Cross Cultural Adaptation, Reliability and Validity of Gujarati Version of Fear Avoidance Belief Questionnaire in Chronic Low Back Pain
Reliability and Validity of FABQ-G
Keywords:
FABQ, Cross-cultural adaptation, Chronic Low back Pain, Reliability, ValidityAbstract
Background: The Fear-Avoidance Beliefs Questionnaire (FABQ) is useful for measuring fear avoidance beliefs in patients with low back pain (LBP); however, no psychometrically validated Gujarati version is available. Study Design: Cultural translation and psychometric testing. Objective: To translate and test the psychometric properties of Gujarati versions of the FABQ. Summary of Background Data: Although commonly used, no previous reports exist on the translation process or the testing of the psychometric properties of the Guajarati version of the FABQ to be used in India. Methods: Translation and cross-cultural adaptation of the original English versions of the FABQ was performed according to published guidelines. A panel of 20 healthcare professionals completed the content validity form. Test-retest reliability for the FABQ-G was examined in 30 CLBP patients. Patients completed the questionnaire twice with an interval of 48 hours. Results: The Content validity and Face validity was found to be excellent. FABQ-G exhibited excellent internal consistency shown by a Cronbach’s α value of 0.843 and subscales FABQ-G-W and FABQ-G-PA also showed good internal consistencies (α=0.652 and 0.654 respectively). The test-retest reliability was excellent in chronic low back pain (CLBP) patients (ICC=0.915) and (ICC=0.864 & 0.818 for the FABQ-W and FABQ-PA, respectively). Pain intensity score had high correlation with FABQ-W (r=0.819; p<0.01), and with the FABQ-PA (r=0.852; p<0.01) for subjects with CLBP showing good convergent validity with FABQ-G. Conclusion: The original FABQ was translated into Gujarati and did not pose any problems during data acquisition. The FABQ-G seems to be reliable instruments to measure fear avoidance beliefs in Gujarati patients with CLBP. [Dibyendunarayan B NJIRM 2016; 7(6):1-8]
References
1. Rozenberg S. [Chronic low back pain: definition and treatment]. La Revue du praticien. 2008;58(3):265-72.
2. Hoy D, Bain C, Williams G, March L, Brooks P, Blyth F, et al. A systematic review of the global prevalence of low back pain. Arthritis and rheumatism. 2012;64(6):2028-37.
3. Lethem J, Slade PD, Troup JD, Bentley G. Outline of a Fear-Avoidance Model of exaggerated pain perception--I. Behaviour research and therapy. 1983;21(4):401-8.
4. Crombez G, Vlaeyen JW, Heuts PH, Lysens R. Pain-related fear is more disabling than pain itself: evidence on the role of pain-related fear in chronic back pain disability. Pain. 1999;80(1-2):329-39.
5. Fritz JM, George SZ, Delitto A. The role of fear-avoidance beliefs in acute low back pain: relationships with current and future disability and work status. Pain. 2001;94(1):7-15.
6. Vlaeyen JW, Seelen HA, Peters M, de Jong P, Aretz E, Beisiegel E, et al. Fear of movement/(re)injury and muscular reactivity in chronic low back pain patients: an experimental investigation. Pain. 1999;82(3):297-304.
7. Gatchel RJ, Polatin PB, Mayer TG. The dominant role of psychosocial risk factors in the development of chronic low back pain disability. Spine. 1995;20(24):2702-9.
8. Asmundson GJ, Norton GR, Allerdings MD. Fear and avoidance in dysfunctional chronic back pain patients. Pain. 1997;69(3):231-6.
9. Philips HC. Avoidance behaviour and its role in sustaining chronic pain. Behaviour research and therapy. 1987;25(4):273-9.
10. Vlaeyen JW, Kole-Snijders AM, Boeren RG, van Eek H. Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance. Pain. 1995;62(3):363-72.
11. Waddell G, Newton M, Henderson I, Somerville D, Main CJ. A Fear-Avoidance Beliefs Questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low back pain and disability. Pain. 1993;52(2):157-68.
12. Walsh DA, Radcliffe JC. Pain beliefs and perceived physical disability of patients with chronic low back pain. Pain. 2002;97(1-2):23-31.
13. Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, et al. Quality criteria were proposed for measurement properties of health status questionnaires. Journal of clinical epidemiology. 2007;60(1):34-42.
14. Klenerman L, Slade PD, Stanley IM, Pennie B, Reilly JP, Atchison LE, et al. The prediction of chronicity in patients with an acute attack of low back pain in a general practice setting. Spine. 1995;20(4):478-84.
15. Pfingsten M, Leibing E, Franz C, Bansemer D, Busch O, Hildebrandt J. [Fear-avoidance-beliefs in patients with backpain]. Schmerz. 1997;11(6):387-95.
16. Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000;25(24):3186-91.
17. Nordin M, Alexandre NM, Campello M. Measures for low back pain: a proposal for clinical use. Revista latino-americana de enfermagem. 2003;11(2):152-5.
18. Pfingsten M, Kroner-Herwig B, Leibing E, Kronshage U, Hildebrandt J. Validation of the German version of the Fear-Avoidance Beliefs Questionnaire (FABQ). European journal of pain. 2000;4(3):259-66.
19. Korkmaz N, Akinci A, Yorukan S, Surucu HS, Saracbasi O, Ozcakar L. Validation and reliability of
the Turkish version of the fear avoidance beliefs questionnaire in patients with low back pain. European journal of physical and rehabilitation medicine. 2009;45(4):527-35.
20. Askary-Ashtiani A, Ebrahimi-Takamejani I, Torkaman G, Amiri M, Mousavi SJ. Reliability and validity of the Persian versions of the fear avoidance beliefs questionnaire and Tampa Scale of Kinesiophobia in patients with neck pain. Spine. 2014;39(18):E1095-102.
21. Monticone M, Baiardi P, Bonetti F, Ferrari S, Foti C, Pillastrini P, et al. The Italian version of the Fear-Avoidance Beliefs Questionnaire (FABQ-I): cross-cultural adaptation, factor analysis, reliability, validity, and sensitivity to change. Spine. 2012;37(6):E374-80.
22. Pruneti C, Sgromo D, Bicchieri L, Fontana F, Franceschini M, Ferraro F, et al. Contribution to the validation of Italian version of Fear-Avoidance Beliefs Questionnaire. Acta bio-medica : Atenei Parmensis. 2014;85(1):8-17.
23. Staerkle R, Mannion AF, Elfering A, Junge A, Semmer NK, Jacobshagen N, et al. Longitudinal validation of the fear-avoidance beliefs questionnaire (FABQ) in a Swiss-German sample of low back pain patients. European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society. 2004;13(4):332-40.
24. Chaory K, Fayad F, Rannou F, Lefevre-Colau MM, Fermanian J, Revel M, et al. Validation of the French version of the fear avoidance belief questionnaire. Spine. 2004;29(8):908-13.
25. de Souza FS, Marinho Cda S, Siqueira FB, Maher CG, Costa LO. Psychometric testing confirms that the Brazilian-Portuguese adaptations, the original versions of the Fear-Avoidance Beliefs Questionnaire, and the Tampa Scale of Kinesiophobia have similar measurement properties. Spine. 2008;33(9):1028-33.
26. Kovacs FM, Muriel A, Medina JM, Abraira V, Sanchez MD, Jauregui JO. Psychometric characteristics of the Spanish version of the FAB questionnaire. Spine. 2006;31(1):104-10.
27. Grotle M, Brox JI, Vollestad NK. Reliability, validity and responsiveness of the fear-avoidance beliefs questionnaire: methodological aspects of the Norwegian version. Journal of rehabilitation medicine. 2006;38(6):346-53.
28. Georgoudis G, Papathanasiou G, Spiropoulos P, Katsoulakis K. Cognitive assessment of musculoskeletal pain with a newly validated Greek version of the Fear-Avoidance Beliefs Questionnaire (FABQ). European journal of pain. 2007;11(3):341-51.
29. Kaka B, Ogwumike OO, Idowu OA, Odole AC, Saidu AM, Fawole HO, et al. Translation of the fear avoidance beliefs questionnaire into Hausa language. Global journal of health science. 2015;7(3):116-23.
30. Matsudaira K, Kikuchi N, Murakami A, Isomura T. Psychometric properties of the Japanese version of the Fear-Avoidance Beliefs Questionnaire (FABQ). Journal of Orthopaedic Science.19(1):26-32.
31. Pei LB, Xia JJ, Yan JL. Cross-cultural adaptation, reliability and validity of the Chinese version of the Fear Avoidance Beliefs Questionnaire. The Journal of international medical research. 2010;38(6):1985-96.
32. Terho H, Haapea M, Paananen M, Korniloff K, Häkkinen A, Karppinen J. Translation and validation of the Finnish version of the Fear-Avoidance Beliefs Questionnaire (FABQ). Scandinavian Journal of Pain. 2016;10:113-8.
33. Laufer Y, Elheiga-Na'amne BA, Rozen N. Translation and validation of the Arab version of the fear avoidance beliefs questionnaire. Journal of back and musculoskeletal rehabilitation. 2012;25(3):201-8.
