Adapt and Validation Leisure Inventory

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INTELLECTUAL AND DEVELOPMENTAL DISABILITIES ’AAIDD

2012, Vol. 50, No. 3, 233–242 DOI: 10.1352/1934-9556-50.3.233

Adaptation and Validation of the Spanish Version of the Leisure


Assessment Inventory
Marta Badia, M. Begoña Orgaz-Baz, Miguel-Angel Verdugo, M. Magdalena Martı́nez-Aguirre,
Egmar Longo-Araújo-de-Melo, and Ana M. Ullán-de-la-Fuente

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;

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INTELLECTUAL AND DEVELOPMENTAL DISABILITIES ’AAIDD
2012, Vol. 50, No. 3, 233–242 DOI: 10.1352/1934-9556-50.3.233

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).

234 Spanish Version of the LAI


INTELLECTUAL AND DEVELOPMENTAL DISABILITIES ’AAIDD
2012, Vol. 50, No. 3, 233–242 DOI: 10.1352/1934-9556-50.3.233

Method duration of 45 minutes, and it has three parts. The


first part consists of questions about participation in
Participants 53 leisure activities. The second part has 20 closed
A convenience sample of adults with IDD was questions about constraints to leisure participation,
obtained from diverse services that depend on the and the third part is made up of open questions about
Federation of Organizations in favor of People with work, friends, family, and aging.
Intellectual Disability (FEAPS) and the Associa- Two additional instruments were used to
tions for Organizations in favor of People with determine the validity of the four LAI indexes: the
Cerebral Palsy (ASPACE) in diverse regions of Escala integral de calidad de vida (Subjective Integral
Spain. In total, 237 adults participated in this study, Quality of Life Scale; Verdugo, Arias, Gómez, &
most of them (86.49%) had ID (70.46%); 16.03% Schalock, 2009b) and the GENCAT Scale (Ver-
had cerebral palsy with associated ID; 83.2% had dugo, Arias, Gómez, & Schalock, 2009a). Starting
disability rates higher than 65% (according to the with the premise that the participation of people
system of examination, declaration, and classifica- with ID in leisure activities is related to their
tion of the degree of disability of Spain’s Ministry of perception of quality of life (Duvdevany & Arar,
Health and Social Policy); more than one half 2004), we used the scores in these instruments to
(54.9%) had a moderate or severe level of ID; and explore the validity of the LAI.
only 14.8% took some kind of medication. The Subjective Integral Quality of Life Scale
Of the participants in our study, there was a (Integral Subjective Scale) measures quality of life
slightly higher percentage of men (52.7%) than of in people with ID both objectively and subjectively.
women (47.3%); their ages ranged between 17 and This instrument is based on the theoretical model
64 years (M 5 34.97, SD 5 11.36); except for one of quality of life proposed by Schalock and Verdugo
interviewee, the rest of those who reported their (2002), which reflects the quality of life from the
civil status were single; when asked whether they perspective of the person with disabilities and from
had a partner, most of them said they did not the perspective of the professional.
(85.2%). With regard to the socioeconomic level, The GENCAT Scale assesses objective quality
the majority were from a medium level (66%); they of life in users of social services and is also based on
lived in urban settings (76.7%) and in the family the multidimensional model of quality of life
home (56.1%). With regard to the educational proposed by Schalock and Verdugo (2002), and it
level, a slight majority (54%) had attended regular provides a profile of the person’s quality of life that
school, and 70% had not exceeded primary studies. serves to develop individualized support plans.
And, last, with regard to their work situation, one
half had an occupation (50%). See Table 1.
Design and Procedure
The design followed a cross-sectional study of the
Instruments adaptation with translation and backward transla-
The following instruments were used to collect the
tion of the original version of the LAI. For the
necessary data:
process of translating the instrument, the authors
Demographic questionnaire. The psychologist
followed the recommendations for the adaptation of
of each center reported the age, place of residence,
tests proposed by the International Test Commission
gender, civil status, educational level, residential
(ITC; Beaton, Bombardier, Guillemin, & Ferraz,
modality, and type of intellectual disability of the
2000; Hambleton, 1994). At all times, these
young people and adults.
recommendations for the process of cross-cultural
The Leisure Assessment Inventory (LAI;
adaptation of the measurement instruments were
Hawkins, Ardovino, Rogers, Foose, & Olsen,
taken into account. Cross-cultural adaptation allows
2002) is an instrument that was developed to
one to obtain instruments that are internationally
measure leisure behavior in adults. The LAI has
comparable. In this sense, we followed a rigorous and
four indexes: (a) Participation in Leisure Activities
systematic methodology to guarantee that the
(LAP), (b) Interest in Leisure Activities (L–INT),
qualities of the adapted instrument would be similar
(c) Preference for Different Leisure Activities (L–
to those of the original instrument.
PREF), and (d) Constraints to Leisure (L-CON).
The study was developed in five phases:
The inventory is applied in the format of an
individually structured interview with a mean 1. Three translators performed the translation.

