Construct validity and reliability of Finnish version of Örebro Musculoskeletal Pain Screening Questionnaire

Olli Ruokolainen; Marianne Haapea; Steven Linton; Katariina Korniloff; Arja Häkkinen; Markus Paananen; Jaro Karppinen

doi:10.1016/j.sjpain.2016.06.002

Construct validity and reliability of Finnish version of Örebro Musculoskeletal Pain Screening Questionnaire

Scand J Pain. 2016 Oct:13:148-153. doi: 10.1016/j.sjpain.2016.06.002. Epub 2016 Jun 24.

Authors

Olli Ruokolainen^{1

2}, Marianne Haapea^{1

2

3}, Steven Linton⁴, Katariina Korniloff⁵, Arja Häkkinen^{5

6}, Markus Paananen², Jaro Karppinen^{1

2

7}

Affiliations

¹ Center for Life Course Health Research, Faculty of Medicine, University of Oulu, Oulu, Finland.
² Medical Research Center Oulu, University of Oulu and Oulu University Hospital, Oulu, Finland.
³ Department of Diagnostic Radiology, Oulu University Hospital, Oulu, Finland.
⁴ Center for Health and Medical Psychology, Department of Law, Psychology and Social Work, Örebro University, Örebro, Sweden.
⁵ Department of Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
⁶ Department of Physical Medicine and Rehabilitation, Jyväskylä Central Hospital, Jyväskylä, Finland.
⁷ Finnish Institute of Occupational Health, Oulu, Finland.

PMID: 28850521
DOI: 10.1016/j.sjpain.2016.06.002

Abstract

Introduction: Chronic pain causes suffering for affected individuals and incurs costs to society through work disability. Interventions based on early screening of psychological risk factors for chronic pain using screening tools such as the Örebro Musculoskeletal Pain Screening Questionnaire (ÖMPSQ) have been found to reduce work absenteeism and health care visits and increase perceived health. The aim of the current study was to translate the ÖMPSQ into Finnish and test its validity and reliability in a patient sample.

Methods: The ÖMPSQ was forward-backward translated and cross-culturally adapted, and applied to our study population (n=69), the members of which had been referred to the Department of Physical and Rehabilitation Medicine of Oulu University Hospital from primary health care centres in Northern Finland due to chronic low back pain. The patients answered the ÖMPSQ two weeks before the hospital visit, and the follow-up questionnaire either during the hospital visit, or after by mail. The reliability of the ÖMPSQ was evaluated using intraclass correlation coefficients (ICC). Factor analysis was used to group items of the ÖMPSQ, and internal consistency between the items was determined by calculating Cronbach's alphas.

Results: The cross-cultural adaptation revealed only minor semantic and cultural differences. Measurements showed reliability as moderate to nearly perfect for all of the ÖMPSQ items (ICC values ranged from 0.59 to 0.96). Items loaded into five different factors: disability, psychological symptoms, pain, fear avoidance, and work. All except one (work) showed acceptable internal consistency. The ÖMPSQ score was positively associated with both intensity of pain and the Oswestry Disability Index.

Conclusions and implications: The reliability and construct validity of the Finnish version of the ÖMPSQ were good. The predictive ability of the ÖMPSQ in the Finnish population should be evaluated in further studies.

Keywords: Low back pain; Translation; Validation; Örebro Musculoskeletal Pain Screening Questionnaire.

Publication types

Validation Study

MeSH terms

Finland
Humans
Low Back Pain / diagnosis
Musculoskeletal Pain / diagnosis*
Reproducibility of Results
Surveys and Questionnaires*