Positive occupational engagement supports mental health and well-being in individuals with schizophrenia, yet few standardized tools assess this construct. To adapt and psychometrically validate the Turkish version of the Assessment of Positive Occupation-15 (APO-15) in schizophrenia. A methodological study was conducted with 263 participants (97 with schizophrenia, 166 healthy adults). Cross-cultural adaptation followed standard procedures. Confirmatory factor analysis (CFA), internal consistency (Cronbach’s α), test–retest reliability, and correlations with the Recovery Assessment Scale (RAS) and Motivational Persistence Scale (MPS) were. CFA supported a four-factor structure with acceptable fit. The scale showed strong internal consistency (α = .818) and excellent test–retest reliability (ICC = .814). APO-15 scores correlated moderately with RAS and MPS. Receiver Operating Characteristic (ROC) analysis identified a cut-off score of 47.5. The Turkish APO-15 is a valid and reliable tool for assessing positive occupational engagement in schizophrenia and can inform occupational therapy interventions.
Plain Language Summary
Turkish APO-15 Validation in Schizophrenia
People living with schizophrenia often struggle to take part in everyday activities that support their mental health and quality of life. Occupational therapists work to help these individuals engage in meaningful activities (occupations). However, there are few reliable tools in Turkish to measure how well people with schizophrenia are participating in such positive occupations. This study tested the Turkish version of a questionnaire called the Assessment of Positive Occupation-15. The results showed that the tool is reliable and accurate in measuring positive occupational engagement for both people with schizophrenia and those without. The tool can help therapists understand each person’s strengths and challenges, and plan better treatment and support. While the study included a good number of participants, it was limited to a single center in Turkey. Future research can explore how this tool works in different settings or with other mental health conditions.
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