Tehrani Mohammad Reza, Dabiri Seyed Ramin, Zeinalzadeh Afsaneh, Mami-Pour Hamed, Nazary-Moghadam Salman
Department of Physiotherapy, School of Paramedical and Rehabilitation Sciences, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Physical Therapy, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
J Chiropr Med. 2024 Sep;23(3):127-135. doi: 10.1016/j.jcm.2024.08.004. Epub 2024 Oct 29.
The primary purpose of this study was to translate and culturally adapt the neck outcome score (NOOS) questionnaire into Persian language and investigate its reliability and validity.
The NOOS questionnaire was translated into Persian language and culturally adapted according to American Academy of Orthopaedic Surgeons guidelines. One hundred four patients with nonspecific neck pain were requested to complete the Persian version of the NOOS questionnaire, 36-item short form survey (SF-36), and neck disability index (NDI) questionnaire. The 95 patients of them were requested to fulfill the Persian version of NOOS again, with 3 to 5 days interval. The internal consistency and test-retest reliability were assessed using Cronbach's α and intraclass correlation coefficient, respectively. The construct validity was assessed by testing the hypothesis of correlations between NOOS subscales, SF-36 subscales, and NDI, and pain was measured using visual analog scale.
One hundred four patients with nonspecific neck pain participated in validity studies and 95 patients agreed to participate in reliability studies. Floor/ceiling effects were not observed. Cronbach's α values of the subscale ranged between 0.60 and 0.89. The intraclass correlation coefficient measures of the NOOS subscales ranging between 0.81 and 0.95. The correlation coefficient between NOOS subscales and SF-36 subscales ranged between 0.11 and 0.72. The correlation coefficient between NOOS subscale scores and NDI questionnaire ranged between 0.33 and 0.61. The correlation coefficient between NOOS subscale scores, and pain (visual analog scale) ranged between 0.31 and 0.66.
This study showed that the Persian version of the NOOS questionnaire was a reliable and valid instrument to assess patients' perception of their neck-related problems in Iranian patients with nonspecific neck pain.
本研究的主要目的是将颈部结果评分（NOOS）问卷翻译成波斯语并进行文化调适，同时调查其信度和效度。
根据美国矫形外科医师学会的指南，将NOOS问卷翻译成波斯语并进行文化调适。104例非特异性颈部疼痛患者被要求完成波斯语版的NOOS问卷、36项简短形式调查（SF - 36）和颈部残疾指数（NDI）问卷。其中95例患者被要求在间隔3至5天之后再次填写波斯语版的NOOS问卷。分别使用克朗巴哈α系数和组内相关系数评估内部一致性和重测信度。通过检验NOOS分量表、SF - 36分量表和NDI之间的相关性假设来评估结构效度，疼痛采用视觉模拟量表进行测量。
104例非特异性颈部疼痛患者参与了效度研究，95例患者同意参与信度研究。未观察到地板效应/天花板效应。分量表的克朗巴哈α系数值在0.60至0.89之间。NOOS分量表的组内相关系数测量值在0.81至0.95之间。NOOS分量表与SF - 36分量表之间的相关系数在0.11至0.72之间。NOOS分量表得分与NDI问卷之间的相关系数在0.33至0.61之间。NOOS分量表得分与疼痛（视觉模拟量表）之间的相关系数在0.31至0.66之间。
本研究表明，波斯语版的NOOS问卷是一种可靠且有效的工具，可用于评估伊朗非特异性颈部疼痛患者对其颈部相关问题的认知。
