ArticleBMC psychology2026
Reliability and validity of the simplified Chinese version of the Musculoskeletal Health Questionnaire (MSK-HQ-C) in patients with non-specific chronic neck pain: a cross-cultural adaptation and validation study.
Article in BMC psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThe Musculoskeletal Health Questionnaire (MSK-HQ) is a 14-item instrument designed to holistically assess musculoskeletal health across domains of pain, physical function, sleep, emotional well-being, and social participation. This study aimed to translate and cross-culturally adapt MSK-HQ into a Simplified Chinese version (MSK-HQ-C), and evaluate the reliability and validity of MSK-HQ-C in patients with non-specific chronic neck pain.
methodsA total of 150 participants were included in this study. Internal consistency was estimated according to Cronbach’s alpha. Test-retest reliability was assessed by Intra-class correlation coefficient (ICC) based on completions from all participants at a 7–14 day interval. Construct validity was analyzed by correlations between MSK-HQ-C and the EuroQol-5 Dimensions-5 Levels (EQ-5D-5 L), Copenhagen Neck Function Disability Scale (CNFDS) as well as the short form (36) health survey (SF-36). The structural, convergent, and discriminant validity of the questionnaire were assessed using factor analysis and correlation analyses.
resultsThe original version of the MSK-HQ was cross-culturally adapted and translated into Simplified Chinese following the guidelines by Beaton et al. MSK-HQ-C was indicated to have excellent reliability (Cronbach’s alpha = 0.922, ICC = 0.822). Moderate to substantial correlations between MSK-HQ-C and EQ-5D-Total (r= .648, p < .001), EQ-5D-VAS (r= .707, p < .001), CNFDS (r = − .759, p < .001), as well as physical function (r= .594, p < .001), role-physical (r= .407, p < .001), bodily pain (r= .512, p < .001) and general health (r= .496, p < .001) subscales of SF-36 were observed. An exploratory factor analysis revealed that the 2-factor loading explained 74.206% of the variance (KMO = 0.919; Bartlett’s test of sphericity: χ² = 1855.421, p < .001).
conclusionMSK-HQ-C was demonstrated to have acceptable reliability and validity in patients with non-specific chronic neck pain, which could be recommended for patients in Chinese mainland.
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