Cross-cultural adaptation and validation of the Behavioral Avoidance Test-Back Pain (BAT-Back) to the Turkish language

Küçükakkaş, Okan; Karaman, Çiğdem Arifoğlu

doi:10.1016/j.jos.2019.04.001

Cited by 1 publication

(2 citation statements)

References 19 publications

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“… Clinical benefits • Easy to administer and interpret • Short (approx. 5 min) • Requires little to no material • Easy to administer • Short (10–15 min) and assess physical performance at the same time • Requires little to no material • Also informs on physical performance Validity and Reliability • The BAT-Back is a reliable and valid measure of pain avoidance behavior Inter-rater reliability: good to excellent • Internal consistency: excellent • Convergent validity and divergent validity were determined • Cross-cultural validity (Turkish) [ 40 ] • The PaBS is a reliable and valid measure to assess the presence and severity of PB. • Inter-rater reliability: excellent • Intra-rater reliability: excellent • Agreement for each PB in each task between 95 and 100% • Perfect consistency for the absence/presence of PB • Acceptable construct validity Target population People with chronic low back pain.…”

Section: Resultsmentioning

confidence: 99%

“…If a patient stops the sequence during the first movement, the remaining two are not performed, but scored as avoided movements, which can lead to an overestimation of avoidance [ 40 ]. Furthermore, as the first movement is bending forward, its scoring can be influenced (biased) by physical consequences of underactivity such as stiffness, shortness of muscles, among many other factors [ 40 ]. For example, if the patient bends to the knees or keeps his back straight, the BAT-Back considers that the patient engages in safety behaviors.…”

Section: Discussionmentioning

confidence: 99%

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How to objectively assess and observe maladaptive pain behaviors in clinical rehabilitation: a systematic search and review

Naye

Cachinho²,

Tremblay

et al. 2021

Arch Physiother

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Background Cognitive-affective factors influence the perception of pain and disability. These factors can lead to pain behaviors (PB) that can persist and become maladaptive. These maladaptive PB will further increase the risk of chronicity or persistence of symptoms and disability. Thus, clinicians must be prepared to recognize maladaptive PB in a clinical context. To date, in the context of assessment in a rehabilitation setting, PB in clinical settings are poorly documented. The main objective of this study was to identify direct observation methods and critically appraise them in order to propose recommendations for practice. As a secondary objective, we explored and extracted the different observable PB that patients could exhibit and that clinicians could observe. Methods We conducted a comprehensive review on four databases with a generic search strategy in order to obtain the largest range of PB. For the first objective, a two-step critical appraisal used clinical criteria (from qualitative studies on barriers to implement routine measures) and psychometric criteria (from Brink and Louw critical appraisal tool) to determine which observation methods could be recommended for clinical practice. For the second objective, we extracted PB found in the literature to list potential PB that patients could exhibit, and clinicians could observe. Results From the 3362 retrieved studies, 47 met the inclusion criteria for the first objective. The clinical criteria allowed us to select three observation methods. After the psychometric step, two observation methods were retained and recommended for clinical practice: the Behavioral Avoidance Test-Back Pain (BAT-Back) and the Pain Behaviour Scale (PaBS). For the second objective, 107 studies met the inclusion criteria. The extraction of the PB allowed us to list a large range of PB and classify the data in 7 categories of PB. Conclusion Our results allowed us to recommend two observation methods for clinical practice. However, these methods have limitations and are validated only in chronic low back pain populations. With the extraction of PB presented in the literature, we contribute to better prepare clinicians to recognize PB in all patients who are experiencing pain.

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