Adaptation and validation of the Nigerian Igbo Multidimensional Scale of Perceived Social Support in patients with chronic low back pain

Abstract Introduction Social support may be important in the perpetuation of symptoms in chronic low back pain (CLBP). The multidimensional scale of perceived social support (MSPSS) is one of the best measures of social support with applicability in Africa. Aims The aims of this study were to translate, culturally adapt, test–retest, and assess cross-sectional psychometric properties of the Igbo-MSPSS. Methods Forward and backward translation of the MSPSS was done by clinicians and non-clinician translators and evaluated by a specialist review committee. The adapted measure was piloted amongst twelve adults with CLBP in rural Nigeria. Cronbach’s alpha and McDonald’s omega coefficient were used for investigating internal consistency. Intra-class correlation coefficient (ICC: two-way random effects model, average of raters’ measurements, absolute definition of agreement) reflecting both the degree of correlation and agreement between measurements was used for the statistical investigation of test–retest reliability. Criterion validity of the adapted measure was investigated with the eleven-point box scale, back performance scale, Roland Morris Disability Questionnaire, and World Health Organisation Disability Assessment Schedule amongst 200 people with CLBP in rural Nigeria using Spearman’s correlation analyses. Exploratory factor analyses conducted using Kaiser criterion and parallel analysis as methods for determining dimensionality were used to determine the structural validity of the adapted measure amongst the same sample of 200 rural dwellers. Results Igbo-MSPSS had excellent internal consistency (0.88) and ICC of 0.82. There were moderate correlations with measures associated with the social support construct. The same item–factor pattern in the three-dimensional structure (with Kaiser criterion) as in the original measure and a two-dimensional structure (with parallel analysis) were produced. Conclusions Igbo-MSPSS is a measure of social support with some evidence of validity and reliability and can be used clinically or for research. Future studies are required to confirm its validity and reliability.

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Only two subscales of the Coping Strategies Questionnaire are culturally relevant for people with chronic low back pain in Nigerian Igbo populations: a cross-cultural adaptation and validation study

Journal of Patient-Reported Outcomes ◽

10.1186/s41687-021-00367-1 ◽

2021 ◽

Vol 5 (1) ◽

Author(s):

Chinonso Nwamaka Igwesi-Chidobe ◽

Isaac Olubunmi Sorinola ◽

Emma Louise Godfrey

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Pain Intensity ◽

Coping Strategies ◽

Chronic Low Back Pain ◽

Parallel Analysis ◽

Low Back ◽

Pain Coping ◽

Rural Nigeria ◽

Kaiser Criterion

Abstract Background Pain coping strategies are important in the chronicity of low back pain and the associated disability. However, their exact influence is unknown in many African contexts such as rural Nigeria due to lack of outcome instruments with which to measure them. This study aimed to cross-culturally adapt and psychometrically test the Coping Strategies Questionnaire (CSQ) in Igbo populations in Nigeria. Methods The CSQ was forward and back translated by clinical and non-clinical translators; evaluated by an expert review committee. The translated measure was piloted amongst twelve rural Nigerian dwellers with chronic low back pain (CLBP) using the think-aloud cognitive interviewing style. Internal consistency (Cronbach’s alpha), test–retest reliability (intra-class correlation coefficient—ICC and Bland–Altman plot), and minimal detectable change were examined amongst 50 people with CLBP in rural and urban Nigerian populations. Construct validity was determined by assessing the correlations between the adapted CSQ and measures of disability, pain intensity, fear avoidance beliefs, and illness perceptions using Spearman’s correlation analyses with 200 adults with CLBP in rural Nigeria. Exploratory factor analyses using Kaiser criterion (eigenvalue) and parallel analysis as methods for determining dimensionality were conducted with the same sample. Results Fourteen out of 42 items were routinely adopted in this population including all items of catastrophising subscale, and all but one item of praying and hoping subscale. Catastrophising and praying and hoping subscales had the highest Cronbach’s alpha. All subscales had high ICCs with Bland–Altman plots that showed good agreement. All coping strategies were positively correlated with self-reported disability and pain intensity with catastrophising subscale having the highest values. Seven-factor and three-factor structures were produced with the Kaiser criterion and parallel analysis, with different items from the original CSQ, except for catastrophising. Conclusions Catastrophising and praying and hoping may be the relevant coping strategies in this population. More culturally relevant measures of pain coping strategies that include adaptive coping strategies may need to be developed for African contexts such as rural Nigeria.

