Development and content validity of the Rapid Upper Limb Assessment (RULA) for computer users Thai version
Keywords:
RULA for computer user, ergonomics assessment, computer userAbstract
This study aimed to 1) develop a Thai version of the Rapid Upper Limb Assessment (RULA) for Computer Users, 2) evaluate the content validity of the translated RULA for Computer Users from the original English version into Thai, and 3) examine the User Experience (UX) and User Interface (UI) design of the Thai version of the RULA for Computer Users assessment tool.
This study employed a Research and Development design and was conducted between June and July 2025. Standardized translation and cross-cultural adaptation procedures were applied, including forward translation, synthesized translation, backward translation, and expert review by three linguists and sixteen ergonomics experts. Content validity was evaluated using the Item-level Content Validity Index (I-CVI) and the Scale-level Content Validity Index using Universal Agreement (S-CVI/UA). In addition, UX/UI evaluation was conducted in terms of usability, system function, and functional requirements.
The results showed that the Thai version of the assessment tool was newly developed with improved presentation formats, colored illustrations, and systematically organized assessment procedures to enhance clarity and suitability for computer-related work contexts. The forward and backward translations demonstrated comparable findings, with mean CVI scores of 0.93 and 0.92, respectively. Furthermore, all assessment steps demonstrated high I-CVI values ranging from 0.90 to 0.93, with an overall average CVI of 0.92, indicating acceptable content validity. The UX/UI evaluation revealed high levels of usability (X̅=4.07, ±S.D.=±0.64), system function performance (X̅=3.75, ±S.D.=±0.80), and functional requirements satisfaction (X̅=3.80, ±S.D.=±0.93).
In conclusion, the Thai version of the RULA for Computer Users demonstrated acceptable content validity and high levels of user experience and user interface evaluation. The assessment tool may be applicable for ergonomic risk assessment among computer users in the Thai context.
References
Arias, P., Gómez-Galán, M., Pérez-Alonso, J., & Callejón-Ferre, Á. J. (2024). Ergonomic assessment methods for computer and digital device users: A systematic review. Applied Ergonomics, 118, 104247. https://doi.org/10.1016/j.apergo.2024.104247
Beaton, D. E., Bombardier, C., Guillemin, F., & Ferraz, M. B. (2000). Guidelines for the process of cross-cultural adaptation of self-report measures. Spine, 25(24), 3186-3191. https://doi.org/10.1097/00007632-200012150-00014
Best, J. W. (1977). Research in education (3rd ed.). Prentice-Hall. https://books.google.co.th/books/about/Research_in_Education.html?id=vr07AAAAMAAJ&redir_esc=y
Bontrup, C., Taylor, W. R., Fliesser, M., Visscher, R., Green, T., Wippert, P. M., & Zemp, R. (2019). Low back pain and its relationship with sitting behaviour among sedentary office workers. Applied Ergonomics, 81, 102894. https://doi.org/10.1016/j.apergo.2019.102894
Brooke, J. (1996). SUS: A “quick and dirty” usability scale. In P. W. Jordan, B. Thomas, B. A. Weerdmeester, & I. L. McClelland (Eds.), Usability evaluation in industry (pp. 189-194). Taylor & Francis.
Charoenlimprasert, N., Wattanapan, P., & Saengsuwan, J. (2019). Reliability and validity of the Thai version of Rapid Entire Body Assessment (REBA). Journal of the Medical Association of Thailand, 102(4), 421-428.
Deming, W. E. (1986). Out of the crisis. Massachusetts Institute of Technology, Center for Advanced Engineering Study.
Gawke, J. C., Gorgievski, M. J., & van der Linden, D. (2023). Office work, sedentary behavior, and musculoskeletal health: Recent evidence and future directions. International Journal of Environmental Research and Public Health, 20(4), 3158. https://doi.org/10.3390/ijerph20043158
ISO 9241-11. (2018). Ergonomics of human-system interaction-Part 11: Usability: Definitions and concepts. International Organization for Standardization.
