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This study aimed to translate and cross-culturally adapt MSK-HQ into a Simplified Chinese version (MSK-HQ-C), and evaluate the reliability and validity of MSK-HQ-C in patients with non-specific chronic neck pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 150 participants were included in this study. Internal consistency was estimated according to Cronbach\u2019s alpha. Test-retest reliability was assessed by Intra-class correlation coefficient (ICC) based on completions from all participants at a 7\u201314\u00a0day interval. Construct validity was analyzed by correlations between MSK-HQ-C and the EuroQol-5 Dimensions-5 Levels (EQ-5D-5\u00a0L), Copenhagen Neck Function Disability Scale (CNFDS) as well as the short form (36) health survey (SF-36). The structural, convergent, and discriminant validity of the questionnaire were assessed using factor analysis and correlation analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The original version of the MSK-HQ was cross-culturally adapted and translated into Simplified Chinese following the guidelines by Beaton et al. MSK-HQ-C was indicated to have excellent reliability (Cronbach\u2019s alpha = 0.922, ICC = 0.822). Moderate to substantial correlations between MSK-HQ-C and EQ-5D-Total (\n                      <jats:italic>r<\/jats:italic>\n                      = .648,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; .001), EQ-5D-VAS (\n                      <jats:italic>r<\/jats:italic>\n                      = .707,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; .001), CNFDS (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u2009\u2212\u2009.759,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; .001), as well as physical function (\n                      <jats:italic>r<\/jats:italic>\n                      = .594,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; .001), role-physical (\n                      <jats:italic>r<\/jats:italic>\n                      = .407,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; .001), bodily pain (\n                      <jats:italic>r<\/jats:italic>\n                      = .512,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; .001) and general health (\n                      <jats:italic>r<\/jats:italic>\n                      = .496,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; .001) subscales of SF-36 were observed. An exploratory factor analysis revealed that the 2-factor loading explained 74.206% of the variance (KMO = 0.919; Bartlett\u2019s test of sphericity: \u03c7\u00b2 = 1855.421,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; .001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>MSK-HQ-C was demonstrated to have acceptable reliability and validity in patients with non-specific chronic neck pain, which could be recommended for patients in Chinese mainland.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s40359-026-04288-w","type":"journal-article","created":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T23:44:13Z","timestamp":1773359053000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Reliability and validity of the simplified Chinese version of the Musculoskeletal Health Questionnaire (MSK-HQ-C) in patients with non-specific chronic neck pain: a cross-cultural adaptation and validation study"],"prefix":"10.1186","volume":"14","author":[{"given":"Wenbo","family":"Diao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1713-1950","authenticated-orcid":false,"given":"Peng","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pengyi","family":"Wei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaosong","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lulu","family":"Jia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,13]]},"reference":[{"issue":"11","key":"4288_CR1","doi-asserted-by":"publisher","first-page":"e670","DOI":"10.1016\/S2665-9913(23)00232-1","volume":"5","author":"regional Global","year":"2023","unstructured":"Global regional, national burden of other musculoskeletal disorders. 1990\u20132020, and projections to 2050: a systematic analysis of the Global Burden of Disease Study 2021. 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