34. Bicer A, Yazici A, Camdeviren H, Erdogan C. Assessment of pain and disability in patients with chronic neck pain: reliability and construct validity of the Turkish version of the neck pain and disability scale. Disability and rehabilitation. 2004;26(16):959-62.
35. Beaton D, Bombardier C, Guillemin F, Ferraz MB. Recommendations for the cross-cultural adaptation of health status measures. New York: American Academy of Orthopaedic Surgeons. 2002:1-9.
36. Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. Journal of clinical epidemiology. 1993;46(12):1417-32.
37. Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika. 1951;16(3):297-334.
38. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet (London, England). 1986;1(8476):307-10.
39. Hopkins WG. Measures of reliability in sports medicine and science. Sports medicine (Auckland, NZ). 2000;30(1):1-15.
40. Portney L, Watkins M. Foundation of Clinical Research: Applications to practice. Upper Saddle River, NJ: Prentice-Hall; 2000.
2. Hoy D, Bain C, Williams G, March L, Brooks P, Blyth F, et al. A systematic review of the global prevalence of low back pain. Arthritis and rheumatism. 2012;64(6):2028-37.
3. Lethem J, Slade PD, Troup JD, Bentley G. Outline of a Fear-Avoidance Model of exaggerated pain perception--I. Behaviour research and therapy. 1983;21(4):401-8.
4. Crombez G, Vlaeyen JW, Heuts PH, Lysens R. Pain-related fear is more disabling than pain itself: evidence on the role of pain-related fear in chronic back pain disability. Pain. 1999;80(1-2):329-39.
5. Fritz JM, George SZ, Delitto A. The role of fear-avoidance beliefs in acute low back pain: relationships with current and future disability and work status. Pain. 2001;94(1):7-15.
6. Vlaeyen JW, Seelen HA, Peters M, de Jong P, Aretz E, Beisiegel E, et al. Fear of movement/(re)injury and muscular reactivity in chronic low back pain patients: an experimental investigation. Pain. 1999;82(3):297-304.
7. Gatchel RJ, Polatin PB, Mayer TG. The dominant role of psychosocial risk factors in the development of chronic low back pain disability. Spine. 1995;20(24):2702-9.
8. Asmundson GJ, Norton GR, Allerdings MD. Fear and avoidance in dysfunctional chronic back pain patients. Pain. 1997;69(3):231-6.
9. Philips HC. Avoidance behaviour and its role in sustaining chronic pain. Behaviour research and therapy. 1987;25(4):273-9.
10. Vlaeyen JW, Kole-Snijders AM, Boeren RG, van Eek H. Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance. Pain. 1995;62(3):363-72.
11. Waddell G, Newton M, Henderson I, Somerville D, Main CJ. A Fear-Avoidance Beliefs Questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low back pain and disability. Pain. 1993;52(2):157-68.
12. Walsh DA, Radcliffe JC. Pain beliefs and perceived physical disability of patients with chronic low back pain. Pain. 2002;97(1-2):23-31.
13. Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, et al. Quality criteria were proposed for measurement properties of health status questionnaires. Journal of clinical epidemiology. 2007;60(1):34-42.
14. Klenerman L, Slade PD, Stanley IM, Pennie B, Reilly JP, Atchison LE, et al. The prediction of chronicity in patients with an acute attack of low back pain in a general practice setting. Spine. 1995;20(4):478-84.
15. Pfingsten M, Leibing E, Franz C, Bansemer D, Busch O, Hildebrandt J. [Fear-avoidance-beliefs in patients with backpain]. Schmerz. 1997;11(6):387-95.
16. Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000;25(24):3186-91.
17. Nordin M, Alexandre NM, Campello M. Measures for low back pain: a proposal for clinical use. Revista latino-americana de enfermagem. 2003;11(2):152-5.
18. Pfingsten M, Kroner-Herwig B, Leibing E, Kronshage U, Hildebrandt J. Validation of the German version of the Fear-Avoidance Beliefs Questionnaire (FABQ). European journal of pain. 2000;4(3):259-66.
19. Korkmaz N, Akinci A, Yorukan S, Surucu HS, Saracbasi O, Ozcakar L. Validation and reliability of
the Turkish version of the fear avoidance beliefs questionnaire in patients with low back pain. European journal of physical and rehabilitation medicine. 2009;45(4):527-35.
20. Askary-Ashtiani A, Ebrahimi-Takamejani I, Torkaman G, Amiri M, Mousavi SJ. Reliability and validity of the Persian versions of the fear avoidance beliefs questionnaire and Tampa Scale of Kinesiophobia in patients with neck pain. Spine. 2014;39(18):E1095-102.
21. Monticone M, Baiardi P, Bonetti F, Ferrari S, Foti C, Pillastrini P, et al. The Italian version of the Fear-Avoidance Beliefs Questionnaire (FABQ-I): cross-cultural adaptation, factor analysis, reliability, validity, and sensitivity to change. Spine. 2012;37(6):E374-80.
