The Brazilian version of STarT Back Screening Tool - translation, cross-cultural adaptation and reliability.

The Brazilian version of STarT Back Screening Tool - translation, cross-cultural adaptation and reliability.
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DOI:
10.1590/bjpt-rbf.2014.0028
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发表时间:
2014-09
影响因子:
3.4
通讯作者:
Grossi DB
Grossi DB
中科院分区:
医学2区
文献类型:
--
作者:
Pilz B;Vasconcelos RA;Marcondes FB;Lodovichi SS;Mello W;Grossi DB

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在物理治疗评估中,心理社会因素并没有被常规识别,尽管它们会影响腰痛患者的预后。“STartT Back Screening Tool”(SBST)问卷有助于在初级保健环境中筛查此类患者的不良预后,并根据身体和心理社会因素将其分为高、中或低风险。 本研究旨在翻译和跨文化适应SBST巴西葡萄牙语和测试的可靠性,巴西版本。 研究的第一阶段包括翻译、综合和回译原始版本的STSB,包括翻译组的修订、翻译版本的预测试和专家小组的评估。最终巴西版本前应用于2个样本,包括52名腰痛患者;这些患者包括两种性别,年龄大于18岁。为了评估该工具的可靠性,对包括50名患者的额外样本进行2次访谈,并使用二次加权Kappa值评估结果。使用Cronbach α(n=105)评估仪器的内部一致性,并计算测量的标准误(n=50)。 翻译和回译工作取得了共识,只有项目6需要修改;重新拟订的版本适用于由52名个人组成的另一个样本,这些人没有报告与该项目有关的任何疑问。SBST-巴西量表的可靠性为0.79(95%置信区间:0.63-0.95),总分的内部一致性为0.74,心理社会分量表的内部一致性为0.72,测量的标准误为1.9%。 翻译和跨文化适应SBST-巴西被证明是可靠的筛选患者根据他们的预后不良的风险和心理社会因素的存在。
Psychosocial factors are not routinely identified in physical therapy assessments, although they can influence the prognosis of patients with low back pain. The "STarT Back Screening Tool" (SBST) questionnaire aids in screening such patients for poor prognosis in the primary care setting and classifies them as high, medium, or low risk based on physical and psychosocial factors. This study sought to translate and cross-culturally adapt the SBST to the Brazilian Portuguese language and test the reliability of the Brazilian version. The first stage of the study consisted of the translation, synthesis, and back-translation of the original version of the STSB, including revision by the Translation Group, pretest of the translated version, and assessment by an expert panel. The pre-final Brazilian version was applied to 2 samples comprising 52 patients with low back pain; these patients were of both genders and older than 18 years of age. To assess the instrument's reliability, an additional sample comprising 50 patients was subjected to 2 interviews, and the results were assessed using the quadratic weighted kappa value. The instrument's internal consistency was assessed using Cronbach's alpha (n=105), and the standard error of measurement was also calculated (n=50). Translation and back-translation attained consensus, and only item 6 required changes; the reformulated version was applied to an additional sample comprising 52 individuals who did not report any doubts related to this item. The reliability of the SBST-Brazil was 0.79 (95% confidence interval: 0.63-0.95), the internal consistency was 0.74 for the total score and 0.72 for the psychosocial subscale, and the standard error of measurement was 1.9%. The translated and cross-culturally adapted SBST-Brazil proved to be reliable for screening patients according to their risk of poor prognosis and the presence of psychosocial factors.
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