
This practice framework rests largely on the fact that occupational performance should involve an occupational balance (OB), i.e., a sense of harmony between occupations, becoming a necessary condition to ensure that occupations properly perform a process for obtaining health and wellness. Occupational therapy practice is based on the fundamental assumption that meaningful occupations play a key role in achieving and maintaining health and wellbeing by facilitating personal engagement and accomplishment. Nevertheless, further investigation is also warranted to explore the potentiality of this instrument for clinical purposes. The findings suggest that the OBQ-E may be a suitable instrument for assessing OB in the Spanish population hence, it is a promising tool for epidemiological research that will significantly contribute to the understanding of OB as a health-related factor.

Psychometric testing showed excellent internal consistency (Cronbach’s alpha = 0.87 Guttman split-half coefficient = 0.85), good test–retest reliability (r s (Spearman rho) = 0.73), and acceptable convergent validity (overall status, r s = 0.37 Related Quality of Life, r s = 0.42 Satisfaction with Life Scale, r s = 0.54). The OBQ-E showed that items and instructions were culturally appropriate and written clearly. Validation measures of the final version of the OBQ-E were conducted in a sample of 219 participants. Standard procedures were used for the cross-adaptation process and pilot testing was carried out using three different samples to extend the applicability of the OBQ-E.

The Occupational Balance Questionnaire (OBQ) is a reliable instrument for measuring OB, although it has not been adapted and validated in Spain so far therefore, this study had a double aim: (1) to translate and cross-culturally adapt the original OBQ version into Spanish (OBQ-E) (2) to analyze the psychometric properties for its use in the Spanish population. Occupational balance (OB) may be a major determinant of health outcomes due to its role in bringing a sense of purpose in the occupations that are personally experienced as a process of getting health and wellness.
