ABSTRACT
STUDY DESIGN: Observational study. PURPOSE: To cross-culturally translate the Orebro Musculoskeletal Pain Screening Questionnaire (OMPQ) into Persian and then evaluate its psychometric properties (reliability, validity, ceiling, and flooring effects). OVERVIEW OF LITERATURE: To the authors' knowledge, prior to this study there has been no validated instrument to screen the risk of chronicity in Persian-speaking patients with low back pain (LBP) in Iran. The OMPQ was specifically developed as a self-administered screening tool for assessing the risk of LBP chronicity. METHODS: The forward-backward translation method was used for the translation and cross-cultural adaptation of the original questionnaire. In total, 202 patients with subacute LBP completed the OMPQ and the pain disability questionnaire (PDQ), which was used to assess convergent validity. 62 patients completed the OMPQ a week later as a retest. RESULTS: Slight changes were made to the OMPQ during the translation/cultural adaptation process; face validity of the Persian version was obtained. The Persian OMPQ showed excellent test-retest reliability (intraclass correlation coefficient=0.89). Its internal consistency was 0.71, and its convergent validity was confirmed by good correlation coefficient between the OMPQ and PDQ total scores (r=0.72, p<0.05). No ceiling or floor effects were observed. CONCLUSIONS: The Persian version of the OMPQ is acceptable for the target society in terms of face validity, construct validity, reliability, and consistency. It is therefore considered a useful instrument for screening Iranian patients with LBP.
ABSTRACT
OBJECTIVE: Lane departure, caused by inattention, distraction, drowsiness, or any unusual driver behavior, is a typical risk threatening the driver as well as other road users. Accurate perception of such situations through effective warnings would help drivers to avoid serious consequences. With regard to critical functions of warning symbols for risk communication, the present study focused on providing effective and easily perceivable symbols, compatible with human cognitive capabilities. Thus, the main purpose of the present study was to design and cognitively appraise 6 newly designed dynamic symbols, candidates for a new type of lane departure warning system. METHODS: Simplicity, familiarity, concreteness, meaningfulness, and semantic closeness were the major assessment criteria, defining cognitive features by the earlier researchers in the field. A total number of 187 driving license applicants, with a mean age of 20.58 years (SD = 3.20), participated in the present survey. The participants rated cognitive features of the 6 dynamic symbols along a 0-100 scale. RESULTS: Significant main effect of the element factor type of the designed symbols on rating cognitive features revealed that the existence of car element was the best predictor for illustrating lane departure. The interaction of both element factor and location of element factor significantly affected the ratings. However, the location of element factor did not solely have any strong effect on the ratings. The results also demonstrated that semantic closeness received the highest overall mean score across symbols (M = 61.80), especially within the symbols that include the car element (M = 75.67). Moreover, a significant difference was observed between the average ratings of the cognitive features, despite the fact that a significant correlation was found between cognitive features. CONCLUSION: The most considerable result of the current study was the match between the symbol with the highest ratings and the International Organization for Standardization (ISO)-related icon in appearance. Because previous studies demonstrated a strong correlation between comprehension scores of the symbol and both semantic closeness and meaningfulness, high-level comprehensibility of the best ranked symbol is expected.
