Cross-cultural adaptation of the Revised Neurophysiology of Pain Questionnaire into Brazilian Portuguese language

Abstract

Objective To perform a cross-cultural adaptation of the Neurophysiology of Pain Questionnaire for the Brazilian population (NPQ-BR). Methods A translation and cross-cultural adaptation study were conducted in 11 stages according to standard procedures. Descriptive and inferential statistics were performed. The internal consistency of the questionnaire was assessed using Cronbach’s Alpha test (α). Results Four translators, six experts, twenty-one patients and ten physiotherapists participated in the study. The NPQ-BR was obtained after seven versions. The expert committee adapted four out of twelve items (item 1, 3, 11, and 12) to adapt the content of the instrument to the Brazilian context. The pre-test phase showed good internal consistency (α = 0.63). The comparison of the correct answers of the questionnaire between the groups (physical therapist group mean = 7.0 ± 1.7; patient group mean = 3.7 ± 2.1; p < 0.01) confirmed the discriminative validity of the NPQ-BR. Conclusion The Neurophysiology of Pain Questionnaire was cross-culturally adapted into a Brazilian context and can be used to assess the level of neurophysiological knowledge of pain of Brazilian patients. The interpretation of the results of the NPQ-BR must be taken with caution due to the absence of a robust validation methodology of the instrument.

Assessment Tools of Patient Competences: The Spanish Version of the R-NPQ and Three Practical Cases in Women with Breast Cancer and Persistent Pain

“…Construct validity was tested using a known-groups or discriminative validity approach, as was done in French, German, and Brazilian Portuguese adaptations [ 28 , 29 , 30 ]. Results were consistent across all adaptations, providing clear evidence for discriminant validity.…”

“…We would like to emphasize to readers that the R-NPQ has been used by this research team for years, and that the R-NPQ version presented here is the one provided by bodyinmind.org web, currently inactive. This version can currently be found on the Yumpu digital platform ( ) and consists of 13 statements about pain instead of the 12 that are found in a few cross-cultural validations of the R-NPQ [ 28 , 29 , 30 ]. This does not prevent the use of this Spanish version (see Appendix A ), which highlights the additional statement so that the Spanish R-NPQ of the 12 statements can also be used [ 27 ].…”

Additional effect of pain neuroscience education to craniocervical manual therapy and exercises for pain intensity and disability in temporomandibular disorders: a study protocol for a randomized controlled trial

“…During the assessment for eligibility, the participants will be assessed according to RDC/TMD to confirm the presence of TMD [ 21 ]. Afterwards, the participants will answer the Pain Numeric Rating Scale (NPRS) [ 25 ], The Craniofacial Pain and Disability Inventory (CF-PDI) [ 26 ], Global Perceived Effect (GPE) of improvement [ 25 ], Tampa Scale for Kinesiophobia for Temporomandibular Disorders (TSK/TMD )[ 27 ], Pain Catastrophizing Scale (PCS) [ 28 ], Pain Self-Efficacy Questionnaire (PSEQ) [ 29 ], Revised Neurophysiology of Pain Questionnaire (NPQ) [ 30 ], and Hospital Anxiety and Depression Scale (HADS) [ 31 ]. This protocol followed the Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) recommendations [ 32 ].…”

“…The NPQ showed acceptable internal consistency and good test-retest reliability [ 37 ]. There is a cross-culturally version of the NPQ to Brazilian Portuguese [ 30 ].…”

Avaliação Do Nível De Conhecimento Sobre Neurofisiologia Da Dor Em Fisioterapeutas: Um Estudo Transversal

“…Questionário Neurofisiológico da Dor (QND) (13)(14) . O QND é um instrumento autoaplicado, originalmente contendo 12 itens que se propõe a avaliar o conhecimento relacionado à neurofisiologia da dor, em que cada item contém três opções de resposta, sendo elas: verdadeiro, falso e indeciso.…”