Adaptation and Validation of an Ergonomic Assessment of Radiographers-Questionnaire (EAR-Q©) for assessing Work-Related Musculoskeletal Disorders among Radiographers

Introduction: Work-related musculoskeletal disorders (WRMSDs) are multifactorial conditions that require assessment across multiple domains to understand their underlying causes.Although global research highlights the significant burden of WRMSDs among Radiographers, existing studies have not comprehensively captured all relevant contributing factors.This study aimed to adapt and preliminarily validate an existing copyrighted tool-Ergonomic assessment of Radiographers-questionnaire (EAR-Q) by expanding its scope.Methods: With permission from the original developers, the existing tool was extended by adding items based on literature review and workplace observation.The adapted tool underwent two rounds of expert content validation, achieving an improved content validity index (CVI) from 0.43 to 0.85.A pilot study was conducted with 40 Radiographers to test feasibility, reliability and preliminary factor structure.Results: Reliability analyses indicated good internal consistency for the overall scale ( = 0.827) and for the musculoskeletal pain subscale ( = 0.872).Principal component analysis support coherent structures for the musculoskeletal pain and work-related sections, while highlighting areas for refinement within the sociodemographic and work environment section.Confirmatory factor analysis did not reach acceptable fit, emphasizing sample size limitation and the need for item revision. Conclusion:The adapted questionnaire demonstrates feasibility and preliminary measurement strengths.Pilot findings provide guidance for targeted refinements and emphasize the need for full validation in a larger, adequately powered sample.Implication to practice: Use of the adapted EAR-Q can support the systematic identification of WRMSD risk factors among Radiographers; these findings can then be used to guide targeted ergonomic interventions, workplace modifications, and health monitoring initiatives aimed at reducing WRMSD prevalence and severity, enhancing occupational well-being, and informing policies for a safer, healthier work environment.