挪威版肌肉骨骼健康问卷在病假人群中的有效性和可靠性。
Validity and reliability of the Norwegian version of the Musculoskeletal Health Questionnaire in people on sick leave.
机构信息
Department of Physiotherapy, Faculty of Health Sciences, Oslo Metropolitan University, Pilestredet 44, 0167, Oslo, Norway.
Department Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Amsterdam Movement Sciences Research Institute, Vrije Universiteit, Van der Boechorststraat 7-9, 1081 BT, Amsterdam, the Netherlands.
出版信息
Health Qual Life Outcomes. 2021 Aug 3;19(1):191. doi: 10.1186/s12955-021-01827-4.
BACKGROUND
The Musculoskeletal Health Questionnaire (MSK-HQ) is a recently developed generic questionnaire that consists of 14 items assessing health status in people with musculoskeletal disorders. The objective was to translate and cross-culturally adapt the MSK-HQ into Norwegian and to examine its construct validity and reliability in people on sick leave with musculoskeletal disorders.
METHODS
A prospective cohort study was carried out in Norway on people between 18 and 67 years of age and sick leave due to a musculoskeletal disorder. The participants were recruited through the Norwegian Labour and Welfare Administration during November 2018-January 2019 and responded to the MSK-HQ at inclusion and after four weeks. Internal consistency was assessed by Cronbach's alpha, and structural validity with a factor analysis. Construct validity was assessed by eight "a priori" defined hypotheses regarding correlations between the MSK-HQ and other reference scales. Correlations were analyzed by Spearman's- or Pearson's correlation coefficient and interpreted as high with values ≥ 0.50, moderate between 0.30-0.49, and low < 0.29. Reliability was tested with test-retest, standard error of measurement (SEM) and smallest detectable change (SDC).
RESULTS
A total of 549 patients, mean age (SD) 48.6 (10.7), 309 women (56.3%), were included. The mean (SD) MSK-HQ sum scores (min-max 3-56) were 27.7 (8.2). Internal consistency was 0.86 and a three-factor structure was determined by factor analysis. Construct validity was supported by the confirmation of all hypotheses; high correlation with HRQOL, psychosocial risk profile, and self-perceived health; moderate correlation with physical activity, self-perceived work ability, and work presenteeism; and low correlation with the number of sick days. The test-retest reliability was good with an intraclass correlation coefficient of 0.83 (95% CI, 0.74-0.89), SEM was 2.3 and SDC 6.5.
CONCLUSIONS
The Norwegian version of the MSK-HQ demonstrated high internal consistency, a three-factor structure, good construct validity and good test-retest reliability when used among people on sick leave due to musculoskeletal disorders.
背景
肌肉骨骼健康问卷（MSK-HQ）是一种新开发的通用问卷，由 14 个项目组成，用于评估患有肌肉骨骼疾病的人群的健康状况。目的是将 MSK-HQ 翻译成挪威语，并在因肌肉骨骼疾病休病假的人群中检验其结构效度和信度。
方法
在挪威进行了一项前瞻性队列研究，纳入 18 至 67 岁因肌肉骨骼疾病休病假的人群。参与者通过挪威劳动和福利管理局在 2018 年 11 月至 2019 年 1 月期间招募，并在纳入时和 4 周后回答 MSK-HQ。内部一致性采用 Cronbach's alpha 进行评估，结构效度采用因子分析。结构效度通过 8 个“事先”定义的关于 MSK-HQ 与其他参考量表之间相关性的假设进行评估。相关性通过 Spearman 或 Pearson 相关系数进行分析，并解释为高（值≥0.50）、中（0.30-0.49）和低（<0.29）。通过测试-重测、测量标准误差（SEM）和最小可检测变化（SDC）来测试可靠性。
结果
共纳入 549 例患者，平均年龄（标准差）48.6（10.7）岁，309 例女性（56.3%）。MSK-HQ 总分（最小值-最大值 3-56）平均为 27.7（8.2）。内部一致性为 0.86，因子分析确定了三因素结构。所有假设均证实了结构效度；与 HRQOL、心理社会风险概况和自我感知健康高度相关；与身体活动、自我感知工作能力和工作出席率中度相关；与病假天数低度相关。测试-重测可靠性良好，组内相关系数为 0.83（95%置信区间，0.74-0.89），SEM 为 2.3，SDC 为 6.5。
结论
挪威语版 MSK-HQ 在因肌肉骨骼疾病休病假的人群中具有较高的内部一致性、三因素结构、良好的结构效度和良好的测试-重测可靠性。
Zotero 插件