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Adapt and Validation Leisure Inventory
Adapt and Validation Leisure Inventory
Adapt and Validation Leisure Inventory
Abstract
Participation—defined as engagement in life situations, including leisure and recreational
activities—is associated with the improvement of people with disabilities’ quality of life. Several
specific instruments assess leisure, but none of them has been adapted to the Spanish context. The
goal of this study is to adapt and validate the Spanish version of the Leisure Assessment Inventory
(LAI; B. A. Hawkins, P. Ardovino, N. B. Rogers, A. Foose, & N. Olsen, 2002). The adaptation of
the original version of the LAI was carried out through translation and backward translation, and
the validity of the instrument was analyzed. Descriptive analyses (means and standard deviations)
were conducted for each LAI index. Construct validity was assessed through Pearson’s product-
moment correlation among the diverse LAI indexes, and convergent-discriminant validity through
the correlation of the diverse indexes and the measures of quality of life. Results show that the LAI
indexes are valid measures of the attributes of leisure behavior (participation, preference, interest,
and barriers). This study provides a valid instrument to assess the participation profile of adults with
disabilities in leisure activities.
Key Words: Leisure Assessment Inventory; LAI; leisure; test adaptation; validity; disabilities
Participation, an essential dimension of the Inter- perspective, and stressing the significant role played
national Classification of Functioning Disability by individualized supports in the improvement of
and Health (ICF; World Health Organization, human functioning. The AAIDD manual considers
2001), can be defined as engagement in life participation one of the five dimensions of human
situations. Some examples of life situations in functioning and defines it as ‘‘people’s performance
which adults usually participate include relations of life activities, and it is related to the person’s
and interactions with friends and family; domestic functioning in society’’ (p. 10). Participation
life; learning and applying knowledge; and com- includes the social roles that are considered normal
munity, social, and civic life. Currently, the for a specific age group, for example, leisure
positive result of participation is considered one activities. Research has shown that people with
of the most important goals of the provision of ID favor participation in leisure activities that
services for people with intellectual disability (ID; include the community and that such participation
Verdonschot, de Witte, Reichrath, Buntinx, & improves their perception of quality of life and
Curfs, 2009). acquisition of adaptive skills (Cummins & Lau,
The model of the American Association of 2003; Duvdevany & Arar, 2004; King et al., 2003;
Intellectual Disability and Developmental Disabil- Kraemer, McIntyre, & Blacher, 2003; Orsmond,
ities (AAIDD) in its 11th edition of Intellectual Krauss, & Seltzer, 2004). However, studies of
Disability: Definition, Classification, and Systems of participation also found that people with ID
Supports (Schalock et al., 2010) is consistent with participate less in social and recreational activities
the ICF model of human functioning. It defines ID compared to people without a disability (Braun,
in terms of human functioning, conceptualizing Yeargin-Allsopp, & Lollar, 2006; Duvdevany, 2002;
disability from an ecological and multidimensional Duvdevany & Arar, 2004; Orsmond et al., 2004;
Poulsen, Ziviani, & Cuskelly, 2007) and that they Planning (ICAP; Bruininks, Hill, Weatherman, &
often lack the necessary skills for social interaction Woodcock, 1986), the data of which were obtained
and self-determination (Dattilo & Schleien, 1994; in the third year of a longitudinal study (Hawkins
Duvdevany, 2008; Wehmeyer & Metzler, 1995). et al., 1998).
Leisure can be understood as a distinct and The evidence of convergent validity was
major domain of life, similar to the domains of revealed through the significant correlation of the
family, education, work, and participation in the LAI with LSS-M. A significantly negative correla-
community (Hawkins, 1994). AAIDD defines leisure tion was expected between LSS-M and L-INT, as
as available free-choice time and those individually well as between LSS-M and L-CON, because these
selected activities that characteristically are not indexes are sensitive to unsatisfied leisure needs.
related to work or other obligatory forms of activity No significant relationships were found between
that are expected to promote feelings of pleasure, LSS-M and L-PREF, because a preference for
affiliation, happiness, spontaneity, fantasy, or imag- increasing participation in activities does not
ination, fulfillment, creativity, self-expression, and necessarily mean that a person is satisfied with life.
