Cross-cultural adaptation, reliability and validity of the Marathi versions of the Back Beliefs Questionnaire and Pain Self-Efficacy Questionnaire in people living with chronic low back pain

Rajan, Pavithra; Leaver, Andrew; Refshauge, Kathryn; Patil, Ashokkumar; Kalkonde, Yogeshwar; Lincoln, Michelle; Hiller, Claire E.

doi:10.1080/09638288.2020.1773942

Cited by 5 publications

(10 citation statements)

References 54 publications

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“…Internal consistency calculated for the Hausa-BBQ (α = 0.78) was adequate considering the acceptable value of 0.70 [ 57 ]. Our alpha coefficient is slightly higher than the 0.70 reported for the original English measure [ 20 ], and the range of 0.67−0.77 reported by many language versions [ 31 , 32 , 34 , 36 , 37 , 42 , 43 ]. Other adaptations, however, reported slightly higher alpha coefficients (α range = 0.79–0.82) [ 33 , 35 , 38 , 39 , 40 ] ( Table 6 ).…”

Section: Discussioncontrasting

confidence: 74%

“…Test-retest reliability of the Hausa-BBQ demonstrated a highly significant correlation (ICC = 0.91), suggesting acceptable reliability. Remarkably, our ICC was higher than the value (0.87) obtained for the original English version [20] and the range of 0.64-0.89 reported by several translated versions [31,32,[34][35][36][37][38]41,42] (Table 6). Additionally, the ICC values obtained for the urban and rural subgroups in the present study were also excellent and comparable to those obtained for the overall population.…”

Section: Plos Onecontrasting

confidence: 82%

“…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%

“…ICC values were interpreted as “poor” (< 0.40), “fair” (0.40–0.59), “good” (0.60–0.74), and “excellent” (> 0.75) [ 62 ]. We hypothesized that the ICC for the Hausa-BBQ would lie within the range of 0.70–0.89 to be considered acceptable [ 31 , 32 , 35 , 37 , 41 ].…”

Section: Methodsmentioning

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: Discussioncontrasting

confidence: 74%

Section: Plos Onecontrasting

confidence: 82%

Section: Discussionmentioning

confidence: 95%

Section: Methodsmentioning

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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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 translation, adaptation, and validation of the Amharic version pain self-efficacy questionnaire in people with low back pain in Ethiopia

Chala

Donnelly

Wondie

et al. 2021

BMC Musculoskelet Disord

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Background The Pain Self-Efficacy Questionnaire (PSEQ) is a valid and reliable instrument that evaluates pain self-efficacy beliefs in people with pain conditions. However, it has not been validated and used in Ethiopia. We conducted this study to translate, adapt, and test the psychometric properties of the PSEQ in the Amharic language and Ethiopian context for its use with people experiencing low back pain (LBP). Methods The PSEQ was translated into Amharic and then back-translated into English. An expert review committee created a final Amharic version of the tool (PSEQ-Am), followed by pilot testing and cognitive debriefing with a sample of 20 people with LBP. The psychometric properties of the final version of PSEQ-Am were assessed in a sample of 240 people with LBP recruited from three rehabilitation centers in Ethiopia. Cronbach’s alpha and Intra-class correlation coefficient were calculated to describe the reliability and internal consistency of the tool. The SF-36-Am bodily pain subscale was used to assess convergent validity. Confirmatory Factor Analysis (CFA) and Exploratory Factor Analysis (EFA) were performed to determine the dimensionality of the instrument. Results PSEQ-Am demonstrated excellent test-retest reliability (ICC = 0.93) and internal consistency (Cronbach’s alpha = 0.91). As hypothesized, the tool demonstrated a significant moderate correlation with the Bodily Pain subscale of the SF-36-Am (Rho = 0.51, p < 0.01). EFA analysis shows that the Amharic version of PSEQ is a dominant one factor and secondary two factor structure. Conclusion This study shows that PSEQ-Am is a reliable and valid tool that can be used in both clinical practice and research in the Ethiopian low back pain population.

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Cross-cultural adaptation, reliability and validity of the Marathi versions of the Back Beliefs Questionnaire and Pain Self-Efficacy Questionnaire in people living with chronic low back pain

Cited by 5 publications

References 54 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

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

Cross-cultural translation, adaptation, and validation of the Amharic version pain self-efficacy questionnaire in people with low back pain in Ethiopia

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