22. Pruneti C, Sgromo D, Bicchieri L, Fontana F, Franceschini M, Ferraro F, et al. Contribution to the validation of Italian version of Fear-Avoidance Beliefs Questionnaire. Acta bio-medica : Atenei Parmensis. 2014;85(1):8-17.
23. Staerkle R, Mannion AF, Elfering A, Junge A, Semmer NK, Jacobshagen N, et al. Longitudinal validation of the fear-avoidance beliefs questionnaire (FABQ) in a Swiss-German sample of low back pain patients. European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society. 2004;13(4):332-40.
24. Chaory K, Fayad F, Rannou F, Lefevre-Colau MM, Fermanian J, Revel M, et al. Validation of the French version of the fear avoidance belief questionnaire. Spine. 2004;29(8):908-13.
25. de Souza FS, Marinho Cda S, Siqueira FB, Maher CG, Costa LO. Psychometric testing confirms that the Brazilian-Portuguese adaptations, the original versions of the Fear-Avoidance Beliefs Questionnaire, and the Tampa Scale of Kinesiophobia have similar measurement properties. Spine. 2008;33(9):1028-33.
26. Kovacs FM, Muriel A, Medina JM, Abraira V, Sanchez MD, Jauregui JO. Psychometric characteristics of the Spanish version of the FAB questionnaire. Spine. 2006;31(1):104-10.
27. Grotle M, Brox JI, Vollestad NK. Reliability, validity and responsiveness of the fear-avoidance beliefs questionnaire: methodological aspects of the Norwegian version. Journal of rehabilitation medicine. 2006;38(6):346-53.
28. Georgoudis G, Papathanasiou G, Spiropoulos P, Katsoulakis K. Cognitive assessment of musculoskeletal pain with a newly validated Greek version of the Fear-Avoidance Beliefs Questionnaire (FABQ). European journal of pain. 2007;11(3):341-51.
29. Kaka B, Ogwumike OO, Idowu OA, Odole AC, Saidu AM, Fawole HO, et al. Translation of the fear avoidance beliefs questionnaire into Hausa language. Global journal of health science. 2015;7(3):116-23.
30. Matsudaira K, Kikuchi N, Murakami A, Isomura T. Psychometric properties of the Japanese version of the Fear-Avoidance Beliefs Questionnaire (FABQ). Journal of Orthopaedic Science.19(1):26-32.
31. Pei LB, Xia JJ, Yan JL. Cross-cultural adaptation, reliability and validity of the Chinese version of the Fear Avoidance Beliefs Questionnaire. The Journal of international medical research. 2010;38(6):1985-96.
32. Terho H, Haapea M, Paananen M, Korniloff K, Häkkinen A, Karppinen J. Translation and validation of the Finnish version of the Fear-Avoidance Beliefs Questionnaire (FABQ). Scandinavian Journal of Pain. 2016;10:113-8.
33. Laufer Y, Elheiga-Na'amne BA, Rozen N. Translation and validation of the Arab version of the fear avoidance beliefs questionnaire. Journal of back and musculoskeletal rehabilitation. 2012;25(3):201-8.
34. Bicer A, Yazici A, Camdeviren H, Erdogan C. Assessment of pain and disability in patients with chronic neck pain: reliability and construct validity of the Turkish version of the neck pain and disability scale. Disability and rehabilitation. 2004;26(16):959-62.
35. Beaton D, Bombardier C, Guillemin F, Ferraz MB. Recommendations for the cross-cultural adaptation of health status measures. New York: American Academy of Orthopaedic Surgeons. 2002:1-9.
36. Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. Journal of clinical epidemiology. 1993;46(12):1417-32.
37. Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika. 1951;16(3):297-334.
38. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet (London, England). 1986;1(8476):307-10.
39. Hopkins WG. Measures of reliability in sports medicine and science. Sports medicine (Auckland, NZ). 2000;30(1):1-15.
40. Portney L, Watkins M. Foundation of Clinical Research: Applications to practice. Upper Saddle River, NJ: Prentice-Hall; 2000.
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2016-12-31
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Bid, D. D., Soni, N. C., Rathod, P. V., Ramalingam, A. T., & Sinha, R. K. (2016). Cross Cultural Adaptation, Reliability and Validity of Gujarati Version of Fear Avoidance Belief Questionnaire in Chronic Low Back Pain: Reliability and Validity of FABQ-G. National Journal of Integrated Research in Medicine, 7(6), 1–8. Retrieved from http://www.nicpd.ac.in/ojs-/index.php/njirm/article/view/1383
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