self-development (AAIDD, 2010). Other findings that support convergent validity
Leisure behavior is operationalized as engage- were obtained through significant positive correla-
ment in the leisure activity or repertory, expressed tions of the LAI indexes with the domains of
leisure preferences, interest in new leisure activi- adaptive behavior of the ICAP. The correlations
ties, and some measure of perceived freedom of among social and communication skills, life skills in
choice (Hawkins, Ardovino, & Hsieh, 1998). The the community, and the LAP index were signifi-
Leisure Assessment Inventory (LAI), developed by cantly negative. The authors explain these results
Hawkins and colleagues (1998), has four indexes as the effect of acquiescence of people with ID with
based on this conceptualization of leisure. The low social and communicative skills, which could
Leisure Activity Participation Index (LAP) reflects affect their responses. Also, people with ID who
the level of leisure repertory and is a measure of a had high life skills in the community were more
person’s engagement in the activity. The Leisure self-determined in leisure activities, and their
Preference Index (L-PREF) provides a measure of leisure repertory was more representative of their
the leisure activities that please a person and that interests (Hawkins et al., 1998). Overall findings
can be useful to increase participation. The Leisure provide evidence of the instrument’s stability,
Interest Index (L-INT) measures the person’s level consistency, convergent and discriminant validity,
of interest in certain leisure activities in which the and construct validity.
person does not currently participate or is impeded
Currently, there is much literature that reveals
from participating in. And, lastly, the Leisure
the importance of people with intellectual and
Constraints Index (L-CON) assesses the degree of
developmental disabilities’ participation in leisure
internal and external barriers that impede partic-
activities and its influence on their achieving a
ipation in leisure activities. The validity and
better quality of life; however, there is still no
reliability analyses of the LAI were obtained
through a longitudinal study of adults with ID instrument adapted to and validated for the
(Hawkins et al., 1998). Construct validity of the Spanish population. The LAI was developed to
LAI was determined through correlations among assess the leisure behavior of adults with IDD, and
the indexes and the capacity of each index to it can be used as a reference tool to plan leisure
discriminate between high and low performance. support services, which permits acquiring the skills
The results showed a low or null significance involved in leisure, the promotion of physical and
coefficient. Convergent and discriminant validity health activities, and the establishment and
were confirmed by calculating the correlation promotion of social networks, thereby facilitating
coefficients with variables that may be related to social inclusion and promoting self-determination
leisure behavior. These variables included per- (Hawkins, 1993). This study focused on the
ceived life satisfaction and measures of adaptive translation, adaption and validation of the LAI
behavior. Life satisfaction and adaptive behavior into the Spanish language according to the
were measured with the Life Satisfaction Scale– International Test Commission Guidelines for
Modified (LSS-M.; Hawkins, Kim, & Eklund, translating and adapting educational and psycho-
1995) and the Inventory for Client and Agency logical tests (Hambleton, 1994).
Table 1 Table 1
Demographics of Participants (n 5 237) Continued
Variable n (% of valid n) Variable n (% of valid n)
Gender Residential placement
Male 120 (51.9) Supported housing 2 (1.0)
Female 111 (48.1) Family 115 (56.1)
Types of disability Supervised housing 20 (9.8)
Intellectual disability 176 (70.46) Residence 64 (31.2)
Cerebral palsy 38 (16.03) Others 4 (2.0)
Others 32 (13.50) Note. Mean 6 SD (range) 5 34.68 6 11.27 (17–64).
Percentage level of disability
.65% 159 (83.2) 2. A synthesis of the translations by consensus of
45%–64% 13 (6.7) the three translators, which produced the first
33%–44% 19 (10.1) Spanish version of the original instrument. Two
of the items of the original version were
IQ level
modified because they did not match the
Severe 14 (8.0) Spanish context: Item 37: ‘‘playing shuffleboard’’
Moderate 82 (46.9) was changed to ‘‘playing petanque,’’ and Item
Mild 50 (28.5) 46: ‘‘playing softball or baseball’’ was changed to
Borderline 29 (16.6) ‘‘playing soccer.’’
Marital status 3. The selection of two focal groups of 15 adults
with ID, aged from 20 and 50 years, whose verbal
Single 217 (99.5) and communication skills allowed them to
Married 1 (0.5) understand and respond to the questions in
Education level order to analyze the cultural acceptability of the
Without schooling 8 (4.7) concrete questions, images, or phrases that had
Incomplete elementary school 69 (40.6) produced misgivings about their equivalence
with the original version, and to obtain sugges-
Elementary school 42 (24.7)
tions and ensure the suitability of the items of
Middle school 14 (8.2)
the instrument. For this purpose, we showed
High school (9th and 10th grade) 18 (10.6) them the 53 photographs with the diverse leisure
High school (11th and 12th grade) 1 (0.6) activities and asked them, ‘‘What activity is this
Post-secondary education 1 (0.6) person doing?’’ ‘‘Does this photograph correctly
Vocational education 5 (2.9) show the activity the person is doing?’’ ‘‘What
Others 12 (7.1) would you change in the photograph?’’ The
Occupation information collected by the participants of the
two groups showed that each photograph
Unemployed 103 (49.0)
correctly reflected the leisure activity.
