Mode
Text Size
Log in / Sign up

Cross-sectional validation of the extended Nordic Musculoskeletal Questionnaire in Singapore healthcare workersNew tool helps track back pain in Singapore nurses and therapists

AI-generated summary of the cited source, checked by automated accuracy review. How we work

Key Takeaway
Consider the NMQ-E as a valid and reliable tool for surveillance of work-related musculoskeletal disorders in Singapore healthcare workers.

This cross-sectional study assessed the psychometric properties of the extended Nordic Musculoskeletal Questionnaire (NMQ-E) among 251 nurses and therapists working in two community hospitals in Singapore. The NMQ-E is designed to capture work-related musculoskeletal disorders. The study evaluated internal consistency, test-retest reliability, convergent validity, face validity, and feasibility.

Internal consistency was good, with Cronbach's alpha above 0.81. Test-retest reliability was excellent for the intraclass correlation coefficient (ICC 0.987, 95% CI 0.974–0.994) and moderate to almost perfect for kappa values (0.64–0.95). All a priori hypotheses for convergent validity were confirmed, and item response rates exceeded 97%, indicating high feasibility.

The study did not report limitations, adverse events, or funding sources. As a cross-sectional design, it cannot assess responsiveness to change or predictive validity. The findings support the NMQ-E's use for epidemiological surveillance and occupational health interventions in Singapore's healthcare setting, but generalizability to other populations or settings requires further study.

This cross-sectional study evaluated a tool called the Extended Nordic Musculoskeletal Questionnaire, or NMQ-E. The researchers tested it with 251 nurses and therapists working at two community hospitals in Singapore. They wanted to know if the questionnaire could accurately measure work-related musculoskeletal disorders in this specific setting.

The results showed the tool performed very well. Internal consistency was good, with a Cronbach's alpha score above 0.81. Test-retest reliability was excellent, indicated by an ICC of 0.987. The kappa scores for agreement ranged from moderate to almost perfect. All hypotheses regarding the tool's validity were confirmed. Item response rates exceeded 97 percent, suggesting most participants found the questions easy to answer.

The study did not report any safety concerns or adverse events because the questionnaire is a survey and not a medical treatment. The main reason to be careful is that this is a cross-sectional study, which captures a single point in time. This design limits the ability to draw conclusions about cause and effect or long-term changes. However, the findings suggest the tool may greatly support epidemiological surveillance and inform occupational health interventions in Singapore's healthcare setting.

What this means for you:
A new questionnaire shows excellent reliability for tracking back pain in Singapore healthcare workers.

Study Details

Study typeGuideline
EvidenceLevel 5
PublishedMay 2026
View Original Abstract ↓
BackgroundWork-related musculoskeletal disorders are highly prevalent among healthcare professionals and contribute to disability, reduced productivity and compromised patient care delivery. The Extended Nordic Musculoskeletal Questionnaire is a comprehensive tool used for gathering data on musculoskeletal symptoms and their impact, however its measurement properties have not been validated in Singapore. This study aimed to evaluate the reliability and validity of the extended Nordic Musculoskeletal Questionnaire in measuring musculoskeletal disorders (MSDs) among healthcare professionals in two community hospitals in Singapore.MethodsA total of 251 nurses and therapists working in two community hospitals were recruited in a cross-sectional study conducted between March 2024 and August 2024, following the Consensus-based Standards for selection of Health Measurement Instruments framework (COSMIN). Face validity was assessed through cognitive debriefing interviews (CDIs). Construct validity was assessed by testing 5 a priori hypotheses with the EQ-5D-5L instrument, using Spearman’s correlation coefficients. Test–retest reliability was evaluated using kappa, observed proportion of agreement and intraclass correlation coefficient (ICC), while the internal consistency was determined using Cronbach’s alpha.ResultsAmong 251 participants (mean age: 34.7, 83.6% females, 7.31 years of working experience), the NMQ-E demonstrated good internal consistency (Cronbach’s alpha above 0.81), and excellent test–retest reliability [ICC = 0.987 (95% CI 0.974–0.994)] with moderate to almost perfect reliability (kappa = 0.64–0.95). All a priori were confirmed in convergent validity assessment. Item response rates exceeded 97%, indicating good feasibility.ConclusionThe NMQ-E is a valid and reliable instrument for assessing work-related musculoskeletal symptoms among healthcare professionals in community hospitals within Singapore. Its application may greatly support epidemiological surveillance and inform occupational health interventions in Singapore’s healthcare setting.
Free Newsletter

Clinical research that matters. Delivered to your inbox.

Join thousands of clinicians and researchers. No spam, unsubscribe anytime.