Validation of the Musculoskeletal Health Questionnaire in a general population sample: a cross-sectional online survey in Hungary

Áron Hölgyesi; Gyula Poór; Petra Baji; Zsombor Zrubka; Miklós Farkas; Ágota Dobos; László Gulácsi; Levente Kovács; Márta Péntek

doi:10.1186/s12891-022-05716-9

Validation of the Musculoskeletal Health Questionnaire in a general population sample: a cross-sectional online survey in Hungary

Áron Hölgyesi, Gyula Poór, Petra Baji, Zsombor Zrubka, Miklós Farkas, Ágota Dobos, László Gulácsi, Levente Kovács, Márta Péntek^*

^*Corresponding author for this work

Research output: Contribution to journal › Article (Academic Journal) › peer-review

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Abstract

Background: The Versus Arthritis Musculoskeletal Health Questionnaire (MSK-HQ) measures symptom severity and health-related quality of life (HRQoL) of people with musculoskeletal (MSK) conditions. We aimed to test the psychometric properties of the MSK-HQ among the general adult population and identify the determinants of MSK-HQ states. In addition, we aimed to explore the relationship between MSK-HQ and standard well-being measurement tools. Methods: The translation proccess of the MSK-HQ into Hungarian followed the standard methods provided by the developer. A cross-sectional online survey was performed in Hungary involving a population normative sample (N = 2004, women: 53.1%; mean age: 48.3, SD = 16.6 years). Socio-demographic characteristics and self-reported MSK disorders were recorded. Alongside the MSK-HQ, standard measures of HRQoL (EQ-5D-5L), physical functioning (HAQ-DI) and well-being (ICECAP-A/O, WHO-5, Happiness VAS) were applied. Clinical and convergent validity were assessed by subgroup comparisons (Mann–Whitney-U and Kruskal–Wallis tests) and Spearman’s rank correlations. Internal consistency was assessed by Cronbach’s alpha. Test–retest reliability (N = 50) was evaluated by intraclass correlation coefficient (ICC). Predictors of MSK-HQ were analysed by ordinary least square multiple regressions. Results: The mean MSK-HQ index score was 44.1 (SD = 9.9). MSK-HQ scores were significantly lower in subgroups with self-reported MSK disorders. Correlations were strong between MSK-HQ and EQ-5D-5L (0.788), EQ VAS (0.644) and HAQ-DI (-0.698) and moderate with the well-being measures (p < 0.05). Cronbach’s alpha was 0.924 and ICC was 0.936 (p < 0.05). Being a man, living in the capital, having higher income and education were positively associated with MSK-HQ scores. Conclusions: This is the first study to prove the validity and reliability of the MSK-HQ among the general public. The impact of socio-demographic characteristics on MSK-HQ scores deserves consideration in clinical studies.

Original language	English
Article number	771
Journal	BMC Musculoskeletal Disorders
Volume	23
Issue number	1
Early online date	13 Aug 2022
DOIs	https://doi.org/10.1186/s12891-022-05716-9
Publication status	E-pub ahead of print - 13 Aug 2022

Bibliographical note

Funding Information:
In connection with writing this article, Petra Baji, László Gulácsi and Márta Péntek received grant support from the Higher Education Institutional Excellence Program of the Ministry of Innovation and Technology in the framework of the 'Financial and Public Services' research project (TKP2020-IKA-02) at Corvinus University of Budapest. Márta Péntek is member of the EuroQol Group, a not-for-profit organization that develops and distributes instruments that assess and value health. Other authors declare that they have no conflict of interest.

Funding Information:
Open access funding provided by Óbuda University. This research was supported by the Higher Education Institutional Excellence Program of the Ministry of Innovation and Technology in the framework of the 'Financial and Public Services' research project (NKFIH-1163–10/2019) at Corvinus University of Budapest.

Publisher Copyright:
© 2022, The Author(s).

Research Groups and Themes

HEHP@Bristol

Keywords

Hungary
Musculoskeletal health
Patient reported outcome measures
Population sample
Psychometrics
Quality of life
Validation
Well-being

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Hölgyesi, Á., Poór, G., Baji, P., Zrubka, Z., Farkas, M., Dobos, Á., Gulácsi, L., Kovács, L., & Péntek, M. (2022). Validation of the Musculoskeletal Health Questionnaire in a general population sample: a cross-sectional online survey in Hungary. BMC Musculoskeletal Disorders, 23(1), Article 771. Advance online publication. https://doi.org/10.1186/s12891-022-05716-9

