Roland-Morris disability questionnaire is bidimensional and has 16 items when applied to community-dwelling older adults with low back pain

K. Takara,Larissa Alamino Pereira de Viveiro,P. Moura,Amélia Marques Pasqual,J. Pompéu

Published 2022 in Disability and Rehabilitation

ABSTRACT

Abstract Purpose To explore the evidence of the internal structure validity of the Roland-Morris Disability Questionnaire in older adults with low back pain. Methods This was a cross-sectional study of psychometric testing involving 528 older adults with low back pain. Internal structure validity was explored by exploratory factor analysis and semi-confirmatory factor analysis. Reliability was verified using Kuder-Richardson Formula 20, Cronbach’s alpha, and McDonald’s omega. Replicability was observed by the generalized H index. Results Roland-Morris Disability Questionnaire displayed two factors that assess “functional capacity” and “mobility”. Eight items were excluded for presenting cross-loading (2 and 10), inadequate loading factors and communalities (18, 24, 13, and 12), or did not relate to the latent construct (15 and 22). Semi-confirmatory factor analysis indicated that the questionnaire had a good fitness model [X 2 = 153.698 (p = 0.00001); RMSEA = 0.037; RMSR = 0.06; WRMR = 0.04; NNFI = 0.987; GFI = 0.979; AGFI = 0.971]. Reliability was acceptable (KR-20 = 0.79; Cronbach’s alpha = 0.86; McDonald’s Omega = 0.85), but replicability was poor in both factors (G-H factor 1 = 0.816–0.655; G-H factor 2 = 0.889–0.775). Conclusions The most appropriate version of the Roland-Morris Disability Questionnaire to apply to older adults with low back pain has 16 items and assesses functional capacity and mobility. IMPLICATIONS FOR REHABILITATION The RMDQ-16 is the most appropriate version of the RMDQ to use in older adults with LBP; The RMDQ-16 is bidimensional and assesses “functional capacity” and “mobility”; The poor replicability of the RMDQ-16 indicates that it will probably not be stable across studies, but it can be useful in a clinical setting.

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