The development and validation of a measurement instrument to investigate determinants of health care utilisation for low back pain in Ethiopia


Autoři: Getahun Kebede Beyera aff001;  Jane O’Brien aff001;  Steven Campbell aff001
Působiště autorů: School of Nursing, College of Health and Medicine, University of Tasmania, Launceston, Tasmania, Australia aff001;  Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia aff002
Vyšlo v časopise: PLoS ONE 15(1)
Kategorie: Research Article
doi: 10.1371/journal.pone.0227801

Souhrn

Introduction and objectives

Low back pain (LBP) is a highly prevalent and disabling public health problem globally. However, little is known about factors affecting health care utilisation for optimal management of the pain, and there is no validated instrument to derive epidemiological data for a better understanding of these factors. The aim of this study was to develop and validate an instrument used to measure determinants of health care utilisation for LBP in Ethiopia.

Methods

The relevant domains of potential determinants of health care utilisation for LBP were identified following a comprehensive review of the literature. Items relating to each domain were then generated by considering the context of Ethiopia, and where necessary, existing items were adapted. The instrument was then translated, and an expert panel reviewed the instrument for content validity, clarity and any other suggestions. Using the data collected from 1303 adults with LBP, factorial validity was assessed by conducting principal component and parallel analyses. Internal consistency reliability was also assessed using Cronbach’s alpha. Intraclass correlation coefficient (ICC) and Cohen Kappa statistic were calculated to evaluate temporal stability of the instrument.

Results

Parallel analysis showed that there were six components with Eigenvalues (obtained from principal component analysis) exceeding the corresponding criterion values for a randomly generated data matrix of the same size. Cronbach’s alpha for the internal consistency reliability ranged from 0.65 to 0.82. In assessing temporal stability, ICC ranged from 0.60, 95% CI: 0.23–0.98 to 0.95, 95% CI: 0.81–1.00 while Cohen Kappa ranged from 0.72, 95% CI: 0.49–0.94 to 0.93, 95% CI: 0.85–1.00.

Conclusions

This study demonstrated that the newly developed instrument has an overall good level of content and factorial validity, internal consistency reliability, and temporal stability. In this way, this instrument is appropriate for measuring determinants of health care utilisation among people with LBP in Ethiopia.

Klíčová slova:

Behavioral and social aspects of health – Ethiopia – Health care utilization – Lower back pain – Measurement equipment – Pain sensation – Principal component analysis – Research validity


Zdroje

1. Palazzo C, Ravaud J-F, Papelard A, Ravaud P, Poiraudeau S. The burden of musculoskeletal conditions. PLoS ONE. 2014;9(3):e90633. doi: 10.1371/journal.pone.0090633 24595187

2. March L, Smith EU, Hoy DG, Cross MJ, Sanchez-Riera L, Blyth F, et al. Burden of disability due to musculoskeletal (MSK) disorders. Best Practice & Research Clinical Rheumatology. 2014;28(3):353–66. doi: 10.1016/j.berh.2014.08.002 25481420

3. Storheim K, Zwart J-A. Musculoskeletal disorders and the Global Burden of Disease study. Annals of the Rheumatic Diseases. 2014;73(6):949–50. doi: 10.1136/annrheumdis-2014-205327 24790065

4. Woolf AD, Erwin J, March L. The need to address the burden of musculoskeletal conditions. Best Practice & Research Clinical Rheumatology. 2012;26(2):183–224. doi: 10.1016/j.berh.2012.03.005 22794094

5. Denteneer L, Van Daele U, De Hertogh W, Truijen S, Stassijns G. Identification of preliminary prognostic indicators for back rehabilitation in patients with nonspecific chronic low back pain: A retrospective cohort study. Spine. 2016;41(6):522–9. doi: 10.1097/BRS.0000000000001262 26536437

6. Meucci RD, Fassa AG, Paniz VM, Silva MC, Wegman DH. Increase of chronic low back pain prevalence in a medium-sized city of Southern Brazil. BMC Musculoskeletal Disorders. 2013;14(1):155. doi: 10.1186/1471-2474-14-155 23634830

