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Cross-cultural adaptation, validity, and reliability of the Danish version of the neurophysiology of pain questionnaire

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Název: Cross-cultural adaptation, validity, and reliability of the Danish version of the neurophysiology of pain questionnaire
Autoři: Nikolaj Agger, Thor Andre Brøndberg Stæhr, Michael Skovdal Rathleff, Lene Baad-Hansen, Shellie Boudreau, David Høyrup Christiansen
Zdroj: J Patient Rep Outcomes
Journal of Patient-Reported Outcomes, Vol 9, Iss 1, Pp 1-8 (2025)
Agger, N, Stæhr, T A B, Rathleff, M S, Baad-Hansen, L, Boudreau, S & Christiansen, D H 2025, 'Cross-cultural adaptation, validity, and reliability of the Danish version of the neurophysiology of pain questionnaire', Journal of Patient-Reported Outcomes, vol. 9, no. 1, 62, pp. 62. https://doi.org/10.1186/s41687-025-00899-w
Agger, N, Stæhr, T A B, Rathleff, M S, Baad-Hansen, L, Boudreau, S & Christiansen, D H 2025, 'Cross-cultural adaptation, validity, and reliability of the Danish version of the neurophysiology of pain questionnaire', Journal of Patient-Reported Outcomes, vol. 9, no. 1, 62. https://doi.org/10.1186/s41687-025-00899-w
Informace o vydavateli: Springer Science and Business Media LLC, 2025.
Rok vydání: 2025
Témata: Adult, Cross-Cultural Comparison, Male, Translation, Psychometrics, Denmark, Pain education, Validity, Healthcare students, Young Adult, Structural validity, Humans, Translations, Pain Measurement/methods, Pain/diagnosis, Surveys and Questionnaires/standards, Cross-cultural adaptation, Research, Neurophysiology of pain questionnaire, Reproducibility of Results, Reliability, Cross-Sectional Studies, Test-retest reliability, Female, Public aspects of medicine, RA1-1270
Popis: Background Despite advances in medicine and technology, pain remains a significant global burden. Improving pain education for undergraduate healthcare students is considered an important step toward enhancing pain management. The Neurophysiology of Pain Questionnaire (NPQ) is commonly used to assess pain knowledge in healthcare students, but its validity and reliability in this population remain uncertain. This study aimed to translate and cross-culturally adapt the NPQ for Danish-speaking healthcare students and evaluate its measurement properties in Danish physiotherapy, medicine, and odontology students. Methods The study was conducted in two phases: (1) translation and cross-cultural adaptation of the NPQ following international guidelines, and (2) a cross-sectional study to evaluate its validity and reliability in a sample of 224 Danish undergraduate healthcare students. Structural validity was assessed using exploratory factor analysis. Internal consistency was evaluated using Cronbach’s alpha, while test-retest reliability was determined using the intraclass correlation coefficient (ICC). Measurement error was analyzed using the standard error of measurement (SEM) and minimal detectable change (MDC). Results Factor analysis revealed 11 factors, each with eigenvalues below 1, suggesting poor structural validity. Factor loadings were below the recommended threshold of 0.50, indicating weak item clustering. Internal consistency was low (Cronbach’s alpha = 0.37, 95% CI: 0.27 to 0.47), and test-retest reliability was poor (ICC = 0.39, 95% CI: 0.03 to 0.66). Measurement error analysis showed an SEM of 1.94 (95% CI: 1.54 to 2.63) and an MDC of 5.38 (95% CI: 4.27 to 7.28). No floor or ceiling effects were observed. Conclusions The Danish version of the NPQ demonstrated poor structural validity, internal consistency, and reliability in undergraduate healthcare students. These findings raise concerns about its suitability for assessing pain neurophysiology knowledge in this population. Alternative tools or modifications to the NPQ may be necessary to improve its measurement properties.
Druh dokumentu: Article
Other literature type
Popis souboru: application/pdf
Jazyk: English
ISSN: 2509-8020
DOI: 10.1186/s41687-025-00899-w
Přístupová URL adresa: https://doaj.org/article/b620be308407450ca133e81ac7e77f37
Rights: CC BY
Přístupové číslo: edsair.doi.dedup.....d47239ef9fb264c29d59fd719b5e5766
Databáze: OpenAIRE
Popis
Abstrakt:Background Despite advances in medicine and technology, pain remains a significant global burden. Improving pain education for undergraduate healthcare students is considered an important step toward enhancing pain management. The Neurophysiology of Pain Questionnaire (NPQ) is commonly used to assess pain knowledge in healthcare students, but its validity and reliability in this population remain uncertain. This study aimed to translate and cross-culturally adapt the NPQ for Danish-speaking healthcare students and evaluate its measurement properties in Danish physiotherapy, medicine, and odontology students. Methods The study was conducted in two phases: (1) translation and cross-cultural adaptation of the NPQ following international guidelines, and (2) a cross-sectional study to evaluate its validity and reliability in a sample of 224 Danish undergraduate healthcare students. Structural validity was assessed using exploratory factor analysis. Internal consistency was evaluated using Cronbach’s alpha, while test-retest reliability was determined using the intraclass correlation coefficient (ICC). Measurement error was analyzed using the standard error of measurement (SEM) and minimal detectable change (MDC). Results Factor analysis revealed 11 factors, each with eigenvalues below 1, suggesting poor structural validity. Factor loadings were below the recommended threshold of 0.50, indicating weak item clustering. Internal consistency was low (Cronbach’s alpha = 0.37, 95% CI: 0.27 to 0.47), and test-retest reliability was poor (ICC = 0.39, 95% CI: 0.03 to 0.66). Measurement error analysis showed an SEM of 1.94 (95% CI: 1.54 to 2.63) and an MDC of 5.38 (95% CI: 4.27 to 7.28). No floor or ceiling effects were observed. Conclusions The Danish version of the NPQ demonstrated poor structural validity, internal consistency, and reliability in undergraduate healthcare students. These findings raise concerns about its suitability for assessing pain neurophysiology knowledge in this population. Alternative tools or modifications to the NPQ may be necessary to improve its measurement properties.
ISSN:25098020
DOI:10.1186/s41687-025-00899-w