title: Reliability and stability of the Roland Morris Disability Questionnaire: intra class correlation and limits of agreement.
abstract: OBJECTIVE
  To analyse test-retest reliability and stability of the Dutch language version of the Roland Morris Disability Questionnaire (RMDQ) in a sample of patients (n = 30) suffering from Chronic Low Back Pain (CLBP).
  
  
  METHODS
  Patients filled out the Dutch language version of the RMDQ questionnaire twice, before starting the rehabilitation programme, with a 2-week interval. Intra Class Correlations (ICC), (one way random) was used as a measure for reliability and the limits of agreement were calculated for quantifying the stability of the RMDQ. An ICC of 0.75 or more was considered as an acceptable reliability. No criteria for limits of agreement were available. However, smaller limits of agreement indicate more stability because it indicates that the natural variation is small.
  
  
  RESULTS
  The Dutch RMDQ showed good reliability, with an ICC of 0.91. Calculating limits of agreement to quantify the stability, a large amount of natural variation ( +/- 5.4) was found relative to the total scoring range of 0 to 24.
  
  
  CONCLUSIONS
  The Dutch RMDQ proves to be a reliable instrument to measure functional status in CLBP patients. However, the natural variation should be taken into account when using it clinically.
authors.affiliation: Centre for Rehabilitation, University Hospital Groningen, The Netherlands. s.brouwer@rev.azg.nl
authors.forename: S
authors.initials: S
authors.lastname: Brouwer
authors.forename: W
authors.initials: W
authors.lastname: Kuijer
authors.forename: P U
authors.initials: PU
authors.lastname: Dijkstra
authors.forename: L N H
authors.initials: LN
authors.lastname: Göeken
authors.forename: J W
authors.initials: JW
authors.lastname: Groothoff
authors.forename: J H B
authors.initials: JH
authors.lastname: Geertzen
mesh_terms: D000328:Adult; D004185:Disability Evaluation; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D011795:Surveys and Questionnaires