Cross-Cultural Adaptation and Validation of the Nepali Version of the Pelvic Girdle Questionnaire

Ranjeeta Shijagurumayum Acharya; Anne Therese Tveter; Margreth Grotle; Bimika Khadgi; Rajendra Koju; Malin Eberhard-Gran; Britt Stuge

doi:10.1016/j.jmpt.2019.04.009

Cross-Cultural Adaptation and Validation of the Nepali Version of the Pelvic Girdle Questionnaire

J Manipulative Physiol Ther. 2020 Mar-Apr;43(3):257-265. doi: 10.1016/j.jmpt.2019.04.009. Epub 2020 Jul 29.

Authors

Ranjeeta Shijagurumayum Acharya¹, Anne Therese Tveter², Margreth Grotle³, Bimika Khadgi⁴, Rajendra Koju⁵, Malin Eberhard-Gran⁶, Britt Stuge⁷

Affiliations

¹ Department of Physiotherapy, Kathmandu University School of Medical Sciences, Kathmandu University Dhulikhel Hospital, Kavre, Nepal. Electronic address: ranjeetashija@gmail.com.
² Department of Physiotherapy, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway.
³ Department of Physiotherapy, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway; FORMI, Oslo University Hospital, Oslo, Norway.
⁴ Department of Physiotherapy, Kathmandu University School of Medical Sciences, Kathmandu University Dhulikhel Hospital, Kavre, Nepal.
⁵ Department of Medicine, Kathmandu University School of Medical Sciences, Kathmandu University Dhulikhel Hospital, Kavre, Nepal.
⁶ Institute of Clinical Medicine, University of Oslo, Norway; Health Services Research Unit, Akershus University Hospital, Lorenskog, Norway; Department of Child Health, Norwegian Institute of Public Health, Oslo, Norway.
⁷ Division of Orthopedic Surgery, Oslo University Hospital, Oslo, Norway.

PMID: 32739042
DOI: 10.1016/j.jmpt.2019.04.009

Abstract

Objective: The purpose of this study was to translate, cross-culturally adapt, and assess the reliability and validity of the Pelvic Girdle Questionnaire (PGQ) in pregnant Nepalese women.

Methods: The cross-cultural adaptation process was conducted according to the Guillemin guidelines. Reliability and validity were assessed using cross-sectional design. The participants responded to questionnaires of sociodemographics, the Nepali version of the PGQ, the Oswestry Disability Index, the Patient-Specific Functional Scale, the 5-item version of the Edinburgh Depression Scale, and the Numerical Pain Rating Scale. The internal consistency was assessed with Cronbach's alpha. The test-retest reliability was calculated using the intraclass correlation coefficient and smallest detectable change. Construct validity was assessed by testing 9 a priori hypotheses that examine correlations between the PGQ activity and symptom subscales, and also among the PGQ subscales and Oswestry Disability Index, Numerical Pain Rating Scale, Patient-Specific Functional Scale, and 5-item version of the Edinburgh Depression Scale. Spearman and Pearson's correlation were used to assess the correlations.

Results: A sample of 111 pregnant women were included in the study. The Cronbach's alpha for the Nepali version of the total PGQ was good (α = 0.83), and the test-retest reliability was acceptable (ICC_2.1, 0.72) with a measurement error of SDC_95% 18.6 points. Seven of the 9 hypotheses found support, which confirms acceptable construct validity of the Nepali PGQ.

Conclusion: The Nepali version of the PGQ is a reliable and valid tool for assessing pelvic girdle pain in pregnant Nepalese women.

Keywords: Health; Low Back Pain; Nepal; Outcome Measures; Pelvic Girdle Pain; Pelvic Pain; Pregnancy; Psychometric Properties; Reliability; Translation, Adaptation; Validity; Women.

Publication types

Research Support, Non-U.S. Gov't
Validation Study

MeSH terms

Adaptation, Physiological
Adult
Cross-Cultural Comparison
Cross-Sectional Studies
Female
Humans
Lower Extremity
Male
Pain Measurement / standards*
Pelvic Girdle Pain / diagnosis*
Pregnancy
Pregnancy Complications / diagnosis*
Psychometrics
Reproducibility of Results
Surveys and Questionnaires / standards*
Translating
Young Adult