Full metadata record
DC FieldValueLanguage
dc.contributorFaculty of Health and Social Sciencesen_US
dc.contributor.advisorWong, Arnold (RS)en_US
dc.contributor.advisorPang, Marco (RS)en_US
dc.creatorMa, Hok Man-
dc.identifier.urihttps://theses.lib.polyu.edu.hk/handle/200/12844-
dc.languageEnglishen_US
dc.publisherHong Kong Polytechnic Universityen_US
dc.rightsAll rights reserveden_US
dc.titleTranslation and validation of traditional Chinese version of a yellow flag assessment tool for patients with spinal painen_US
dcterms.abstractBackgrounden_US
dcterms.abstractLow back pain and neck pain in the chronic form are the most prevalent pain conditions affecting millions of people around the world. It was believed that chronic pain in the neck or lower back regions are multifaceted disorders resulting from the interactions between physiological, psychological and social factors, and has an important impact on extending and worsening the clinical presentation. Various psychological factors can negatively impact the chronic spinal pain condition and patients’ responses to treatment. Therefore, an improved understanding of the psychological condition of patients with chronic spinal pain is essential in tailor-made and comprehensive treatment strategies for these patients. The Optimal Screening for Prediction of Referral and Outcome Yellow Flag(OSPRO-YF) Assessment Tool is a newly established assessment tool for yellow flag screening in 2016. The OSPRO-YF Assessment Tool was deduced from a 136-item pool which was summarized from 10 validated questionnaires. Among those validated questionnaires, 11 psychological constructs were assessed. They include trait anxiety, depression, fear avoidance beliefs for physical activities, pain-related fear of movement fear avoidance beliefs for work, anger, pain self-efficacy, pain catastrophizing, pain-related anxiety and pain acceptance. However, no research was conducted to culturally adapted the OSPRO-YF Assessment Tool for assessing psychological conditions among Chinese patients with back or neck pain.en_US
dcterms.abstractObjectivesen_US
dcterms.abstractThis study aimed to: (i) translate OSPRO Cohort Yellow Flag (OSPRO-YF) Assessment Tool into Traditional Chinese version; and (ii) evaluate the reliability and validity of the translated OSPRO-YF Assessment Tool among Chinese patients with spinal pain.en_US
dcterms.abstractMethods:en_US
dcterms.abstractAn established translation procedure was implemented to translate OSPRO-YF Assessment Tool. The procedure included forward and backward translation, as well as testing with cognitive debriefing interviews. Three panel members evaluated the semantic equivalence and the content equivalence.en_US
dcterms.abstractThe translated questionnaire was validated on 200 Chinese patients with spinal pain receiving physiotherapy service in a local public hospital. Confirmatory factor analysis (CFA) was adopted to evaluate the structural validity. The test-retest reliability and internal consistency were assessed by Wilcoxon signed-rank test and Spearman’s rho correlation coefficient. For the responsiveness analysis, the correlations between the changes of score in all factors and the corresponding changes in Numeric Pain Rating Scale (NPRS), Roland Morris Disability Questionnaire (RMDQ) scores and Northwick Park Questionnaire (NPQ) scores were examined by Spearman’s rho correlation coefficients. The convergent, discriminant validity and predictive validity were examined by evaluating the correlations between the items scores in each identified factor in the translated OSPRO-YF Assessment Tool and three representative questionnaires, including Tampa Scale of Kinesiophobia (TSK-11), Patient Health Questionnaire (PHQ-9), and Pain Self-Efficacy Questionnaire (PSEQ).en_US
dcterms.abstractResults:en_US
dcterms.abstractThe semantic equivalence and the content equivalence of OSPRO-YF were 100%. Four factors including negative mood, pain catastrophizing, fear avoidance, and positive coping were identified. CFA indicated good fit for the four-factors model (CFI=0.974, RMSEA=0.066, p<0.001). Factors demonstrated moderate-to-good test-retest reliability (r=0.725 to 0.982, p>0.05). For the convergent validity, the pain catastrophizing factor revealed moderate correlations with TSK-11 (r=0.598) and PHQ­-9 (r=0.514) (p<0.001); the fear avoidance factor demonstrated moderate correlations (with TSK-11 (r=0.507; p<0.001); positive coping factor was moderately related to PSEQ (r=0.594; p<0.001); negative mood factor was weakly correlated with PHQ-9 (r=0.377; p<0.001). For the discriminant validity, pain catastrophizing factor demonstrated significant weak correlations with PSEQ (r= -0.341, p<0.001); fear avoidance factor was weak correlated with PHQ-9 (r=0.317) and PSEQ (r= -0.168). The positive coping factor displayed negligible correlation with TSK-11 (r= -0.112) and weak correlation with PHQ-9 (r=0.321), while the negative mood factor demonstrated negligible correlation with TSK-11 (r=0.154) and PSEQ (r= -0.125). Additionally, responsiveness analyses showed that changes in all these factors had negligible correlation with the corresponding change in NPRS, NGRCS, RMDQ or NPQ.en_US
dcterms.abstractConclusionsen_US
dcterms.abstractOur findings substantiated that traditional Chinese version of OSPRO-YF Assessment Tool was a reliable and valid instrument to assess psychosocial conditions among Chinese patients with spinal pain. This validated instrument can be used to monitor the temporal changes in health-related functioning of Chinese patients with spinal pain, although further research is warranted to evaluate the responsiveness of this questionnaire.en_US
dcterms.extentxv, 190 pages : color illustrationsen_US
dcterms.isPartOfPolyU Electronic Thesesen_US
dcterms.issued2023en_US
dcterms.educationalLevelDHScen_US
dcterms.educationalLevelAll Doctorateen_US
dcterms.LCSHBackacheen_US
dcterms.LCSHNeck painen_US
dcterms.LCSHSpine -- Diseasesen_US
dcterms.LCSHPain -- Measurementen_US
dcterms.LCSHTranslating and interpretingen_US
dcterms.LCSHHong Kong Polytechnic University -- Dissertationsen_US
dcterms.accessRightsrestricted accessen_US

Files in This Item:
File Description SizeFormat 
7293.pdfFor All Users (off-campus access for PolyU Staff & Students only)6.56 MBAdobe PDFView/Open


Copyright Undertaking

As a bona fide Library user, I declare that:

  1. I will abide by the rules and legal ordinances governing copyright regarding the use of the Database.
  2. I will use the Database for the purpose of my research or private study only and not for circulation or further reproduction or any other purpose.
  3. I agree to indemnify and hold the University harmless from and against any loss, damage, cost, liability or expenses arising from copyright infringement or unauthorized usage.

By downloading any item(s) listed above, you acknowledge that you have read and understood the copyright undertaking as stated above, and agree to be bound by all of its terms.

Show simple item record

Please use this identifier to cite or link to this item: https://theses.lib.polyu.edu.hk/handle/200/12844