Validity evidence for the back beliefs questionnaire in the general population

Bostick, Geoff P.; Schopflocher, Don; Gross, Douglas P.

doi:10.1002/j.1532-2149.2012.00275.x

Cited by 39 publications

(54 citation statements)

References 24 publications

(38 reference statements)

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“…Eight of the nine items loaded most strongly on the one common factor proposed in the original BBQ (Symonds et al, 1996). As previously reported (Bostick et al, 2013) the first item did not load on this common factor. The item loadings of the remaining eight BBQ items on their common factor were invariant across time (absence of 'beta change, ' Golembiewski, Billingsley, & Yeager, 1976).…”

Section: Discussionsupporting

confidence: 62%

“…A recent large, cross-sectional study provided strong evidence to support the present structure, scoring, and construct validity of the BBQ (Bostick, Schopflocher, & Gross, 2013). However, although frequently used (Gross et al, 2012), no longitudinal evaluations of its construct validity have been carried out.…”

Section: Introductionsupporting

confidence: 54%

“…Its factor structure was replicated and the common variance explained (48%) was higher than that reported (28%) in a previous population study (Bostick et al, 2013). Eight of the nine items loaded most strongly on the one common factor proposed in the original BBQ (Symonds et al, 1996).…”

Section: Discussionmentioning

confidence: 58%

“…The BBQ scores were very stable over time. Perhaps this explains why the modification of beliefs via media campaigns is so challenging and time-consuming (Bostick et al, 2013). Nonetheless, efforts to do so should not be discouraged, since they are likely to pay off with respect to health care utilization and other important outcomes, especially in risk groups of inactive individuals and those already suffering from pain.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Pessimistic back beliefs and lack of exercise: a longitudinal risk study in relation to shoulder, neck, and back pain

Elfering

Müller

Salathé

et al. 2015

Psychology, Health & Medicine

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This cross-lagged-panel study tested the validity of the German version of the back beliefs questionnaire (BBQ) in predicting pain in the shoulders, neck, and back. A random sample of 2860 individuals participated at baseline, and 73% responded at one-year follow-up. Structural equation modeling was used to carry out a model comparison to evaluate whether paths differed between individuals with and without initial back pain and between those who exercised at baseline and those who did not. Factor analysis showed eight of the nine original items loaded on the expected common factor. High BBQ scores at baseline significantly predicted an increase in shoulder, neck, and back pain in individuals with current back pain (β = .11, p < .05), but not in other respondents (β = .02, p = .259). Similarly, baseline BBQ scores predicted the increase in shoulder, neck, and back pain among those who did not exercise (β = .15, p < .05), but not in those who did (β = .04, ns). The risk of negative back beliefs preceding an increase in shoulder, neck, and back pain was greatest for those with current back pain who did not exercise (β = .29, p < .05). The findings confirmed the validity of the German BBQ. Cognitive behavioral interventions should address pessimistic back beliefs in high-risk groups.

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Section: Discussionsupporting

confidence: 62%

Section: Introductionsupporting

confidence: 54%

Section: Discussionmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Pessimistic back beliefs and lack of exercise: a longitudinal risk study in relation to shoulder, neck, and back pain

Elfering

Müller

Salathé

et al. 2015

Psychology, Health & Medicine

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“…At baseline, information on demographic factors, job-related factors, lifestyle, self-rated health, LBP history, back beliefs and LBP-behavior was collected from participating workers using a questionnaire. Important baseline items and items on primary and secondary outcomes came from previously validated questionnaires: Core Outcomes Measure Index (COMI), Back Beliefs Questionnaire (BBQ), Work Ability Index (WAI), and Subjective Health Complaints Inventory (SHCI) [37–40]. For the present study, items were translated into Danish and back to English in cooperation between the primary investigator and a linguistic professional to ensure that the translation into Danish did not entail any misconceptions.…”

Section: Methodsmentioning

confidence: 99%

Can group-based reassuring information alter low back pain behavior? A cluster-randomized controlled trial

et al. 2017

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BackgroundLow back pain (LBP) is common in the population and multifactorial in nature, often involving negative consequences. Reassuring information to improve coping is recommended for reducing the negative consequences of LBP. Adding a simple non-threatening explanation for the pain (temporary muscular dysfunction) has been successful at altering beliefs and behavior when delivered with other intervention elements. This study investigates the isolated effect of this specific information on future occupational behavior outcomes when delivered to the workforce.DesignA cluster-randomized controlled trial.MethodsPublically employed workers (n = 505) from 11 Danish municipality centers were randomized at center-level (cluster) to either intervention (two 1-hour group-based talks at the workplace) or control. The talks provided reassuring information together with a simple non-threatening explanation for LBP—the ‘functional-disturbance’-model. Data collections took place monthly over a 1-year period using text message tracking (SMS). Primary outcomes were self-reported days of cutting down usual activities and work participation. Secondary outcomes were self-reported back beliefs, work ability, number of healthcare visits, bothersomeness, restricted activity, use of pain medication, and sadness/depression.ResultsThere was no between-group difference in the development of LBP during follow-up. Cumulative logistic regression analyses showed no between-group difference on days of cutting down activities, but increased odds for more days of work participation in the intervention group (OR = 1.83 95% CI: 1.08–3.12). Furthermore, the intervention group was more likely to report: higher work ability, reduced visits to healthcare professionals, lower bothersomeness, lower levels of sadness/depression, and positive back beliefs.ConclusionReassuring information involving a simple non-threatening explanation for LBP significantly increased the odds for days of work participation and higher work ability among workers who went on to experience LBP during the 12-month follow-up. Our results confirm the potential for public-health education for LBP, and add to the discussion of simple versus multidisciplinary interventions.

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Beliefs about back pain and pain management behaviours, and their associations in the general population: A systematic review

Morton

Bruin

Krajewska

et al. 2018

European Journal of Pain

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Validity evidence for the back beliefs questionnaire in the general population

Abstract: This study provides strong validity evidence supporting the current structure and scoring of the BBQ. In addition, construct validity was evidenced by the behaviour of BBQ scores in a manner congruent with our hypotheses, further supporting use of the BBQ in the general population.

Cited by 39 publications

References 24 publications

Pessimistic back beliefs and lack of exercise: a longitudinal risk study in relation to shoulder, neck, and back pain

Pessimistic back beliefs and lack of exercise: a longitudinal risk study in relation to shoulder, neck, and back pain

Can group-based reassuring information alter low back pain behavior? A cluster-randomized controlled trial

Beliefs about back pain and pain management behaviours, and their associations in the general population: A systematic review

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