The patient enablement instrument for back pain turkish version,validity and reliability study

Abstract

Background

The only survey that assesses the ability of individuals with low back pain to self-manage their condition is the Patient Enablement Instrument for Back Pain (PEI-BP).

Objective

The study aims to create a Turkish version of PEI-BP and test its validity and reliability.

Methods

67 individuals (47 females, 20 males) with low back pain participated, comprising. Reliability was evaluated through test-retest reliability, internal consistency, and repeatability measures. Validity was assessed via structural, content, face validity analyses. Floor and ceiling effects were examined to ensure a comprehensive evaluation. Additionally, the relationship between PEI-BP and pain intensity, Brief Illness Perception Questionnaire (BIPQ), Fear Avoidance Beliefs Questionnaire (FABQ), Oswestry Disability Index (ODI), and Short Form-36 (SF-36) was explored.

Results

The Intraclass Correlation Coefficient value (0.795) and Cronbach's α (0.886) of PEI-BP were high. The goodness-of-fit values for the model, including fit indices and reference ranges, indicated strong validity. The PEI-BP demonstrated the absence of both floor and ceiling effects. Correlations between PEI-BP and pain intensity, BIPQ, FABQ, ODI, and SF-36 exhibited a range from weak to good (0.258 to −0.440).

Conclusions

PEI-BP has demonstrated high reliability and good validity. PEI-BP can be used to evaluate Turkish-speaking individuals with low back pain.

ClinicalTrials.gov ID: NCT06109246 (Date: 10/25/2023).

Keywords

low back pain patient health questionnaire self report health care surveys

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References

Chen

, et al. Global, regional and national burden of low back pain 1990–2019: a systematic analysis of the Global Burden of Disease study 2019. J Orthop Transl 2022; 32: 49–58.

Hartvigsen

Hancock

Kongsted

, et al. What low back pain is and why we need to pay attention. Lancet 2018; 391: 2356–2367.

Foster

Anema

Cherkin

, et al. Prevention and treatment of low back pain: evidence, challenges, and promising directions. Lancet 2018; 391: 2368–2383.

Hudon

Fortin

Rossignol

, et al. The patient enablement instrument-French version in a family practice setting: A reliability study. BMC Fam Pract 2011; 12: 1–5.

APP

Cheng

JKY

Lam

JSM

, et al. Patient enablement and health-related quality of life for patients with chronic back and knee pain: a cross-sectional study in primary care. Br J Gen Pract 2023; 73: e867–e875.

Enthoven

Peolsson

Landén Ludvigsson

, et al. Validity, internal consistency and self-rated change of the patient enablement instrument in patients with chronic musculoskeletal pain. J Rehabil Med 2019; 51: 587–597.

Molgaard Nielsen

Hartvigsen

Kongsted

, et al. The patient enablement instrument for back pain: reliability, content validity, construct validity and responsiveness. Health Qual Life Outcomes 2021; 19: 1–14.

Mokkink

Prinsen

Patrick

, et al. COSMIN Study design checklist for patient-reported outcome measurement instruments. Amsterdam, The Netherlands. 2019; 2019: 1–32.

Beaton

Bombardier

Guillemin

, et al. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976) 2000; 25: 3186–3191.

10.

Arikan

Citaker

Ucok

. Psychometric properties of the Fonseca Anamnestic Index (FAI) for temporomandibular disorders: turkish version, responsiveness, reliability, and validity study. Disabil Rehabil 2023: 1–8. https://doi.org/10.1080/09638288.2023.2199221

11.

Broadbent

Petrie

Main

, et al. The brief illness perception questionnaire. J Psychosom Res 2006; 60: 631–637.

12.

Karatas

Özen

Kutlutürkan

. Factor structure and psychometric properties of the brief illness perception questionnaire in turkish cancer patients. Asia-Pacific J Oncol Nurs 2017; 4: 77–83.

13.

Waddell

Newton

Henderson

, et al. A Fear-Avoidance Beliefs Questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low back pain and disability. Pain 1993; 52: 157–168.

14.

Korkmaz

Akinci

Yörükan

, et al. Validation and reliability of the Turkish version of the fear avoidance beliefs questionnaire in patients with low back pain. Eur J Phys Rehabil Med 2009; 45: 527–535.

15.

Mannion

Junge

Fairbank

JCT

, et al. Development of a German version of the Oswestry Disability Index. Part 1: cross-cultural adaptation, reliability, and validity. Eur Spine J 2006; 15: 55–65.

16.

Yakut

Düger

Öksüz

, et al. Validation of the Turkish version of the oswestry disability Index for patients with low back pain. Spine (Phila Pa 1976) 2004; 29: 581–585.

17.

Maly

Costigan

Olney

. Contribution of psychosocial and mechanical variables to physical performance measures in knee osteorthritis. Phys Ther 2005; 85: 1318–1328.

18.

Koçyiğit H Aydemir

Fisek

, et al. Kısa Form-36 (KF-36)'nın Türkçe versiyonunun güvenilirliği ve geçerliliği. İlaç ve Tedavi Dergisi 1999; 12: 102–106.

19.

Andresen

. Criteria for assessing the tools of disability outcomes research. Arch Phys Med Rehabil 2000; 81: S15–S20.

20.

Zinbarg

Yovel

Revelle

, et al. Estimating generalizability to a latent variable common to all of a scale’s indicators: a comparison of estimators for ωh. Appl Psychol Meas 2006; 30: 121–144.

21.

Portney

. Foundations of clinical research: applications to evidence-based practice. Philadelphia, PA: FA Davis, 2020.

22.

Feise

Menke

. Functional rating index: a new valid and reliable instrument to measure the magnitude of clinical change in spinal conditions. Spine (Phila Pa 1976) 2001; 26: 78–87.

23.

Yiğit Özüdoğru

Demiralp

. Developing a geographic inquiry process skills scale. Educ Inq 2022; 13: 374–394.

24.

Kaya

Uzdil

Çakıroğlu

. Validation of the Turkish version of the Orthorexia Nervosa Inventory (ONI) in an adult population: its association with psychometric properties. Eat Weight Disord Anorexia, Bulim Obes 2022; 27: 729–735.