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Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: Translation and validation of the German version of the Young Spine Questionnaire
Authors: Nyirö, Luana
Potthoff, Tobias
Siegenthaler, Mette Hobaek
Riner, Fabienne
Schweinhardt, Petra
Wirth, Brigitte
et. al: No
DOI: 10.1186/s12887-021-02804-y
Published in: BMC Pediatrics
Volume(Issue): 21
Issue: 359
Issue Date: 24-Aug-2021
Publisher / Ed. Institution: BioMed Central
ISSN: 1471-2431
Language: English
Subjects: Adolescence; Back pain; Childhood; Neck pain; Reliability; Responsiveness; Validity; Young Spine Questionnaire
Subject (DDC): 617.5: Orthopaedic surgery
618.92: Pediatrics
Abstract: Background Back pain in childhood and adolescence increases the risk for back pain in adulthood, but validated assessment tools are scarce. The aim of this study was to validate the Young Spine Questionnaire (YSQ) in a German version (G-YSQ) in children and adolescents. Methods Children and adolescents between 10 and 16 years (N?=?240, 166 females, mean age?=?13.05?±?1.70 years), recruited in chiropractic practices and schools, completed the G-YSQ (translated according to scientific guidelines) and the KIDSCREEN-10 (assessing health-related quality of life) at three time points. Test-retest reliability was determined calculating intraclass correlation coefficients [ICC(3,1)] using start and two week-data. Construct validity was investigated testing a priori hypotheses. To assess responsiveness, the patients additionally filled in the Patient Global Impression of Change (PGIC) after three months and the area under the curve (AUC) of receiver operating curves was calculated. Results The ICC(3,1) was 0.88 for pain intensity and pain frequency, indicating good reliability, 0.68 for week prevalence and 0.60 for point prevalence, indicating moderate reliability. Pain intensity, frequency and prevalence differed between patients and controls (p?<?0.001) and, except point prevalence, between older (>?12 years) and younger control participants (p?<?0.01). Health-related quality of life of participants with severe pain (in one or several spinal regions) was lower (KIDSCREEN-10, total score: F(4,230)?=?7.26, p?<?0.001; KIDSCREEN-10, self-rated general health: H(4)?=?51.94, p?<?0.001) than that of participants without pain or with moderate pain in one spinal region. Thus, altogether these findings indicate construct validity of the G-YSQ. The AUC was 0.69 (95?% CI?=?0.57–0.82) and 0.67 (95?% CI?=?0.54–0.80) for week and point prevalence, respectively, indicating insufficient responsiveness of the G-YSQ. Conclusions Apart from the question on point prevalence, construct validity and sufficient test-retest reliability was shown for the G-YSQ. However, its responsiveness needs to be improved, possibly by asking for pain frequency during the last week instead of (dichotomous) week prevalence.
Fulltext version: Published version
License (according to publishing contract): CC BY 4.0: Attribution 4.0 International
Departement: School of Management and Law
Organisational Unit: Winterthur Institute of Health Economics (WIG)
Appears in collections:Publikationen School of Management and Law

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