Bournemouth Boyun Anketi’nin Psikometrik Özelliklerinin İncelenmesi

Öz

Amaç: Toplum genelinde sıklıkla görülebilen ve bireylerde kısıtlılık tablosu oluşturabilen boyun ağrısının, değerlendirilmesi ve takibinde son durum ölçeklerinin kullanımı büyük önem arz etmektedir. Hasta temelli bu ölçeklerden biri olarak karşımıza çıkan Bournemouth Boyun Anketi, boyun ağrılı hastalarda ağrı ve özrün yanı sıra biyopsikososyal özellikleri de değerlendirmektedir. Bu çalışmanın amacı Bournemouth Boyun Anketi’nin psikometrik özelliklerinin belirlenmesidir.

Gereç ve Yöntemler: Çalışmaya 73 boyun ağrılı birey dâhil olmuş ve analizler için katılımcılar Bournemouth Boyun Anketi ile birlikte Boyun Özür İndeksi, Boyun Ağrısı Özürlülük Skalası ve Kısa Form 36 anketlerini doldurmuşlardır. Otuz bir katılımcı ise test-tekrar test analizi için Bournemouth Boyun Anketi’ni 48 saat sonra tekrar tamamlamıştır.

Bulgular: Yapılan analizler sonucu anketin iç tutarlılık Cronbach alfa değerinin 0,853, test-tekrar test sınıf içi korelasyon katsayısı değerinin ise 0,932 olduğu bulunmuştur. Bu değerler anketin yüksek bir güvenirliğe sahip olduğuna işaret etmektedir. Gerçekleştirilen Pearson korelasyon analizi sonucunda Bournemouth Boyun Anketi’nin Boyun Özür İndeksi (r=0,718) ve Boyun Ağrısı Özürlülük Skalası (r=0,763) ile çok iyi düzeyde, Kısa Form 36’nın ilgili parametreleriyle ((-0,440)-(-0,594)) ise iyi düzeyde ilişkili olduğu görülmüştür. Anketin bileşen sayısının belirlenmesi için yapılan açıklayıcı faktör analizi sonucu anketin tek faktörlü bir yapıya sahip olduğu bulunmuştur.

Sonuç: Bu çalışma sonucunda Bournemouth Boyun Anketi’nin yeterli psikometrik özelliklere sahip olduğu ve boyun ağrılı hastalarda kullanımının uygun olduğu bulunmuştur.

Anahtar Kelimeler

• Boyun ağrısı,sağlık anketleri,faktör analizi

Investigation of Psychometric Properties of the Bournemouth Neck Questionnaire

Öz

Aim: The use of the outcome measurements in the evaluation and follow-up of neck pain, which can be seen frequently in society and create a table of limitations in individuals, is of great importance. The Bournemouth Neck Questionnaire, one of the patient-related questionnaires, evaluates pain and disability as well as biopsychosocial features in patients with neck pain. The aim of this study was to determine the psychometric characteristics of the Bournemouth Neck Questionnaire.

Materials and Methods: The study included 73 subjects with neck pain and for analyses participants filled Bournemouth Neck Questionnaire with Neck Disability Index, Neck Pain Disability Scale and Short Form 36. For test-retest analysis 31 participants completed the Bournemouth Neck Questionnaire again after 48 hours.

Results: As a result of the analyses, the internal consistency Cronbach alpha value of the questionnaire was 0.853 and the test-retest intraclass correlation coefficient was 0.932. These values indicate that the questionnaire has a high level of reliability. As a result of Pearson’s correlation analysis, the Bournemouth Neck Questionnaire was very-good correlated with the Neck Disability Index (r=0.718) and Neck Pain Disability Scale (r=0.763) and good with the related parameters of Short Form 36 ((-0.440)-(-0.594)). According to explanatory factor analysis conducted to determine the number of components of the questionnaire, it was found that the questionnaire had one factorial structure.

Conclusion: In conclusion, it was found that Bournemouth Neck Questionnaire had sufficient psychometric features and appropriate to use for patients with neck pain.

