Content validity and test-retest reliability of a low back pain questionnaire in Zimbabwean adolescents

dc.contributor.authorChiwaridzo, Matthew
dc.contributor.authorChikasha, Tafadzwa Nicole
dc.contributor.authorNaidoo, Nirmala
dc.contributor.authorDambi, Jermaine Matewu
dc.contributor.authorTadyanemhandu, Cathrine
dc.contributor.authorMunambah, Nyaradzai
dc.contributor.authorChizanga, Precious Trish
dc.date.accessioned2017-04-03T13:51:54Z
dc.date.available2017-04-03T13:51:54Z
dc.date.issued2017-02-28
dc.date.updated2017-02-28T19:03:13Z
dc.description.abstractBackground: In Zimbabwe, a recent increase in the volume of research on recurrent non-specific low back pain (NSLBP) has revealed that adolescents are commonly affected. This is alarming to health professionals and parents and calls for serious primary preventative strategies to be developed and implemented forthwith. Early identification initiatives should be prioritised in order to curtail the condition and its progression. In an attempt to be proactive in minimising the prevalence of recurrent NSLBP, this study was conducted to evaluate the content validity and test-retest reliability of a survey questionnaire with the aim of proffering a valid and reliable questionnaire which can be used in non-clinical settings to identify adolescents with recurrent NSLBP in Harare, Zimbabwe and determine the possible factors associated with the condition. Methods: The study was conducted in two parts. The first part assessed content validity of the questionnaire using four experts derived from academia and clinical practice. The second part evaluated the reliability of the questionnaire among 125 high school-children aged between 13 and 19 years in a test-retest study. Results: Twenty-six (26) out of thirty questions in the questionnaire had an Item Content Validity index of 1.00, demonstrating complete agreement among content experts. Overall, the Scale Content Validity Index for the questionnaire was 0.97. Item completion for the reliability study was satisfactory. The questionnaire items had kappa values ranging from 0.17 (slight agreement) to 1 (perfect agreement). High levels of reliability were found for the questions on school bag use (k=0.94), sports participation (k=0.97), and lifetime prevalence (k=0.89). Conclusion: Excellent content validity and slight to perfect test-retest reliability was found for the Low Back Pain (LBP) questionnaire. These results are comparable to findings of other studies evaluating the psychometric properties of LBP questionnaires. Cognisant of the limitations of the study, the results of this study suggest that the LBP questionnaire could be used in local studies investigating LBP among adolescents although questions enquiring on functional limitations and sciatica may need further consideration.
dc.identifier.apacitationChiwaridzo, M., Chikasha, T. N., Naidoo, N., Dambi, J. M., Tadyanemhandu, C., Munambah, N., & Chizanga, P. T. (2017). Content validity and test-retest reliability of a low back pain questionnaire in Zimbabwean adolescents. <i>Archives of Physiotherapy</i>, http://hdl.handle.net/11427/24142en_ZA
dc.identifier.chicagocitationChiwaridzo, Matthew, Tafadzwa Nicole Chikasha, Nirmala Naidoo, Jermaine Matewu Dambi, Cathrine Tadyanemhandu, Nyaradzai Munambah, and Precious Trish Chizanga "Content validity and test-retest reliability of a low back pain questionnaire in Zimbabwean adolescents." <i>Archives of Physiotherapy</i> (2017) http://hdl.handle.net/11427/24142en_ZA
dc.identifier.citationArchives of Physiotherapy. 2017 Feb 28;7(1):3
dc.identifier.ris TY - Journal Article AU - Chiwaridzo, Matthew AU - Chikasha, Tafadzwa Nicole AU - Naidoo, Nirmala AU - Dambi, Jermaine Matewu AU - Tadyanemhandu, Cathrine AU - Munambah, Nyaradzai AU - Chizanga, Precious Trish AB - Background: In Zimbabwe, a recent increase in the volume of research on recurrent non-specific low back pain (NSLBP) has revealed that adolescents are commonly affected. This is alarming to health professionals and parents and calls for serious primary preventative strategies to be developed and implemented forthwith. Early identification initiatives should be prioritised in order to curtail the condition and its progression. In an attempt to be proactive in minimising the prevalence of recurrent NSLBP, this study was conducted to evaluate the content validity and test-retest reliability of a survey questionnaire with the aim of proffering a valid and reliable questionnaire which can be used in non-clinical settings to identify adolescents with recurrent NSLBP in Harare, Zimbabwe and determine the possible factors associated with the condition. Methods: The study was conducted in two parts. The first part assessed content validity of the questionnaire using four experts derived from academia and clinical practice. The second part evaluated the reliability of the questionnaire among 125 high school-children aged between 13 and 19 years in a test-retest study. Results: Twenty-six (26) out of thirty questions in the questionnaire had an Item Content Validity index of 1.00, demonstrating complete agreement among content experts. Overall, the Scale Content Validity Index for the questionnaire was 0.97. Item completion for the reliability study was satisfactory. The questionnaire items had kappa values ranging from 0.17 (slight agreement) to 1 (perfect agreement). High levels of reliability were found for the questions on school bag use (k=0.94), sports participation (k=0.97), and lifetime prevalence (k=0.89). Conclusion: Excellent content validity and slight to perfect test-retest reliability was found for the Low Back Pain (LBP) questionnaire. These results are comparable to findings of other studies evaluating the psychometric properties of LBP questionnaires. Cognisant of the limitations of the study, the results of this study suggest that the LBP questionnaire could be used in local studies investigating LBP among adolescents although questions enquiring on functional limitations and sciatica may need further consideration. DA - 2017-02-28 DB - OpenUCT DO - 10.1186/s40945-017-0031-y DP - University of Cape Town J1 - Archives of Physiotherapy LK - https://open.uct.ac.za PB - University of Cape Town PY - 2017 T1 - Content validity and test-retest reliability of a low back pain questionnaire in Zimbabwean adolescents TI - Content validity and test-retest reliability of a low back pain questionnaire in Zimbabwean adolescents UR - http://hdl.handle.net/11427/24142 ER - en_ZA
dc.identifier.urihttp://dx.doi.org/10.1186/s40945-017-0031-y
dc.identifier.urihttp://hdl.handle.net/11427/24142
dc.identifier.vancouvercitationChiwaridzo M, Chikasha TN, Naidoo N, Dambi JM, Tadyanemhandu C, Munambah N, et al. Content validity and test-retest reliability of a low back pain questionnaire in Zimbabwean adolescents. Archives of Physiotherapy. 2017; http://hdl.handle.net/11427/24142.en_ZA
dc.language.isoen
dc.publisherBioMed Central
dc.publisher.departmentDivision of Physiotherapyen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License
dc.rights.holderThe Author(s)
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.sourceArchives of Physiotherapy
dc.source.urihttps://archivesphysiotherapy.biomedcentral.com/
dc.subject.otherAdolescents
dc.subject.otherContent Validity
dc.subject.otherLow Back Pain
dc.subject.otherTest-retest reliability
dc.subject.otherZimbabwe
dc.titleContent validity and test-retest reliability of a low back pain questionnaire in Zimbabwean adolescents
dc.typeJournal Article
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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