Cross-cultural adaptation and validation of the Back Beliefs Questionnaire to the Turkish language

Karaman, Çiğdem Arifoğlu; Küçükakkaş, Okan

doi:10.1080/09638288.2019.1677788

Cited by 6 publications

(10 citation statements)

References 30 publications

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“…In line with our study, ceiling and floor effects were found in some of the items of the French adaptation [39]. Regarding factorial validity, only a few studies [36,38,41,42] have examined the underlying structure of the BBQ (Table 6) even though the questionnaire was originally designed as a unidimensional scale [20]. Though our factor analysis revealed a four-factor solution, surprisingly, the one-factor structure is supported as the nine scoring items loaded on the first factor except…”

Section: Discussionsupporting

confidence: 87%

“…The original English BBQ was successfully adapted into Hausa without major translation problems similar to many previous adaptations [36][37][38]. The questionnaire was comprehensive, clear, and easy to complete thus demonstrating good face and content validity.…”

Section: Discussionmentioning

confidence: 95%

“…A significant Bartlett's test (p < 0.05) and KMO value of > 0.6 were considered acceptable [58]. Since the BBQ is well known to be a unidimensional scale, we hypothesized that the factorial validity of the Hausa-BBQ would be supported if the nine scoring items (9-item scores) loaded significantly (factor loading coefficients � 0.4) on one underlying factor [36,38].…”

Section: Discussionmentioning

confidence: 99%

“…For the convergent validity, we hypothesized that the BBQ would have low to strong negative correlations with the FABQ-physical activity (r or rho = -0.30 to -0.57) [34,35,38] and FABQ-work (r or rho = -0.29 to -0.55) [34,38]; low to moderate negative correlations with the PCS (r or rho = -0.30 to -0.50) [35] and ODI (r or rho = -0.30 to -0.42) [33,36,38]; and low to moderate positive correlations with the PCS-12 (r or rho = 0.28 to 0.50) [33] and MCS-12 (r or rho = 0.23 to 0.50) [33]. For the divergent validity, we hypothesized that the BBQ would correlate weakly with the VAS-pain (rho = -0.14 to -0.34) [33,35,38]. The construct validity is supported when at least 75% (� 5) of the predefined hypotheses are confirmed [57].…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, it has been shown to predict recovery rate from LBP [29]. The original English BBQ proved to be valid and reliable [20,30], and has been adapted and validated for use in several languages/cultures [31][32][33][34][35][36][37][38][39][40][41].…”

Section: Introductionmentioning

confidence: 99%

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The Hausa Back Beliefs Questionnaire: Translation, cross-cultural adaptation and psychometric assessment in mixed urban and rural Nigerian populations with chronic low back pain

et al. 2021

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Introduction Negative attitudes and beliefs about low back pain (LBP) can lead to reduced function and activity and consequently disability. One self-report measure that can be used to assess these negative attitudes and beliefs and to determine their predictive nature is the Back Beliefs Questionnaire (BBQ). This study aimed to translate and cross-culturally adapt the BBQ into Hausa and assess its psychometric properties in mixed urban and rural Nigerian populations with chronic LBP. Methods The BBQ was translated and cross-culturally adapted into Hausa (Hausa-BBQ) according to established guidelines. To assess psychometric properties, a consecutive sample of 200 patients with chronic LBP recruited from urban and rural clinics of Nigeria completed the questionnaire along with measures of fear-avoidance beliefs, pain catastrophizing, functional disability, physical and mental health, and pain. One hundred of the 200 patients completed the questionnaire twice at an interval of 7–14 days to assess test-retest reliability. Internal construct validity was assessed using exploratory factor analysis, and external construct validity was assessed by examining convergent, divergent, and known-groups validity. Reliability was assessed by calculating internal consistency (Cronbach’s α), intraclass correlation coefficients (ICC), standard error of measurement (SEM), minimal detectable change at 95% confidence interval (MDC95), and limits of agreement using Bland-Altman plots. Reliability (ICC, SEM and MDC95) was also assessed separately for rural and urban subgroups. Results The factor analysis revealed a four-factor solution explaining 58.9% of the total variance with the first factor explaining 27.1%. The nine scoring items loaded on the first factor hence supporting a unidimensional scale. The convergent and divergent validity were supported as 85% (6:7) of the predefined hypotheses were confirmed. Known-groups comparison showed that the questionnaire discriminated well for those who differed in education (p < 0.05), but not in age (p > 0.05). The internal consistency and ICC (α = 0.79; ICC = 0.91) were adequate, with minimal SEM and MDC95 (1.9 and 5.2, respectively). The limits of agreements were –5.11 to 5.71. The ICC, SEM and MDC95 for the urban and rural subgroups were comparable to those obtained for the overall population. Conclusions The Hausa-BBQ was successfully adapted and psychometrically sound in terms of internal and external construct validity, internal consistency, and test-retest reliability in mixed urban and rural Hausa-speaking populations with chronic LBP. The questionnaire can be used to detect and categorize specific attitudes and beliefs about back pain in Hausa culture to prevent or reduce potential disability due to LBP.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Hausa Back Beliefs Questionnaire: Translation, cross-cultural adaptation and psychometric assessment in mixed urban and rural Nigerian populations with chronic low back pain

