Challenges of Measuring Self-Reported Exposure to Occupational Biomechanical Risk Factors Amongst People with Low Literacy Engaged in Manual Labour: Findings from a Cross-Cultural Adaptation and Psychometric Investigation in an African Population with Chronic Low Back Pain
Purpose Occupational biomechanical factors are implicated in the aetiology and progression of low back pain (LBP). This study cross-culturally adapted and psychometrically investigated the Occupational Risk Factor Questionnaire (ORFQ) in a low literate Nigerian Igbo population with chronic LBP. Meth...
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| Veröffentlicht in: | Journal of occupational rehabilitation 2024-12, Vol.34 (4), p.847-862 |
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| container_title | Journal of occupational rehabilitation |
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| creator | Igwesi-Chidobe, Chinonso Nwamaka Sorinola, Isaac Olubunmi Ozumba, Benjamin Chukwuma Godfrey, Emma Louise |
| description | Purpose
Occupational biomechanical factors are implicated in the aetiology and progression of low back pain (LBP). This study cross-culturally adapted and psychometrically investigated the Occupational Risk Factor Questionnaire (ORFQ) in a low literate Nigerian Igbo population with chronic LBP.
Methods
Forward and back translation of the original ORFQ by clinical and non-clinical translators was followed by an expert committee review. The adapted ORFQ was pre-tested amongst rural Nigerian adults with chronic LBP using cognitive think-aloud interviewing. Internal consistency (Cronbach’s alpha) and test–retest reliability (unweighted and linear weighted k statistic for item-by-item agreement, and intra-class correlation coefficient—ICC) were investigated amongst 50 rural and urban Nigerian dwellers with chronic LBP. Spearman’s correlation and regression analyses were conducted with the Igbo-ORFQ, and measures of disability [World Health Organisation Disability Assessment Schedule (WHODAS 2.0), Roland Morris Disability Questionnaire (RMDQ), Back performance scale (BPS)], pain intensity [Eleven-point box scale (BS-11)] and social support [Multidimensional Scale of Perceived Social Support (MSPSS)], to test construct validity with 200 rural Nigerian dwellers with chronic LBP.
Results
Cross-cultural adaptation highlighted difficulty conceptualising and concretising exposure to biomechanical risk factors. Item-by-item agreement, internal consistency (α = 0.84) and intraclass correlation coefficient (ICC = 0.83) were good. Some unexpected direction of associations between the biomechanical components of the Igbo-ORFQ, and disability, pain intensity, and social support prohibits establishment of construct validity.
Conclusion
Prospective studies comparing the Igbo-ORFQ to other measures of exposure to occupational biomechanical risk factors are required to establish the construct validity of the Igbo-ORFQ. |
| doi_str_mv | 10.1007/s10926-024-10171-5 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11550223</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2929538809</sourcerecordid><originalsourceid>FETCH-LOGICAL-c426t-705c23d3056343e90c75c0a6293ae79c9f31870548f73944b26dc1796f6310a43</originalsourceid><addsrcrecordid>eNp9kktv1DAUhQMC0VJYsGWBrsSGTcCPvNwNmkYzUGmqjgqsLY_jZNwmdrCdlvn3eGZKeSxYOdH57sm5zkmS1xi9xwiVHzxGjBQpIlmKES5xmj9OjnFe0pQWVfUkPqOcpiiryqPkuffXCCFWleRZckQrWjKUseNHr-qN6HtlOuXBtnChhJ-cNh18UX2bXqnRuqAamP8YbRQUBAuXUk6jCNoa0cOZtoOSG2G0jG9X2t_AQshgnYfZYE3nA6yUHXsFdzpsYGnvYKmDckJuYW460UVzbeBCmCnOL8XaTu4UFto0MYSH1tkBBNTOep_WUx8mF7FZI8awTwDCNLDyW7mJMYLTEs7NrfJBdwdZ7wiYtVGJ58qOU38Q9mnqjbMx-D7VmZA3sBLavEietqL36uX9eZJ8W8y_1p_T5eWn83q2TGVGipCWKJeENhTlBc2oYkiWuUSiIIwKVTLJWoqrCGVVW1KWZWtSNBKXrGgLipHI6Eny8eA7TutBNVKZEHfjo9ODcFtuheZ_K0ZveGdvOcZ5jgih0eHdvYOz36e4NR-0l6rvhVF28pwwwnJaVYhF9O0_6HW86PgDPaeYFFmGK4QjRQ6U3N23U-1DGoz4rnL8UDkeK8f3leN5HHrz5x4PI786FgF6APy4a5Zyv7_9H9uf4wTl9A</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3126441801</pqid></control><display><type>article</type><title>Challenges of Measuring Self-Reported Exposure to Occupational Biomechanical Risk Factors Amongst People with Low Literacy Engaged in Manual Labour: Findings from a Cross-Cultural Adaptation and Psychometric Investigation in an African Population with Chronic Low Back Pain</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Igwesi-Chidobe, Chinonso Nwamaka ; Sorinola, Isaac Olubunmi ; Ozumba, Benjamin Chukwuma ; Godfrey, Emma Louise</creator><creatorcontrib>Igwesi-Chidobe, Chinonso Nwamaka ; Sorinola, Isaac Olubunmi ; Ozumba, Benjamin Chukwuma ; Godfrey, Emma Louise</creatorcontrib><description>Purpose
