Cristin-resultat-ID: 1199293
Sist endret: 2. april 2017 13:19
NVI-rapporteringsår: 2015
Resultat
Vitenskapelig artikkel
2015

Reconsidering the Roland-Morris Disability Questionnaire: Time for a multidimensional framework?

Bidragsytere:
  • Liv Heide Magnussen
  • Hildegunn Lygren
  • Liv Inger Strand
  • Eli Molde Hagen og
  • Kyrre Breivik

Tidsskrift

Spine
ISSN 0362-2436
e-ISSN 1528-1159
NVI-nivå 2

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2015
Publisert online: 2014
Volum: 40
Hefte: 4
Sider: 257 - 263

Importkilder

Scopus-ID: 2-s2.0-84912001274

Beskrivelse Beskrivelse

Tittel

Reconsidering the Roland-Morris Disability Questionnaire: Time for a multidimensional framework?

Sammendrag

Objective. To explore (1) the factor structure of the Roland-Morris Disability Questionnaire (RMDQ), (2) whether there is a dominant factor, and (3) whether the potential factors are unique predictors of other aspects related to back pain. Summary of Background Data. The RMDQ is one of the most recommended back-specific questionnaires assessing disability. The RMDQ is scored as a unidimensional scale summarizing answers to all 24 questions (Yes/No) regarding daily life functioning. However, there are indications that the scale is multidimensional. Methods. Patients (n = 457; age, 18–60 yr) with 8 to 12 weeks of back pain filled in questionnaires assessing subjective health complaints, emotional distress, instrumental and emotion-focused coping, and fear voidance behavior at baseline. A total of 371 patients (81.7%) filled in the RMDQ. Exploratory factor analysis was used to examine the factor structure of RMDQ items. Multiple regression analyses were used to assess whether the derived factors predicted relevant problems in back pain differently. Results. Exploratory factor analysis showed indices of model fit for a 3-factor solution after removing 2 items because of low prevalence (19 and 24). Two items were removed because of cross-loadings and low loadings (2 and 22). No support for a dominant factor was found as the 3 factors were only moderately correlated (r = 0.34–0.40), and the ratio between the first and second eigenvalue was 2.6, not supporting essential unidimensionality. “Symptoms” were the factor that most strongly predicted subjective health complaints, whereas “avoidance of activity and participation” predicted fear avoidance behavior, instrumental and emotional coping. “Limitation in daily activities” did not predict any of these variables. Conclusion. The main findings of our study are that the RMDQ consists of 3 independent factors, and not 1 dominant factor as suggested previously. We think the time is now ripe to start treating and scoring the RMDQ as a multidimensional scale.

Bidragsytere

Liv Heide Magnussen

  • Tilknyttet:
    Forfatter
    ved Institutt for global helse og samfunnsmedisin ved Universitetet i Bergen
  • Tilknyttet:
    Forfatter
    ved Institutt for helse og funksjon ved Høgskulen på Vestlandet

Hildegunn Lygren

  • Tilknyttet:
    Forfatter
    ved Institutt for helse og funksjon ved Høgskulen på Vestlandet
  • Tilknyttet:
    Forfatter
    ved Fysioterapiavdelingen ved Helse Bergen HF - Haukeland universitetssykehus

Liv Inger Strand

  • Tilknyttet:
    Forfatter
    ved Fysioterapiavdelingen ved Helse Bergen HF - Haukeland universitetssykehus
  • Tilknyttet:
    Forfatter
    ved Institutt for global helse og samfunnsmedisin ved Universitetet i Bergen

Eli Molde Hagen

  • Tilknyttet:
    Forfatter
    ved Div Habilitering og rehabilitering ved Sykehuset Innlandet HF

Kyrre Breivik

  • Tilknyttet:
    Forfatter
    ved Uni Research Helse - RKBU ved NORCE Norwegian Research Centre AS
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