title: Reliability, Construct and Predictive Validity of the Hong Kong Chinese Orebro Musculoskeletal Pain Screening Questionnaire.
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 ICC1,1ranged 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.
authors.affiliation: Physiotherapy Department, MacLehose Medical Rehabilitation Centre, Hospital Authority, 7 Sha Wan Drive, Sandy Bay, Hong Kong, Hong Kong SAR, People's Republic of China. tsangccr@ha.org.hk.
authors.forename: Raymond
authors.initials: R
authors.lastname: Tsang Chi Chung
authors.affiliation: Physiotherapy Department, Prince of Wales Hospital, Hospital Authority, 30-32 Ngan Shing Street, Shatin, New Territories, Hong Kong, Hong Kong SAR, People's Republic of China.
authors.forename: Jamie
authors.initials: J
authors.lastname: Lau Sau Ying
authors.affiliation: Physiotherapy Department, Tang Shiu Kin Hospital, Hospital Authority, 282 Queen's Road East, Wan Chai, Hong Kong, Hong Kong SAR, People's Republic of China.
authors.forename: Susane
authors.initials: S
authors.lastname: Kwong So Fong
authors.affiliation: Physiotherapy Department, Princess Margaret Hospital, Hospital Authority, 2-10 Princess Margaret Hospital Road, Lai Chi Kok, Kowloon, Hong Kong, Hong Kong SAR, People's Republic of China.
authors.forename: Eric
authors.initials: E
authors.lastname: So Ming Loi
authors.affiliation: Department of Physical Medicine & Rehabilitation, Hong Kong Sanatorium & Hospital, 2 Village Road, Happy Valley, Hong Kong, Hong Kong SAR, People's Republic of China.
authors.forename: Rainbow
authors.initials: R
authors.lastname: Law Ka Yee
authors.affiliation: Physiotherapy Department, Queen Elizabeth Hospital, Hospital Authority, 30 Gascoigne Road, Yau Ma Tei, Kowloon, Hong Kong, Hong Kong SAR, People's Republic of China.
authors.forename: Thomas
authors.initials: T
authors.lastname: Wong Fu Yan
authors.affiliation: Occupation Medicine Care Service, New Territories East Cluster, Hospital Authority, 30-32 Ngan Shing Street, Shatin, New Territories, Hong Kong, Hong Kong SAR, People's Republic of China.
authors.forename: Edwin
authors.initials: E
authors.lastname: Lee Wai Chi
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004185:Disability Evaluation; D005260:Female; D006723:Hong Kong; D006801:Humans; D017116:Low Back Pain / Q000145:classification; D008297:Male; D008875:Middle Aged; D059352:Musculoskeletal Pain / Q000175:diagnosis*; D019547:Neck Pain / Q000145:classification; D010147:Pain Measurement / Q000379:methods*; D011237:Predictive Value of Tests; D012372:ROC Curve; D015203:Reproducibility of Results; D018582:Sick Leave / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires / Q000592:standards*; D014177:Translations
keywords: Low back pain; Neck pain; Screening; Validation; Yellow flags