Cross-Cultural Adaptation and Validation of the Pregnancy Mobility Index for the Italian Population: A Cross-Sectional Study
Abstract
:1. Introduction
2. Methods
2.1. Translation and Cultural Adaptation
2.1.1. Participants
2.1.2. Questionnaire
2.2. Statistical Analysis
2.2.1. Reliability
2.2.2. Construct Validity
2.2.3. Cross-Cultural Analysis
3. Result
3.1. Translation and Cultural Adaptation
Participants
3.2. Reliability
3.2.1. Construct Validity
3.2.2. Cross-Cultural Analysis
4. Discussion
5. Limitation
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Mazúchová, L.; Kelčíková, S.; Dubovická, Z. Measuring women’s quality of life during pregnancy. Kontakt 2018, 20, e31–e36. [Google Scholar] [CrossRef] [Green Version]
- Kazemi, F.; Nahidi, F.; Kariman, N. Disorders affecting quality of life during pregnancy: A qualitative study. J. Clin. Diagn. Res. 2017, 11, QC06–QC10. [Google Scholar] [CrossRef]
- Talbot, L.; Maclennan, K. Physiology of pregnancy. Anaesth. Intensive Care Med. 2016, 17, 341–345. [Google Scholar] [CrossRef]
- Casagrande, D.; Gugala, Z.; Clark, S.M.; Lindsey, R.W. Low Back Pain and Pelvic Girdle Pain in Pregnancy. J. Am. Acad. Orthop. Surg. 2015, 23, 539–549. [Google Scholar] [CrossRef]
- Kanakaris, N.K.; Roberts, C.S.; Giannoudis, P.V. Pregnancy-related pelvic girdle pain: An update. BMC Med. 2011, 9, 15. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Liddle, S.D.; Pennick, V. Interventions for preventing and treating low-back and pelvic pain during pregnancy. Cochrane Database Syst. Rev. 2015, 2015, CD001139. [Google Scholar] [CrossRef]
- Elden, H.; Gutke, A.; Kjellby-Wendt, G.; Fagevik-Olsen, M.; Ostgaard, H.C. Predictors and consequences of long-term pregnancy-related pelvic girdle pain: A longitudinal follow-up study. BMC Musculoskelet. Disord. 2016, 17, 1–13. [Google Scholar] [CrossRef] [Green Version]
- Engeset, J.; Stuge, B.; Fegran, L. Pelvic girdle pain affects the whole life-A qualitative interview study in Norway on women’s experiences with pelvic girdle pain after delivery. BMC Res. Notes 2014, 7, 1–7. [Google Scholar] [CrossRef] [Green Version]
- Coffin-Zadai, C.A. Disabling Our Diagn. Dilemmas. 2007. Available online: https://academic.oup.com/ptj/article/87/6/641/2747225 (accessed on 1 June 2007).
- Cordero, Y.; Mottola, M.F.; Vargas, J.; Blanco, M.; Barakat, R. Exercise is associated with a reduction in gestational diabetes mellitus. Med. Sci. Sport. Exerc. 2015, 47, 1328–1333. [Google Scholar] [CrossRef] [Green Version]
- Davenport, M.H.; Marchand, A.A.; Mottola, M.F.; Poitras, V.J.; Gray, C.E.; Jaramillo Garcia, A.; Barrowman, N.; Sobierajski, F.; James, M.; Meah, V.L.; et al. Exercise for the prevention and treatment of low back, pelvic girdle and lumbopelvic pain during pregnancy: A systematic review and meta-analysis. Br. J. Sport. Med. 2019, 53, 90–98. [Google Scholar] [CrossRef] [PubMed]
- Di Mascio, D.; Magro-Malosso, E.R.; Saccone, G.; Marhefka, G.D.; Berghella, V. Exercise during pregnancy in normal-weight women and risk of preterm birth: A systematic review and meta-analysis of randomized controlled trials. Am. J. Obstet. Gynecol. 2016, 215, 561–571. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Rodriguez-Blanque, R.; Sánchez-García, J.C.; Sánchez-López, A.M.; Mur-Villar, N.; Aguilar-Cordero, M.J. The influence of physical activity in water on sleep quality in pregnant women: A randomised trial. Women Birth 2018, 31, e51–e58. [Google Scholar] [CrossRef] [PubMed]