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title = "Validation of the Musculoskeletal Health Questionnaire in a general population sample: a cross-sectional online survey in Hungary",

abstract = "Background: The Versus Arthritis Musculoskeletal Health Questionnaire (MSK-HQ) measures symptom severity and health-related quality of life (HRQoL) of people with musculoskeletal (MSK) conditions. We aimed to test the psychometric properties of the MSK-HQ among the general adult population and identify the determinants of MSK-HQ states. In addition, we aimed to explore the relationship between MSK-HQ and standard well-being measurement tools. Methods: The translation proccess of the MSK-HQ into Hungarian followed the standard methods provided by the developer. A cross-sectional online survey was performed in Hungary involving a population normative sample (N = 2004, women: 53.1%; mean age: 48.3, SD = 16.6 years). Socio-demographic characteristics and self-reported MSK disorders were recorded. Alongside the MSK-HQ, standard measures of HRQoL (EQ-5D-5L), physical functioning (HAQ-DI) and well-being (ICECAP-A/O, WHO-5, Happiness VAS) were applied. Clinical and convergent validity were assessed by subgroup comparisons (Mann–Whitney-U and Kruskal–Wallis tests) and Spearman{\textquoteright}s rank correlations. Internal consistency was assessed by Cronbach{\textquoteright}s alpha. Test–retest reliability (N = 50) was evaluated by intraclass correlation coefficient (ICC). Predictors of MSK-HQ were analysed by ordinary least square multiple regressions. Results: The mean MSK-HQ index score was 44.1 (SD = 9.9). MSK-HQ scores were significantly lower in subgroups with self-reported MSK disorders. Correlations were strong between MSK-HQ and EQ-5D-5L (0.788), EQ VAS (0.644) and HAQ-DI (-0.698) and moderate with the well-being measures (p < 0.05). Cronbach{\textquoteright}s alpha was 0.924 and ICC was 0.936 (p < 0.05). Being a man, living in the capital, having higher income and education were positively associated with MSK-HQ scores. Conclusions: This is the first study to prove the validity and reliability of the MSK-HQ among the general public. The impact of socio-demographic characteristics on MSK-HQ scores deserves consideration in clinical studies.",

keywords = "Hungary, Musculoskeletal health, Patient reported outcome measures, Population sample, Psychometrics, Quality of life, Validation, Well-being",

author = "{\'A}ron H{\"o}lgyesi and Gyula Po{\'o}r and Petra Baji and Zsombor Zrubka and Mikl{\'o}s Farkas and {\'A}gota Dobos and L{\'a}szl{\'o} Gul{\'a}csi and Levente Kov{\'a}cs and M{\'a}rta P{\'e}ntek",

note = "Funding Information: In connection with writing this article, Petra Baji, L{\'a}szl{\'o} Gul{\'a}csi and M{\'a}rta P{\'e}ntek received grant support from the Higher Education Institutional Excellence Program of the Ministry of Innovation and Technology in the framework of the 'Financial and Public Services' research project (TKP2020-IKA-02) at Corvinus University of Budapest. M{\'a}rta P{\'e}ntek is member of the EuroQol Group, a not-for-profit organization that develops and distributes instruments that assess and value health. Other authors declare that they have no conflict of interest. Funding Information: Open access funding provided by {\'O}buda University. This research was supported by the Higher Education Institutional Excellence Program of the Ministry of Innovation and Technology in the framework of the 'Financial and Public Services' research project (NKFIH-1163–10/2019) at Corvinus University of Budapest. Publisher Copyright: {\textcopyright} 2022, The Author(s).",

year = "2022",

month = aug,

day = "13",

doi = "10.1186/s12891-022-05716-9",

language = "English",

volume = "23",

journal = "BMC Musculoskeletal Disorders",

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publisher = "BioMed Central",

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TY - JOUR

T1 - Validation of the Musculoskeletal Health Questionnaire in a general population sample

T2 - a cross-sectional online survey in Hungary

AU - Hölgyesi, Áron

AU - Poór, Gyula

AU - Baji, Petra

AU - Zrubka, Zsombor

AU - Farkas, Miklós

AU - Dobos, Ágota

AU - Gulácsi, László

AU - Kovács, Levente

AU - Péntek, Márta

N1 - Funding Information: In connection with writing this article, Petra Baji, László Gulácsi and Márta Péntek received grant support from the Higher Education Institutional Excellence Program of the Ministry of Innovation and Technology in the framework of the 'Financial and Public Services' research project (TKP2020-IKA-02) at Corvinus University of Budapest. Márta Péntek is member of the EuroQol Group, a not-for-profit organization that develops and distributes instruments that assess and value health. Other authors declare that they have no conflict of interest. Funding Information: Open access funding provided by Óbuda University. This research was supported by the Higher Education Institutional Excellence Program of the Ministry of Innovation and Technology in the framework of the 'Financial and Public Services' research project (NKFIH-1163–10/2019) at Corvinus University of Budapest. Publisher Copyright: © 2022, The Author(s).

