Using the interviewer-administered version of Work Rehabilitation Questionnaire (WORQ) in Russia: cross-cultural adaptation and psychometric properties in traumatic spinal cord injury

(1) To perform a cross-cultural adaptation of Work Rehabilitation Questionnaire to Russian (WORQ-R); (2) to report the psychometric properties of WORQ-R in patients with traumatic spinal cord injury (TSCI).
WORQ is designed to evaluate the work functioning of individuals who are engaged in vocational rehabilitation. We performed a formal cross-cultural adaptation of WORQ from English to Russian utilizing a standardized 3-step approach. We examined the psychometric properties of WORQ-R in terms of its reliability and construct validity through the use of classical and modern test theory in the TSCI population.
The adaptation process achieved equivalence between Russian and English versions of WORQ. WORQ-R proved to cover major issues concerning functioning in vocational rehabilitation and was simple to understand. The internal consistency of WORQ-R was good (Cronbach’s Alpha = 0.83). Rasch analysis confirmed the unidimensionality of the WORQ-scale and high reliability (PSI = 0.97) based on a testlet solution. WORQ-R score showed a strong negative correlation with the Functional Independence Measure, moderate negative correlation with the Spinal Cord Independence Measure Version III and the SF-36, moderate positive correlation with the Spinal Cord Injury Secondary Conditions Scale.
WORQ-R showed good validity and reliability in persons with TSCI allowing vocational professionals to have comprehensive information on vocational functioning.IMPLICATIONS FOR REHABILITATION
SCI is a disabling condition that causes impairments in body structure and function leading to activity limitations and participation restrictions.
WORQ is a generic tool that allows for an assessment of work-related aspects of functioning in different populations of persons with disabilities.
This study demonstrates the psychometric properties of the Russian version of WORQ in the SCI population.
WORQ-R is recommended as a tool to describe the biopsychosocial and related vocational background to gain a better understanding of needs among SCI persons in terms of vocational rehabilitation.

SCI is a disabling condition that causes impairments in body structure and function leading to activity limitations and participation restrictions.
WORQ is a generic tool that allows for an assessment of work-related aspects of functioning in different populations of persons with disabilities.
This study demonstrates the psychometric properties of the Russian version of WORQ in the SCI population.
WORQ-R is recommended as a tool to describe the biopsychosocial and related vocational background to gain a better understanding of needs among SCI persons in terms of vocational rehabilitation.

(1) 完成《工作康复问卷》（Work Rehabilitation Questionnaire, WORQ）的跨文化调适并推出俄语版（WORQ-R）；(2) 评估俄语版WORQ（WORQ-R）在创伤性脊髓损伤（traumatic spinal cord injury, TSCI）患者中的心理测量学特性。
WORQ是一款用于评估参与职业康复人群工作功能的工具。本研究采用标准化三步法，完成了WORQ从英语到俄语的正式跨文化调适；并针对TSCI人群，运用经典测验理论与现代测验理论，检验了WORQ-R的信度与结构效度等心理测量学属性。
本次跨文化调适实现了WORQ俄语版与英语版的等效性。WORQ-R能够覆盖职业康复中与功能相关的核心议题，且易于理解。其内部一致性表现良好（克朗巴赫α系数=0.83）。拉什（Rasch）分析基于题组（testlet）解法验证了WORQ量表的单维性，且具备较高信度（Person Separation Index, PSI=0.97）。WORQ-R得分与功能独立性评定量表（Functional Independence Measure, FIM）呈强负相关，与脊髓损伤独立评定量表第三版（Spinal Cord Independence Measure Version III, SCIM-III）及SF-36量表呈中度负相关，与脊髓损伤继发症状量表（Spinal Cord Injury Secondary Conditions Scale）呈中度正相关。
WORQ-R在TSCI人群中展现出良好的效度与信度，可帮助职业康复从业者全面获取职业功能相关信息。

【康复实践启示】
脊髓损伤（spinal cord injury, SCI）是一类致残性疾病，会造成躯体结构与功能损伤，进而导致活动受限与参与限制。
WORQ是一款通用型评估工具，可针对不同残疾人群体的工作相关功能维度进行测评。
本研究明确了俄语版WORQ在SCI人群中的心理测量学属性。
推荐将WORQ-R作为工具，用于描述脊髓损伤患者的生物-心理-社会特征及相关职业背景，从而更深入地理解其在职业康复领域的需求。

脊髓损伤（spinal cord injury, SCI）是一类致残性疾病，会造成躯体结构与功能损伤，进而导致活动受限与参与限制。
WORQ是一款通用型评估工具，可针对不同残疾人群体的工作相关功能维度进行测评。
本研究明确了俄语版WORQ在SCI人群中的心理测量学属性。
推荐将WORQ-R作为工具，用于描述脊髓损伤患者的生物-心理-社会特征及相关职业背景，从而更深入地理解其在职业康复领域的需求。