Occupational biomechanical factors are implicated in the aetiology and progression of low back pain (LBP). This study cross-culturally adapted and psychometrically investigated the Occupational Risk Factor Questionnaire (ORFQ) in a low literate Nigerian Igbo population with chronic LBP.
Methods
Forward and back translation of the original ORFQ by clinical and non-clinical translators was followed by an expert committee review. The adapted ORFQ was pre-tested amongst rural Nigerian adults with chronic LBP using cognitive think-aloud interviewing. Internal consistency (Cronbach’s alpha) and test–retest reliability (unweighted and linear weighted k statistic for item-by-item agreement, and intra-class correlation coefficient—ICC) were investigated amongst 50 rural and urban Nigerian dwellers with chronic LBP. Spearman’s correlation and regression analyses were conducted with the Igbo-ORFQ, and measures of disability [World Health Organisation Disability Assessment Schedule (WHODAS 2.0), Roland Morris Disability Questionnaire (RMDQ), Back performance scale (BPS)], pain intensity [Eleven-point box scale (BS-11)] and social support [Multidimensional Scale of Perceived Social Support (MSPSS)], to test construct validity with 200 rural Nigerian dwellers with chronic LBP.
Results
Cross-cultural adaptation highlighted difficulty conceptualising and concretising exposure to biomechanical risk factors. Item-by-item agreement, internal consistency (α = 0.84) and intraclass correlation coefficient (ICC = 0.83) were good. Some unexpected direction of associations between the biomechanical components of the Igbo-ORFQ, and disability, pain intensity, and social support prohibits establishment of construct validity.
Conclusion
Prospective studies comparing the Igbo-ORFQ to other measures of exposure to occupational biomechanical risk factors are required to establish the construct validity of the Igbo-ORFQ.</description><identifier>ISSN: 1053-0487</identifier><identifier>ISSN: 1573-3688</identifier><identifier>EISSN: 1573-3688</identifier><identifier>DOI: 10.1007/s10926-024-10171-5</identifier><identifier>PMID: 38379049</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adaptation ; Adult ; Back pain ; Biomechanical Phenomena ; Biomechanics ; Chronic pain ; Chronic Pain - psychology ; Clinical Psychology ; Correlation coefficient ; Correlation coefficients ; Cross-Cultural Comparison ; Disability Evaluation ; Environmental Health ; Exposure ; Female ; Health Psychology ; Humans ; Investigations ; Literacy ; Low back pain ; Low Back Pain - psychology ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Nigeria ; Occupational Diseases - psychology ; Occupational exposure ; Occupational Medicine/Industrial Medicine ; Orthopedics ; Pain ; Pain Measurement ; Physical work ; Population studies ; Psychometrics ; Questionnaires ; Regression analysis ; Rehabilitation ; Reproducibility of Results ; Risk Factors ; Self Report ; Social interactions ; Social Support ; Statistical analysis ; Surveys and Questionnaires ; Translations ; Validation studies ; Validity</subject><ispartof>Journal of occupational rehabilitation, 2024-12, Vol.34 (4), p.847-862</ispartof><rights>The Author(s) 2024</rights><rights>2024. The Author(s).