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Psychometric Properties of the Hindi Version of the Fear-Avoidance Beliefs Questionnaire in Patients With Chronic Non-Specific Low Back Pain

Panhale, Vrushali P. PT; Gurav, Reshma S. PT; Shah, Pooja PT; Nayak, Neelam PT∗,†

doi: 10.1097/BRS.0000000000003019
HEALTH SERVICES RESEARCH
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Study Design. Prospective cohort study.

Objective. To translate, adapt, and establish psychometric properties of the Fear-Avoidance Beliefs Questionnaire (FABQ) for Hindi-speaking patients with chronic non-specific low back pain.

Summary of Background Data. The FABQ is a patient-reported measure to assess beliefs regarding how physical activity and work are influenced based on fear related to low back pain.

Methods. Standardized translation guidelines were implemented to confirm Hindi-version of the FABQ (FABQ-H). A cross-sectional study design was utilized. Construct validity analysis included factor analysis of the FABQ and use of Pearson correlation coefficients to report convergent and divergent validity. Reliability assessment included calculation of intraclass correlation coefficient (ICC) and Cronbach α for internal consistency. Outcome measures consisted of Numeric Rating Scale (NRS), Roland Morris Disability Questionnaire (RMDQ) Hindi, and Tampa Scale of Kinesiophobia (TSK).

Results. In total, 100 patients with chronic non-specific low back pain were recruited, with a mean age of 36.89 (±7.78). Factor analysis revealed a three-factor structure of the FABQ, which consisted of subscales FABQ Physical activity, FABQ Work, and FABQ Work prognosis. Convergent validity analysis demonstrated a moderate correlation between FABQ-H and TSK (r = 0.413). Divergent validity analysis displayed a moderate correlation between FABQ-H and NRS (r = 0.362) and RMDQ Hindi (r = 0.399). ICC value for the FABQ-H was observed as 0.938 indicating high significance for test–retest reliability. Cronbach α for the FABQ-H was recorded as 0.806 demonstrating high internal consistency.

Conclusion. A successful translation and adaptation of the Hindi version of FABQ is reported in this study. The three-factored FABQ-H exhibited satisfactory construct validity, test–retest reliability, and internal consistency. Based on findings of this study, the FABQ-H can be implemented in Hindi-speaking patients with chronic non-specific low back pain (LBP).

Level of Evidence: 3

The Fear-Avoidance Beliefs Questionnaire (FABQ) is a patient-reported measure to assess beliefs regarding how physical activity and work are influenced due to fear related to low back pain. The FABQ was translated in Hindi and evaluated for psychometric properties. The results suggest satisfactory construct validity, test–retest reliability, and internal consistency.

Department of Physiotherapy, Mahatma Gandhi Mission College of Physiotherapy, Kamothe, Navi Mumbai, India

School of Physiotherapy, Australian Catholic University, Banyo, QLD, Australia.

Address correspondence and reprint requests to Neelam Nayak, PT, School of Physiotherapy, Australian Catholic University, Banyo 4014, QLD, Australia; E-mail: drneelamnayakpt@gmail.com

Received 31 October, 2018

Revised 26 December, 2018

Accepted 11 February, 2019

The manuscript submitted does not contain information about medical device(s)/drug(s).

No funds were received in support of this work.

No relevant financial activities outside the submitted work.

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