Slovenski prevod, zanesljivost in uporabnost Vprašalnika o hrbtenici za otroke : magistrsko delo

Majcen, Anemarija (avtor), Jakovljević, Miroljub (mentor), Levec, Tina (komentor), Petrič, Maja (recenzent)

Uvod: Bolečine v vratu in hrbtu predstavljajo pomemben javnozdravstveni problem, ki se vse pogosteje pojavlja tudi pri otrocih in mladostnikih. Ker je bolečina v hrbtu v mladosti pomemben napovednik bolečin v odrasli dobi, je zgodnje prepoznavanje razširjenosti, intenzitete in posledic bolečine ključnega pomena. Za to je potrebno standardizirano in zanesljivo merilno orodje, ki bi bilo uporabno tudi v slovenskem prostoru. Namen: Namen magistrskega dela je bil prevesti in trans-kulturološko prilagoditi Vprašalnik o hrbtenici za otroke in navodila za uporabo v slovenski jezik, oceniti primernost za preiskovance in preiskovalce ter preveriti zanesljivost vprašalnika na vzorcu otrok in mladostnikov, starih med devet in 12 let. Metode dela: Prevod in prilagoditev sta bila izvedena po priporočilih Beatona et al. (2000) z uporabo postopka prevajanja, sinteze prevodov, prevoda nazaj v angleški jezik ter pilotnega testiranja. V raziskavo je bilo vključenih 60 osnovnošolcev. Deset fizioterapevtk je ocenilo uporabnost vprašalnika in navodil. Zanesljivost je bila preverjena s testom ponovnega izpolnjevanja po enem tednu z intraklasnim koeficientom korelacije in notranja skladnost s Cronbachovim koeficientom α.Rezultati: Notranja skladnost celotnega vprašalnika je bila blizu meje sprejemljivosti (Cronbach α med 0,673 in 0,684). Zanesljivost celotnega vprašalnika je bila zmerna (IKK = 0,64). Najvišjo stopnjo zanesljivosti so dosegla vprašanja o intenziteti in pogostosti bolečine, medtem ko je bila zanesljivost nižja pri vprašanjih o razširjenosti in družinski anamnezi. Otroci so vprašalnik ocenili kot razumljiv in preprost za uporabo (povprečna ocena 4,61/5). Fizioterapevtke so njegovo uporabnost ocenile nižje (3,72/5), predvsem zaradi zamudnega ročnega točkovanja in omejene diagnostične vrednosti. Razprava in zaključek: Glede na rezultate pilotne raziskave lahko zaključimo, da je slovenski prevod vprašalnika razumljiv in primeren za ciljno populacijo, z zmerno zanesljivostjo ocenjevanja, kar pripisujemo nestalni naravi otroške bolečine. Vprašalnik je primernejši predvsem za epidemiološke raziskave na večjih vzorcih kot za neposredno klinično diagnostiko. Za izboljšanje praktične vrednosti so potrebne manjše vsebinske prilagoditve ter nadaljnje raziskave na večjem in bolj reprezentativnem vzorcu.

• Jezik: Slovenski jezik
• Ključne besede: magistrska dela, fizioterapija, bolečine v hrbtu, mladostniki, otroci, vprašalnik o hrbtenici za otroke, zanesljivost
• Vrsta gradiva: Magistrsko delo/naloga
• Tipologija: 2.09 - Magistrsko delo
• Organizacija: ZF - Zdravstvena fakulteta
• Kraj izida: Ljubljana
• Založnik: [A. Majcen]
• Leto izida: 2026
• Št. strani: IX, 38 str., [64] str. pril.
• PID: 20.500.12556/RUL-184565
• UDK: 615.8
• COBISS.SI-ID: 284913667
• Datum objave v RUL: 10.07.2026

Sekundarni jezik

• Jezik: Angleški jezik
• Naslov: Slovenian translation, reliability and usability of young spine questionnaire : master thesis

Izvleček

Introduction: Neck and back pain represent an important public health problem, which is increasingly occurring in children and adolescents. Since back pain in youth is an important predictor of pain in adulthood, early recognition of the prevalence, intensity and consequences of pain is of key importance. This requires a standardized and reliable measurement tool that would also be useful in Slovenia. Purpose: The purpose of the master thesis was to translate and transculturally adapt the Young Spine Questionnaire and instructions for use into the Slovenian language, assess the suitability for subjects and investigators, and verify the reliability of the questionnaire on a sample of children and adolescents aged nine to 12 years. Methods: The translation and adaptation were carried out according to the recommendations of Beaton et al. (2000) using the process of translation, translation synthesis, back translation into English and pilot testing. 60 primary school students were included in the study. Ten physiotherapists assessed the usefulness of the questionnaire and instructions. Reliability was verified by a one-week re-test with the Intraclass Correlation Coefficient and internal consistency with Cronbach's α. Results: The internal consistency of the entire questionnaire was close to the acceptance limit (Cronbach's α between 0.673 and 0.684). The reliability of the entire questionnaire was moderate (ICC = 0.64). The highest level of reliability was achieved by questions about pain intensity and frequency, while reliability was lower for questions about prevalence and family history. Children rated the questionnaire as understandable and easy to use (average score 4.61/5). Physiotherapists rated its usefulness lower (3.72/5), mainly due to the time-consuming manual scoring and limited diagnostic value. Discussion and conclusion: Based on the results of the pilot study, we can conclude that the Slovenian translation of the questionnaire is understandable and suitable for the target population, with moderate reliability of assessment, which is attributed to the variable nature of childhood pain. The questionnaire is more suitable for epidemiological research on larger samples than for direct clinical diagnostics. Minor content adjustments and further research on a larger and more representative sample are needed to improve its practical value.

• Ključne besede: master's theses, physiotherapy, back pain, adolescents, children, Young Spine Questionnaire, reliability