Evidence map›Paper›PMID 39516421›Full record

ArticleJournal of occupational rehabilitation2025

Reliability and Construct Validity of the Work Rehabilitation Questionnaire Domains in Patients with Persistent Low Back Pain.

Anders Hansen, Henrik Hein Lauridsen, Reuben Escorpizo, Karen Søgaard, Jens Søndergaard, Berit Schiøttz-Christensen, Ole Steen Mortensen

Abstract readValidation Study
In one paragraph

Article in Journal of occupational rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Anders HansenMedical Research Unit, Spine Centre of Southern Denmark, Lillebaelt Hospital, University Hospital of Southern Denmark, Østre Houghvej 55, 5500, Middelfart, Denmark. Anders.hansen@rsyd.dk.
Henrik Hein LauridsenDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
Reuben EscorpizoDepartment of Rehabilitation and Movement Science, The University of Vermont, Burlington, VT, USA.
Karen SøgaardDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
Jens SøndergaardResearch Unit for General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.
Berit Schiøttz-ChristensenResearch Unit for General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.
Ole Steen MortensenDepartment of Occupational and Social Medicine, Holbæk Hospital, Part of Copenhagen University Hospital, Holbæk, Denmark.

Funding

Region Syddanmark A251
6 · The paper itself

Abstract

purposeThe Work Rehabilitation Questionnaire (WORQ) assesses patient functioning, including psychological, physical, and cognitive limitations. This study evaluates the WORQ domains in individuals with persistent low back pain (LBP), focusing on reliability and construct validity.

methodsIndividuals aged 18-65 with LBP completed WORQ and the workability index single item. A subgroup undertook sit-to-stand and 6-min walking tests and re-evaluated WORQ after 14 days. Reliability was assessed through internal consistency (McDonald's omega and Cronbach's alpha), test-retest reliability, and smallest detectable change. Construct validity was analyzed via Spearman's rank correlation and known group validity, with physical functioning also examined against sit-to-stand and 6-min walk test results for sensitivity/specificity. Floor and ceiling effects were assessed through classical and scale width methods.

resultsOf 425 participants, 149 completed physical tests, and 102 re-assessed WORQ. McDonald's omega and Cronbach's alpha indicated high internal consistency (0.92-0.96) with strong test-retest reliability (intraclass-correlation coefficients: 0.74-0.82). The smallest detectable change ranged from 4.62 to 7.82. Predictions from 7 out of 8 hypotheses were confirmed. Notable differences in domain scores were observed based on disability level and sick leave status, with varied diagnostic performance in physical functioning items. Potential floor effects were noted using the scale width method.

conclusionsThe WORQ demonstrated good reliability and satisfactory validity in assessing work-related functioning in individuals with persistent LBP. These findings support its use as a comprehensive tool for evaluating psychological, physical, and cognitive limitations. However, varied diagnostic performance in physical functioning items and potential floor effects suggest cautious interpretation in diverse clinical settings.

Indexed as

Low Back PainWork Capacity EvaluationAdolescentAdultAgedDisability EvaluationFemaleHumansMaleMiddle AgedPsychometricsReproducibility of ResultsSurveys and QuestionnairesYoung AdultClinimetricCognitive abilityPhysical functioningPsychological well-beingWork functioning

Identifiers

PMID39516421
PMCPMC12575564

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.