Validation of the German version of the Fear‐Avoidance Beliefs Questionnaire (FABQ)

Pfingsten, M.; Kröner‐Herwig, Birgit; Leibing, Eric; Kronshage, Uta; Hildebrandt, J.

doi:10.1053/eujp.2000.0178

Cited by 195 publications

(144 citation statements)

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“…For both subscales a high score indicates strong fear-avoidance beliefs [20]. This questionnaire has been validated in Spanish [21], German [22] and French [23]. Although the FABQ was originally designed for patients, it has been also used to measure beliefs and attitudes of general practitioners [10] and rheumatologists [11].…”

Section: Fabqmentioning

confidence: 99%

Psychometric properties and factor structure of the Spanish version of the HC-PAIRS questionnaire

et al. 2012

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Objective To develop a Spanish version of the Health Care Providers' Pain and Impairment Relationship Scale (HC-PAIRS) and to test its psychometric properties. Methods A forward and backward translation methodology was used to translate the questionnaire, which was then applied to 206 participants (174 physiotherapy students and 32 family physicians). The intraclass correlation coefficient was calculated to assess test-retest reliability. Internal consistency was evaluated using Cronbach's alpha and item analysis. Construct validity was measured using Pearson correlation coefficients between HC-PAIRS and FABQ, FABQ-Phys, FABQ-Work and the responses given by participants to three clinical case scenarios. An exploratory factor analysis was carried out following the Kaiser normalization criteria and principal axis factoring with an oblique rotation (quartimax). Sensitivity to change was assessed after a teaching module.Results Test-retest reliability was ICC 0.50 (p \ 0.01) and Cronbach's alpha was 0.825. The HC-PAIRS scores correlated significantly with the scores of the FABQ and also with the recommendations for work and activity given by the participants in the three clinical case scenarios. Sensitivity to change test showed an effect size of 1.5, which is considered a large change. Factor analysis suggests that the Spanish version of HC-PAIRS measures a unidimensional construct. Conclusion The Spanish version of the HC-PAIRS has proven to be a reliable, valid and sensitive instrument to assess health care providers' attitudes and beliefs about LBP. It can be used in evaluating clinical practice and in undergraduate acquisition of skills and knowledge.

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Section: Fabqmentioning

confidence: 99%

Psychometric properties and factor structure of the Spanish version of the HC-PAIRS questionnaire

et al. 2012

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“…These FABQ scales have been found to have acceptable reliability. 23,31,36,42 Specifically, the FABQ has demonstrated a Cronbach alpha of .93 for the questionnaire as a whole, .71 to .88 for the FABQ work scale, and .70 to .83 for the FABQ physical activity scale. 26,[36][37][38]42 Forty-eight-hour test-retest reliability for the FABQ has been reported with a Pearson r of 0.91 to 0.95 for the FABQ work scale and 0.84 to 0.88 for FABQ physical activity scale.…”

Section: Methodsmentioning

confidence: 99%

Investigation of Elevated Fear-Avoidance Beliefs for Patients With Low Back Pain: A Secondary Analysis Involving Patients Enrolled in Physical Therapy Clinical Trials

George¹,

Fritz²,

Childs³

2008

J Orthop Sports Phys Ther

139

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STUDY DESIGN: Secondary analysis. OBJECTIVE:To investigate the Fear-Avoidance Beliefs Questionnaire (FABQ) for its ability to predict 6-month outcomes in patients with low back pain (LBP) participating in physical therapy clinical trials.BACKGROUND: Consistent evidence suggests that fear-avoidance beliefs are predictive of shortterm outcomes for patients with LBP. However, proposed cut-off scores have not been widely investigated for longer-term outcomes in samples of patients receiving physical therapy. Subjects (n = 160) were participants in 2 separate randomized trials that used standard methodology and investigated the efficacy of physical therapy interventions for LBP. Subjects completed baseline measures of pain, disability, fear-avoidance beliefs, and physical impairment. They completed 4 weeks of randomly assigned physical therapy and were reassessed at 6 months with standard examination techniques. The accuracy of previously proposed cut-offs for elevated FABQ scores were determined by independent t tests and chi-square analysis on raw 6-month Oswestry Disability Questionnaire (ODQ) scores, 6-month ODQ change scores, and minimally clinical important difference (MCID) in ODQ scores (6 points). Next, a hierarchical regression model determined which FABQ scale better predicted 6-month ODQ scores after controlling for previously reported prognostic factors and relevant treatment parameters. Last, receiver operating characteristic curve analyses were planned to generate a range of FABQ cut-off scores that predicted 6-month MCID in the ODQ. METHODS AND MEASURES: RESULTS:The previously reported cut-off score for the FABQ physical activity scale ( 14) resulted in 111 (69.4%) of 160 patients being classified as having elevated baseline scores, while the previously reported cut-off score for the FABQ work scale ( 29) resulted in 19 (11.9%) of 160 patients being classified as having elevated baseline scores. Patients with elevated FABQ physical activity scale scores ( 14) had no significant differences in 6-month ODQ outcomes. Patients with elevated FABQ work scale scores ( 29) reported higher 6-month ODQ scores, but were not more likely to have differences in improvement in ODQ outcomes. The final regression model explained 24.4% of the variance in 6-month ODQ scores, with only manipulation and exercise and the FABQ work scale as unique predictors. Fifteen of the subjects (12.7%) had a 6-month change in ODQ that indicated no improvement. The area under the receiver operating characteristic curve for the FABQ physical activity scale predicting this outcome was 0.562 (95% CI: 0.415-0.710) and for the FABQ work scale was 0.694 (95% CI: 0.542-0.846). Cut-off scores were explored for the FABQ work scale only, with positive likelihood ratios that ranged from 1.19 to 5.15 and negative likelihood ratios that ranged from 0.30 to 0.83. CONCLUSIONS:The FABQ work scale was the better predictor of self-report of disability in this sample of patients participating in physical therapy clinical trials. Future studies are nece...

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“…Work-related fear-avoidance beliefs can be assessed reliably with validated instruments [35,74,99,111]. -Items that address poor individual belief that treatment will lead to (early) RTW were strongly linked to outcome (poor work prognosis) [20].…”

Section: Work-related Expectations and Evaluations That May Become Obmentioning

confidence: 99%

Work-related outcome assessment instruments

Elfering

2005

Eur Spine J

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Prevention of work disability is a primary goal within treatment of spinal disorders. Workrelated outcome measures therefore are essential indices within evidencebased medicine. So far many measures suffer, however, from standardized measurement, standardized terminology, and a lack of theoretical background. This review addresses traditional indicators like work status and sickness absence, and discusses more theory-bound concepts, i.e. work ability, occupational risk factors for recurrence of symptoms and re-injury, work-related attitudes that may become obstacles to recovery, and individual reactions to occupational stressors that increase the risk of maintenance and recurrence of symptoms. The review includes methodological and theoretical considerations and recommendations for the use of workrelated outcome measures in future outcome research.

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Validation of the German version of the Fear‐Avoidance Beliefs Questionnaire (FABQ)

Cited by 195 publications

References 16 publications

Psychometric properties and factor structure of the Spanish version of the HC-PAIRS questionnaire

Psychometric properties and factor structure of the Spanish version of the HC-PAIRS questionnaire

Investigation of Elevated Fear-Avoidance Beliefs for Patients With Low Back Pain: A Secondary Analysis Involving Patients Enrolled in Physical Therapy Clinical Trials

Work-related outcome assessment instruments

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