et al. 2021

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Attitudes and beliefs of older adults with acute low back pain: 12‐month results from the Brazilian cohort back complaints in the elders

Teixeira

Diz

Moreira

et al. 2021

Musculoskeletal Care

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Background Psychosocial factors have been identified as important predictors of onset, course and persistence of low back pain (LBP) in the general population. Objective To identify factors associated with attitudes/beliefs in older adults with LBP throughout a 12‐month follow‐up. Methods A longitudinal investigation was conducted with 500 participants aged ≥60 years reporting a new (acute) episode of nonspecific LBP. Data were obtained at baseline, 6‐week, 3‐, 6‐, 9‐, and 12‐month interviews. The study variables were: [dependent] LBP‐related attitudes/beliefs that were assessed by the Back Beliefs Questionnaire (BBQ); [independent] age; sex; LBP intensity ‘at‐the‐present‐time’ of interview and ‘over‐the‐past‐week’ before interview; LBP frequency; LBP‐related treatments; disability; mobility; depressive symptoms; self‐perceived recovery; expectation of pain improvement; and expectation for returning to activities. Data were analysed by multiple linear regression analysis. Results At baseline, 85.7% of the participants were female, had mean age of 69.0 (6.3) years, mean BBQ score of 24.5 (6.5), and 79.6% reported pain complaints after an acute episode of LBP. After 12 months, participants maintained a mean BBQ score of 24.6 (6.6) and 63.3% still reported pain complaints after an acute episode of LBP at baseline. Multivariate analysis showed that disability, advancing age, poor expectation of pain improvement in 3 months, and mobility decline were significantly associated with worse BBQ scores during all follow‐ups. Conclusion Ageing, hopelessness, and physical and functional impairment impact pain‐related behaviours among older patients seeking healthcare due to acute LBP complaints. Their screening may assist in strategies to manage symptoms and prevent the persistence of pain.

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Questionnaires assessing knowledge and beliefs about musculoskeletal conditions are potentially suitable for use, but further research is needed: a systematic review

Corrêa,

Mathieson,

Hancock

et al. 2024

Journal of Clinical Epidemiology

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Cross-cultural adaptation and validation of the Back Beliefs Questionnaire to the Turkish language

Cited by 6 publications

References 30 publications

The Hausa Back Beliefs Questionnaire: Translation, cross-cultural adaptation and psychometric assessment in mixed urban and rural Nigerian populations with chronic low back pain

The Hausa Back Beliefs Questionnaire: Translation, cross-cultural adaptation and psychometric assessment in mixed urban and rural Nigerian populations with chronic low back pain

Attitudes and beliefs of older adults with acute low back pain: 12‐month results from the Brazilian cohort back complaints in the elders

Questionnaires assessing knowledge and beliefs about musculoskeletal conditions are potentially suitable for use, but further research is needed: a systematic review

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