7. Hoy D, Bain C, Williams G, March L, Brooks P, Blyth F, et al. A systematic review of the global prevalence of low back pain. Arthritis & Rheumatism. 2012;64(6):2028–37. doi: 10.1002/art.34347 22231424

8. Vos T, Allen C, Arora M, Barber RM, Bhutta ZA, Brown A, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990–2015: A systematic analysis for the global burden of disease study 2015. The Lancet. 2016;388(10053):1545–602. doi: 10.1016/S0140-6736(16)31678-6 27733282

9. Hartvigsen J, Hancock MJ, Kongsted A, Louw Q, Ferreira ML, Genevay S, et al. What low back pain is and why we need to pay attention. The Lancet. 2018. doi: 10.1016/S0140-6736(18)30480-X

10. Gore M, Sadosky A, Stacey BR, Tai K-S, Leslie D. The burden of chronic low back pain: Clinical comorbidities, treatment patterns, and health care costs in usual care settings. Spine. 2012;37(11):E668–E77. doi: 10.1097/BRS.0b013e318241e5de 22146287

11. Katz JN. Lumbar disc disorders and low-back pain: Socioeconomic factors and consequences. Journal of Bone and Joint Surgery. 2006;88(suppl 2):21–4. doi: 10.2106/JBJS.E.01273 16595438

12. Woolf AD, Pfleger B. Burden of major musculoskeletal conditions. Bulletin of the World Health Organization. 2003;81(9):646–56. 14710506

13. Deyo RA, Mirza SK, Turner JA, Martin BI. Overtreating chronic back pain: Time to back off? The Journal of the American Board of Family Medicine. 2009;22(1):62–8. doi: 10.3122/jabfm.2009.01.080102 19124635

14. Mork PJ, Bach K. A decision support system to enhance self-management of low back pain: Protocol for the selfBACK project. JMIR Research Protocols. 2018;7(7):e167–e. doi: 10.2196/resprot.9379 30030208

15. van Hooff ML, Ter Avest W, Horsting PP, O’Dowd J, de Kleuver M, van Lankveld W, et al. A short, intensive cognitive behavioral pain management program reduces health-care use in patients with chronic low back pain: Two-year follow-up results of a prospective cohort. European Spine Journal. 2012;21(7):1257–64. doi: 10.1007/s00586-011-2091-0 22139049

16. Misganaw A, Melaku YA, Tessema GA, Deribew A, Deribe K, Abera SF, et al. National disability-adjusted life years (DALYs) for 257 diseases and injuries in Ethiopia, 1990–2015: Findings from the global burden of disease study 2015. Population Health Metrics. 2017;15(1):28. doi: 10.1186/s12963-017-0146-0 28732542

17. Vos T, Flaxman AD, Naghavi M, Lozano R, Michaud C, Ezzati M, et al. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: A systematic analysis for the global burden of disease study 2010. The Lancet. 2013;380(9859):2163–96. doi: 10.1016/S0140-6736(12)61729-2 23245607

18. Beyen T, Mengestu M, Zele T. Low back pain and associated factors among teachers in Gondar town, North Gondar, Amhara region, Ethiopia. Occupational Medicine & Health Affairs. 2013;1(5):127. doi: 10.4172/2329-6879.1000127

19. Sikiru L, Shmaila H. Prevalence and risk factors of low back pain among nurses in Africa: Nigerian and Ethiopian specialized hospitals survey study. East African Journal of Public Health. 2009;6(1):22–5. doi: 10.4314/eajph.v6i1.45737 20000059

20. El-Sayed AM, Hadley C, Tessema F, Tegegn A, Cowan JA Jr, Galea S. Back and neck pain and psychopathology in rural sub-Saharan Africa: Evidence from the Gilgel Gibe growth and development study, Ethiopia. Spine. 2010;35(6):684. doi: 10.1097/BRS.0b013e3181b4926e 20139812

