Validation of the French version of the Fear Avoidance Belief Questionnaire
Validation of the French version of the Fear Avoidance Belief Questionnaire
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DOI：
10.1097/00007632-200404150-00018
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发表时间：
2004-04-15
期刊：
影响因子：
3
通讯作者：
Poiraudeau, S
中科院分区：
文献类型：
--
作者：
Chaory, K;Fayad, F;Poiraudeau, S
研究设计.观察性前瞻性研究。评估法语版恐惧回避信念问卷的信度、效度和反应度。恐惧、回避态度和信念在慢性腰痛患者的残疾感知中起着关键作用。恐惧回避信念问卷是一个由两部分组成的问卷，评估恐惧，回避，以及对专业活动和体育活动的信念。恐惧回避信念问卷采用正向和反向翻译法进行翻译。采用组内相关系数和Bland和Altman方法对31例患者（第1组）进行重测信度评估。采用斯皮尔曼等级相关系数和因子分析对两组患者（第2组，n = 147;第3组，n = 70）进行结构效度评估。在第3组中，在他们接受功能恢复计划后，通过效应量和标准化反应均值来评估反应性。重测信度是好的，与组内相关系数值为0.88和0.72的恐惧，回避和信念的专业活动和体力活动，分别。使用Bland和Altman方法得出的差异分布均匀，未观察到系统趋势。在第2组和第3组中观察到预期的发散有效性。因子分析提取了第二组的四个因子和第三组的英语恐惧回避信念问卷的两个原始因子。最低的效应量和标准化反应平均值（分别为0.30和0.31）与恐惧，回避和信念的专业活动。心理测量学特性（重测信度，结构效度和反应性）的法语版本的恐惧回避信念问卷是可以接受的，现在可以在讲法语的腰痛患者的恐惧，回避和信念进行评估。
Study Design. Observational prospective study.Objective. To assess the reliability, validity, and responsiveness of the French version of the Fear Avoidance Belief Questionnaire.Summary of Background Data. Fear, avoidance attitudes, and belief play pivotal roles in disability perceived by patients with chronic low back pain. The Fear Avoidance Belief Questionnaire is a two-part questionnaire assessing fear, avoidance, and beliefs about professional activity and physical activity.Methods. The Fear Avoidance Belief Questionnaire was translated by use of the forward and backward translation procedure. Test-retest reliability was assessed in 31 patients (Group 1) with the intraclass correlation coefficient and the Bland and Altman method. Construct validity was assessed in two groups of patients (Group 2, n = 147; Group 3, n = 70) with the Spearman rank correlation coefficient and factor analysis. Responsiveness was assessed in Group 3, after they underwent a functional restoration program, by the effect size and the standardized response mean.Results. Test-retest reliability was good, with an intraclass correlation coefficient value of 0.88 and 0.72 for fear, avoidance, and beliefs about professional activity and physical activity, respectively. Use of the Bland and Altman method produced a homogeneous distribution of the differences, with no systematic trend observed. The expected divergent validity was observed in Groups 2 and 3. Factor analysis extracted four factors in Group 2 and the two original factors of the English Fear Avoidance Belief Questionnaire in Group 3. The lowest effect size and standardized response mean values (0.30 and 0.31, respectively) were observed with the fear, avoidance, and beliefs about professional activity.Conclusions. The psychometric properties (test-retest reliability, construct validity, and responsiveness) of the French version of the Fear Avoidance Belief Questionnaire are acceptable, and fear, avoidance, and belief can now be assessed in French-speaking patients with low back pain.