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Low back pain in Flemish adolescents and the role of perceived social support and effect on the perception of back pain

Acta Paediatrica ◽

10.1111/j.1651-2227.2003.tb00576.x ◽

2007 ◽

Vol 92 (4) ◽

pp. 444-451 ◽

Cited By ~ 11

Author(s):

F Staes ◽

K Stappaerts ◽

E Lesaffre ◽

H Vertommen

Keyword(s):

Social Support ◽

Low Back Pain ◽

Back Pain ◽

Perceived Social Support ◽

Low Back

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Unconventional Practitioners’ Causal Beliefs and Treatment Strategies for Chronic Low Back Pain in Rural Nigeria

Health Services Insights ◽

10.1177/1178632918808783 ◽

2018 ◽

Vol 11 ◽

pp. 117863291880878 ◽

Cited By ~ 2

Author(s):

Chinonso N Igwesi-Chidobe ◽

Isaac O Sorinola ◽

Sheila Kitchen ◽

Emma L Godfrey

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Treatment Strategies ◽

Causal Beliefs ◽

Low Back ◽

Rural Nigeria

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Movement Control Impairment and Low Back Pain: State of the Art of Diagnostic Framing

Medicina ◽

10.3390/medicina55090548 ◽

2019 ◽

Vol 55 (9) ◽

pp. 548 ◽

Cited By ~ 2

Author(s):

Salvioli ◽

Pozzi ◽

Testa

Keyword(s):

Low Back Pain ◽

Back Pain ◽

State Of The Art ◽

Movement Control ◽

Knee Extension ◽

Cochrane Library ◽

Low Back ◽

Validity And Reliability ◽

Property A ◽

Rater Reliability

Background and objectives: Low back pain is one of the most common health problems. In 85% of cases, it is not possible to identify a specific cause, and it is therefore called Non-Specific Low Back Pain (NSLBP). Among the various attempted classifications, the subgroup of patients with impairment of motor control of the lower back (MCI) is between the most studied. The objective of this systematic review is to summarize the results from trials about validity and reliability of clinical tests aimed to identify MCI in the NSLBP population. Materials and Methods: The MEDLINE, Cochrane Library, and MedNar databases have been searched until May 2018. The criteria for inclusion were clinical trials about evaluation methods that are affordable and applicable in a usual clinical setting and conducted on populations aged > 18 years. A single author summarized data in synoptic tables relating to the clinical property; a second reviewer intervened in case of doubts about the relevance of the studies. Results: 13 primary studies met the inclusion criteria: 10 investigated inter-rater reliability, 4 investigated intra-rater reliability, and 6 investigated validity for a total of 23 tests (including one cluster of tests). Inter-rater reliability is widely studied, and there are tests with good, consistent, and substantial values (waiter’s bow, prone hip extension, sitting knee extension, and one leg stance). Intra-rater reliability has been less investigated, and no test have been studied for more than one author. The results of the few studies about validity aim to discriminate only the presence or absence of LBP in the samples. Conclusions: At the state of the art, results related to reliability support the clinical use of the identified tests. No conclusions can be drawn about validity.

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Psychometric properties of the Brazilian version of the Bournemouth questionnaire for low back pain: validity and reliability

Brazilian Journal of Physical Therapy ◽

10.1016/j.bjpt.2020.02.003 ◽

2020 ◽

Author(s):

Letícia Bojikian Calixtre ◽

Carlos Luques Fonseca ◽

Bruno Leonardo da Silva Gruninger ◽

Danilo Harudy Kamonseki

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Psychometric Properties ◽

Low Back ◽

Validity And Reliability ◽

Bournemouth Questionnaire ◽

Brazilian Version

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Validity and Reliability of the French Version of the STarT Back Screening Tool for Patients With Low Back Pain

Spine ◽

10.1097/brs.0000000000000062 ◽

2014 ◽

Vol 39 (2) ◽

pp. E123-E128 ◽

Cited By ~ 31

Author(s):

Olivier Bruyère ◽

Maryline Demoulin ◽

Charlotte Beaudart ◽

Jonathan C. Hill ◽

Didier Maquet ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Screening Tool ◽

Low Back ◽

Validity And Reliability ◽

French Version ◽

Start Back Screening Tool

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Faktor Psikososial dan Aktivitas Kerja pada Perawat ICU serta ICCU dengan Nyeri Punggung Bawah

ARTERI : Jurnal Ilmu Kesehatan ◽

10.37148/arteri.v1i1.21 ◽

2019 ◽

Vol 1 (1) ◽

pp. 57-68

Author(s):

Gandu Eko Julianto Suyoso

Keyword(s):

