Cross-cultural Adaptation, Reliability, and Validity of the Yoruba Version of the Roland-Morris Disability Questionnaire.

Journal: Spine

Volume: 42

Issue: 7

Year of Publication: 2017

Affiliated Institutions:  Department of Medical Rehabilitation, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria. Department of Physiotherapy, School of Basic Medical Sciences, College of Medical Sciences, University of Benin, Benin City, Nigeria. Department of Physiotherapy, College of Medicine, Ibadan, Nigeria. Department of Orthopaedic Surgery and Traumatology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria. Orthopaedic and Trauma Unit, Department of Surgery, State Specialist Hospital, Akure, Ondo State, Nigeria. Department of Mental Health, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria.

Abstract summary 

A translation, cross-cultural adaptation, and psychometric analysis.The aim of this study was to translate, cross-culturally adapt, and validate the Yoruba version of the RMDQ.The Roland-Morris Disability Questionnaire (RMDQ) is a valid outcome tool for low back pain (LBP) in clinical and research settings. There seems to be no valid and reliable version of the RMDQ in the Nigerian languages.Following the Guillemin criteria, the English version of the RMDQ was forward and back translated. Two Yoruba translated versions of the RMDQ were assessed for clarity, common language usage, and conceptual equivalence. Consequently, a harmonized Yoruba version was produced and was pilot-tested among 20 patients with nonspecific long-term LBP (NSLBP) for cognitive debriefing. The final version of the Yoruba RMDQ was tested for its construct validity and re-retest reliability among 120 and 87 patients with NSLBP, respectively.Pearson product moment correlation coefficient (r) of 0.82 was obtained for reliability of the Yoruba version of the RMDQ. The test-retest reliability of the Yoruba RMDQ yielded Cronbach alpha 0.932, while the intraclass correlation (ICC) ranged between 0.896 and 0.956. The analysis of the global scores of both the English and Yoruba versions of the RMDQ yielded ICC value of between 0.995 (95% confidence interval 0.996-0.997), with the item-by-item Kappa agreement ranging between 0.824 and 1.000. The external validity of RMDQ using Quadruple Visual Analogue Scale was r = -0.596 (P = 0.001). The Yoruba version of the RMDQ had no floor/ceiling effects, as no patient achieved either of the maximum or the minimum possible scores.The Yoruba version of the RMDQ has excellent reliability and validity and may be an appropriate outcome tool for clinical and research purposes among Yoruba-speaking patients with LBP.3.

Authors & Co-authors:  Mbada Idowu Ogunjimi Ayanniyi Orimolade Oladiran Johnson Akinsulore Oni

Study Outcome 

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Citations :  Haldeman S, Kopansky-Giles D, Hurwitz EL, et al. Advancements in the management of spine disorders. Best Pract Res Clin Rheumatol 2012; 26:263–280.
Authors :  9
Identifiers
Doi : 10.1097/BRS.0000000000001899
SSN : 1528-1159
Study Population
Male,Female
Mesh Terms
Cross-Cultural Comparison
Other Terms
Study Design
Study Approach
Country of Study
Niger
Publication Country
United States