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Transcultural adaption and psychometric properties of the STarT Back Screening Tool among Finnish low back pain patients.

https://arctichealth.org/en/permalink/ahliterature275975
Source
Eur Spine J. 2016 Jan;25(1):287-95
Publication Type
Article
Date
Jan-2016
Author
Susanna Piironen
Markus Paananen
Marianne Haapea
Markku Hupli
Paavo Zitting
Katja Ryynänen
Esa-Pekka Takala
Katariina Korniloff
Jonathan C Hill
Arja Häkkinen
Jaro Karppinen
Source
Eur Spine J. 2016 Jan;25(1):287-95
Date
Jan-2016
Language
English
Publication Type
Article
Keywords
Adult
Aged
Clinical Decision-Making
Culturally Competent Care
Disability Evaluation
Female
Finland
Health Status Indicators
Humans
Low Back Pain - diagnosis - physiopathology - psychology
Male
Middle Aged
Pain Measurement
Prognosis
Psychometrics
Reproducibility of Results
Surveys and Questionnaires
Translations
Abstract
The STarT Back Screening Tool (SBST) is a 9-item questionnaire designed for screening low back pain (LBP) patients into three prognostic groups for stratified care. The stratified care approach has proven to be clinically more beneficial and cost-effective than the current best physiotherapy practice. The objective of this study was to translate, culturally adapt and study psychometric properties of the SBST among Finnish LBP patients.
The SBST was translated into Finnish using appropriate translation guidelines. A total of 116 patients were recruited from outpatient clinics. They were asked to fill out two questionnaires within 1-7 days. The first questionnaire set included the SBST, Oswestry Disability Index (ODI), Beck Depression Inventory (BDI), Örebro Musculoskeletal Pain Screening Questionnaire (ÖMPSQ) and intensities of back and leg pain (10-cm Visual Analogue Scale). The second questionnaire form included the SBST and a question about persistence of symptoms.
Some linguistic and cultural differences emerged during the translation process with item 1 ("spread down my legs"), item 2 ("neck and shoulder pain"), item 6 ("worrying thoughts") and item 9 ("bothersome"). The test-retest reliability of the SBST total score was excellent (intraclass correlation coefficient 0.78) and of the psychosocial subscale good (0.68). Cronbach's alpha for the psychosocial subscale was 0.55. Spearman's correlation coefficient between SBST total score and BDI was 0.38, ODI 0.39, ÖMPSQ 0.45, intensity of leg pain 0.45 and LBP 0.31. Based on analysis of variance, the SBST discriminated low- and medium-risk groups better than medium- and high-risk groups.
The Finnish translation of the SBST is linguistically accurate and has been adapted to the Finnish-speaking population. It showed to be a valid and reliable instrument and comparable with the original English version. Therefore, it may be used in clinical work with Finnish LBP patients.
PubMed ID
25672805 View in PubMed
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