21. Hestbaek L, Leboeuf-Yde C, Manniche C. Low back pain: What is the long-term course? A review of studies of general patient populations. European Spine Journal. 2003;12(2):149–65. doi: 10.1007/s00586-002-0508-5 12709853

22. Castellini G, Gianola S, Banfi G, Bonovas S, Moja L. Mechanical low back pain: Secular trend and intervention topics of randomized controlled trials. Physiotherapy Canada. 2016;68(1):61–3. doi: 10.3138/ptc.2014-58 27504049

23. Joines JD, Hertz-Picciotto I, Carey TS, Gesler W, Suchindran C. A spatial analysis of county-level variation in hospitalization rates for low back problems in North Carolina. Social Science & Medicine. 2003;56(12):2541–53. doi: 10.1016/S0277-9536(02)00295-2

24. Beyera GK, O’Brien J, Campbell S. Health-care utilisation for low back pain: A systematic review and meta-analysis of population-based observational studies. Rheumatology International. 2019;39(10):1663–79 doi: 10.1007/s00296-019-04430-5 31463608

25. Woodhouse A, Pape K, Romundstad PR, Vasseljen O. Health care contact following a new incident neck or low back pain episode in the general population; the HUNT study. BMC Health Services Research. 2016;16(1):81. doi: 10.1186/s12913-016-1326-5 26955969

26. DeVon HA, Block ME, Moyle-Wright P, Ernst DM, Hayden SJ, Lazzara DJ, et al. A psychometric toolbox for testing validity and reliability. Journal of Nursing Scholarship. 2007;39(2):155–64. doi: 10.1111/j.1547-5069.2007.00161.x 17535316

27. Tiira A, Paananen M, Taimela S, Zitting P, Järvelin MR, Karppinen J. Determinants of adolescent health care use for low back pain. European Journal of Pain. 2012;16(10):1467–76. doi: 10.1002/j.1532-2149.2012.00178.x 22807167

28. Bandura A. Health promotion by social cognitive means. Health Education & Behavior. 2004;31(2):143–64. doi: 10.1177/1090198104263660 15090118

29. Montaño DE, Kasprzyk D. Theory of reasoned action, theory of planned behavior, and the integrated behavioural model. In: Glanz K, Rimer BK, Viswanath K, editors. Health behavior and health education: Theory, research, and practice 4th ed. San Francisco, USA: Jossey-Bass; 2008. p. 67–96.

30. Andersen R. Revisiting the behavioral model and access to medical care: Does it matter? Journal of Health and Social Behavior. 1995;36(1):1–10. doi: 10.2307/2137284 7738325

31. Rosenstock IM. Why people use health services. Milbank Quarterly. 2005;83(4):1–32. doi: 10.1111/j.1468-0009.2005.00425.x

32. Parascandola M. The epidemiologic transition and changing concepts of causation and causal inference. Revue d’Histoire des Sciences. 2011;64(2):243–62.

33. Deyo RA, Dworkin SF, Amtmann D, Andersson G, Borenstein D, Carragee E, et al. Report of the NIH task force on research standards for chronic low back pain. Physical Therapy. 2015;95(2):e1–e18. doi: 10.2522/ptj.2015.95.2.e1 25639530

34. Bostick G, Schopflocher D, Gross D. Validity evidence for the back beliefs questionnaire in the general population. European Journal of Pain. 2013;17(7):1074–81. doi: 10.1002/j.1532-2149.2012.00275.x 23335330

35. Tsang S, Royse CF, Terkawi AS. Guidelines for developing, translating, and validating a questionnaire in perioperative and pain medicine. Saudi Journal of Anaesthesia. 2017;11(Suppl 1):S80. doi: 10.4103/sja.SJA_203_17 28616007

36. Lee JS, Lee DH, Suh KT, Kim JI, Lim JM, Goh TS. Validation of the Korean version of the Roland–Morris Disability Questionnaire. European Spine Journal. 2011;20(12):2115–9. doi: 10.1007/s00586-011-1788-4 21479853

37. Bruyère O, Demoulin M, Brereton C, Humblet F, Flynn D, Hill JC, et al. Translation validation of a new back pain screening questionnaire (the STarT Back Screening Tool) in French. Archives of Public Health. 2012;70(1):12. doi: 10.1186/0778-7367-70-12 22958224

38. Sangoseni O, Hellman M, Hill C. Development and validation of a questionnaire to assess the effect of online learning on behaviors, attitudes, and clinical practices of physical therapists in the United States regarding evidenced-based clinical practice. Internet Journal of Allied Health Sciences and Practice. 2013;11(2):7.

