The Myanmar Version of the Oswestry Disability Questionnaire: A Cross-Cultural Adaptation, Reliability and Validity Study in the Low Back Pain Population
DOI:
https://doi.org/10.31584/jhsmr.20241078Keywords:
cross-cultural adaptation, low back pain, Myanmar, Oswestry Disability Questionnaire, reliability, validityAbstract
Objective: To translate and cross-culturally adapt the Myanmar version of the Oswestry Disability Questionnaire (M-ODQ), and examine its reliability and validity in the low back pain (LBP) population.
Material and Methods: The M-ODQ was cross-culturally adapted in accordance with the ISPOR guidelines for translation. Prefinal testing was done on 20 individuals with LBP, with minor changes. The test-retest reliability, internal consistency, concurrent and construct validity, plus ceiling and floor effects of the M-ODQ were conducted on 101 individuals with LBP, via calculating the intraclass correlation coefficient ICC(2,1), Cronbach’s alpha, and Spearman’s rank correlation coefficient by correlating with the Myanmar version of the Roland-Morris Disability Questionnaire (M-RMDQ), visual analogue scale (VAS), back performance scale (BPS), and the Stark quality of life (QoL) questionnaire. The level of significance was set at p-value<0.05 for all statistical analyzes.
Results: The test-retest reliability and internal consistency of the M-ODQ showed an ICC(2,1) of 0.91 and a Cronbach’s alpha of 0.703, thus indicating that the M-ODQ had an acceptable level of reliability. A moderate correlation between the M-ODQ and M-RMDQ (rho=0.56); and fair correlation with the VAS (rho=0.253), BPS (rho=0.336), and the physical component of the Stark QoL questionnaire (rho= -0.274) were found. Weak or no correlation was demonstrated with the mental component of the Stark QoL questionnaire (rho= -0.204). No ceiling or floor effects of the M-ODQ occurred in this study.
Conclusion: The M-ODQ is a reliable and valid outcome measure for assessing disability among LBP patients in the Myanmar population.
References
Clark S, Horton R. Low back pain: a major global challenge. Lancet 2018;391:2302.
Meucci RD, Fassa AG, Faria NMX. Prevalence of chronic low back pain: systemic review. Rev Saude Publica 2015;49:73.
Doualla M, Aminde J, Aminde LN, Lekpa FK, Kwedi FM, Yenshu EV, et al. Factors influencing disability in patients with chronic low back pain attending a tertiary hospital in Sub-Saharan Africa. BMC Musculoskelet Disord 2019;20:1-11.
Walker BF, Muller R, Grant WD. Low back pain in Australian adults. Prevalence and associated disability. J Manipulative Physiol Ther 2004;27:238-44.
Vincent JI, Macdermid JC, Grewal R, Sekar VP, Balachandran D. Translation of oswestry disability index into tamil with cross cultural adaptation and evaluation of reliability and validity. Open Orthop J 2014;8:11-9.
Mousavi SJ, Parnianpour M, Mehdian H, Montazeri A, Mobini B. The oswestry disability index, the roland-morris disability questionnaire and the Quebec back pain disability scale: translation and validation studies of the Iranian versions. Spine 2006;31:E454-9.
Mbada CE, Oguntoyinbo OE, Fasuyi FO, Idowu OA, Odole AC, Ayanniyi O, et al. Cross-cultural adaptation and psychometric evaluation of the Yoruba version of oswestry disability index. PloS One 2020;15:E0221138.
Fairbank J, Couper J, Davies JB, O’Brien JP. The oswestry low back pain disability questionnaire. Physiotherapy 1980;66:271-3.
Phedy P, Djaja YP, Tobing SDAL, Gatam L, Librianto D, Fachrisal, et al. Cross-cultural adaptation and psychometric validation of the Indonesian version of the oswestry disability index. Eur Spine J 2021;30:1053-62.
Yu EM, Nosova EV, Falkenstein Y, Prasad P, Leasure JM, Kondrashov DG. Validation of a Russian language oswestry disability index questionnaire. Global Spine J 2016;6:636-9.
Grotle M, Brox J, Vollestad N. Cross-cultural adaptation of the Norwegian versions of the Roland-Morris disability questionnaire and the oswestry disability Index. J Rehabil Med 2003;35:241-7.
Lauridsen HH, Hartvigsen J, Manniche C, Korsholm L, Grunnet-Nilsson N. Danish version of the oswestry disability index for patients with low back pain. Part 1: Cross-cultural adaptation, reliability and validity in two different populations. Eur Spine J 2006;15:1705-16.
Monticone M, Baiardi P, Ferrari S, Foti C, Mugnai R, Pillastrini P, et al. Development of the Italian version of the oswestry disability index (ODI-I): a cross-cultural adaptation, reliability, and validity study. Spine 2009;34:2090-5.