</rights><rights>The Author(s) 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2024 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c426t-705c23d3056343e90c75c0a6293ae79c9f31870548f73944b26dc1796f6310a43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10926-024-10171-5$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10926-024-10171-5$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38379049$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Igwesi-Chidobe, Chinonso Nwamaka</creatorcontrib><creatorcontrib>Sorinola, Isaac Olubunmi</creatorcontrib><creatorcontrib>Ozumba, Benjamin Chukwuma</creatorcontrib><creatorcontrib>Godfrey, Emma Louise</creatorcontrib><title>Challenges of Measuring Self-Reported Exposure to Occupational Biomechanical Risk Factors Amongst People with Low Literacy Engaged in Manual Labour: Findings from a Cross-Cultural Adaptation and Psychometric Investigation in an African Population with Chronic Low Back Pain</title><title>Journal of occupational rehabilitation</title><addtitle>J Occup Rehabil</addtitle><addtitle>J Occup Rehabil</addtitle><description>Purpose
Occupational biomechanical factors are implicated in the aetiology and progression of low back pain (LBP). This study cross-culturally adapted and psychometrically investigated the Occupational Risk Factor Questionnaire (ORFQ) in a low literate Nigerian Igbo population with chronic LBP.
Methods
Forward and back translation of the original ORFQ by clinical and non-clinical translators was followed by an expert committee review. The adapted ORFQ was pre-tested amongst rural Nigerian adults with chronic LBP using cognitive think-aloud interviewing. Internal consistency (Cronbach’s alpha) and test–retest reliability (unweighted and linear weighted k statistic for item-by-item agreement, and intra-class correlation coefficient—ICC) were investigated amongst 50 rural and urban Nigerian dwellers with chronic LBP. Spearman’s correlation and regression analyses were conducted with the Igbo-ORFQ, and measures of disability [World Health Organisation Disability Assessment Schedule (WHODAS 2.0), Roland Morris Disability Questionnaire (RMDQ), Back performance scale (BPS)], pain intensity [Eleven-point box scale (BS-11)] and social support [Multidimensional Scale of Perceived Social Support (MSPSS)], to test construct validity with 200 rural Nigerian dwellers with chronic LBP.
Results
Cross-cultural adaptation highlighted difficulty conceptualising and concretising exposure to biomechanical risk factors. Item-by-item agreement, internal consistency (α = 0.84) and intraclass correlation coefficient (ICC = 0.83) were good. Some unexpected direction of associations between the biomechanical components of the Igbo-ORFQ, and disability, pain intensity, and social support prohibits establishment of construct validity.
Conclusion
Prospective studies comparing the Igbo-ORFQ to other measures of exposure to occupational biomechanical risk factors are required to establish the construct validity of the Igbo-ORFQ.</description><subject>Adaptation</subject><subject>Adult</subject><subject>Back pain</subject><subject>Biomechanical Phenomena</subject><subject>Biomechanics</subject><subject>Chronic pain</subject><subject>Chronic Pain - psychology</subject><subject>Clinical Psychology</subject><subject>Correlation coefficient</subject><subject>Correlation coefficients</subject><subject>Cross-Cultural Comparison</subject><subject>Disability Evaluation</subject><subject>Environmental Health</subject><subject>Exposure</subject><subject>Female</subject><subject>Health Psychology</subject><subject>Humans</subject><subject>Investigations</subject><subject>Literacy</subject><subject>Low back pain</subject><subject>Low Back Pain - psychology</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nigeria</subject><subject>Occupational Diseases - psychology</subject><subject>Occupational exposure</subject><subject>Occupational Medicine/Industrial Medicine</subject><subject>Orthopedics</subject><subject>Pain</subject><subject>Pain Measurement</subject><subject>Physical work</subject><subject>Population studies</subject><subject>Psychometrics</subject><subject>Questionnaires</subject><subject>Regression analysis</subject><subject>Rehabilitation</subject><subject>Reproducibility