39. Polit DF, Beck CT, Owen SV. Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Research in Nursing & Health. 2007;30(4):459–67. doi: 10.1002/nur.20199 17654487

40. Grant JS, Davis LL. Focus on quantitative methods: Selection and use of content experts for instrument development. Research in Nursing & Health. 1997;20(3):269–74.

41. Carneiro CdS, Lopes JdL, Herdman TH, Lopes CT, Bachion MM, Bottura Leite de Barros AL. Construction and validation of a data collection tool for the clinical assessment of human responses of outpatients with chronic cardiovascular diseases. International Journal of Nursing Knowledge. 2014;25(3):161–7. doi: 10.1111/2047-3095.12029 24674014

42. Zhang J, Oldenburg B, Turrell G. Measuring factors that influence the utilisation of preventive care services provided by general practitioners in Australia. BMC Health Services Research. 2009;9(1):218. doi: 10.1186/1472-6963-9-218 19954549

43. Dean AG, Sullivan KM, Soe MM. OpenEpi: Open source epidemiologic statistics for public health, version 3.01 2013 [updated 06/04/201311/10/2017]. http://www.openepi.com/Menu/OE_Menu.htm.

44. Kimberlin CL, Winetrstein AG. Validity and reliability of measurement instruments used in research. American Journal of Health-System Pharmacy. 2008;65(23):2276–84. doi: 10.2146/ajhp070364 19020196

45. Singh AS, Chinapaw MJ, Uijtdewilligen L, Vik FN, van Lippevelde W, Fernández-Alvira JM, et al. Test-retest reliability and construct validity of the ENERGY-parent questionnaire on parenting practices, energy balance-related behaviours and their potential behavioural determinants: The ENERGY-project. BMC Research Notes. 2012;5(1):434. doi: 10.1186/1756-0500-5-434 22888983

46. Ehrenbrusthoff K, Ryan CG, Grueneberg C, Martin DJ. A systematic review and meta-analysis of the reliability and validity of sensorimotor measurement instruments in people with chronic low back pain. Musculoskeletal Science and Practice. 2018;35: 73–83. doi: 10.1016/j.msksp.2018.02.007 29549815

47. Pallant J. SPSS survival manual. 3rd ed. New York, USA: Open University Press; 2007.

48. Bartlett MS. A note on the multiplying factors for various χ2 approximations. Journal of the Royal Statistical Society Series B (Methodological). 1954;16(2):296–8.

49. Ono R, Yamazaki S, Takegami M, Suzukamo Y, Konno S, Kikuchi S, et al. Patient-reported disability in the general Japanese population was associated with medical care visits for low back pain, regardless of pain intensity. Journal of Orthopaedic Science. 2015;20(4):742–9. doi: 10.1007/s00776-015-0719-3 25862328

50. Ferreira ML, Machado G, Latimer J, Maher C, Ferreira PH, Smeets RJ. Factors defining care-seeking in low back pain–a meta-analysis of population based surveys. European Journal of Pain. 2010;14(7):747.e1–e7. doi: 10.1016/j.ejpain.2009.11.005 20036168

51. Jacob T, Zeev A, Epstein L. Low back pain—a community-based study of care-seeking and therapeutic effectiveness. Disability and rehabilitation. 2003;25(2):67–76. doi: 10.1080/0963828021000007905 12554381

52. Mannion AF, Wieser S, Elfering A. Association between beliefs and care-seeking behavior for low back pain. Spine. 2013;38(12):1016–25. doi: 10.1097/BRS.0b013e31828473b5 23459138

