{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T13:51:51Z","timestamp":1792158711824,"version":"4.4.0"},"reference-count":64,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["OTJR: Occupational Therapy Journal of Research"],"abstract":"<jats:p>\n                    University students face occupational disruption during post-secondary transitions, yet existing campus screening tools leave occupational challenges largely unassessed. No comprehensive, occupation-focused screening instrument exists for this population. To describe the theoretical development and content validation of the\n                    <jats:italic toggle=\"yes\">Occupations in Higher Education Transitions Inventory<\/jats:italic>\n                    (\n                    <jats:italic toggle=\"yes\">OHETI<\/jats:italic>\n                    ), a screening tool assessing university student adaptation across 10 domains of occupation grounded in the Theory of Occupational Adaptation (OA) a five-phase iterative development process was used: (a) initial item generation; (b) preliminary expert review for face validity (\n                    <jats:italic toggle=\"yes\">N<\/jats:italic>\n                    = 3 occupational therapists with expertise in OA theory); (c) tool reconceptualization based on expert feedback; (d) cognitive interviews with undergraduate students for face validity and comprehensibility (\n                    <jats:italic toggle=\"yes\">N<\/jats:italic>\n                    = 10); and (e) formal content validation using a Content Validity Index (CVI) rating procedure with (\n                    <jats:italic toggle=\"yes\">N<\/jats:italic>\n                    = 6) occupational therapy professionals with clinical and academic experience with emerging adult students. Initial item generation yielded 68 items across seven OA constructs. Expert feedback prompted a fundamental restructuring, producing 116 items across 10 occupations, covering aspects of relative mastery: satisfaction, effectiveness, and efficiency. Revision based on student cognitive interviews resulted in 122 items. Formal content validation produced I-CVI scores ranging from 0.667 to 1.0, with S-CVI scores of 0.9516 for clarity and 0.9435 for relevance. Two items were removed, resulting in a final tool of 120 scorable items across 10 occupations. The\n                    <jats:italic toggle=\"yes\">OHETI<\/jats:italic>\n                    demonstrates strong content and face validity as a theoretically grounded, occupation-focused screening tool for university students. Online administration and individualized feedback distinguish it from existing instruments. Psychometric validation is needed before broad implementation.\n                  <\/jats:p>","DOI":"10.1177\/15394492261490096","type":"journal-article","created":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T14:05:43Z","timestamp":1791986743000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Initial Development and Content Validity of an Occupation-Focused Assessment: Occupations in Higher Education Transitions Inventory"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6095-6173","authenticated-orcid":false,"given":"Karen M.","family":"Keptner","sequence":"first","affiliation":[{"name":"Cleveland State University, OH, USA"},{"name":"Southern California University of Health Sciences, Whittier, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Rogers","sequence":"additional","affiliation":[{"name":"Cleveland State University, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyssa","family":"Chandler Lee","sequence":"additional","affiliation":[{"name":"Cleveland State University, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6888-3577","authenticated-orcid":false,"given":"Daniel","family":"Martin","sequence":"additional","affiliation":[{"name":"University of Western States, Portland, OR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,14]]},"reference":[{"key":"e_1_3_5_2_1","unstructured":"Abdrasheva D. 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