VALIDATION DATA

MEASUREMENT PROPERTIES
Limitations
Observations

Paper and Digital Formats available through ePROVIDE MAPI Trust
https://eprovide.mapi-trust.org/instruments/oswestry-disability-index

1. RELIABILITY
A. Internal Consistency Tested
Cronbach's (Describe)

Cronbach's alpha= 0.71-0.87

B. Reliability intraobserver or test-retest Tested
Continuous scores: intraclass
correlation coefficient (ICC)
Dichotomus: Cohen kappa (Describe)

ICC= 0.84, 95% confidence interval 0.73–0.91

C. Reliability interobserver or Measurement error Tested
Standard error of measurement (SEM),
smallest detectable change (SDC) or
Limits of agreement (LoA) (Describe)

Minimal detectable change is 13.7–19

2. VALIDITY
A. Content validity: face validity Tested
Expert opinion (relevance and
comprehensiveness) (Describe)

The ODI has adequate content validity, as it covers activities of daily living that are commonly experienced by patients with back pain. However, it lacks generic activities such as work, leisure, recreation, or sporting activities.

B. Construct Validity:
Structural validity
Tested
Hypotheses-testing Tested
Cross-cultural validity Tested
Brief Description

The ODI was compared with four states of general health. The scores showed a slight linear decrease where general health was lower.  Independent relationship of pain and function were investigated against the ODI with linear regression models. 

C. Criterion validity Tested
Comparison with a 'gold standard' Continuous scores:
correlations, ROC curves Dichotomus:
Sensitivity & Specificity (Describe)

Pain NRS, and the Short Form 36. The ODI moderately correlated with the SF-36 and NRS (Spearman's and Pearson's correlation coefficients of >0.30).