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. 2019 Jun;53(2):126-134.
doi: 10.4314/gmj.v53i2.7.

Development and structural validity of a Nigerian culture- and environment-friendly low back pain outcome measure: Ibadan Low Back Pain Disability Questionnaire

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Development and structural validity of a Nigerian culture- and environment-friendly low back pain outcome measure: Ibadan Low Back Pain Disability Questionnaire

Bolanle A Nottidge et al. Ghana Med J. 2019 Jun.

Abstract

Background: Low Back Pain (LBP) is the leading cause of disability globally. Standardized outcome measures for measuring LBP disability exist but none was developed with consideration for the Nigerian culture and environment.

Objective: This study was aimed to develop a Nigerian culture- and environment-friendly LBP scale, the Ibadan Low Back Pain Disability Questionnaire (ILBPDQ).

Methods: Items on ILBPDQ were devised from literature review, interview of patients (231 consecutively-sampled patients with chronic non-specific LBP) and 12 professionals experienced in LBP management and were contentvalidated. The first draft of the questionnaire underwent pretesting twice among individuals with chronic non-specific LBP (n=35 and 114 respectively), factor analysis and experts' reviews to produce the final version.

Results: The final scale comprised 18 items with a two-factor structure (common Activity of Daily Living [ADL] and culture-specific ADL). It has eigen value ≥ 1 and explained 60% of variance. Items on ILBPDQ covered important constructs relevant to an average Nigerian patient with LBP.

Conclusion: A scale for assessing disability in LBP is made available for use in Nigeria and similar populations.

Funding: None declared.

Keywords: Development; Ibadan; Low back pain; Outcome measure; Structural validity.

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Conflict of interest statement

Conflict of interest: None declared

Figures

Figure 1
Figure 1
Flow-chart showing the steps undertaken in the search for articles on LBP disability questionnaires
Figure 2
Figure 2
Scree Plot of final 18 items on ILBPDQ

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