- van de Pol, G.; de Leeuw, J.R.J.; van Brummen, H.J.; Bruinse, H.W.; Heintz, A.P.M.; van der Vaart, C.H. The Pregnancy Mobility Index: A mobility scale during and after pregnancy. Acta Obstet. Et Gynecol. Scand. 2006, 85, 786–791. [Google Scholar] [CrossRef] [PubMed]
- Gausel, A.M.; Kjærmann, I.; Malmqvist, S.; Dalen, I.; Larsen, J.P.; Økland, I. Pelvic girdle pain 3–6 months after delivery in an unselected cohort of Norwegian women. Eur. Spine J. 2016, 25, 1953–1959. [Google Scholar] [CrossRef]
- Gausel, A.M.; Malmqvist, S.; Andersen, K.; Kjærmann, I.; Larsen, J.P.; Dalen, I.; Økland, I. Subjective recovery from pregnancy-related pelvic girdle pain the first 6 weeks after delivery: A prospective longitudinal cohort study. Eur. Spine J. 2020, 29, 556–563. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Vøllestad, N.K.; Stuge, B. Prognostic factors for recovery from postpartum pelvic girdle pain. Eur. Spine J. 2009, 18, 718–726. [Google Scholar] [CrossRef] [Green Version]
- Wild, D.; Grove, A.; Martin, M.; Eremenco, S.; McElroy, S.; Verjee-Lorenz, A.; Erikson, P. Principles of good practice for the translation and cultural adaptation process for patient-reported outcomes (PRO) measures: Report of the ISPOR task force for translation and cultural adaptation. Value Health 2005, 8, 94–104. [Google Scholar] [CrossRef] [Green Version]
- Mokkink, L.B.; Terwee, C.B.; Patrick, D.L.; Alonso, J.; Stratford, P.W.; Knol, D.L.; Bouter, L.M.; de Vet, H.C.W. The COSMIN checklist for assessing the methodological quality of studies on measurement properties of health status measurement instruments: An international Delphi study. Qual. Life Res. 2010, 19, 539–549. [Google Scholar] [CrossRef] [Green Version]
- Beaton, D.E.; Bombardier, C.; Guillemin, F.; Ferraz, M.B. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine 2000, 25, 3186–3191. [Google Scholar] [CrossRef] [Green Version]
- Roland, M.; Fairbank, J. The Roland-Morris Disability Questionnaire and the Oswestry Disability Questionnaire. Spine 2020, 25, 3115–3124. Available online: http://journals.lww.com/spinejournal (accessed on 9 August 2022). [CrossRef]
- Monticone, M.; Baiardi, P.; Ferrari, S.; Foti, C.; Mugnai, R.; Pillastrini, P.; Vanti, C.; Zanoli, G. Development of the Italian Version of the Oswestry Disability Index (ODI-I) A Cross-Cultural Adaptation, Reliability, and Validity Study. Spine 2009, 34, 2090–2095. Available online: http://links.lww.com/BRS/A381 (accessed on 15 January 2019). [CrossRef] [PubMed]
- Terwee, C.B.; Bot, S.D.M.; de Boer, M.R.; van der Windt, D.A.W.M.; Knol, D.L.; Dekker, J.; Bouter, L.M.; de Vet, H.C.W. Quality criteria were proposed for measurement properties of health status questionnaires. J. Clin. Epidemiol. 2007, 60, 34–42. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Andresen, E.M. Criteria for assessing the tools of disability outcomes research. Arch. Phys. Med. Rehabil. 2000, 81 (Suppl. 2), S15–S20. [Google Scholar] [CrossRef] [PubMed]
- Acharya, R.S.; Tveter, A.T.; Grotle, M.; Khadgi, B.; Koju, R.; Eberhard-Gran, M.; Stuge, B. Cross-Cultural Adaptation and Validation of the Nepali Version of the Pelvic Girdle Questionnaire. J. Manip. Physiol. Ther. 2020, 43, 257–265. [Google Scholar] [CrossRef] [PubMed]
- Cong, H.; Liu, H.; Sun, Y.; Gao, J.; Liu, J.; Ma, L.; Stuge, B.; Chen, L. Cross-cultural adaptation, reliability, and validity of a Chinese version of the pelvic girdle questionnaire. BMC Pregnancy Childbirth 2021, 21, 1–9. [Google Scholar] [CrossRef] [PubMed]