Anahtar Kelimeler

• Neck pain,health surveys,factor analysis

Kaynakça

1. 1. Zhang ZC, Jia ZY, Cheng YJ, Wang F, Yang YL, Li M, et al. Cross-cultural adaptation and validation of the Simplified-Chinese version of neck bournemouth questionnaire for patients in mainland China. Spine. 2019; 44(7): E438-44.
2. 2. Yang H, Haldeman S, Nakata A, Choi B, Delp L, Baker D. Work-related risk factors for neck pain in the US working population. Spine. 2015; 40(3): 184-92.
3. 3. Adams J, Peng W, Cramer H, Sundberg T, Moore C, Amorin-Woods L, et al. The prevalence, patterns, and predictors of chiropractic use among US adults. Spine. 2017; 42(23): 1810-6.
4. 4. Groeneweg R, Assen L, Kropman H, Leopold H, Mulder J, Smits EBC, et al. Manual therapy compared with physical therapy in patients with non-specific neck pain: a randomized controlled trial. Chiropr & Manual Ther. 2017; 25(1): 1-12.
5. 5. Fejer R, Kyvik KO, Hartvigsen J. The prevalence of neck pain in the world population: a systematic critical review of the literature. Eur Spine J. 2006; 15(6): 834-48.
6. 6. Cohen SP, Hooten WM. Advances in the diagnosis and management of neck pain. BMJ. 2017; 358: j3221.
7. 7. Cohen SP. Epidemiology, diagnosis, and treatment of neck pain. Mayo Clin Proc. 2015; 90(2): 284-99.
8. 8. López I, Sollano VE, Corral T. Reduction of cervical and respiratory muscle strength in patients with chronic nonspecific neck pain and having moderate to severe disability. Disabil Rehabil. 2018; 40(21): 2495-504.

