Please use this identifier to cite or link to this item: http://hdl.handle.net/10668/568
Title: Psychometric characteristics of the Spanish version of instruments to measure neck pain disability
Authors: Kovacs, Francisco M
Bagó, Joan
Royuela, Ana
Seco, Jesús
Giménez, Sergio
Muriel, Alfonso
Abraira, Víctor
Martín, José L
Peña, José L
Gestoso, Mario
Mufraggi, Nicole
Núñez, Montserrat
Corcoll, Josep
Ignacio, Gómez-Ochoa
Ramírez, Ma José
Calvo, Eva
Castillo, Ma Dolores
David, Martí
Salvador, Fuster
Carmen, Fernández
Nuria, Gimeno
Alejandro, Carballo
Álvaro, Milán
Dolores, Vázque
Monserrat, Cañellas
Ricardo, Blanco
Pilar, Brieva
Mª Trinidad, Rueda
Luís, Álvarez
Mª TG del, Real
Joaquín, Ayerbe
Luís, González
Leovigildo, Ginel
Mariano, Ortega
Miryam, Bernal
Gonzalo, Bolado
Anna, Vidal
Ana, Ausín
Domingo, Ramón
María A, Mir
Miquel, Tomás
Javier, Zamora
metadata.dc.contributor.authoraffiliation: [Kovacs,FM; Real,MTG del] Departamento Científico, Fundación Kovacs, Palma de Mallorca, Spain. [Bagó,J] Unidad de Cirugía del Raquis, Hospital Vall d'Hebrón, Barcelona, Spain. [Royuela,A; Muriel,A; Abraira,V; Zamora,J; Cano,A] Unidad de Bioestadística Clínica, Hospital Ramón y Cajal, Madrid, Spain. [Seco,J] Departamento de Enfermería y Fisioterapia, Universidad de León, Ponferrada, Spain. [Giménez,S; Milán,A] Centro de Salud del Limonar, Málaga, Spain. [Martín,JL; Rueda,MT] Servicio de Medicina Preventiva, Hospital de Rehabilitación y Traumatología Virgen de las Nieves, Granada, Spain. [Peña,JL; Blanco,R] Servicio de Reumatología, Hospital Marqués de Valdecilla, Santander, Spain. [Gestoso,M; Mufraggi,N] Clínica Kovacs, Fundación Kovacs, Palma de Mallorca, Spain. [Núñez,M; Fuster,S] Servicio de Cirugía Ortopédica y Traumatología, Hospital Clínico, Barcelona, Spain. [Corcoll,J] Centro de Salud de Tramuntana Esporlas, Mallorca, Spain. [Gómez-Ochoa,I] Servicio de Rehabilitación, Hospital Lozano Blesa, Zaragoza, Spain. [Ramírez,MJ; Calvo,E; Brieva,P] Unidad de Rehabilitación, Hospital Marqués de Valdecilla, Santander, Spain. [Castillo,MD] Delegación Asuntos Sociales, Granada, Spain. [Martí,D; Gimeno,N; Carballo,A; Vidal,A] Servicio de Traumatología y Ortopedia, Hospital Parc Taulí de Sabadell, Barcelona, Spain. [Fernández,C] Centro de Salud de Valldargent, Palma de Mallorca, Spain. [Vázquez,D] Servicio de Rehabilitación, Mutua Asepeyo, Madrid, Spain. [Cañellas,M] Servicio de Anestesia, Hospital Parc Taulí de Sabadell, Barcelona, Spain. [Álvarez,L] Servicio de Traumatología, Fundación Jiménez Díaz, Madrid, Spain. [Ayerbe,J] Servicio de Neurocirugía, Fundación Jiménez Díaz, Madrid, Spain. [González,L] Centro de Salud Serrería II, Valencia, Spain. [Ginel,L] Centro de Salud de Ciudad Jardín, Málaga, Spain. [Ortega,M] Centro de Salud de Es Trencadors de Lluchmajor, Mallorca, Spain. [Bernal,M; Bolado,G] Servicio de Rehabilitación, Hospital Clínico Universitario, Valladolid, Spain. [Ausín,A; Ramón,D] Unidad Básica de Es Castell, Menorca, Spain. [Mir,MA] Centro de Salud de Inca. Mallorca, Spain. [Tomás,M] Servicio de Emergencias 061. Mallorca, Spain.