of Results</subject><subject>Risk Factors</subject><subject>Self Report</subject><subject>Social interactions</subject><subject>Social Support</subject><subject>Statistical analysis</subject><subject>Surveys and Questionnaires</subject><subject>Translations</subject><subject>Validation studies</subject><subject>Validity</subject><issn>1053-0487</issn><issn>1573-3688</issn><issn>1573-3688</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><recordid>eNp9kktv1DAUhQMC0VJYsGWBrsSGTcCPvNwNmkYzUGmqjgqsLY_jZNwmdrCdlvn3eGZKeSxYOdH57sm5zkmS1xi9xwiVHzxGjBQpIlmKES5xmj9OjnFe0pQWVfUkPqOcpiiryqPkuffXCCFWleRZckQrWjKUseNHr-qN6HtlOuXBtnChhJ-cNh18UX2bXqnRuqAamP8YbRQUBAuXUk6jCNoa0cOZtoOSG2G0jG9X2t_AQshgnYfZYE3nA6yUHXsFdzpsYGnvYKmDckJuYW460UVzbeBCmCnOL8XaTu4UFto0MYSH1tkBBNTOep_WUx8mF7FZI8awTwDCNLDyW7mJMYLTEs7NrfJBdwdZ7wiYtVGJ58qOU38Q9mnqjbMx-D7VmZA3sBLavEietqL36uX9eZJ8W8y_1p_T5eWn83q2TGVGipCWKJeENhTlBc2oYkiWuUSiIIwKVTLJWoqrCGVVW1KWZWtSNBKXrGgLipHI6Eny8eA7TutBNVKZEHfjo9ODcFtuheZ_K0ZveGdvOcZ5jgih0eHdvYOz36e4NR-0l6rvhVF28pwwwnJaVYhF9O0_6HW86PgDPaeYFFmGK4QjRQ6U3N23U-1DGoz4rnL8UDkeK8f3leN5HHrz5x4PI786FgF6APy4a5Zyv7_9H9uf4wTl9A</recordid><startdate>20241201</startdate><enddate>20241201</enddate><creator>Igwesi-Chidobe, Chinonso Nwamaka</creator><creator>Sorinola, Isaac Olubunmi</creator><creator>Ozumba, Benjamin Chukwuma</creator><creator>Godfrey, Emma Louise</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7TS</scope><scope>C1K</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20241201</creationdate><title>Challenges of Measuring Self-Reported Exposure to Occupational Biomechanical Risk Factors Amongst People with Low Literacy Engaged in Manual Labour: Findings from a Cross-Cultural Adaptation and Psychometric Investigation in an African Population with Chronic Low Back Pain</title><author>Igwesi-Chidobe, Chinonso Nwamaka ; Sorinola, Isaac Olubunmi ; Ozumba, Benjamin Chukwuma ; Godfrey, Emma Louise</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c426t-705c23d3056343e90c75c0a6293ae79c9f31870548f73944b26dc1796f6310a43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adaptation</topic><topic>Adult</topic><topic>Back pain</topic><topic>Biomechanical Phenomena</topic><topic>Biomechanics</topic><topic>Chronic pain</topic><topic>Chronic Pain - psychology</topic><topic>Clinical Psychology</topic><topic>Correlation coefficient</topic><topic>Correlation coefficients</topic><topic>Cross-Cultural Comparison</topic><topic>Disability Evaluation</topic><topic>Environmental Health</topic><topic>Exposure</topic><topic>Female</topic><topic>Health Psychology</topic><topic>Humans</topic><topic>Investigations</topic><topic>Literacy</topic><topic>Low back pain</topic><topic>Low Back Pain - psychology</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nigeria</topic><topic>Occupational Diseases - psychology</topic><topic>Occupational exposure</topic><topic>Occupational Medicine/Industrial Medicine</topic><topic>Orthopedics</topic><topic>Pain</topic><topic>Pain Measurement</topic><topic>Physical work</topic><topic>Population studies</topic><topic>Psychometrics</topic><topic>Questionnaires</topic><topic>Regression analysis</topic><topic>Rehabilitation</topic><topic>Reproducibility of Results</topic><topic>Risk Factors</topic><topic>Self Report</topic><topic>Social interactions</topic><topic>Social Support</topic><topic>Statistical analysis</topic><topic>Surveys and Questionnaires</topic><topic>Translations</topic><topic>Validation studies</topic><topic>Validity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Igwesi-Chidobe, Chinonso Nwamaka</creatorcontrib><creatorcontrib>Sorinola, Isaac Olubunmi</creatorcontrib><creatorcontrib>Ozumba, Benjamin Chukwuma</creatorcontrib><creatorcontrib>Godfrey, Emma Louise</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Physical Education Index</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of occupational rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Igwesi-Chidobe, Chinonso Nwamaka</au><au>Sorinola, Isaac Olubunmi</au><au>Ozumba, Benjamin