Background <p>The Musculoskeletal Health Questionnaire (MSK-HQ) is a 14-item instrument designed to holistically assess musculoskeletal health across domains of pain, physical function, sleep, emotional well-being, and social participation. This study aimed to translate and cross-culturally adapt MSK-HQ into a Simplified Chinese version (MSK-HQ-C), and evaluate the reliability and validity of MSK-HQ-C in patients with non-specific chronic neck pain.</p> Methods <p>A total of 150 participants were included in this study. Internal consistency was estimated according to Cronbach’s alpha. Test-retest reliability was assessed by Intra-class correlation coefficient (ICC) based on completions from all participants at a 7–14&#xa0;day interval. Construct validity was analyzed by correlations between MSK-HQ-C and the EuroQol-5 Dimensions-5 Levels (EQ-5D-5&#xa0;L), Copenhagen Neck Function Disability Scale (CNFDS) as well as the short form (36) health survey (SF-36). The structural, convergent, and discriminant validity of the questionnaire were assessed using factor analysis and correlation analyses.</p> Results <p>The original version of the MSK-HQ was cross-culturally adapted and translated into Simplified Chinese following the guidelines by Beaton et al. MSK-HQ-C was indicated to have excellent reliability (Cronbach’s alpha = 0.922, ICC = 0.822). Moderate to substantial correlations between MSK-HQ-C and EQ-5D-Total (<i>r</i>= .648, <i>p</i> &lt; .001), EQ-5D-VAS (<i>r</i>= .707, <i>p</i> &lt; .001), CNFDS (<i>r</i> = − .759, <i>p</i> &lt; .001), as well as physical function (<i>r</i>= .594, <i>p</i> &lt; .001), role-physical (<i>r</i>= .407, <i>p</i> &lt; .001), bodily pain (<i>r</i>= .512, <i>p</i> &lt; .001) and general health (<i>r</i>= .496, <i>p</i> &lt; .001) subscales of SF-36 were observed. An exploratory factor analysis revealed that the 2-factor loading explained 74.206% of the variance (KMO = 0.919; Bartlett’s test of sphericity: χ² = 1855.421, <i>p</i> &lt; .001).</p> Conclusion <p>MSK-HQ-C was demonstrated to have acceptable reliability and validity in patients with non-specific chronic neck pain, which could be recommended for patients in Chinese mainland.</p>

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Reliability and validity of the simplified Chinese version of the Musculoskeletal Health Questionnaire (MSK-HQ-C) in patients with non-specific chronic neck pain: a cross-cultural adaptation and validation study

  • Wenbo Diao,
  • Peng Wang,
  • Pengyi Wei,
  • Xiaosong Huang,
  • Lulu Jia

摘要

Background

The Musculoskeletal Health Questionnaire (MSK-HQ) is a 14-item instrument designed to holistically assess musculoskeletal health across domains of pain, physical function, sleep, emotional well-being, and social participation. This study aimed to translate and cross-culturally adapt MSK-HQ into a Simplified Chinese version (MSK-HQ-C), and evaluate the reliability and validity of MSK-HQ-C in patients with non-specific chronic neck pain.

Methods

A total of 150 participants were included in this study. Internal consistency was estimated according to Cronbach’s alpha. Test-retest reliability was assessed by Intra-class correlation coefficient (ICC) based on completions from all participants at a 7–14 day interval. Construct validity was analyzed by correlations between MSK-HQ-C and the EuroQol-5 Dimensions-5 Levels (EQ-5D-5 L), Copenhagen Neck Function Disability Scale (CNFDS) as well as the short form (36) health survey (SF-36). The structural, convergent, and discriminant validity of the questionnaire were assessed using factor analysis and correlation analyses.

Results

The original version of the MSK-HQ was cross-culturally adapted and translated into Simplified Chinese following the guidelines by Beaton et al. MSK-HQ-C was indicated to have excellent reliability (Cronbach’s alpha = 0.922, ICC = 0.822). Moderate to substantial correlations between MSK-HQ-C and EQ-5D-Total (r= .648, p < .001), EQ-5D-VAS (r= .707, p < .001), CNFDS (r = − .759, p < .001), as well as physical function (r= .594, p < .001), role-physical (r= .407, p < .001), bodily pain (r= .512, p < .001) and general health (r= .496, p < .001) subscales of SF-36 were observed. An exploratory factor analysis revealed that the 2-factor loading explained 74.206% of the variance (KMO = 0.919; Bartlett’s test of sphericity: χ² = 1855.421, p < .001).

Conclusion

MSK-HQ-C was demonstrated to have acceptable reliability and validity in patients with non-specific chronic neck pain, which could be recommended for patients in Chinese mainland.