“Blue flags”, development of a short clinical questionnaire on work-related psychosocial risk factors - a validation study in primary care

BMC Musculoskeletal Disorders

Research Article

Malin Forsbrand¹  Charlotte Post Sennehed²  Birgitta Grahn²  Gunvor Gard³  Sara Holmberg⁴  Kjerstin Stigmar⁵ 

[1] Department of Clinical Sciences Lund, Lund University, Orthopedics, Lund, Sweden;Epidemiology and Register Centre South, Region Skåne, Lund, Sweden;Blekinge Centre of Competence, Landstinget Blekinge, Karlskrona, Sweden;Department of Clinical Sciences Lund, Lund University, Orthopedics, Lund, Sweden;Epidemiology and Register Centre South, Region Skåne, Lund, Sweden;Department of Research and Development, Region Kronoberg, Box 1223, 35112, Växjö, Sweden;Department of Health Sciences, Lund University, Lund, Sweden;Department of Health Sciences, Luleå University of Technology, Luleå, Sweden;Department of Research and Development, Region Kronoberg, Box 1223, 35112, Växjö, Sweden;Division of Occupational and Environmental Medicine, Institute of Laboratory Medicine, Lund University, Lund, Sweden;Epidemiology and Register Centre South, Region Skåne, Lund, Sweden;Department of Health Sciences, Lund University, Lund, Sweden;

关键词: Work-related risk factors;    Psychosocial;    Work ability;    Questionnaire;    Validity;   

DOI  :  10.1186/s12891-017-1677-z

 received in 2017-03-14, accepted in 2017-07-13,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundWorking conditions substantially influence health, work ability and sick leave. Useful instruments to help clinicians pay attention to working conditions are lacking in primary care (PC). The aim of this study was to test the validity of a short “Blue flags” questionnaire, which focuses on work-related psychosocial risk factors and any potential need for contacts and/or actions at the workplace.MethodsFrom the original“The General Nordic Questionnaire” (QPSNordic) the research group identified five content areas with a total of 51 items which were considered to be most relevant focusing on work-related psychosocial risk factors. Fourteen items were selected from the identified QPSNordic content areas and organised in a short questionnaire “Blue flags”. These 14 items were validated towards the 51 QPSNordic items. Content validity was reviewed by a professional panel and a patient panel. Structural and concurrent validity were also tested within a randomised clinical trial.ResultsThe two panels (n = 111) considered the 14 psychosocial items to be relevant. A four-factor model was extracted with an explained variance of 25.2%, 14.9%, 10.9% and 8.3% respectively. All 14 items showed satisfactory loadings on all factors. Concerning concurrent validity the overall correlation was very strong rs = 0.87 (p < 0.001).). Correlations were moderately strong for factor one, rs = 0.62 (p < 0.001) and factor two, rs = 0.74 (p < 0.001). Factor three and factor four were weaker, bur still fair and significant at rs = 0.53 (p < 0.001) and rs = 0.41 (p < 0.001) respectively. The internal consistency of the whole “Blue flags” was good with Cronbach’s alpha of 0.76.ConclusionsThe content, structural and concurrent validity were satisfactory in this first step of development of the “Blue flags” questionnaire. In summary, the overall validity is considered acceptable. Testing in clinical contexts and in other patient populations is recommended to ensure predictive validity and usefulness.

【 授权许可】

CC BY   
© The Author(s). 2017