Yakut E, Düger T, Öksüz Ç, Yörükan S, Üreten K, Turan D, et al. Validation of the Turkish version of the oswestry disability index for patients with low back pain. Spine 2004;29:581-5.
Boscainos PJ, Sapkas G, Stilianessi E, Prouskas K, Papadakis SA. Greek versions of the oswestry and Roland-Morris disability questionnaires. Clin Orthop Relat Res 2003;411:40-53.
Al Amer HS, Alanazi F, ELdesoky M, Honin A. Cross-cultural adaptation and psychometric testing of the Arabic version of the modified low back pain disability questionnaire. PloS One 2020;15:e0231382.
Domazet I, Nemir J, Barl P, Đurić KS, Pašalić I, Barić H, et al. Validation of the Croatian version of the oswestry disability index. Eur Spine J 2018;27:2814-22.
Sousa VD, Rojjanasrirat W. Translation, adaptation and validation of instruments or scales for use in cross−cultural health care research: a clear and user−friendly guideline. J Eval Clin Pract 2011;17:268-74.
Stewart Williams J, Ng N, Peltzer K, Yawson A, Biritwum R, Maximova T, et al. Risk factors and disability associated with low back pain in older adults in low-and middle-income countries. Results from the WHO study on global aging and adult health (SAGE). PloS One 2015;10:e0127880.
Tomita S, Arphorn S, Muto T, Koetkhlai K, Naing SS, Chaikittiporn C. Prevalence and risk factors of low back pain among Thai and Myanmar migrant seafood processing factory workers in Samut Sakorn Province, Thailand. Ind Health 2010;48:283-91.
Nandyala SV, Marquez-Lara A, Fineberg SJ, Singh K. Comparison between cervical total disc replacement and anterior cervical discectomy and fusion of 1 to 2 levels from 2002 to 2009. Spine 2014;39:53-7.
Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine 2000;25:3186-91.
Vianin M. Psychometric properties and clinical usefulness of the oswestry disability index. J Chiropr Med 2008;7:161-3.
Hardt J. A new questionnaire for measuring quality of life-the Stark QoL. Health Qual Life Outcomes 2015;13:1-7.
Strand LI, Moe-Nilssen R, Ljunggren AE. Back performance scale for the assessment of mobility-related activities in people with back pain. Phys Ther 2002;82:1213-23.
Fairbank JCT, Pynsent PB. The oswestry disability index. Spine 2000;25:2940-53.
Beaton D, Bombardier C, Guillemin F, Ferraz MB. Recommendations for the cross-cultural adaptation of health status measures. J Clin Epidemiol 2002;12:1-29.
Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, et al. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol 2007;60:34-42.
Denis I, Fortin L. Development of a French-Canadian version of the oswestry disability index: cross-cultural adaptation and validation. Spine 2012;37:E439-44.
Roland M, Fairbank J. The Roland–Morris disability questionnaire and the oswestry disability questionnaire. Spine 2000;25:3115-24.
Boonstra AM, Preuper HRS, Reneman MF, Posthumus JB, Stewart RE. Reliability and validity of the visual analogue scale for disability in patients with chronic musculoskeletal pain. Int J Rehabil Res 2008;31:165-9.
Ostelo RW, de Vet HC. Clinically important outcomes in low back pain. Best Pract Res Clin Rheumatol 2005;19:593-607.
Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med 2016;15:155-63.
Adamu AS, Ibrahim AA, Rufa’i YA, Akindele MO, Kaka B, Mukhtar NB. Cross-cultural adaptation and validation of the Hausa version of the oswestry disability index 2.1 a for patients with low back pain. Spine 2019;44:E1092-102.
Pekkanen L, Kautiainen H, Ylinen J, Salo P, Häkkinen A. Reliability and validity study of the Finnish version 2.0 of the oswestry disability index. Spine 2011;36:332-8.
Payares K, Lugo LH, Morales V, Londoño A. Validation in Colombia of the oswestry disability questionnaire in patients with low back pain. Spine 2011;36:E1730-5.
Mousavi SJ, Parnianpour M, Mehdian H, Montazeri A, Mobini B. The oswestry disability index, the Roland-Morris disability questionnaire and the Quebec back pain disability scale: translation and validation studies of the Iranian versions. Spine 2006;31:E454-9.
Miekisiak G, Kollataj M, Dobrogowski J, Kloc W, Libionka W, Banach M, et al. Validation and cross-cultural adaptation of the Polish version of the oswestry disability index. Spine 2013;38:E237-43.
Magnussen L, Strand LI, Lygren H. Reliability and validity of the back performance scale: observing activity limitation in patients with back pain. Spine 2004;29:903-7.
Joshi VD, Raiturker PPP, Kulkarni AA. Validity and reliability of English and Marathi oswestry disability index (version 2.1 a) in Indian population. Spine 2013;38:E662-8.
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