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INTELLECTUAL AND DEVELOPMENTAL DISABILITIES ’AAIDD
2012, Vol. 50, No. 3, 233–242 DOI: 10.1352/1934-9556-50.3.233

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

236 Spanish Version of the LAI


INTELLECTUAL AND DEVELOPMENTAL DISABILITIES ’AAIDD
2012, Vol. 50, No. 3, 233–242 DOI: 10.1352/1934-9556-50.3.233

version, obtaining as a result the definite version Table 2


of the LAI. Descriptive Statistics of the Leisure Assessment
Inventory
The objective scale of the Integral Subjective
Indexes Mean SD Range n
Scale and the GENCAT Scale were completed by
professionals who had known the participant for at Leisure Activity
least three months. The data of the LAI and the Participation 26.83 7.28 11–53 236
Integral Subjective Scale were collected in the form Leisure Preference 16.07 8.01 1–38 235
of individual interviews carried out by three field Leisure Interest 8.05 5.01 0–27 234
researchers, who received formal training from a Leisure Constraints 6.00 3.07 0–15 217
research assistant before beginning the study. To
avoid possible biases, none of the test applicators
had any knowledge of the goals of the investigation, Moreover, the participants expressed interest (L-
and each instrument was applied by different INT) in participating in an average of 8 new
people to each participant. We obtained the activities, and they perceived an average of 6
informed consent of each participant and guaran- barriers (L-CON) to their participation in them.
teed the privacy of their data. This study received a According to the criteria of the original version of
favorable report from the Bioethical Committee of the instrument, a person’s score is interpreted as
the University of Salamanca. high or low depending on whether it is one
standard deviation above or below the mean for
that index.
Statistical Analyses
Statistical analyses were carried out with the SPSS
program, version 18. Descriptive analyses (means Validity of the Spanish Version of the
and standard deviations) were conducted for each Leisure Assessment Inventory Indexes
LAI index. Construct validity was assessed through To assess construct validity, we used, on the one
Pearson’s product-moment correlation among the hand, the intercorrelations between the indexes
diverse LAI indexes, and convergent-discriminant and, on the other, the capacity of each index to
validity through the correlation of the diverse differentiate between people with high and low
indexes and the measures of quality of life. levels of participation. For each index, the upper
and lower 10% of the scores (as z scores) were
Results compared with Student’s t test for independent
samples.
Descriptive Statistics The results of the correlations among the indexes
The scores on the LAP, L-PREF, and L-INT are presented in Table 3, and as expected (Hawkins
indexes were calculated with the 53 items about et al., 1998), we found moderately significant and
leisure activities presented in the scale. The score nonsignificant relations (see Table 3).
on the LAP index was the sum of the activities in
which respondents stated that they participated.
The L-PREF index was obtained by adding the
Table 3
preferred leisure activities from the list of activities
Correlations Among the Leisure Assessment Inventory
they carried out. The total score of the L-INT index Indexes—Spanish Version
was the sum of the leisure activities in which the
respondents did not take part, but which they Indexes LAP L-PREF L-INT L-COM
would be interested in doing. Last, the L-CON LAP — .549** 2.292** 2.114
index was calculated from 20 restrictions or barriers L-PREF — 2.059 2.024
to participation in activities about which they had L-INT — 2.094
expressed interest but in which they had not taken L-CON —
part.
Table 2 shows the means, standard deviations, Note. LAP 5 Leisure Activity Participation; L-
and ranges for each index. The mean number of PREF 5 Leisure Activity Preference; L-INT 5
leisure activities (LAP) carried out was 27 out of Leisure Interest; L-CON 5 Leisure Constraint.
**
the 53 proposed, and 16 were preferred (L-PREF). p # .01.

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INTELLECTUAL AND DEVELOPMENTAL DISABILITIES ’AAIDD
2012, Vol. 50, No. 3, 233–242 DOI: 10.1352/1934-9556-50.3.233

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.

238 Spanish Version of the LAI


INTELLECTUAL AND DEVELOPMENTAL DISABILITIES ’AAIDD
2012, Vol. 50, No. 3, 233–242 DOI: 10.1352/1934-9556-50.3.233

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 &

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INTELLECTUAL AND DEVELOPMENTAL DISABILITIES ’AAIDD
2012, Vol. 50, No. 3, 233–242 DOI: 10.1352/1934-9556-50.3.233

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
measurement time was not very suitable because it
American Association on Intellectual and Devel-
corresponded to a time interval with different opmental Disabilities. (2010). Leisure. Avail-
characteristics from the first one. Therefore, it able at http://www.aaidd.org/content_190.cfm
would be necessary to retest the stability of the
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instrument in the near future. Ferraz, M. B. (2000). Guidelines for the process
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M. Badia et al. 241


INTELLECTUAL AND DEVELOPMENTAL DISABILITIES ’AAIDD
2012, Vol. 50, No. 3, 233–242 DOI: 10.1352/1934-9556-50.3.233

World Health Organization. (2001). International Authors:


classification of functioning, disability, and health. Marta Badia (e-mail: badia@usal.es), Institute of
Geneva, Switzerland: Author. Integration on Community (INICO), Faculty of
Psychology, University of Salamanca, Salamanca
37005, Spain; M. Begoña Orgaz-Baz, Miguel-Angel
Received 1/20/11, first decision 4/19/11, accepted Verdugo, M. Magdalena Martı́nez-Aguirre, Egmar
9/16/11. Longo-Araújo-de-Melo, and Ana M. Ullán-de-la-
Editor-in-Charge: Stephanie Dean Fuente, University of Salamanca, Salamanca, Spain.

242 Spanish Version of the LAI

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