Ordinary job 7 (3.3)
4. Concordance and synthesis carried out by a
Job with support 27 (12.9) committee of experts made up of four profes-
Center of special employment 6 (2.9) sionals from the area of disability to achieve
Occupational center 65 (31.0) semantic, idiomatic, experiential, and concep-
Others 2 (1.0) tual equivalence.
Residence location 5. Backward translation carried out by two trans-
lators, whose maternal language was English and
Rural area 50 (23.3)
who were bilingual in Spanish, who met with
Urban area 165 (76.7)
the research team of the study, and together they
compared the differences or discrepancies of
both back-translated versions to the original
Specifically, as expected, we found a moderate proposed by Schalock and Verdugo (2002) and
and significant correlation (r 5 .549, p # .01) adapted and validated for the Spanish population.
between the LAP index and the L-PREF index We expected to obtain positive correlations
because L-PREF is obtained directly from the between the LAP index and the different dimen-
activities in which the individual participates. sions of quality of life: the higher the LAP levels,
However, this correlation was not high, which the higher the levels of quality of life. We found
indicates that the L-PREF and the LAP index positive and significant correlations with the
represent different dimensions of leisure behavior. dimensions of the GENCAT Scale: Personal De-
However, the L-INT index is not derived from velopment, Self-determination, and Social Inclu-
the LAP index, and thus, we obtained a moderate, sion (see Table 4).
low, and negative relation between these two However, we expected significant negative
indexes (r 5 2.292, p # .01). This confirms that relations between the dimensions of quality of life
the L-INT index measures a different dimension of and the L-INT and L-CON indexes because these
leisure behavior. The remaining correlations were two indexes indicate unmet leisure needs and
nonsignificant. problems to satisfy them, so higher scores in these
Student’s t-test was calculated using the two indexes should be related to the perception of lower
subgroups of the sample (10% highest and lowest levels of quality of life. We obtained significant
scores), and the results were significant: LAP index: negative relations of the L-INT index with the
t(47) 5 231.586, p # .01; L-PREF index: t(33.564) dimensions of Interpersonal Relations, Material
5 237.451, p # .01; L-INT index: t(24.400) 5 Well-being, Personal Development, and Self-deter-
222.78, p # .01; and L-CON index: t(46.878) 5 mination of the GENCAT Scale (see Table 4).
236.009, p # .01. These results provide evidence of With regard to the L-CON index, we found
the construct validity for each index to measure the significant negative correlations with the dimen-
different attributes of leisure behavior. sions of Interpersonal Relations and Material Well-
being of the GENCAT Scale (see Table 4) and
Correlations with Other Measures with the dimensions of Physical and Emotional
To assess the convergent and discriminant validity Well-being, Self-determination, and Material
of the indexes of the Spanish version of the Leisure Well-being of the Integral Subjective Scale (see
Assessment Inventory, we examined the correla- Table 5).
tions of the LAI indexes with two scales that Last, we expected nonsignificant relations
measure objective (GENCAT Scale) and subjec- between the L-PREF index and the dimensions of
tive quality of life (Integral Subjective Scale; quality of life, because a preference for certain leisure
Verdugo et al., 2009b). Both instruments have activities that the person is already carrying out
good psychometric properties, based on the model should not be related to a worse perception of their
Table 4
Correlations Among the Leisure Assessment Inventory Indexes and the GENCAT Scale
Standard scales GENCAT LAP L-PREF L-INT L-CON
Emotional Well-being .095 .137 2.071 2.153
Interpersonal Relations .133 .094 2.165* 2.190*
Material Well-being 2.026 2.048 2.175* 2.158*
Personal Development .181* .121 2.189* 2.063
Physical Well-being 2.082 2.010 2.060 2.060
Self-determination .223** 2.044 2.180* 2.096
Social Inclusion .201** .139 2.102 2.047
Rights 2.045 2.067 2.044 2.044
Note. AP 5 Leisure Activity Participation; L-PREF 5 Leisure Activity Preference; L-INT 5 Leisure Interest;
L-CON 5 Leisure Constraint.
*p # .05. **p # .01.
Table 5
Correlations Among the Leisure Assessment Inventory Indexes and the Integral Subjective Scale
Subjective Integral Scale standard scores LAP L-PREF L-INT L-COM
Self-determination .112 .165 2.098 2.216*
Social Inclusion 2.016 .119 2.101 2.149
Labor Well-being 2.078 .042 2.054 2.028
Material Well-being 2.019 .168 2.148 2.273**
Physical and Emotional Well-being .046 .194* .123 2.277**
Family Well-being .039 .049 .053 2.127
Note. LAP 5 Leisure Activity Participation; L-PREF 5 Leisure Activity Preference; L-INT 5 Leisure Interest;
L-COM 5 Leisure Constraint.
