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

Corrêa, Leticia Amaral; Mathieson, Stephanie; Hancock, Mark; Verhagen, Arianne; Nogueira, Leandro Alberto Calazans; Young, Annie; Pate, Joshua W.; French, Simon D.

doi:10.1016/j.jclinepi.2024.111398

Journal of Clinical Epidemiology

2024

DOI: 10.1016/j.jclinepi.2024.111398

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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

Leticia Amaral Corrêa,

Stephanie Mathieson,

Mark Hancock

et al.

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Cited by 2 publications

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Making sense of osteoarthritis: A narrative review

Darlow,

Belton,

Brown

et al. 2025

Osteoarthritis and Cartilage

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Making sense of osteoarthritis: A narrative review

Darlow,

Belton,

Brown

et al. 2025

Osteoarthritis and Cartilage

View full text Add to dashboard Cite

Back pain Knowledge and beliefs Survey (BacKS): development and assessment of measurement properties

Corrêa,

Hancock,

Mathieson

et al. 2024

Br J Sports Med

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Objective To develop and evaluate a new patient-reported outcome measure (PROM) to assess people’s knowledge and beliefs about low back pain. Methods This study followed the COnsensus-based Standards for the selection of health Measurement INstruments guidelines. An 18-item preliminary version of the Back pain Knowledge and beliefs Survey (BacKS) was generated based on evidence-based key messages and current clinical guidelines for low back pain. Four items were added following input from three consumers and seven experts. Focus groups (n=9) confirmed content validity. The 22-item version was completed by 258 Australian-based adults (>18 years) with self-reported low back pain. A follow-up survey was sent 1 week later. The following measurement properties were evaluated to produce, and then assess the final version of BacKS: structural validity (exploratory factor analysis); internal consistency (Cronbach’s alpha); test–retest reliability (intraclass correlation coefficient); measurement error (Smallest Detectable Change); construct validity (hypothesis tested: moderate positive Pearson correlation between BacKS and Back Beliefs Questionnaire); plus, interpretability and feasibility. Results The final BacKS comprised 20 items with a 2-factor structure (biomedical factor: 9 items, score ranging from 9 to 45, and self-care factor: 11 items, score ranging from 11 to 55). Internal consistency and reliability were adequate (>0.70) for each factor. Smallest detectable change was 4.4 (biomedical factor) and 7.0 (self-care factor). Our construct validity hypothesis was confirmed (Pearson correlation=0.53). No floor or ceiling effects were detected. Conclusion The BacKS is a valid, reliable and feasible PROM to measure knowledge and beliefs about low back pain in clinical practice and research settings.

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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

Cited by 2 publications

References 77 publications

Making sense of osteoarthritis: A narrative review

Making sense of osteoarthritis: A narrative review

Back pain Knowledge and beliefs Survey (BacKS): development and assessment of measurement properties

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