Chukwuma</au><au>Godfrey, Emma Louise</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Challenges of Measuring Self-Reported Exposure to Occupational Biomechanical Risk Factors Amongst People with Low Literacy Engaged in Manual Labour: Findings from a Cross-Cultural Adaptation and Psychometric Investigation in an African Population with Chronic Low Back Pain</atitle><jtitle>Journal of occupational rehabilitation</jtitle><stitle>J Occup Rehabil</stitle><addtitle>J Occup Rehabil</addtitle><date>2024-12-01</date><risdate>2024</risdate><volume>34</volume><issue>4</issue><spage>847</spage><epage>862</epage><pages>847-862</pages><issn>1053-0487</issn><issn>1573-3688</issn><eissn>1573-3688</eissn><abstract>Purpose
Occupational biomechanical factors are implicated in the aetiology and progression of low back pain (LBP). This study cross-culturally adapted and psychometrically investigated the Occupational Risk Factor Questionnaire (ORFQ) in a low literate Nigerian Igbo population with chronic LBP.
Methods
Forward and back translation of the original ORFQ by clinical and non-clinical translators was followed by an expert committee review. The adapted ORFQ was pre-tested amongst rural Nigerian adults with chronic LBP using cognitive think-aloud interviewing. Internal consistency (Cronbach’s alpha) and test–retest reliability (unweighted and linear weighted k statistic for item-by-item agreement, and intra-class correlation coefficient—ICC) were investigated amongst 50 rural and urban Nigerian dwellers with chronic LBP. Spearman’s correlation and regression analyses were conducted with the Igbo-ORFQ, and measures of disability [World Health Organisation Disability Assessment Schedule (WHODAS 2.0), Roland Morris Disability Questionnaire (RMDQ), Back performance scale (BPS)], pain intensity [Eleven-point box scale (BS-11)] and social support [Multidimensional Scale of Perceived Social Support (MSPSS)], to test construct validity with 200 rural Nigerian dwellers with chronic LBP.
Results
Cross-cultural adaptation highlighted difficulty conceptualising and concretising exposure to biomechanical risk factors. Item-by-item agreement, internal consistency (α = 0.84) and intraclass correlation coefficient (ICC = 0.83) were good. Some unexpected direction of associations between the biomechanical components of the Igbo-ORFQ, and disability, pain intensity, and social support prohibits establishment of construct validity.
Conclusion
Prospective studies comparing the Igbo-ORFQ to other measures of exposure to occupational biomechanical risk factors are required to establish the construct validity of the Igbo-ORFQ.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>38379049</pmid><doi>10.1007/s10926-024-10171-5</doi><tpages>16</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of occupational rehabilitation, 2024-12, Vol.34 (4), p.847-862 |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adaptation Adult Back pain Biomechanical Phenomena Biomechanics Chronic pain Chronic Pain - psychology Clinical Psychology Correlation coefficient Correlation coefficients Cross-Cultural Comparison Disability Evaluation Environmental Health Exposure Female Health Psychology Humans Investigations Literacy Low back pain Low Back Pain - psychology Male Medicine Medicine & Public Health Middle Aged Nigeria Occupational Diseases - psychology Occupational exposure Occupational Medicine/Industrial Medicine Orthopedics Pain Pain Measurement Physical work Population studies Psychometrics Questionnaires Regression analysis Rehabilitation Reproducibility of Results Risk Factors Self Report Social interactions Social Support Statistical analysis Surveys and Questionnaires Translations Validation studies Validity |
| title | Challenges of Measuring Self-Reported Exposure to Occupational Biomechanical Risk Factors Amongst People with Low Literacy Engaged in Manual Labour: Findings from a Cross-Cultural Adaptation and Psychometric Investigation in an African Population with Chronic Low Back Pain |
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