9. 9. Martel J, Dugas C, Lafond D, Descarreaux M. Validation of the French version of the bournemouth questionnaire. J Can Chiropr Assoc. 2009; 53(2): 102-10.
10. 10. Deyo RA, Battie M, Beurskens A, Bombardier C, Croft P, Koes B, et al. Outcome measures for low back pain research: a proposal for standardized use. Spine. 1998; 23(18): 2003-13.
11. 11. Parks K, Crichton K, Goldford R, McGill S. A comparison of lumbar range of motion and functional ability scores in patients with low back pain: assessment for range of motion validity. Spine. 2003; 28(4): 380-4.
12. 12. Kose G, Hepguler S, Atamaz F, Oder G. A comparison of four disability scales for Turkish patients with neck pain. J Rehabil Med. 2007; 39(5): 358-62.
13. 13. Bicer A, Yazici A, Camdeviren H, Erdogan C. Assessment of pain and disability in patients with chronic neck pain: reliability and construct validity of the Turkish version of the neck pain and disability scale. Disabil Rehabil. 2004; 26(16): 959-62.
14. 14. Telci EA, Karaduman A, Yakut Y, Aras B, Simsek IE, Yagli N. The cultural adaptation, reliability, and validity of neck disability index in patients with neck pain: a Turkish version study. Spine. 2009; 34(16): 1732-5.
15. 15. Jordan A, Manniche C, Mosdal C, Hindsberger C. The copenhagen neck functional disability scale: a study of reliability and validity. J Manipulative Physiol Ther. 1998; 21(8): 520-7.
16. 16. Jordan A, Bendix T, Nielsen H, Hansen FR, Høst D, Winkel A. Intensive training, physiotherapy, or manipulation for patients with chronic neck pain: a prospective, single-blinded, randomized clinical trial. Spine. 1998; 23(3): 311-8.
17. 17. Bolton JE, Humphreys BK. The bournemouth questionnaire: a short-form comprehensive outcome measure. II. Psychometric properties in neck pain patients. J Manipulative Physiol Ther. 2002; 25(3): 141-8.
18. 18. Bolton JE, Breen AC. The bournemouth questionnaire: a short-form comprehensive outcome measure. I. Psychometric properties in back pain patients. J Manipulative Physiol Ther. 1999; 22(8): 503-10.
19. 19. Yılmaz O, Gafuroğlu Ü, Yüksel S. Translation, reliability, and validity of the Turkish version of the neck bournemouth questionnaire. Turk J Phys Med Rehabil. 2019; 65(1): 59-66.
20. 20. Kaergaard A, Andersen JH, Rasmussen K, Mikkelsen S. Identification of neck-shoulder disorders in a 1 year follow-up study. Validation of a questionnaire-based method. Pain. 2000; 86(3): 305-10.
21. 21. Berg A, Suhonen R, Idvall E. A survey of orthopaedic patients’ assessment of care using the individualised care scale. J Orthop Nurs. 2007; 11(3-4): 185-93.
22. 22. Arslan S, Şener DK, Cangür Ş. Pediatri hemşireliği öğrencileri klinik rahatlık ve endişe değerlendirme aracının geçerlik ve güvenirliği. DÜ Sağlık Bil Enst Derg. 2018; 8(2): 61-6.
23. 23. Vernon H, Mior S. The neck disability index: a study of reliability and validity. J Manipulative Physiol Ther. 1991; 14(7): 409-15.
24. 24. Wheeler AH, Goolkasian P, Baird AC, Darden BV. Development of the neck pain and disability scale: item analysis, face, and criterion-related validity. Spine. 1999; 24(13): 1290.
25. 25. Pinar R. Reliability and construct validity of the SF-36 in Turkish cancer patients. Qual Life Res. 2005; 14(1): 259-64.
26. 26. Ware Jr, John E, Sherbourne CD. The mos 36-item short-form health survey (sf-36): I. Conceptual framework and item selection. Med Care. 1992; 30(6): 473-83.
27. 27. Korkmaz S, Goksuluk D, Zararsiz G. MVN: An r package for assessing multivariate normality.R J. 2014; 6(2): 151-62.
28. 28. Zinbarg RE, Revelle W, Yovel I, Li W. Cronbach’s α, Revelle’s β, and McDonald’s ω H: Their relations with each other and two alternative conceptualizations of reliability. Psychometrika. 2005; 70(1): 123-33.
29. 29. Zinbarg RE, Yovel I, Revelle W, McDonald RP. Estimating generalizability to a latent variable common to all of a scale's indicators: A comparison of estimators for ωh. Appl Psychol Meas. 2006; 30(2): 121-44.
30. 30. Andresen EM. Criteria for assessing the tools of disability outcomes research. Arch Phys Med Rehabil. 2000; 81: 15-20.
31. 31. Marx RG, Menezes A, Horovitz L, Jones EC, Warren RF. A comparison of two time intervals for test-retest reliability of health status instruments. J Clin Epidemiol. 2003; 56(8): 730-5.
32. 32. Terwee CB, Bot SD, Boer MR, Windt DA, Knol DL, Dekker J, et al. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007; 60(1): 34-42.
33. 33. McHorney CA, Tarlov AR. Individual-patient monitoring in clinical practice: are available health status surveys adequate? Qual Life Res. 1995; 4(4): 293-30.
34. 34. Feise RJ, Menke JM. Functional rating index: a new valid and reliable instrument to measure the magnitude of clinical change in spinal conditions. Spine. 2001; 26(1): 78-87.
35. 35. Hyland ME. A brief guide to the selection of quality of life instrument. Health Qual Life Outcomes. 2003; 1(1): 24.
36. 36. Hair JF, Black Wc, Babin Bj, Anderson Re. Multivariate data analysis. 7th ed. New York: Pearson; 2010.
37. 37. Soklic M, Peterson C, Humphreys BK. Translation and validation of the German version of the Bournemouth questionnaire for neck pain. Chiropr & Manual Ther. 2012; 20(1): 2.
38. 38. World Health Organization. The international classification of functioning, disability and health (ICF). Geneva: WHO; 2001.
39. 39. Geri T, Signori A, Gianola S, Rossettini G, Grenat G, Checchia G, et al. Cross-cultural adaptation and validation of the neck bournemouth questionnaire in the Italian population. Qual Life Res. 2015; 24(3): 735-45.
40. 40. Hogg JS, Velde G, Carroll LJ, Holm LW, Cassidy JD, Guzman J, et al. The burden and determinants of neck pain in the general population: results of the bone and joint decade 2000–2010 task force on neck pain and its associated disorders. J Manipulative Physiol Ther. 2009; 32(2): 46-60.
41. 41. Terwee CB, Schellingerhout JM, Verhagen AP, Koes BW, Vet HC. Methodological quality of studies on the measurement properties of neck pain and disability questionnaires: a systematic review. J Manipulative Physiol Ther. 2011; 34(4): 261-72.
42. 42. Allen MJ, Yen WM. Introduction to measurement theory. Long Grove: Waveland Press; 2002.
43. 43. Ghasemi F, Yoosefinejad AK, Pirouzi S, Ghaem H. Evaluating the cross-cultural adaptation, reliability, and validity of the Persian versions of the copenhagen neck function disability scale and neck bournemouth questionnaire. Spine. 2019; 44(2): E126-32.