Rasch analysis of the Neck Bournemouth Questionnaire to measure disability related to chronic neck pain

Geri, Tommaso; Piscitelli, Daniele; Meroni, Roberto; Bonetti, Francesca; Giovannico, Giuseppe; Traversi, Roberto; Testa, Marco

doi:10.2340/16501977-2001

Cited by 19 publications

(24 citation statements)

References 31 publications

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“…The NBQ showed a moderate to strong correlation with most existing questionnaires, such as NDI [ 59 , 76 – 78 ], NPDS [ 23 , 78 ], and the Copenhagen Neck Functional Disability Scale [ 76 ], but a weak to moderate correlation with VAS pain [ 59 ]. A large portion of patients judged the NBQ as relevant to their health problem (78.7 %) or as relevant for other people with neck pain (87.9 %) [ 79 ], confirming the face validity of the questionnaire. A floor effect (19.4 % of patients attained the lowest score) was observed in the anxiety and depression factor’s score after treatment [ 79 ].…”

Section: Resultsmentioning

confidence: 89%

“…A large portion of patients judged the NBQ as relevant to their health problem (78.7 %) or as relevant for other people with neck pain (87.9 %) [ 79 ], confirming the face validity of the questionnaire. A floor effect (19.4 % of patients attained the lowest score) was observed in the anxiety and depression factor’s score after treatment [ 79 ].…”

Section: Resultsmentioning

confidence: 89%

“…Confirmatory factor analysis indicated item #7 as unnecessary in factor 1, while for factor 2 the high redundancy could be attributable to the overlapping of feelings like anxiety and depression [ 23 ]. A recent Rasch Italian study [ 79 ] confirmed the presence of two factors. After removal of item #7, the first factor (pain & functioning) fitted the Rasch model, while the second factor (anxiety & depression) fitted the model without modification.…”

Section: Resultsmentioning

confidence: 94%

“…75 %; Spec. 60 %) Geri et al, 2015 (Italian) [ 79 ] Chronic NP 161 2 factors: pain & functioning (F#1); anxiety & depression (F#2) PSI (F#1) = .80 PSI (F#2) = .77 – – – – α Cronbach’s alpha, AUC area under the curve, CI confidence interval, CNFDS copenhagen neck functional disability scale, ES effect size, ICC intraclass correlation coefficient, MCID minimal clinically important difference, NDI neck disability index, NP neck pain, NPDS neck pain and disability scale, NRS numerical rating scale, PSI person separation index, r correlation coefficient, RCI reliable change index, Sens sensibility, Spec specificity, SRM standardized response mean, VAS-P visual analogue scale for pain …”

Section: Resultsmentioning

confidence: 99%

“…The NBQ demonstrated acceptable psychometric properties when tested with CTT methods. The results of both factor analysis and RA revealed a robust 2-factor structure [ 23 , 79 ], and a refined version with removal of item #7 was proposed [ 79 ]. This implies that two independent subscales should be used in place of a total composite score.…”

Section: Discussionmentioning

confidence: 99%

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Patient-reported outcome measures for non-specific neck pain validated in the Italian-language: a systematic review

et al. 2016

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BackgroundPatient-reported outcome measures can improve the management of patients with non-specific neck pain. The choice of measure greatly depends on its content and psychometric properties. Most questionnaires were developed for English-speaking people, and need to undergo cross-cultural validation for use in different language contexts. To help Italian clinicians select the most appropriate tool, we systematically reviewed the validated Italian-language outcome measures for non-specific neck pain, and analyzed their psychometric properties and clinical utility.MethodsThe search was performed in MEDLINE, EMBASE, CINAHL, Scopus, Web of Science, and Cochrane Library. All articles published in English or Italian regarding the development, translation, or validation of patient-reported outcome measures available in the Italian language were included. Two reviewers independently selected the studies, extracted data, and assessed methodological quality using the COSMIN checklist.ResultsOut of 4891articles screened, 66 were eligible. Overall, they were of poor or fair methodological quality. Four instruments measuring function and disability (Neck Disability Index, Neck Pain and Disability Scale, Neck Bournemouth Questionnaire, and Core Outcome Measures Index), and one measuring activity-related fear of movement (NeckPix©) were identified. Each scale showed some psychometric weaknesses or problems with functioning, and none emerged as a gold standard.ConclusionsSeveral patient-reported outcome measures are now available for assessing Italian people with non-specific neck pain. While the Neck Disability Index is the one most widely used, the Neck Bournemouth Questionnaire appears the most promising tool from a psychometric point of view.

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Section: Resultsmentioning

confidence: 89%

Section: Resultsmentioning

confidence: 89%

Section: Resultsmentioning

confidence: 94%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Patient-reported outcome measures for non-specific neck pain validated in the Italian-language: a systematic review

et al. 2016

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Differences in Patient Characteristics, Number of Treatments, and Recovery Rates Between Referred and Self-referred Patients With Nonspecific Neck Pain in Manual Therapy: A Secondary Analysis

Mutsaers

Janssen

Koes

et al. 2020

Journal of Manipulative and Physiological Therapeutics

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The internal structure of Brazilian versions of disability questionnaires in patients with chronic low back pain: A cross-sectional study

Pontes‐Silva

Ávila

Penha

et al. 2022

Musculoskeletal Science and Practice

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Rasch analysis of the Neck Bournemouth Questionnaire to measure disability related to chronic neck pain

Abstract: The Neck Bournemouth Questionnaire with the purposed modification may provide useful clinical profiles and change scores of subjects with chronic neck pain for research purposes.

Cited by 19 publications

References 31 publications

Patient-reported outcome measures for non-specific neck pain validated in the Italian-language: a systematic review

Patient-reported outcome measures for non-specific neck pain validated in the Italian-language: a systematic review

Differences in Patient Characteristics, Number of Treatments, and Recovery Rates Between Referred and Self-referred Patients With Nonspecific Neck Pain in Manual Therapy: A Secondary Analysis

The internal structure of Brazilian versions of disability questionnaires in patients with chronic low back pain: A cross-sectional study

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