Social Support ◽

Job Satisfaction ◽

Low Back Pain ◽

Back Pain ◽

Psychosocial Factor ◽

Job Control ◽

Occupational Activity ◽

Low Back ◽

Nurse Perception ◽

Job Demand

Background: Low back pain was one of many musculosceletal disorder that were still suffered by nurses. Low back pain caused by many factor, partially or simultaneuosly. Some of those factor are psychosocial factor and occupational activity factor. Psychosocial factor consisted of job demand, job control, social support and job satisfaction. Occupational activity factor in this study was lateral patient transfer. Those factor were still neglected by some of hospital employer. Purpose: The aim of this study is to analyze the association of psychosocial factor (job demand, job control, job satisfaction, social control), occupational activity control (lateral patient transfer) and nurse’s low back pain. Methods: This cross sectional study held in ICU and ICCU unit at 3 hospital in Jember. Data was collected through questionairres that adopted General Nordic Questionairre (QPSNORDIC) also MJS (Measure of Job Satisfaction) and through observation by utilized REBA (Rapid Entire Body Assessment) scoring method.. Results: Bivariat analysis showed that nurse’s low back pain have association with nurse perception about job demand (r=0,414), nurse perception about social support (r=0,510), nurse perception about job satisfaction (p=0,401), association with nurse perception about job control (r=0,333), lateral patient transfer (r=0,439). Conclusion: Nurses Low Back Pain have a strong association with nurse perception about job demand, nurse perception about social support, nurse perception about job satisfaction; a weak association with nurse perception about job control.

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World Health Organisation Disability Assessment Schedule (WHODAS 2.0): development and validation of the Nigerian Igbo version in patients with chronic low back pain

BMC Musculoskeletal Disorders ◽

10.1186/s12891-020-03763-8 ◽

2020 ◽

Vol 21 (1) ◽

Author(s):

Chinonso Nwamaka Igwesi-Chidobe ◽

Sheila Kitchen ◽

Isaac Olubunmi Sorinola ◽

Emma Louise Godfrey

Keyword(s):

Low Back Pain ◽

Back Pain ◽

World Health Organisation ◽

World Health ◽

Minimal Detectable Change ◽

Low Back ◽

Detectable Change ◽

Whodas 2.0 ◽

Rural Nigeria ◽

Rural And Urban

Abstract Background Globally, the leading cause of years lived with disability is low back pain (LBP). Chronic low back pain (CLBP) is responsible for most of the cost and disability associated with LBP. This is more devastating in low income countries, particularly in rural Nigeria with one of the greatest global burdens of LBP. No Igbo back pain specific measure captures remunerative or non-remunerative work outcomes. Disability measurement using these tools may not fully explain work-related disability and community participation, a limitation not evident in the World Health Organisation Disability Assessment Schedule (WHODAS 2.0). This study aimed to cross-culturally adapt the WHODAS 2.0 and validate it in rural and urban Nigerian populations with CLBP. Methods Translation, cultural adaptation, test–retest, and cross-sectional psychometric testing was performed. WHODAS 2.0 was forward and back translated by clinical/non-clinical translators. Expert review committee evaluated the translations. Twelve people with CLBP in a rural Nigerian community piloted/pre-tested the questionnaire. Cronbach’s alpha assessing internal consistency; intraclass correlation coefficient and Bland–Altman plots assessing test–retest reliability; and minimal detectable change were investigated in a convenience sample of 50 adults with CLBP in rural and urban Nigeria. Construct validity was examined using Spearman’s correlation analyses with the back-performance scale, Igbo Roland Morris Disability Questionnaire and eleven-point box scale; and exploratory factor analysis in a random sample of 200 adults with CLBP in rural Nigeria. Ceiling and floor effects were investigated in both samples. Results Patient instructions were also translated. ‘Waist pain/lower back pain’ was added to ‘illness(es)’ to make the measure relevant for this study whilst allowing for future studies involving other conditions. The Igbo phrase for ‘family and friends’ was used to better represent ‘people close to you’ in item D4.3. The Igbo-WHODAS had good internal consistency (α = 0.75–0.97); intra class correlation coefficients (ICC = 0.81–0.93); standard error of measurements (5.05–11.10) and minimal detectable change (13.99–30.77). Igbo-WHODAS correlated moderately with performance-based disability, self-reported back pain-specific disability and pain intensity, with a seven-factor structure and no floor and ceiling effects. Conclusions Igbo-WHODAS appears psychometrically sound. Its research and clinical utility require further testing.

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