Keywords: Adulto;Anciano;Características Culturales;Evaluación de la Discapacidad;Femenino;Humanos;Masculino;Mediana Edad;Dolor de Cuello;Dimensión del Dolor;Psicometría;Calidad de Vida;Cuestionarios;Reproducibilidad de Resultados;España;Traducción
metadata.dc.subject.mesh: Medical Subject Headings::Named Groups::Persons::Age Groups::Adult::Aged
Medical Subject Headings::Disciplines and Occupations::Social Sciences::Anthropology::Anthropology, Cultural::Culture::Cultural Characteristics
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Disability Evaluation
Medical Subject Headings::Check Tags::Female
Medical Subject Headings::Check Tags::Male
Medical Subject Headings::Named Groups::Persons::Age Groups::Adult::Middle Aged
Medical Subject Headings::Diseases::Nervous System Diseases::Neurologic Manifestations::Pain::Neck Pain
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Diagnostic Techniques, Neurological::Neurologic Examination::Pain Measurement
Medical Subject Headings::Psychiatry and Psychology::Behavioral Disciplines and Activities::Psychological Tests::Psychometrics
Medical Subject Headings::Disciplines and Occupations::Social Sciences::Quality of Life
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Data Collection::Questionnaires
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Research Design::Reproducibility of Results
Medical Subject Headings::Geographicals::Geographic Locations::Europe::Spain
Issue Date: 9-Apr-2008
Publisher: BioMed Central
Citation: Kovacs FM , Bago J, Royuela A, Seco J, Gimenez S, Muriel A,et al. Psychometric characteristics of the Spanish version of instruments to measure neck pain disability.BMC Musculoskelet Disord. 2008 Apr 9;9:42.
Abstract: BACKGROUND. The NDI, COM and NPQ are evaluation instruments for disability due to NP. There was no Spanish version of NDI or COM for which psychometric characteristics were known. The objectives of this study were to translate and culturally adapt the Spanish version of the Neck Disability Index Questionnaire (NDI), and the Core Outcome Measure (COM), to validate its use in Spanish speaking patients with non-specific neck pain (NP), and to compare their psychometric characteristics with those of the Spanish version of the Northwick Pain Questionnaire (NPQ). METHODS. Translation/re-translation of the English versions of the NDI and the COM was done blindly and independently by a multidisciplinary team. The study was done in 9 primary care Centers and 12 specialty services from 9 regions in Spain, with 221 acute, subacute and chronic patients who visited their physician for NP: 54 in the pilot phase and 167 in the validation phase. Neck pain (VAS), referred pain (VAS), disability (NDI, COM and NPQ), catastrophizing (CSQ) and quality of life (SF-12) were measured on their first visit and 14 days later. Patients' self-assessment was used as the external criterion for pain and disability. In the pilot phase, patients' understanding of each item in the NDI and COM was assessed, and on day 1 test-retest reliability was estimated by giving a second NDI and COM in which the name of the questionnaires and the order of the items had been changed. RESULTS. Comprehensibility of NDI and COM were good. Minutes needed to fill out the questionnaires [median, (P25, P75)]: NDI. 4 (2.2, 10.0), COM: 2.1 (1.0, 4.9). Reliability: [ICC, (95%CI)]: NDI: 0.88 (0.80, 0.93). COM: 0.85 (0.75,0.91). Sensitivity to change: Effect size for patients having worsened, not changed and improved between days 1 and 15, according to the external criterion for disability: NDI: -0.24, 0.15, 0.66; NPQ: -0.14, 0.06, 0.67; COM: 0.05, 0.19, 0.92. Validity: Results of NDI, NPQ and COM were consistent with the external criterion for disability, whereas only those from NDI were consistent with the one for pain. Correlations with VAS, CSQ and SF-12 were similar for NDI and NPQ (absolute values between 0.36 and 0.50 on day 1, between 0.38 and 0.70 on day 15), and slightly lower for COM (between 0.36 and 0.48 on day 1, and between 0.33 and 0.61 on day 15). Correlation between NDI and NPQ: r = 0.84 on day 1, r = 0.91 on day 15. Correlation between COM and NPQ: r = 0.63 on day 1, r = 0.71 on day 15. CONCLUSION. Although most psychometric characteristics of NDI, NPQ and COM are similar, those from the latter one are worse and its use may lead to patients' evolution seeming more positive than it actually is. NDI seems to be the best instrument for measuring NP-related disability, since its results are the most consistent with patient's assessment of their own clinical status and evolution. It takes two more minutes to answer the NDI than to answer the COM, but it can be reliably filled out by the patient without assistance. TRIAL REGISTRATION Clinical Trials Register NCT00349544.
Description: Comparative Study; Journal Article; Multicenter StTrial Registration:; Research Support, Non-U.S. Gov't; Clinical Trials Register NCT00349544.
URI: http://hdl.handle.net/10668/568
metadata.dc.relation.publisherversion: http://www.biomedcentral.com/1471-2474/9/42
metadata.dc.identifier.doi: 10.1186/1471-2474-9-42
ISSN: 1471-2474 (Online)
Appears in Collections:01- Artículos - DAP Málaga
01- Artículos - Hospital Virgen de las Nieves

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