Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
BMJ Open. 2023 May 17;13(5):e064382. doi: 10.1136/bmjopen-2022-064382.
The objective of this study was to finalise the development of the Young Disability Questionnaire (YDQ-spine) to measure the consequences of neck, midback and low back pain, relevant for schoolchildren aged 9-12 years.
A cross-sectional field test of the YDQ-spine was carried out.
Danish primary schools.
Children aged 9-12 years from all Danish schools were invited to complete the questionnaire.
Eight hundred and seventy-three schools were invited to participate. Consenting schools received information material, instructions and a link to an electronic version of the prefinal YDQ-spine. Local teachers distributed the electronic YDQ-spine to children aged 9-12 years. Descriptive statistics and item characteristics were carried out. Item reduction was performed using partial interitem correlations (scrutinising correlations>0.3) and factor analyses (items loading>0.3 were retained) to eliminate redundant items and to obtain insight into the structure of the questionnaire.
A total of 768 children from 20 schools answered of the questionnaire and 280 fulfilled the inclusion criteria of having back and/or neck pain (36%). Multisite pain was reported by 38%. Partial interitem correlations and factor analyses resulted in elimination of four items which were considered redundant leaving 24 items in the final YDQ-spine with an optional section on to the child. The factor analyses showed a two-factor structure with a physical component (13 items) and a psychosocial component (10 items) in addition to one standalone item (sleep).
The YDQ-spine is a novel questionnaire with satisfactory content validity measuring physical and psychosocial components (including sleep disturbances) of spinal pain in children aged 9-12 years. It also offers an optional section on to the child allowing targeted care in clinical practice.
本研究旨在最终制定青少年残疾问卷（YDQ-spine），以测量 9-12 岁学龄儿童颈、中背和下背痛的后果。
对 YDQ-spine 进行了横断面现场测试。
丹麦小学。
邀请 9-12 岁的丹麦所有学校的儿童完成问卷。
邀请了 873 所学校参加。同意参加的学校收到了信息材料、说明和预终版 YDQ-spine 的电子链接。当地教师将电子 YDQ-spine 分发给 9-12 岁的儿童。进行了描述性统计和项目特征分析。使用偏项间相关性（审查相关性>0.3）和因子分析（保留>0.3 的项目加载）进行项目缩减，以消除冗余项目并深入了解问卷的结构。
共有 20 所学校的 768 名儿童回答了问卷，280 名符合腰背疼痛纳入标准（36%）。多部位疼痛报告率为 38%。偏项间相关性和因子分析导致 4 个被认为多余的项目被删除，最终 YDQ-spine 中有 24 个项目，并有一个可选的部分，供儿童使用。因子分析显示，除了一个独立的项目（睡眠）外，问卷具有物理成分（13 个项目）和心理社会成分（10 个项目）的双因子结构。
YDQ-spine 是一种新颖的问卷，具有令人满意的内容效度，可测量 9-12 岁儿童脊柱疼痛的身体和心理社会成分（包括睡眠障碍）。它还提供了一个可选的部分，供儿童使用，以便在临床实践中进行有针对性的护理。