- Girard, M.P.; O’Shaughnessy, J.; Doucet, C.; Lardon, E.; Stuge, B.; Ruchat, S.M.; Descarreaux, M. Validation of the French-Canadian Pelvic Girdle Questionnaire. J. Manip. Physiol. Ther. 2018, 41, 234–241. [Google Scholar] [CrossRef]
- Gutke, A.; Stuge, B.; Elden, H.; Sandell, C.; Asplin, G.; Fagevik Olsén, M. The Swedish version of the pelvic girdle questionnaire, cross-cultural adaptation and validation. Disabil. Rehabil. 2020, 42, 1013–1020. [Google Scholar] [CrossRef] [Green Version]
- Sakamoto, A.; Hoshi, K.; Gamada, K. Transcultural Reliability and Validity of the Japanese-Language Version of the Pelvic Girdle Questionnaire. J. Manip. Physiol. Ther. 2020, 43, 68–77. [Google Scholar] [CrossRef]
- Albert, H.; Godskesen, M.; Korsholm, L.; Westergaard, J. Risk factors in developing pregnancy-related pelvic girdle pain. Acta Obstet. Et Gynecol. Scand. 2006, 85, 539–544. [Google Scholar] [CrossRef]
- Bjelland, E.K.; Eskild, A.; Johansen, R.; Eberhard-Gran, M. Pelvic girdle pain in pregnancy: The impact of parity. Am. J. Obstet. Gynecol. 2010, 203, e1–e146. [Google Scholar] [CrossRef]
- Kovacs, F.M.; Garcia, E.; Royuela, A.; González, L.; Abraira, V. Prevalence and factors associated with low back pain and pelvic girdle pain during pregnancy: A multicenter study conducted in the spanish national health service. Spine 2012, 37, 1516–1533. [Google Scholar] [CrossRef] [PubMed]
- Wuytack, F.; Begley, C.; Daly, D. Risk factors for pregnancy-related pelvic girdle pain: A scoping review. BMC Pregnancy Childbirth 2020, 20, 1–14. [Google Scholar] [CrossRef] [PubMed]
- Lisonkova, S.; Muraca, G.M.; Potts, J.; Liauw, J.; Chan, W.S.; Skoll, A.; Lim, K.I. Association between prepregnancy body mass index and severe maternal morbidity. JAMA J. Am. Med. Assoc. 2017, 318, 1777–1786. [Google Scholar] [CrossRef]
- Bakker, E.C.; van Nimwegen-Matzinger, C.W.; Ekkel-Van Der Voorden, W.; Nijkamp, M.D.; Völlink, T. Psychological determinants of pregnancy-related lumbopelvic pain: A prospective cohort study. Acta Obstet. Et Gynecol. Scand. 2013, 92, 797–803. [Google Scholar] [CrossRef] [PubMed]
n. = 93 | |
Age Mean ± SD years | 34.55 (4.75) |
Age, N (%) | |
20–24 | 1 (1.1) |
25–29 | 4 (4.4) |
30–34 | 24 (25.8) |
35–39 | 39 (41.8) |
40–44 | 23 (24.7) |
45–49 | 2 (2.2) |
BMI Mean ± SD | 23.3 (2.8) |
BMI, N (%) | |
<18 | 10 (10.8) |
19–24 | 68 (73.1) |
25–29 | 12 (12.9) |
>30 | 3 (3.2) |
Planning pregnancy, N (%) | |
Yes | 10 (10.7) |
No | 83 (89.3) |
Natural pregnancy, N (%) | |
Yes | 92 (98.9) |
No | 1 (1.1) |
Smoking, N (%) | |
Yes | 4 (4.3) |
No | 79 (95.7) |
Item | Total Score Alpha | Alpha Deleted |
---|---|---|
@1 | 0.947 | 0.863 |
@2 | 0.945 | 0.841 |
@3 | 0.948 | 0.847 |
@4 | 0.944 | 0.824 |
@5 | 0.947 | 0.846 |
@6 | 0.949 | 0.869 |
@7 | 0.943 | 0.833 |
Subscale 1: Daily mobility in the house | 0.946 | 0.866 |
@8 | 0.946 | 0.901 |
@9 | 0.946 | 0.899 |
@10 | 0.946 | 0.899 |
@11 | 0.944 | 0.887 |
@12 | 0.945 | 0.894 |
@13 | 0.946 | 0.895 |
@14 | 0.944 | 0.880 |
@15 | 0.944 | 0.880 |
@16 | 0.944 | 0.891 |
Subscale 2: Household activities | 0.947 | 0.903 |
@17 | 0.946 | 0.831 |
@18 | 0.946 | 0.843 |
@19 | 0.946 | 0.858 |
@20 | 0.946 | 0.816 |
@21 | 0.947 | 0.841 |
@22 | 0.946 | 0.828 |
@23 | 0.947 | 0.837 |
Subscale 3: Mobility outdoors | 0.946 | 0.893 |
Total score | 0.945 |
