弗里曼特尔颈部感知问卷希腊语版（FreNAQ-GR）在慢性颈痛患者中的跨文化适应、信度和效度

Cross-Cultural Adaptation, Reliability, and Validity of the Greek Version of the Fremantle Neck Awareness Questionnaire (FreNAQ-GR) in Patients with Chronic Neck Pain.

作者信息

Koumantakis George A, Nikolaki Faidra, Kefalaki Foteini, Tatsios Petros I, Paraskevopoulos Eleftherios, Vrouva Sotiria

机构信息

Laboratory of Advanced Physiotherapy, Physiotherapy Department, School of Health & Care Sciences, University of West Attica (UNIWA), 12243 Athens, Greece.

Department of Physical Therapy, 401 Army General Hospital of Athens, 11525 Athens, Greece.

出版信息

Healthcare (Basel). 2024 Oct 5;12(19):1985. doi: 10.3390/healthcare12191985.

DOI:10.3390/healthcare12191985

PMID:39408165

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11477373/

Abstract

BACKGROUND

Neck self-awareness, related to sensorimotor dysfunction, can be monitored with the Fremantle Neck Awareness Questionnaire (FreNAQ). The cross-cultural adaptation of the FreNAQ in Greek (FreNAQ-GR) and an assessment of its psychometric properties were conducted.

METHODS

This study included 104 participants (65 female) with non-specific chronic neck pain (NSCNP). Once the cross-cultural adaptation process of the FreNAQ-GR was complete, the testing of its construct validity was conducted via an exploratory factor analysis (EFA). The construct validity examination also included a correlational analysis with a Pain Intensity Visual Analogue Scale (PI-VAS), the Neck Disability Index (NDI), the Tampa Scale of Kinesiophobia (TSK), the Pain Catastrophizing Scale (PCS), and demographics. The internal consistency of the FreNAQ-GR was also examined. A sub-sample of participants (n = 30) completed the FreNAQ-GR again after 5-7 days.

RESULTS

The dataset was appropriate for EFA (measure of sampling adequacy KMO = 0.763 and Bartlett's test of sphericity < 0.001). The FreNAQ-GR demonstrated a single-factor 6-item structure (items 7-9 removed), explaining 53.69% of the common variance. Statistically significant correlations (Spearman's) were registered between the FreNAQ-GR (both versions) and the NDI (r = 0.33/0.29, < 0.001), the TSK (r = 0.46/0.41, < 0.001), and the PCS (r = 0.37/0.33, < 0.001). For the 9-item and the 6-item FreNAQ-GR, the internal consistency (Chronbach's a/McDonald's ω) was 0.80/0.79 and 0.826/0.816, respectively. The test-retest reliability was excellent for both versions ICC (95% CI) = 0.98/0.98 (0.97-0.99/0.95-0.99), with low error values SEM = 0.90/0.74 and MDC = 2.49/2.05 points.

CONCLUSIONS

The FreNAQ-GR is suitable for assessing neck self-awareness in Greek-speaking patients with NSCNP.

摘要

背景

与感觉运动功能障碍相关的颈部自我意识可通过弗里曼特尔颈部意识问卷（FreNAQ）进行监测。本研究对FreNAQ进行了希腊语版本的跨文化适应性调整（FreNAQ-GR），并对其心理测量特性进行了评估。

方法

本研究纳入了104名患有非特异性慢性颈部疼痛（NSCNP）的参与者（65名女性）。在完成FreNAQ-GR的跨文化适应性调整过程后，通过探索性因素分析（EFA）对其结构效度进行测试。结构效度检验还包括与疼痛强度视觉模拟量表（PI-VAS）、颈部功能障碍指数（NDI）、坦帕运动恐惧量表（TSK）、疼痛灾难化量表（PCS）以及人口统计学数据的相关性分析。同时也对FreNAQ-GR的内部一致性进行了检验。30名参与者的子样本在5 - 7天后再次完成了FreNAQ-GR。

结果

该数据集适用于EFA（取样适当性量数KMO = 0.763，Bartlett球形检验<0.001）。FreNAQ-GR呈现出单因素6项结构（删除了项目7 - 9），解释了53.69%的共同方差。FreNAQ-GR（两个版本）与NDI（r = 0.33/0.29，<0.001）、TSK（r = 0.46/0.41，<0.001）和PCS（r = 0.37/0.33，<0.001）之间存在统计学显著相关性（Spearman相关性）。对于9项和6项的FreNAQ-GR，内部一致性（Chronbach's α/McDonald's ω）分别为0.80/0.79和0.826/0.816。两个版本的重测信度都非常好，组内相关系数ICC（95%CI）= 0.98/0.98（0.97 - 0.99/0.95 - 0.99），误差值较低，标准误SEM = 0.90/0.74，最小可检测变化MDC = 2.49/2.05分。