Challenges of measuring self-reported exposure to occupational biomechanical risk factors amongst people with low literacy engaged in manual labour: findings from a cross-cultural adaptation and psychometric investigation in an African population with chronic low back pain

Occupational biomechanical factors are implicated in the aetiology and progression of low back pain (LBP). This study cross-culturally adapted and psychometrically investigated the Occupational Risk Factor Questionnaire (ORFQ) in a low literate Nigerian Igbo population with chronic LBP. Forward and...

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Main Authors: Igwesi-Chidobe, Chinonso Nwamaka, Sorinola, Isaac Olubunmi, Ozumba, Benjamin Chukwuma, Godfrey, Emma Louise
Format: Article
Language:English
Published: Springer Nature 2024
Subjects:
Online Access:https://repository.londonmet.ac.uk/9211/1/s10926-024-10171-5.pdf
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author Igwesi-Chidobe, Chinonso Nwamaka
Sorinola, Isaac Olubunmi
Ozumba, Benjamin Chukwuma
Godfrey, Emma Louise
author_facet Igwesi-Chidobe, Chinonso Nwamaka
Sorinola, Isaac Olubunmi
Ozumba, Benjamin Chukwuma
Godfrey, Emma Louise
author_sort Igwesi-Chidobe, Chinonso Nwamaka
collection LMU
description Occupational biomechanical factors are implicated in the aetiology and progression of low back pain (LBP). This study cross-culturally adapted and psychometrically investigated the Occupational Risk Factor Questionnaire (ORFQ) in a low literate Nigerian Igbo population with chronic LBP. Forward and back translation of the original ORFQ by clinical and non-clinical translators was followed by an expert committee review. The adapted ORFQ was pre-tested amongst rural Nigerian adults with chronic LBP using cognitive think-aloud interviewing. Internal consistency (Cronbach's alpha) and test-retest reliability (unweighted and linear weighted k statistic for item-by-item agreement, and intra-class correlation coefficient-ICC) were investigated amongst 50 rural and urban Nigerian dwellers with chronic LBP. Spearman's correlation and regression analyses were conducted with the Igbo-ORFQ, and measures of disability [World Health Organisation Disability Assessment Schedule (WHODAS 2.0), Roland Morris Disability Questionnaire (RMDQ), Back performance scale (BPS)], pain intensity [Eleven-point box scale (BS-11)] and social support [Multidimensional Scale of Perceived Social Support (MSPSS)], to test construct validity with 200 rural Nigerian dwellers with chronic LBP. Cross-cultural adaptation highlighted difficulty conceptualising and concretising exposure to biomechanical risk factors. Item-by-item agreement, internal consistency (α = 0.84) and intraclass correlation coefficient (ICC = 0.83) were good. Some unexpected direction of associations between the biomechanical components of the Igbo-ORFQ, and disability, pain intensity, and social support prohibits establishment of construct validity. Prospective studies comparing the Igbo-ORFQ to other measures of exposure to occupational biomechanical risk factors are required to establish the construct validity of the Igbo-ORFQ. [Abstract copyright: © 2024. The Author(s).]