PY - 2022/8/13

Y1 - 2022/8/13

N2 - Background: The Versus Arthritis Musculoskeletal Health Questionnaire (MSK-HQ) measures symptom severity and health-related quality of life (HRQoL) of people with musculoskeletal (MSK) conditions. We aimed to test the psychometric properties of the MSK-HQ among the general adult population and identify the determinants of MSK-HQ states. In addition, we aimed to explore the relationship between MSK-HQ and standard well-being measurement tools. Methods: The translation proccess of the MSK-HQ into Hungarian followed the standard methods provided by the developer. A cross-sectional online survey was performed in Hungary involving a population normative sample (N = 2004, women: 53.1%; mean age: 48.3, SD = 16.6 years). Socio-demographic characteristics and self-reported MSK disorders were recorded. Alongside the MSK-HQ, standard measures of HRQoL (EQ-5D-5L), physical functioning (HAQ-DI) and well-being (ICECAP-A/O, WHO-5, Happiness VAS) were applied. Clinical and convergent validity were assessed by subgroup comparisons (Mann–Whitney-U and Kruskal–Wallis tests) and Spearman’s rank correlations. Internal consistency was assessed by Cronbach’s alpha. Test–retest reliability (N = 50) was evaluated by intraclass correlation coefficient (ICC). Predictors of MSK-HQ were analysed by ordinary least square multiple regressions. Results: The mean MSK-HQ index score was 44.1 (SD = 9.9). MSK-HQ scores were significantly lower in subgroups with self-reported MSK disorders. Correlations were strong between MSK-HQ and EQ-5D-5L (0.788), EQ VAS (0.644) and HAQ-DI (-0.698) and moderate with the well-being measures (p < 0.05). Cronbach’s alpha was 0.924 and ICC was 0.936 (p < 0.05). Being a man, living in the capital, having higher income and education were positively associated with MSK-HQ scores. Conclusions: This is the first study to prove the validity and reliability of the MSK-HQ among the general public. The impact of socio-demographic characteristics on MSK-HQ scores deserves consideration in clinical studies.

AB - Background: The Versus Arthritis Musculoskeletal Health Questionnaire (MSK-HQ) measures symptom severity and health-related quality of life (HRQoL) of people with musculoskeletal (MSK) conditions. We aimed to test the psychometric properties of the MSK-HQ among the general adult population and identify the determinants of MSK-HQ states. In addition, we aimed to explore the relationship between MSK-HQ and standard well-being measurement tools. Methods: The translation proccess of the MSK-HQ into Hungarian followed the standard methods provided by the developer. A cross-sectional online survey was performed in Hungary involving a population normative sample (N = 2004, women: 53.1%; mean age: 48.3, SD = 16.6 years). Socio-demographic characteristics and self-reported MSK disorders were recorded. Alongside the MSK-HQ, standard measures of HRQoL (EQ-5D-5L), physical functioning (HAQ-DI) and well-being (ICECAP-A/O, WHO-5, Happiness VAS) were applied. Clinical and convergent validity were assessed by subgroup comparisons (Mann–Whitney-U and Kruskal–Wallis tests) and Spearman’s rank correlations. Internal consistency was assessed by Cronbach’s alpha. Test–retest reliability (N = 50) was evaluated by intraclass correlation coefficient (ICC). Predictors of MSK-HQ were analysed by ordinary least square multiple regressions. Results: The mean MSK-HQ index score was 44.1 (SD = 9.9). MSK-HQ scores were significantly lower in subgroups with self-reported MSK disorders. Correlations were strong between MSK-HQ and EQ-5D-5L (0.788), EQ VAS (0.644) and HAQ-DI (-0.698) and moderate with the well-being measures (p < 0.05). Cronbach’s alpha was 0.924 and ICC was 0.936 (p < 0.05). Being a man, living in the capital, having higher income and education were positively associated with MSK-HQ scores. Conclusions: This is the first study to prove the validity and reliability of the MSK-HQ among the general public. The impact of socio-demographic characteristics on MSK-HQ scores deserves consideration in clinical studies.

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KW - Musculoskeletal health

KW - Patient reported outcome measures

KW - Population sample

KW - Psychometrics

KW - Quality of life

KW - Validation

KW - Well-being

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M3 - Article (Academic Journal)

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SN - 1471-2474

VL - 23

JO - BMC Musculoskeletal Disorders

JF - BMC Musculoskeletal Disorders

IS - 1

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ER -

Validation of the Musculoskeletal Health Questionnaire in a general population sample: a cross-sectional online survey in Hungary

Abstract

Bibliographical note

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Keywords

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