Translation, cross-cultural adaptation and validation of the Persian version of the physical workload questionnaire (PWQ)

Abstract Background Musculoskeletal disorders in manual workers are often linked to physical workload factors such as heavy lifting, repetitive movements, and awkward postures. These factors can negatively impact health and work efficiency. Simple tools like questionnaires are essential for studying...

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Main Authors: Mehrnaz Noshadha, Hamid Reza Mokhtarinia, Mohsen Vahedi, Markus Melloh
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12891-025-08345-0
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author Mehrnaz Noshadha
Hamid Reza Mokhtarinia
Mohsen Vahedi
Markus Melloh
author_facet Mehrnaz Noshadha
Hamid Reza Mokhtarinia
Mohsen Vahedi
Markus Melloh
author_sort Mehrnaz Noshadha
collection DOAJ
description Abstract Background Musculoskeletal disorders in manual workers are often linked to physical workload factors such as heavy lifting, repetitive movements, and awkward postures. These factors can negatively impact health and work efficiency. Simple tools like questionnaires are essential for studying physical workload. This study aimed to translate, culturally adapt, and evaluate the psychometric properties of the Physical Workload Questionnaire for Persian-speaking populations (PWQ-Pr). Methods The study involved 255 participants and followed standard guidelines for translation and cultural adaptation. Various psychometric properties were assessed, including face validity through interviews, construct validity via hypothesis testing and factor analysis, content validity using the Content Validity Index (CVI), convergent validity through Pearson’s correlation with the Spine Functional Index (SFI), internal consistency using Cronbach’s alpha, and test-retest reliability assessed through the intra-class correlation coefficient (ICC) and standard measurement error over a 10-day period. Results Good internal consistency (α = 0.89) and high test-retest reliability (ICC = 0.90, 95% confidence interval: 0.81–0.94) were obtained. Convergent validity was indicated by a correlation of r = 0.41 (P < 0.001) with the SFI questionnaire. Content Validity (CVI = 0.93) was approved. Factor analysis identified two distinct factors within the PWQ-Pr, explaining 52.07% of the variance. Hypothesis testing indicated significant differences in physical workload across job types and among individuals with and without spinal musculoskeletal disorders (MSDs), with eight hypotheses confirmed out of twelve tested. Conclusions The Persian version of the Physical Workload Questionnaire (PWQ-Pr) is a reliable and valid tool for assessing physical workload among Persian-speaking individuals. It is effective in evaluating workload across various job tasks.
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spelling doaj-art-1a5eaa883960434c819a190f3290ad142025-02-02T12:05:29ZengBMCBMC Musculoskeletal Disorders1471-24742025-02-0126111210.1186/s12891-025-08345-0Translation, cross-cultural adaptation and validation of the Persian version of the physical workload questionnaire (PWQ)Mehrnaz Noshadha0Hamid Reza Mokhtarinia1Mohsen Vahedi2Markus Melloh3Department of Ergonomics, University of Social Welfare and Rehabilitation SciencesDepartment of Ergonomics, University of Social Welfare and Rehabilitation SciencesDepartment of Biostatistics and Epidemiology, Substance Abuse and Dependence Research Center, University of Social Welfare and Rehabilitation SciencesSchool of Public Health and Social Work, Queensland University of TechnologyAbstract Background Musculoskeletal disorders in manual workers are often linked to physical workload factors such as heavy lifting, repetitive movements, and awkward postures. These factors can negatively impact health and work efficiency. Simple tools like questionnaires are essential for studying physical workload. This study aimed to translate, culturally adapt, and evaluate the psychometric properties of the Physical Workload Questionnaire for Persian-speaking populations (PWQ-Pr). Methods The study involved 255 participants and followed standard guidelines for translation and cultural adaptation. Various psychometric properties were assessed, including face validity through interviews, construct validity via hypothesis testing and factor analysis, content validity using the Content Validity Index (CVI), convergent validity through Pearson’s correlation with the Spine Functional Index (SFI), internal consistency using Cronbach’s alpha, and test-retest reliability assessed through the intra-class correlation coefficient (ICC) and standard measurement error over a 10-day period. Results Good internal consistency (α = 0.89) and high test-retest reliability (ICC = 0.90, 95% confidence interval: 0.81–0.94) were obtained. Convergent validity was indicated by a correlation of r = 0.41 (P < 0.001) with the SFI questionnaire. Content Validity (CVI = 0.93) was approved. Factor analysis identified two distinct factors within the PWQ-Pr, explaining 52.07% of the variance. Hypothesis testing indicated significant differences in physical workload across job types and among individuals with and without spinal musculoskeletal disorders (MSDs), with eight hypotheses confirmed out of twelve tested. Conclusions The Persian version of the Physical Workload Questionnaire (PWQ-Pr) is a reliable and valid tool for assessing physical workload among Persian-speaking individuals. It is effective in evaluating workload across various job tasks.https://doi.org/10.1186/s12891-025-08345-0Musculoskeletal disordersPhysical workloadValidityReliabilityPWQPersian
spellingShingle Mehrnaz Noshadha
Hamid Reza Mokhtarinia
Mohsen Vahedi
Markus Melloh
Translation, cross-cultural adaptation and validation of the Persian version of the physical workload questionnaire (PWQ)
BMC Musculoskeletal Disorders
Musculoskeletal disorders
Physical workload
Validity
Reliability
PWQ
Persian
title Translation, cross-cultural adaptation and validation of the Persian version of the physical workload questionnaire (PWQ)
title_full Translation, cross-cultural adaptation and validation of the Persian version of the physical workload questionnaire (PWQ)
title_fullStr Translation, cross-cultural adaptation and validation of the Persian version of the physical workload questionnaire (PWQ)
title_full_unstemmed Translation, cross-cultural adaptation and validation of the Persian version of the physical workload questionnaire (PWQ)
title_short Translation, cross-cultural adaptation and validation of the Persian version of the physical workload questionnaire (PWQ)
title_sort translation cross cultural adaptation and validation of the persian version of the physical workload questionnaire pwq
topic Musculoskeletal disorders
Physical workload
Validity
Reliability
PWQ
Persian
url https://doi.org/10.1186/s12891-025-08345-0
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