation Checklist to Context List.
- Objective Assessment subtests were reduced from 17 to 14, removing irrelevant items.
- Content validity was confirmed with CVR ranging from 0.78 to 1.00 and CVI at 0.98, exceeding minimum thresholds.
Conclusions:
- The revised DACSA-3 is a content-valid occupational therapy assessment for IADL.
- The established content validity supports its use in practice.
- Modifications enhance relevance, reduce administration time, and align with current occupational therapy standards.
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