Daily Mobility in the House | Household Activities | Mobility Outdoors | Total Score | |
---|---|---|---|---|
ODI item 1 | 0.484 ** | 0.426 ** | 0.401 ** | 0.470 ** |
ODI item 2–9 | 0.648 ** | 0.687 ** | 0.669 ** | 0.726 ** |
ODI total score | 0.632 ** | 0.654 ** | 0.636 ** | 0.683 ** |
Boby Mass Index | n. (%) | Mean ± SD | f | p Value | |
---|---|---|---|---|---|
Daily mobility in the house | <18 | 10 (10.8) | 3.70 (4.05) | 3.963 | 0.011 * |
19–24 | 68 (73.1) | 1.9 (2.33) | |||
25–29 | 12 (12.9) | 0.93 (1.52) | |||
>30 | 3 (3.2) | 5 (1.73) | |||
Household activities | <18 | 10 (10.8) | 6.10 (5.36) | 3.984 | 0.010 * |
19–24 | 68 (73.1) | 3.31 (4.1) | |||
25–29 | 12 (12.9) | 1.17 (1.27) | |||
>30 | 3 (3.2) | 7.67 (2.31) | |||
Mobility outdoor | <18 | 10 (10.8) | 3.7 (4.42) | 3.421 | 0.021 * |
19–24 | 68 (73.1) | 1.4 (2.47) | |||
25–29 | 12 (12.9) | 0.25 (0.45) | |||
>30 | 3 (3.2) | 1.33 (1.15) | |||
Total score | <18 | 10 (10.8) | 13.5 (12.9) | 4.124 | 0.009 * |
19–24 | 68 (73.1) | 6.6 (8.22) | |||
25–29 | 12 (12.9) | 2.25 (2.7) | |||
>30 | 3 (3.2) | 14 (1.73) | |||
Age | n. (%) | Mean ±SD | f | p value | |
Daily mobility in the house | 20–24 | 1 (1.1) | – | 2.081 | 0.075 |
25–29 | 4 (4.4) | 3.75 (4.78) | |||
30–34 | 24 (25.8) | 2.08 (2.43) | |||
35–39 | 39 (41.8) | 2.36 (2.62) | |||
40–44 | 23 (24.7) | 1.17 (1.96) | |||
45–49 | 2 (2.2) | – | |||
Household activities | 20–24 | 1 (1.1) | – | 1.443 | 0.217 |
25–29 | 4 (4.4) | 3.25 (4.3) | |||
30–34 | 24 (25.8) | 4.21 (5.2) | |||
35–39 | 39 (41.8) | 3.7 (4) | |||
40–44 | 23 (24.7) | 2.1 (2.7) | |||
45–49 | 2 (2.2) | 2 | |||
Mobility outdoor | 20–24 | 1 (1.1) | – | 2.864 | 0.019 * |
25–29 | 4 (4.4) | 0.25 (0.5) | |||
30–34 | 24 (25.8) | 1.96 (3.14) | |||
35–39 | 39 (41.8) | 1.5 (2.7) | |||
40–44 | 23 (24.7) | 1.04 (1.52) | |||
45–49 | 2 (2.2) | – | |||
Total score | 20–24 | 1 (1.1) | – | 1.967 | 0.091 |
25–29 | 4 (4.4) | 7.25 (9.14) | |||
30–34 | 24 (25.8) | 8.25 (10.14) | |||
35–39 | 39 (41.8) | 7.5 (8.7) | |||
40–44 | 23 (24.7) | 4.3 (5.95) | |||
45–49 | 2 (2.2) | 2 |
Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. |
© 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Manzotti, A.; Zanini, S.; Colaceci, S.; Giovannini, N.; Antonioli, A.; Ziglioli, A.; Frontani, F.; Galeoto, G. Cross-Cultural Adaptation and Validation of the Pregnancy Mobility Index for the Italian Population: A Cross-Sectional Study. Healthcare 2022, 10, 1971. https://doi.org/10.3390/healthcare10101971
Manzotti A, Zanini S, Colaceci S, Giovannini N, Antonioli A, Ziglioli A, Frontani F, Galeoto G. Cross-Cultural Adaptation and Validation of the Pregnancy Mobility Index for the Italian Population: A Cross-Sectional Study. Healthcare. 2022; 10(10):1971. https://doi.org/10.3390/healthcare10101971
Chicago/Turabian StyleManzotti, Andrea, Sonia Zanini, Sofia Colaceci, Niccolò Giovannini, Agnese Antonioli, Alice Ziglioli, Francesco Frontani, and Giovanni Galeoto. 2022. "Cross-Cultural Adaptation and Validation of the Pregnancy Mobility Index for the Italian Population: A Cross-Sectional Study" Healthcare 10, no. 10: 1971. https://doi.org/10.3390/healthcare10101971
APA StyleManzotti, A., Zanini, S., Colaceci, S., Giovannini, N., Antonioli, A., Ziglioli, A., Frontani, F., & Galeoto, G. (2022). Cross-Cultural Adaptation and Validation of the Pregnancy Mobility Index for the Italian Population: A Cross-Sectional Study. Healthcare, 10(10), 1971. https://doi.org/10.3390/healthcare10101971