*p # .05. **p # .01.
level of quality of life. As expected, no significant 2008; Duvdevany & Arar, 2004; Iwasaki, 2007;
positive relation was found with the dimensions of McManus, Corcoran, & Perry, 2008). The LAP
the Integral Subjective Scale (see Table 5). index was related to the objective perception of the
These results support the relation between the different dimensions of quality of life (Personal
diverse dimensions of leisure behavior, measured with Development, Self-determination, and Social In-
the corresponding indexes, and the perception of clusion). In this sense, participation in leisure
quality of life. They also confirm that the diverse activities has been shown to predict the possibility
indexes assess different dimensions of leisure behavior. of learning and personal fulfillment, deciding for
oneself, being the causal agent of one’s own life,
Discussion and feeling like a member of society. Along these
same lines, McGuire and McDonnell (2008) also
This study analyzed the validity of the adaptation of found a positive correlation between the amount of
the four indexes of the Spanish version of the LAI. time dedicated to leisure and self-determined
Participation in family, school, work, and commu- behavior. In contrast, they found negative correla-
nity is important to all people, and it has been tions between the L-INT index and the dimensions
shown to be related to a positive perception of of Interpersonal Relations, Material Well-being,
quality of life. Although the concept participation Personal Development, and Self-determination of
in leisure activities is not new, the development of the GENCAT Scale. These results suggest that
its conceptualization and its measurement still functional skills (personal competence, adaptive
requires a further process of elaboration to clarify behavior, and communication), economic resourc-
and operationalize it. es, opportunities to learn, and the capacity for
Regarding construct validity, these results show willful action do not predict the desire to increase
that the LAI indexes are valid measures of the participation in preferred activities. In the valida-
attributes of leisure behavior (participation, prefer- tion study of the original version of the LAI, the
ence, interest, and constraints). The LAP index scores in this instrument were correlated with the
presents an inverse correlation with the L-INT LSS-M, and the same results were obtained
index, a similar result to that obtained in the original (Hawkins et al., 1998), showing that the L-INT
version of the instrument (Hawkins et al., 1998). index measures a person’s interest in certain leisure
The L-PREF index converged moderately with the activities in which the person does not participate.
LAP index, and the correlations among the other Likewise, an inverse correlation was found
two indexes were nonsignificant, which shows that between the L-CON index and the objective
each index measures a different aspect of leisure. quality-of-life domains of Interpersonal Relations
Convergent and discriminant validity of the and Material Well-being; that is, a larger number
LAI indexes has been confirmed by the expected of relations with different people, having friends,
relations with measures of quality of life. Various and the resources to manage money lowered the
studies have shown the influence of leisure tendency of the existence of environmental barriers
activities in promoting quality of life (Duvdevany, to participation in leisure activities (Duvdevany &
Arar, 2004). In the original study of the develop- Ultimately, this study falls within the frame-
ment and validation of the LAI, it was also found work in the incipient efforts to develop robust
that the higher a person’s life satisfaction, the fewer measurement instruments, based on the social
the environmental barriers to participation in model of human functioning, and to provide
leisure activities (Hawkins et al., 1998). information about participation of adults with
In this study, a significant correlation was IDD in leisure activities, which will serve to plan
found between the dimension Physical and Emo- interventions and guide the processes of changing
tional Well-being of the subjective scale of the and improving the provision of such services.
Integral Quality of Life Scale and the L-PREF Therefore, the LAI contributes to the advance-
index, indicating that life satisfaction, self-concept, ment of the study of participation in leisure
and health increase participation in leisure activ- activities from the viewpoint of youngsters and
ities that please the person. This result coincides adults with IDD and from a multidimensional
with the findings of other investigations (Duvde- perspective of the construct leisure participation
vany, 2002; Duvdevany & Arar, 2004; Iwasaki, (leisure activity participation, preference, interest,
2007). Likewise, this study has found inverse and barriers).
correlations between the subjective quality of life Summing up, the results obtained in this study
dimensions of Physical and Emotional of Well- have shown that the relations between measures of
being, Self-determination, and Material Well-being quality of life and the LAI indexes support the
and the L-CON index, suggesting that feeling good validity of the instrument to assess the specific
and enjoying good health, the availability of money attributes of leisure behavior. This, together with its
and work, and deciding for oneself may lead to simplicity and feasibility, make it a useful instru-
decrease external and internal barriers that impede ment to assess the participation profile of the adults
participation in leisure activities. with disabilities in leisure activities, which will
One limitation of the study was that it did not serve to plan for the person’s support needs and to
provide evidence of reliability of the four LAI guide the professionals in the process of change and
indexes. In this sense, although we focused on the improvement of the leisure services.
analysis of validity, reliability was analyzed to test
measurement stability by applying the instrument
at two different moments. However, the second References
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