RT Journal Article
T1 Psychometric characteristics of the Spanish version of instruments to measure neck pain disability
A1 Kovacs, Francisco M
A1 Bagó, Joan
A1 Royuela, Ana
A1 Seco, Jesús
A1 Giménez, Sergio
A1 Muriel, Alfonso
A1 Abraira, Víctor
A1 Martín, José L
A1 Peña, José L
A1 Gestoso, Mario
A1 Mufraggi, Nicole
A1 Núñez, Montserrat
A1 Corcoll, Josep
A1 Ignacio, Gómez-Ochoa
A1 Ramírez, Ma José
A1 Calvo, Eva
A1 Castillo, Ma Dolores
A1 David, Martí
A1 Salvador, Fuster
A1 Carmen, Fernández
A1 Nuria, Gimeno
A1 Alejandro, Carballo
A1 Álvaro, Milán
A1 Dolores, Vázque
A1 Monserrat, Cañellas
A1 Ricardo, Blanco
A1 Pilar, Brieva
A1 Mª Trinidad, Rueda
A1 Luís, Álvarez
A1 Mª TG del, Real
A1 Joaquín, Ayerbe
A1 Luís, González
A1 Leovigildo, Ginel
A1 Mariano, Ortega
A1 Miryam, Bernal
A1 Gonzalo, Bolado
A1 Anna, Vidal
A1 Ana, Ausín
A1 Domingo, Ramón
A1 María A, Mir
A1 Miquel, Tomás
A1 Javier, Zamora
K1 Adulto
K1 Anciano
K1 Características Culturales
K1 Evaluación de la Discapacidad
K1 Femenino
K1 Humanos
K1 Masculino
K1 Mediana Edad
K1 Dolor de Cuello
K1 Dimensión del Dolor
K1 Psicometría
K1 Calidad de Vida
K1 Cuestionarios
K1 Reproducibilidad de Resultados
K1 España
K1 Traducción
AB BACKGROUND. The NDI, COM and NPQ are evaluation instruments for disability due to NP. There was no Spanish version of NDI or COM for which psychometric characteristics were known. The objectives of this study were to translate and culturally adapt the Spanish version of the Neck Disability Index Questionnaire (NDI), and the Core Outcome Measure (COM), to validate its use in Spanish speaking patients with non-specific neck pain (NP), and to compare their psychometric characteristics with those of the Spanish version of the Northwick Pain Questionnaire (NPQ). METHODS. Translation/re-translation of the English versions of the NDI and the COM was done blindly and independently by a multidisciplinary team. The study was done in 9 primary care Centers and 12 specialty services from 9 regions in Spain, with 221 acute, subacute and chronic patients who visited their physician for NP: 54 in the pilot phase and 167 in the validation phase. Neck pain (VAS), referred pain (VAS), disability (NDI, COM and NPQ), catastrophizing (CSQ) and quality of life (SF-12) were measured on their first visit and 14 days later. Patients' self-assessment was used as the external criterion for pain and disability. In the pilot phase, patients' understanding of each item in the NDI and COM was assessed, and on day 1 test-retest reliability was estimated by giving a second NDI and COM in which the name of the questionnaires and the order of the items had been changed. RESULTS. Comprehensibility of NDI and COM were good. Minutes needed to fill out the questionnaires [median, (P25, P75)]: NDI. 4 (2.2, 10.0), COM: 2.1 (1.0, 4.9). Reliability: [ICC, (95%CI)]: NDI: 0.88 (0.80, 0.93). COM: 0.85 (0.75,0.91). Sensitivity to change: Effect size for patients having worsened, not changed and improved between days 1 and 15, according to the external criterion for disability: NDI: -0.24, 0.15, 0.66; NPQ: -0.14, 0.06, 0.67; COM: 0.05, 0.19, 0.92. Validity: Results of NDI, NPQ and COM were consistent with the external criterion for disability, whereas only those from NDI were consistent with the one for pain. Correlations with VAS, CSQ and SF-12 were similar for NDI and NPQ (absolute values between 0.36 and 0.50 on day 1, between 0.38 and 0.70 on day 15), and slightly lower for COM (between 0.36 and 0.48 on day 1, and between 0.33 and 0.61 on day 15). Correlation between NDI and NPQ: r = 0.84 on day 1, r = 0.91 on day 15. Correlation between COM and NPQ: r = 0.63 on day 1, r = 0.71 on day 15. CONCLUSION. Although most psychometric characteristics of NDI, NPQ and COM are similar, those from the latter one are worse and its use may lead to patients' evolution seeming more positive than it actually is. NDI seems to be the best instrument for measuring NP-related disability, since its results are the most consistent with patient's assessment of their own clinical status and evolution. It takes two more minutes to answer the NDI than to answer the COM, but it can be reliably filled out by the patient without assistance.TRIAL REGISTRATIONClinical Trials Register NCT00349544.
PB BioMed Central
YR 2008
FD 2008-04-09
LK http://hdl.handle.net/10668/568
UL http://hdl.handle.net/10668/568
LA en
NO Kovacs FM , Bago J, Royuela A, Seco J, Gimenez S, Muriel A,et al. Psychometric characteristics of the Spanish version of instruments to measure neck pain disability.BMC Musculoskelet Disord. 2008 Apr 9;9:42.
NO Comparative Study; Journal Article; Multicenter StTrial Registration:; Research Support, Non-U.S. Gov't; Clinical Trials Register NCT00349544.
DS RISalud
RD Apr 6, 2025