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Translation, adaptation and validation of the Roland-Morris questionnaire--Brazil Roland-Morris.

L Nusbaum1, J Natour, M B Ferraz

  • 1Disciplina de Reumatologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil.

Brazilian Journal of Medical and Biological Research = Revista Brasileira De Pesquisas Medicas E Biologicas
|February 15, 2001
PubMed
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The Roland-Morris questionnaire was successfully translated into Brazilian-Portuguese (Brazil-RM), demonstrating excellent reliability and validity for assessing chronic low back pain in Brazilian patients.

Area of Science:

  • Rehabilitation Medicine
  • Clinical Psychology
  • Health Outcomes Research

Background:

  • The Roland-Morris (RM) questionnaire is a widely used tool for assessing disability in patients with low back pain.
  • Adapting and validating the RM questionnaire for the Brazilian population is crucial for its effective clinical application.

Purpose of the Study:

  • To translate the original English Roland-Morris questionnaire into Brazilian-Portuguese.
  • To adapt and validate the translated questionnaire (Brazil-RM) for use in Brazilian patients with chronic low back pain.

Main Methods:

  • Forward translation by English teachers, back-translation by other translators, and consensus by a panel of rheumatologists.
  • Pretesting on 30 chronic low back pain patients, assessing reliability (test-retest, interobserver) using Spearman's correlation coefficient (SCC) and intraclass correlation coefficient (ICC).

Related Experiment Videos

  • Evaluating cross-sectional construct validity by correlating Brazil-RM scores with pain scales (PS) and visual analog scale (VAS).

    • Main Results:

    • The Brazil-RM questionnaire was well understood by patients, with a mean administration time of under 5 minutes.
    • High test-retest reliability (SCC=0.88, ICC=0.94) and interobserver reliability (SCC=0.86, ICC=0.95) were observed.
    • Strong correlations were found between Brazil-RM scores and pain scales (PS: r=0.80, VAS: r=0.79), indicating good construct validity.

    Conclusions:

    • The Brazil-RM is a reliable and valid instrument for assessing disability in Brazilian patients with chronic low back pain.
    • The successful adaptation allows for improved clinical assessment and research in this population.
    • This validated tool supports better management of low back pain in Brazil.