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Albanian Version of Neck Disability Index Demonstrates Strong Psychometric Properties in Neck Pain Cohort

Albanian Version of Neck Disability Index Demonstrates Strong Psychometric Properties in Neck Pain C…
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Key Takeaway
Consider the Albanian Neck Disability Index reliable for psychometric evaluation in patients with neck pain.

This cohort study assessed the psychometric properties of the Albanian version of the Neck Disability Index (ANDI) among 566 patients with neck pain. The publication type was a psychometric evaluation, and the setting was not reported. The intervention or exposure involved administering the ANDI to evaluate its validity and reliability within this specific population. No comparator was reported for this evaluation. Follow-up duration was not reported.

Primary outcomes focused on psychometric properties, showing excellent reliability for internal consistency with Cronbach's alpha ranging from 0.981 to 0.993. Test–retest reliability (ICC2,1) also demonstrated excellent reliability with effect sizes between 0.981 to 0.993. Measurement error showed strong measurement precision, with the Standard Error of Measurement (SEM) ranging from 0.104–0.178 and the Minimal Detectable Change (MDC) ranging from 0.288–0.493. Item–total correlations exceeded 0.96, and exploratory factor analysis supported a unidimensional structure with a Kaiser-Meyer-Olkin value of 0.947. These metrics indicate high consistency across the assessment items.

Safety data regarding adverse events, serious adverse events, discontinuations, and tolerability were not reported. Limitations were not reported in the provided data. Funding or conflicts of interest were not reported. Practice relevance was not reported. Clinicians should interpret these psychometric findings as specific to the Albanian language context and the study population. Further research is needed to establish clinical utility beyond measurement properties. External validation is required before widespread adoption. Additional studies are recommended.

Study Details

Study typeCohort
EvidenceLevel 3
PublishedApr 2026
View Original Abstract ↓
BackgroundThe Neck Disability Index (NDI) is one of the most widely used instruments for evaluating neck pain disability. To date, no validated version has been available in Albanian. This study aimed to translate, culturally adapt, and evaluate the psychometric properties of the Albanian version of the NDI (ANDI).MethodsThe ANDI was developed using a standardized forward–backward translation method. A cross-sectional study was conducted among 566 participants with neck pain. Reliability was assessed through internal consistency (Cronbach’s alpha) and test–retest reliability (Intraclass Correlation Coefficient, ICC2,1). Measurement error was estimated using the Standard Error of Measurement (SEM) and Minimal Detectable Change (MDC). Construct validity was examined with exploratory factor analysis (EFA) and item–total correlations (ITC).ResultsThe ANDI showed excellent reliability, with Cronbach’s alpha values ranging from 0.981 to 0.993 and ICC2,1 between 0.981 and 0.993. SEM values (0.104–0.178) and MDC values (0.288–0.493) confirmed strong measurement precision. ITC exceeded 0.96 for all items. EFA supported a unidimensional structure (KMO = 0.947, Bartlett’s test p 
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