Journal of Occupational Rehabilitation

, Volume 27, Issue 4, pp 584–592 | Cite as

Reliability, Construct and Predictive Validity of the Hong Kong Chinese Orebro Musculoskeletal Pain Screening Questionnaire

  • Raymond Tsang Chi Chung
  • Jamie Lau Sau Ying
  • Susane Kwong So Fong
  • Eric So Ming Loi
  • Rainbow Law Ka Yee
  • Thomas Wong Fu Yan
  • Edwin Lee Wai Chi
Article
  • 260 Downloads

Abstract

Purpose The aim of this study was to evaluate the reliability, construct validity and predictive validity of the Hong Kong Chinese version of the Orebro Musculoskeletal Pain Screening Questionnaire (COMPSQ-HK). Methods The COMPSQ-HK was developed using the forward–backward translation. Internal consistency was assessed using Cronbach’s alpha and test–retest reliability was examined using intraclass correlation coefficient with one-way random-effects model (ICC1,1), minimum detectable change (MDC) and 95% limits of agreement (LoA). Construct validity was evaluated by correlating the COMPSQ-HK with the Numeric Pain Rating Scale, Roland-Morris Disability Questionnaire, Northwick Park Neck Pain Questionnaire, Tampa Scale for Kinesiophobia, and Medical Outcomes Study Short Form 12. The predictive validity was investigated using receiver operating characteristics (ROC) curve analyses with sick leave >60 days and return-to-work for ≥4 consecutive weeks as outcomes at 1 year follow-up. The areas under the curve (AUC) were calculated. Results The COMPSQ-HK was administered to 305 patients with acute/subacute low back pain and 160 patients with acute/subacute neck pain. The Cronbach’s alphas and ICC1,1 ranged from 0.83 to 0.84 and 0.81 to 0.92 respectively. The MDC were 32.1 and 21.1. The 95% LoA were −32.4 to 31.8 and −15.4 to 26.7. The Pearson r ranged from 0.333 to 0.697 in absolute value. The AUC for the ROC curve analyses ranged from 0.59 to 0.71. Conclusions The COMPSQ-HK has good internal consistency, moderate test–retest reliability, satisfactory construct validity and predictive validity as a screening tool for patients with back and neck pain at risk of chronic disability.

Keywords

Low back pain Neck pain Screening Validation Yellow flags 

Abbreviations

ALBP

Acute low back pain

AUC

Area under the curve

CLBP

Chronic low back pain

COMPSQ-HK

Hong Kong Chinese Orebro Musculoskeletal Pain Screening Questionnaire

FABQ

Fear Avoidance Beliefs Questionnaire

FABQ_Physical

Fear Avoidance Beliefs Questionnaire Physical Subscale

FABQ_Work

Fear Avoidance Beliefs Questionnaire Work Subscale

ICC

Intraclass correlation coefficient

LoA

Limits of agreement

MDC

Minimum detectable change

NPQ-HK

Chinese Northwick Park Neck Pain Questionnaire

NGRCS

Numeric Global Rating Of Change Scale

NPRS

Numeric pain rating scale

NPV

Negative predictive value

OA

Osteoarthritis

ODI

Oswestry disability index

OMPSQ

Orebro Musculoskeletal Pain Screening Questionnaire

PPV

Positive predictive value

RMDQ-HK

Chinese Roland-Morris Disability Questionnaire

ROC

Receiver operating characteristics

RTW

Return to work

SALBP

Subacute low back pain

SF-12

Chinese Medical Outcomes Study Short Form 12

PCS

Physical component summary

MCS

Mental component summary

Sn

Sensitivity

Sp

Specificity

TSK-HK

Chinese Tampa Scale for Kinesiophobia

Notes

Acknowledgements

We would like to thank Ms. Margaret Poon, the Senior Physiotherapist of Kowloon Central Cluster of Hospital Authority for the coordination of data collection. We are also grateful to those physiotherapists of Physiotherapy Departments of the Alice Ho Miu Ling Nethersole Hospital, Caritas Medical Centre, David Trench Rehabilitation Centre, Kowloon Hospital, Kwong Wah Hospital, Pamela Youde Nethersole Eastern Hospital, Pok Oi Hospital, Prince of Wales Hospital, Princess Margaret Hospital, Queen Elizabeth Hospital, Ruttonjee and Tang Shiu Kin Hospitals, Tuen Mun Hospital, United Christian Hospital, and Yung Fung Shee Memorial Centre in data collection for the study.

Compliance with Ethical Standards

Conflict of interest

Raymond CC Tsang, Jamie SY Lau, Susane SF Kwong, Eric ML So, Rainbow KY Law, Thomas FY Wong and Edwin WC Lee declare that they have no conflict of interest.

Ethical Standards

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.

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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Raymond Tsang Chi Chung
    • 1
  • Jamie Lau Sau Ying
    • 2
  • Susane Kwong So Fong
    • 3
  • Eric So Ming Loi
    • 4
  • Rainbow Law Ka Yee
    • 5
  • Thomas Wong Fu Yan
    • 6
  • Edwin Lee Wai Chi
    • 7
  1. 1.Physiotherapy DepartmentMacLehose Medical Rehabilitation Centre, Hospital AuthorityHong KongPeople’s Republic of China
  2. 2.Physiotherapy DepartmentPrince of Wales Hospital, Hospital AuthorityHong KongPeople’s Republic of China
  3. 3.Physiotherapy DepartmentTang Shiu Kin Hospital, Hospital AuthorityHong KongPeople’s Republic of China
  4. 4.Physiotherapy DepartmentPrincess Margaret Hospital, Hospital AuthorityHong KongPeople’s Republic of China
  5. 5.Department of Physical Medicine & RehabilitationHong Kong Sanatorium & HospitalHong KongPeople’s Republic of China
  6. 6.Physiotherapy DepartmentQueen Elizabeth Hospital, Hospital AuthorityHong KongPeople’s Republic of China
  7. 7.Occupation Medicine Care Service, New Territories East ClusterHospital AuthorityHong KongPeople’s Republic of China

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