Validity and reliability of Hindi version of oswestry disability index in Indian population
ABSTRACT: Background: Patient-reported outcome scores are crucial for assessing treatment outcomes. However, a validated Hindi version of the Oswestry Disability Index (ODI) is not currently available for use in the large Hindi-speaking population of India. This study aims to assess the validity an...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-06-01
|
| Series: | North American Spine Society Journal |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666548425000137 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849434588511731712 |
|---|---|
| author | Amit Kumar Sharma, MS, DNB Kshitij Chaudhary, MS, DNB Hemali Gandhi, MPTh Arpan Nag, MS Arvind Vatkar, MS Ruby Nimesh, PhD Vishal Kumar, MS, DNB |
| author_facet | Amit Kumar Sharma, MS, DNB Kshitij Chaudhary, MS, DNB Hemali Gandhi, MPTh Arpan Nag, MS Arvind Vatkar, MS Ruby Nimesh, PhD Vishal Kumar, MS, DNB |
| author_sort | Amit Kumar Sharma, MS, DNB |
| collection | DOAJ |
| description | ABSTRACT: Background: Patient-reported outcome scores are crucial for assessing treatment outcomes. However, a validated Hindi version of the Oswestry Disability Index (ODI) is not currently available for use in the large Hindi-speaking population of India. This study aims to assess the validity and reliability of a translated version of the ODI in Hindi, enabling its use among the Hindi-speaking population. Methods: A total of 103 patients who attended the spine clinic and physiotherapy department at Saifee Hospital completed the Hindi versions of the ODI (ODI-H), Visual Analog Scale (VAS), and Roland-Morris Disability Questionnaire (RMDQ). Twenty-five patients repeated the questionnaire within 2 weeks to evaluate test-retest reliability. The Hindi version of the ODI (ODI-H) was developed using forward-backward translation. Psychometric testing included internal consistency (Cronbach's α), test-retest reliability (intraclass correlation), and validation by comparing the ODI-H with the VAS for back pain and the RMDQ, using Pearson correlation. Results: The mean age of the patients was 46.5 years, with a male-to-female ratio of 45:58. Cronbach's α was 0.915, indicating high internal consistency. Test-retest reliability showed an excellent intraclass correlation (ICC) of 0.99. Pearson's correlation coefficient was 0.615 (p<.0001) between the ODI-H and the RMDQ, and 0.317 (p<.0001) between the ODI-H and the VAS, demonstrating excellent construct validity. Additionally, Receiver Operating Characteristic (ROC) curve analysis showed excellent correlation for Area Under the Curve (AUC) analysis for severe vs. nonsevere ODI-H and RMDQ scores (0.788, p<.001). Conclusion: The Hindi version of the Oswestry Disability Index demonstrates acceptable reliability and validity for measuring functional impairment in Indians with low back pain. It performs similarly to the validated RMDQ and VAS scores. Using the Hindi ODI in clinical and research settings can help standardize evaluations and improve the management of low back pain in the Indian population. |
| format | Article |
| id | doaj-art-ef00ef6cabdb4563b93c4c4c6c865026 |
| institution | Kabale University |
| issn | 2666-5484 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | North American Spine Society Journal |
| spelling | doaj-art-ef00ef6cabdb4563b93c4c4c6c8650262025-08-20T03:26:35ZengElsevierNorth American Spine Society Journal2666-54842025-06-012210059310.1016/j.xnsj.2025.100593Validity and reliability of Hindi version of oswestry disability index in Indian populationAmit Kumar Sharma, MS, DNB0Kshitij Chaudhary, MS, DNB1Hemali Gandhi, MPTh2Arpan Nag, MS3Arvind Vatkar, MS4Ruby Nimesh, PhD5Vishal Kumar, MS, DNB6Saifee Hospital, Mumbai, India; Corresponding author: Dept. of Spine Surgery, Saifee Hospital, 15/17, Maharshi Karve Marg, Charni Road, Mumbai, India, 400004.Hinduja Hospital, Mumbai, IndiaSaifee Hospital, Mumbai, IndiaSports Injury Center, New Delhi, IndiaHiranandani Fortis Hospital, Navi Mumbai, IndiaPGIMER, Chandigarh, IndiaPGIMER, Chandigarh, IndiaABSTRACT: Background: Patient-reported outcome scores are crucial for assessing treatment outcomes. However, a validated Hindi version of the Oswestry Disability Index (ODI) is not currently available for use in the large Hindi-speaking population of India. This study aims to assess the validity and reliability of a translated version of the ODI in Hindi, enabling its use among the Hindi-speaking population. Methods: A total of 103 patients who attended the spine clinic and physiotherapy department at Saifee Hospital completed the Hindi versions of the ODI (ODI-H), Visual Analog Scale (VAS), and Roland-Morris Disability Questionnaire (RMDQ). Twenty-five patients repeated the questionnaire within 2 weeks to evaluate test-retest reliability. The Hindi version of the ODI (ODI-H) was developed using forward-backward translation. Psychometric testing included internal consistency (Cronbach's α), test-retest reliability (intraclass correlation), and validation by comparing the ODI-H with the VAS for back pain and the RMDQ, using Pearson correlation. Results: The mean age of the patients was 46.5 years, with a male-to-female ratio of 45:58. Cronbach's α was 0.915, indicating high internal consistency. Test-retest reliability showed an excellent intraclass correlation (ICC) of 0.99. Pearson's correlation coefficient was 0.615 (p<.0001) between the ODI-H and the RMDQ, and 0.317 (p<.0001) between the ODI-H and the VAS, demonstrating excellent construct validity. Additionally, Receiver Operating Characteristic (ROC) curve analysis showed excellent correlation for Area Under the Curve (AUC) analysis for severe vs. nonsevere ODI-H and RMDQ scores (0.788, p<.001). Conclusion: The Hindi version of the Oswestry Disability Index demonstrates acceptable reliability and validity for measuring functional impairment in Indians with low back pain. It performs similarly to the validated RMDQ and VAS scores. Using the Hindi ODI in clinical and research settings can help standardize evaluations and improve the management of low back pain in the Indian population.http://www.sciencedirect.com/science/article/pii/S2666548425000137HindiOswestry disability scoreReliabilityRMDQValidityVAS score |
| spellingShingle | Amit Kumar Sharma, MS, DNB Kshitij Chaudhary, MS, DNB Hemali Gandhi, MPTh Arpan Nag, MS Arvind Vatkar, MS Ruby Nimesh, PhD Vishal Kumar, MS, DNB Validity and reliability of Hindi version of oswestry disability index in Indian population North American Spine Society Journal Hindi Oswestry disability score Reliability RMDQ Validity VAS score |
| title | Validity and reliability of Hindi version of oswestry disability index in Indian population |
| title_full | Validity and reliability of Hindi version of oswestry disability index in Indian population |
| title_fullStr | Validity and reliability of Hindi version of oswestry disability index in Indian population |
| title_full_unstemmed | Validity and reliability of Hindi version of oswestry disability index in Indian population |
| title_short | Validity and reliability of Hindi version of oswestry disability index in Indian population |
| title_sort | validity and reliability of hindi version of oswestry disability index in indian population |
| topic | Hindi Oswestry disability score Reliability RMDQ Validity VAS score |
| url | http://www.sciencedirect.com/science/article/pii/S2666548425000137 |
| work_keys_str_mv | AT amitkumarsharmamsdnb validityandreliabilityofhindiversionofoswestrydisabilityindexinindianpopulation AT kshitijchaudharymsdnb validityandreliabilityofhindiversionofoswestrydisabilityindexinindianpopulation AT hemaligandhimpth validityandreliabilityofhindiversionofoswestrydisabilityindexinindianpopulation AT arpannagms validityandreliabilityofhindiversionofoswestrydisabilityindexinindianpopulation AT arvindvatkarms validityandreliabilityofhindiversionofoswestrydisabilityindexinindianpopulation AT rubynimeshphd validityandreliabilityofhindiversionofoswestrydisabilityindexinindianpopulation AT vishalkumarmsdnb validityandreliabilityofhindiversionofoswestrydisabilityindexinindianpopulation |