title: Cross-cultural adaptation of the Orebro Musculoskeletal Pain Questionnaire among Turkish workers with low back pain.
abstract: BACKGROUND
  Psychosocial risk factors are very important in the development of chronicity in low back pain. And Örebro Musculoskeletal Pain Questionnaire (ÖMPQ) is the screening instrument concerning these psychosocial and work-related risk factors in patients with low back pain.
  
  
  OBJECTIVE
  The purpose of the study was to evaluate the reliability and construct validity of Turkish version of the ÖMPQ in patients with low back pain.
  
  
  METHODS
  Turkish ÖMPQ was developed using the ``forward-backward translation'' method. It was administered to 120 working Turkish patients with acute-subacute low back pain. Test-retest reliability was assessed by intraclass correlation coefficients and internal consistency was assessed by Cronbach's alpha. Concurrent construct validity was evaluated by correlating the ÖMPQ with Oswestry Disability Index (ODI), fear avoidance beliefs questionnaire (FABQ), clinical and demographical variables and assessed with principal component analysis.
  
  
  RESULTS
  The Turkish versions was re-tested for 110 patients with acute-subacute low back pain. Test-retest reliability was high with intraclass correlation coefficients of 0.93. Internal consistency was 0.96. The ÖMPQ score correlated highly (r> or = 0.60) with VAS-pain, ODI and sick-leave days; moderately (0.30 < r < 0.60) with FABQ and weakly (r< 0.30) with duration of pain and Schober test. Principal-components analysis revealed 3 factors explaining 43% of the variance. ÖMPQ had moderate predictive validity (AUC: 0.66; 95% CI 0.54; 0.81) in identifying patients with spinal pain that were under risk of long-term sick leave (> 15 days). The sensitivity was 0,54 and the specificity was 0.97.
  
  
  CONCLUSIONS
  Turkish version of ÖMPQ is a valid, reliable, and acceptible instrument among Turkish working population with low back pain.
authors.forename: Jülide
authors.initials: J
authors.lastname: Öncü
authors.forename: Reşat
authors.initials: R
authors.lastname: Ilişer
authors.forename: Banu
authors.initials: B
authors.lastname: Kuran
mesh_terms: D000328:Adult; D004185:Disability Evaluation; D004651:Employment; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000150:complications*; D008297:Male; D008875:Middle Aged; D059352:Musculoskeletal Pain / Q000150:complications*; D025341:Principal Component Analysis; D011594:Psychometrics; D015203:Reproducibility of Results; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D018582:Sick Leave; D011795:Surveys and Questionnaires; D014175:Translating; D014421:Turkey; D064232:Visual Analog Scale
keywords: Low back pain; sick-leave; validation studies