Cross-cultural adaptation, reliability, and validity of the pain self-efficacy questionnaire: Hebrew version

Purpose: this study aims to translate, culturally adapt, and evaluate the psychometric properties of the Hebrew Pain Self-Efficacy Questionnaire (PSEQ).

Methods: the study was designed according to the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) recommendations for patient-reported outcome measurement instruments. The PSEQ was initially translated into Hebrew and cross-culturally adapted. The Hebrew version of the PSEQ (PSEQ-H) was administered to participants suffering from chronic musculoskeletal pain, along with other self-report measures of pain (NPRS, FABQ, HADS, PCS, and SF-12). Eight hypotheses on expected correlations of the PSEQ-H with other instruments were formulated a priori to assess construct validity. Structural validity was assessed using confirmatory factor analysis. Floor and ceiling effects, test-retest, and internal consistency reliability were also assessed.

Results: the translation process retained the unidimensional model of the PSEQ. The PSEQ-H demonstrates excellent internal consistency (Cronbach's α = 0.97) and test-retest reliability (ICC = 0.88), and no significant floor and ceiling effects were observed. Construct validity was found satisfactory as 75% (six) of the analyses between the PSEQ-H and the other self-reported measures met the hypotheses. Factor analysis confirmed the single-factor structure of the questionnaire.

Conclusions: the PSEQ-H version was found to have excellent reliability, good construct, and structural validity, and can be used with heterogeneous chronic musculoskeletal pain populations. Future studies should test the PSEQ-H's responsiveness and psychometric properties with specific pain populations.

Catastrophizing, Chronic musculoskeletal pain, Hebrew, Physical functioning, Self-efficacy, Self-reported measures

10.1016/j.msksp.2023.102749

2468-7812

Nudelman, Yaniv

10a663c0-bd57-4122-8064-0841910a4a26

Pincus, Tamar

55388347-5d71-4fc0-9fd2-66fbba080e0c

Nicholas, Michael K.

775e0b0f-f6cb-4b4a-9419-02b6a6883a1d

Ben Ami, Noa

99af5f24-d185-4fd7-8059-fee3baf7690d

April 2023

Nudelman, Yaniv

10a663c0-bd57-4122-8064-0841910a4a26

Pincus, Tamar

55388347-5d71-4fc0-9fd2-66fbba080e0c

Nicholas, Michael K.

775e0b0f-f6cb-4b4a-9419-02b6a6883a1d

Ben Ami, Noa

99af5f24-d185-4fd7-8059-fee3baf7690d

Nudelman, Yaniv, Pincus, Tamar, Nicholas, Michael K. and Ben Ami, Noa (2023) Cross-cultural adaptation, reliability, and validity of the pain self-efficacy questionnaire: Hebrew version. Musculoskeletal Science and Practice, 64, [102749]. (doi:10.1016/j.msksp.2023.102749).

Record type: Article

Abstract

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PSEQ Hebrew - manuscript- MSK- pure - Accepted Manuscript

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Accepted/In Press date: 14 March 2023

e-pub ahead of print date: 15 March 2023

Published date: April 2023

Additional Information: Funding Information: The PSEQ has been used in several languages and clinical settings, mostly in chronic pain (Adachi et al., 2014; Asghari and Nicholas, 2009; Chala et al., 2021; Chiarotto et al., 2015, 2018; Dubé et al., 2021; Ferreira-Valente et al., 2011; Lim et al., 2007; Nicholas, 2007; Sardá et al., 2007; van der Maas et al., 2012). The PSEQ is a single-factor questionnaire comprising ten items rated on a 0–6 Likert scale, with higher scores representing better self-efficacy. For heterogeneous chronic pain populations, the PSEQ demonstrates excellent internal consistency with Cronbach's α coefficient of 0.88–0.94 and good test-retest reliability with ICC = 0.75–0.83 across its original and various translations (Adachi et al., 2014; Asghari and Nicholas, 2009; Ferreira-Valente et al., 2011; Lim et al., 2007; Nicholas, 2007; Sardá et al., 2007; van der Maas et al., 2012). Furthermore, confirmatory factor analysis with the abovementioned populations supports the single-factor structure (Asghari and Nicholas, 2009; Ferreira-Valente et al., 2011; Nicholas, 2007; van der Maas et al., 2012; Vong et al., 2009). Publisher Copyright: © 2023 Elsevier Ltd

Keywords: Catastrophizing, Chronic musculoskeletal pain, Hebrew, Physical functioning, Self-efficacy, Self-reported measures