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spelling oai:repository.londonmet.ac.uk:92112024-03-05T12:09:03Z http://repository.londonmet.ac.uk/9211/ Challenges of measuring self-reported exposure to occupational biomechanical risk factors amongst people with low literacy engaged in manual labour: findings from a cross-cultural adaptation and psychometric investigation in an African population with chronic low back pain Igwesi-Chidobe, Chinonso Nwamaka Sorinola, Isaac Olubunmi Ozumba, Benjamin Chukwuma Godfrey, Emma Louise 360 Social problems & services; associations 610 Medicine & health Occupational biomechanical factors are implicated in the aetiology and progression of low back pain (LBP). This study cross-culturally adapted and psychometrically investigated the Occupational Risk Factor Questionnaire (ORFQ) in a low literate Nigerian Igbo population with chronic LBP. Forward and back translation of the original ORFQ by clinical and non-clinical translators was followed by an expert committee review. The adapted ORFQ was pre-tested amongst rural Nigerian adults with chronic LBP using cognitive think-aloud interviewing. Internal consistency (Cronbach's alpha) and test-retest reliability (unweighted and linear weighted k statistic for item-by-item agreement, and intra-class correlation coefficient-ICC) were investigated amongst 50 rural and urban Nigerian dwellers with chronic LBP. Spearman's correlation and regression analyses were conducted with the Igbo-ORFQ, and measures of disability [World Health Organisation Disability Assessment Schedule (WHODAS 2.0), Roland Morris Disability Questionnaire (RMDQ), Back performance scale (BPS)], pain intensity [Eleven-point box scale (BS-11)] and social support [Multidimensional Scale of Perceived Social Support (MSPSS)], to test construct validity with 200 rural Nigerian dwellers with chronic LBP. Cross-cultural adaptation highlighted difficulty conceptualising and concretising exposure to biomechanical risk factors. Item-by-item agreement, internal consistency (α = 0.84) and intraclass correlation coefficient (ICC = 0.83) were good. Some unexpected direction of associations between the biomechanical components of the Igbo-ORFQ, and disability, pain intensity, and social support prohibits establishment of construct validity. Prospective studies comparing the Igbo-ORFQ to other measures of exposure to occupational biomechanical risk factors are required to establish the construct validity of the Igbo-ORFQ. [Abstract copyright: © 2024. The Author(s).] Springer Nature 2024-02-20 Article PeerReviewed text en cc_by_4 https://repository.londonmet.ac.uk/9211/1/s10926-024-10171-5.pdf Igwesi-Chidobe, Chinonso Nwamaka, Sorinola, Isaac Olubunmi, Ozumba, Benjamin Chukwuma and Godfrey, Emma Louise (2024) Challenges of measuring self-reported exposure to occupational biomechanical risk factors amongst people with low literacy engaged in manual labour: findings from a cross-cultural adaptation and psychometric investigation in an African population with chronic low back pain. Journal of occupational rehabilitation. pp. 1-16. ISSN 1573-3688 https://doi.org/10.1007/s10926-024-10171-5 10.1007/s10926-024-10171-5
spellingShingle 360 Social problems & services; associations
610 Medicine & health
Igwesi-Chidobe, Chinonso Nwamaka
Sorinola, Isaac Olubunmi
Ozumba, Benjamin Chukwuma
Godfrey, Emma Louise
Challenges of measuring self-reported exposure to occupational biomechanical risk factors amongst people with low literacy engaged in manual labour: findings from a cross-cultural adaptation and psychometric investigation in an African population with chronic low back pain
title Challenges of measuring self-reported exposure to occupational biomechanical risk factors amongst people with low literacy engaged in manual labour: findings from a cross-cultural adaptation and psychometric investigation in an African population with chronic low back pain
title_full Challenges of measuring self-reported exposure to occupational biomechanical risk factors amongst people with low literacy engaged in manual labour: findings from a cross-cultural adaptation and psychometric investigation in an African population with chronic low back pain
title_fullStr Challenges of measuring self-reported exposure to occupational biomechanical risk factors amongst people with low literacy engaged in manual labour: findings from a cross-cultural adaptation and psychometric investigation in an African population with chronic low back pain
title_full_unstemmed Challenges of measuring self-reported exposure to occupational biomechanical risk factors amongst people with low literacy engaged in manual labour: findings from a cross-cultural adaptation and psychometric investigation in an African population with chronic low back pain
title_short Challenges of measuring self-reported exposure to occupational biomechanical risk factors amongst people with low literacy engaged in manual labour: findings from a cross-cultural adaptation and psychometric investigation in an African population with chronic low back pain
title_sort challenges of measuring self reported exposure to occupational biomechanical risk factors amongst people with low literacy engaged in manual labour findings from a cross cultural adaptation and psychometric investigation in an african population with chronic low back pain
topic 360 Social problems & services; associations
610 Medicine & health
url https://repository.londonmet.ac.uk/9211/1/s10926-024-10171-5.pdf
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