Professor Jonathan Hill j.hill@keele.ac.uk
Cross-cultural adaptation and validation of the STarT Back Tool for Arabic speaking adults with low back pain in Saudi Arabia
Hill, Jonathan C.
Authors
Abstract
BACKGROUND:
The STarT Back Tool (Subgrouping for Targeted Treatment; SBT) was developed and validated in the United Kingdom for adults with non-specific low back pain (LBP) to provide risk stratification groups. An Arabic version has not yet been developed. Consequently, our objectives were: First, to cross-culturally adapt the SBT for use in Arabic speaking adults (SBT-Ar) with LBP. Second, to assess the face, content and construct validity of SBT-Ar against relevant reference standards.
METHODS:
This was a prospective, cross-sectional study carried out in the outpatient department in a tertiary care hospital. A total of 59 participants (aged 18-60) with LBP able to read Arabic completed the questionnaire. SBT cross-cultural adaptation was performed according to published guidelines. Face and content validity were explored by individual interviews. Construct validity was assessed using pre-hypothesized correlations with relevant reference standards.
RESULTS:
Following 48 individual interviews the SBT final version was reached and demonstrated face and content validity. The SBT-Ar total score and psychosocial sub-scale had acceptable internal consistency and no redundancy (Cronbach a = 0.7). Moderate Spearman's correlations were found between the SBT-Ar total score and reference standards (Arabic Pain Numeric Rating Scale NRS-Ar r = 0.50 and Arabic Oswestry Disability Index ODI-ar r = 0.51). As expected the SBT-Ar psychosocial subscale had medium to high correlations with the psychosocial reference measures (Arabic Fear-Avoidance Beliefs Questionnaire Physical Activity FABQPA-Ar r = 0.41, Arabic Hospital Anxiety and Depression Scale-Anxiety HADSA-Ar r = 0.58, Arabic Hospital Anxiety and Depression Scale-Depression HADSD-Ar r = 0.45 and Arabic Pain Catastrophizing Scale PCSAr r = 0.69).The SBT-Ar showed no significant floor or ceiling effects.
CONCLUSION:
This study culturally adapted and preliminary validated SBT into Arabic.
STUDY DESIGN:
Prospective, Cross-sectional.
Journal Article Type | Article |
---|---|
Acceptance Date | Sep 4, 2018 |
Publication Date | 2019-03 |
Publicly Available Date | Mar 29, 2024 |
Journal | Journal of Orthopaedic Science |
Print ISSN | 0949-2658 |
Publisher | Springer Verlag |
Volume | 24 |
Issue | 2 |
Pages | 200-206 |
DOI | https://doi.org/10.1016/j.jos.2018.09.007 |
Publisher URL | http://doi.org/10.1016/j.jos.2018.09.007 |
Files
ORTH-D-18-00194R2_09-09-2018.docx
(96 Kb)
Document
Publisher Licence URL
https://creativecommons.org/licenses/by-nc-nd/4.0/
You might also like
Diagnostic clinical prediction rules for categorising low back pain: A systematic review
(2023)
Journal Article
Downloadable Citations
About Keele Repository
Administrator e-mail: research.openaccess@keele.ac.uk
This application uses the following open-source libraries:
SheetJS Community Edition
Apache License Version 2.0 (http://www.apache.org/licenses/)
PDF.js
Apache License Version 2.0 (http://www.apache.org/licenses/)
Font Awesome
SIL OFL 1.1 (http://scripts.sil.org/OFL)
MIT License (http://opensource.org/licenses/mit-license.html)
CC BY 3.0 ( http://creativecommons.org/licenses/by/3.0/)
Powered by Worktribe © 2024
Advanced Search