Seminar Presentation 2-3

2-3 (Presentation within Topical Seminar 2):
Cross-cultural adaptation of the work role functioning questionnaire to Swedish– reliability and validity

Presented by: Linda Ahlstrom


Ahlstrom L1, Abma F2, Bultmann U2, Amick B3,4, Hagberg, M1

  1. Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
  2. University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
  3. Institute for Work & Health. Toronto, Canada
  4. Department of Health Policy and Management. Robert Stempel College of Public Health & Social Work. Florida International University. Miami, USA



The Work Role Functioning Questionnaire (WRFQ) is a tool that can be used to evaluate the degree to which a person experiences difficulty in performing their work due to mental and/or physical health disorder. The tool is developed to detect the impact of individuals’ health problems on their work outcome. The aim of this study was to translate and adapt WRFQ for the Swedish context.


The English version was translated to Swedish by two certified translators. A Swedish version was constructed combining the two translators’ versions. Two new certified translators conducted a back translation to English. By comparing the original English with the two back translated versions a modified Swedish version was constructed. To test the reliability 1000 randomly selected people from the Swedish population registry (men and women) age 20-65 years were send an invitation to participate in the research study. In the invitation it was stated that respondents had to answer the questionnaire two times if they decided to take part. There were 154 persons willing to participate in the study and received questionnaires at their home address. In addition to the WRFQ-Swe, the survey included Work Ability Index, demand-control –social support, questions of self-efficacy, self-perceived stress, and an affect scale.


141 participants completed the first questionnaire (T1), and 133 completed the second questionnaire (T2), resulting in N=133 complete questionnaires for test-retest analysis.


A Swedish cross-cultural adapted version of Work Role Functioning Questionnaire has been constructed. Reliability and validity data of the WRFQ-Swe have been assessed.