Janwantanakul, P., Pensri, P., Jiamjarasrangsi, W., & Sinsongsook, T. (2008). Prevalence of self-reported musculoskeletal symptoms among office workers. Occupational Medicine, 58(6), 436-438. https://doi.org/10.1093/occmed/kqn072
Kitisomprayoonkul, W., Janwantanakul, P., & Pensri, P. (2021). Reliability and validity of the Thai version of the Patient-Rated Wrist/Hand Evaluation questionnaire. Journal of Hand Therapy, 34(2), 256-263. https://doi.org/10.1016/j.jht.2020.01.002
Kristanto, T., Widyanti, A., & Sutalaksana, I. Z. (2023). Ergonomic risk factors and musculoskeletal complaints among digital device users: A cross-sectional study. Healthcare, 11(9), 1287. https://doi.org/10.3390/healthcare11091287
Lueder, R. (1996). A proposed RULA of computer users. University of California, Berkeley, Center for Occupational and Environmental Health Continuing Education Program. Retrieved October 17, 2024, from https://www.researchgate.net/publication/242457225_%20A_Proposed_RULA_for_Computer_Users
McAtamney, L., & Corlett, E. N. (1993). RULA: A survey method for the investigation of work-related upper limb disorders. Applied Ergonomics, 24(2), 91-99. https://doi.org/10.1016/0003-6870(93)90080-S
Mekwimon Kingkaew, W., Paileeklee, S., & Jaroenngarmsamer, P. (2018). Validity and reliability of the Rapid Office Strain Assessment (ROSA) Thai version. Journal of the Medical Association of Thailand, 101(1), 145-149.
Namwongsa, S., Kavee, N., Chukaew, S., & Udom, S. (2023). Ergonomic risk assessment among tablet users. KKU Research Journal (Graduate Studies), 23(1), 1-13.
Neubert, M. S., Charoenporn, N., Jalayondeja, W., Teeravarunyou, S., Kaewdok, T., Mekhora, K., Taptagaporn, S., & Arphorn, S. (2024). Development of a certification system and core competencies for professional ergonomists in Thailand. Theoretical Issues in Ergonomics Science, 25(3), 316-329. https://doi.org/10.1080/1463922X.2023.2190788
Nielsen, J. (1993). Usability engineering. Academic Press.
Norkin, C. C., & White, D. J. (2016). Measurement of joint motion: A guide to goniometry (5th ed.). F.A. Davis Company.
Oakman, J., Kinsman, N., Stuckey, R., Graham, M., & Weale, V. (2022). A rapid review of musculoskeletal disorders associated with office work and digital technology use. International Journal of Environmental Research and Public Health, 19(3), 1352. https://doi.org/10.3390/ijerph19031352
Perneger, T. V., Courvoisier, D. S., Hudelson, P. M., & Gayet-Ageron, A. (2014). Sample size for pre-tests of questionnaires. Universitaires de Genève. https://doi.org/10.1007/s11136-014-0752-2
Phongphanngam, S., & Lach, H. W. (2019). Cross-cultural instrument translation and adaptation: Challenges and strategies. Pacific Rim International Journal of Nursing Research, 23(2), 170-179.
Polit, D. F., & Beck, C. T. (2006). The content validity index: Are you sure you know what's being reported? Critique and recommendations. Research in Nursing & Health, 29(5), 489-497. https://doi.org/10.1002/nur.20147
Sirikasemsuk, K., Kittipanya-Ngam, P., Luanwiset, D., & Leerojanaprapa, K. (2024). Work posture risk comparison of RULA and REBA based on measures of assessment-score variability: A case study of the metal coating industry in Thailand. International Journal of Innovative Research and Scientific Studies, 7(3), 926-935. https://doi.org/10.53894/ijirss.v7i3.3004
Sousa, V. D., & Rojjanasrirat, W. (2011). Translation, adaptation and validation of instruments or scales for use in cross-cultural health care research. Journal of Evaluation in Clinical Practice, 17(2), 268-274. https://doi.org/10.1111/j.1365-2753.2010.01434.x
Wiangkham, T., Duda, J., Haque, S., & Price, C. (2021). Cross-cultural adaptation and psychometric properties of the Thai version of the STarT Back Screening Tool. BMC Musculoskeletal Disorders, 22, 1-10. https://doi.org/10.1186/s12891-021-04078-9
Wild, D., Grove, A., Martin, M., Eremenco, S., McElroy, S., Verjee-Lorenz, A., & Erikson, P. (2005). Principles of good practice for the translation and cultural adaptation process for patient-reported outcomes (PRO) measures: Report of the ISPOR task force for translation and cultural adaptation. Value in Health, 8(2), 94-104. https://doi.org/10.1111/j.1524-4733.2005.04054.x
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