53. Walker BF, Muller R, Grant WD. Low back pain in Australian adults. Health provider utilization and care seeking. Journal of Manipulative and Physiological Therapeutics. 2004;27(5):327–35. doi: 10.1016/j.jmpt.2004.04.006 15195040

54. Côté P, Baldwin ML, Johnson WG. Early patterns of care for occupational back pain. Spine. 2005;30(5):581–7. doi: 10.1097/01.brs.0000154613.17511.dd 15738794

55. Plénet A, Gourmelen J, Chastang J-F, Ozguler A, Lanoë J-L, Leclerc A. Seeking care for lower back pain in the French population aged from 30 to 69: The results of the 2002–2003 Decennale Sante survey. Annals of physical and rehabilitation medicine. 2010;53(4):224–38. doi: 10.1016/j.rehab.2010.03.006 20413360

56. Alexopoulos EC, Tanagra D, Konstantinou E, Burdorf A. Musculoskeletal disorders in shipyard industry: Prevalence, health care use, and absenteeism. BMC Musculoskeletal Disorders. 2006;7:88. doi: 10.1186/1471-2474-7-88 17125504

57. De Jesus-Moraleida FR, Ferreira PH, Ferreira ML, Da Silva JP, Assis MG, Pereira LSM. The Brazilian back complaints in the elders (Brazilian BACE) study: Characteristics of Brazilian older adults with a new episode of low back pain. Brazilian Journal of Physical Therapy. 2017;22(1):55–63. doi: 10.1016/j.bjpt.2017.06.018 28870602

58. Souza ACd Alexandre NMC, Guirardello EdB. Psychometric properties in instruments evaluation of reliability and validity. Epidemiologia e Serviços de Saúde. 2017;26(3):649–59. doi: 10.5123/S1679-49742017000300022 28977189

59. Streiner DL, Kottner J. Recommendations for reporting the results of studies of instrument and scale development and testing. Journal of Advanced Nursing. 2014;70(9):1970–9. doi: 10.1111/jan.12402 24684713

60. Salmond SS. Evaluating the reliability and validity of measurement instruments. Orthopaedic Nursing. 2008;27(1):28–30. doi: 10.1097/01.NOR.0000310608.00743.54 18300685

61. Rattray J, Jones MC. Essential elements of questionnaire design and development. J Clin Nurs. 2007;16(2):234–43. doi: 10.1111/j.1365-2702.2006.01573.x 17239058

62. Bolarinwa OA. Principles and methods of validity and reliability testing of questionnaires used in social and health science researches. Nigerian Postgraduate Medical Journal. 2015;22(4):195–201. doi: 10.4103/1117-1936.173959 26776330

63. Murray P. Fundamental issues in questionnaire design. Accident and Emergency Nursing. 1999;7(3):148–53. doi: 10.1016/s0965-2302(99)80074-5 10693384

64. Mor V. A comprehensive clinical assessment tool to inform policy and practice: Applications of the minimum data set. Medical Care. 2004;42(4):50–9. doi: 10.1097/01.mlr.0000120104.01232.5e 15026672

65. Berger ML, Martin BC, Husereau D, Worley K, Allen JD, Yang W, et al. A questionnaire to assess the relevance and credibility of observational studies to inform health care decision making: An ISPOR-AMCP-NPC good practice task force report. Value in Health. 2014;17(2):143–56. doi: 10.1016/j.jval.2013.12.011 24636373

66. Polit DF, Beck CT. The content validity index: Are you sure you know what’s being reported? Critique and recommendations. Research in Nursing & Health. 2006;29(5):489–97. doi: 10.1002/nur.20147 16977646

67. Bland JM, Altman DG. Statistics notes: Cronbach’s alpha. British Medical Journal. 1997;314(7080):572.

68. Streiner DL, Norman GR. Health measurement scales: A practical guide to their development and use. 3rd ed. New York, USA: Oxford University Press; 2003.

69. Lietz P. Research into questionnaire design. International Journal of Market Research. 2010;52(2):249–72. doi: 10.2501/S147078530920120X


Článek vyšel v časopise

PLOS One


2020 Číslo 1