Validity and Reliability of Japanese Version of the MAPO Index for Assessing Manual Patient Handling in Nursing Homes

Overview

Journal J Occup Health

Publisher Oxford University Press

Specialty Occupational Medicine

Date 2024 Apr 11

PMID 38604159

Authors

Naomichi Tani

Fumiko Ichikawa

Susumu Oda

Olga Menoni

Marco Tasso

Kazuyuki Iwakiri

Masaharu Kumashiro

Takeshi Ebara

Yasuhiro Tsutsui

Affiliations

Soon will be listed here.

Abstract

Objectives: Low back pain (LBP) among caregivers in Japanese nursing homes has long been considered an occupational health issue. This study aimed to verify the reliability and validity of our developed Japanese version of the Movement and Assistance for Hospitalized Patients (J-MAPO) index, a risk assessment tool for LBP, in nursing homes.

Methods: Two inspectors assessed 15 nursing homes using J-MAPO, and deduced 3 LBP risk levels as follows: low, moderate, and high risk. Caregivers in nursing homes responded to a self-administered questionnaire on LBP over the past 12 months. Data from 296 caregivers with no missing data were used. We further used logistic regression models to analyze the association between LBP as a dependent variable, and J-MAPO risk level as an independent variable. We used Cohen kappa coefficient to assess interrater reliability to further assess the agreement between the 2 inspectors.

Results: The multivariate logistic regression analysis showed that the adjusted odds ratio and 95% CIs for LBP increased progressively with J-MAPO risk level (Low-risk: 1.00; Moderate-risk: 1.70 [0.74-3.91]; High-risk: 2.67 [1.28-5.56]). Furthermore, the J-MAPO risk levels assessed by the 2 inspectors were in perfect agreement (κ = 1) observed for interrater reliability using Cohen kappa coefficient.

Conclusions: There was high interrater reliability, and J-MAPO risk levels were associated with LBP. Therefore, our results suggest that the J-MAPO is a useful risk assessment tool for LBP in Japanese nursing homes.

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