The University of Southampton
University of Southampton Institutional Repository

STarT back tool retained its predicting abilities in patients with acute and sub-acute low back pain patients after a transcultural adaptation and validation to Hebrew

STarT back tool retained its predicting abilities in patients with acute and sub-acute low back pain patients after a transcultural adaptation and validation to Hebrew
STarT back tool retained its predicting abilities in patients with acute and sub-acute low back pain patients after a transcultural adaptation and validation to Hebrew
Background: The STarT Back Screening Tool (SBT) distributes low back pain (LBP) patients into three prognostic groups for stratified care. This approach has demonstrated beneficial clinical and cost-effectiveness. Objectives: To translate and validate the SBT by investigating its psychometric properties among Israelis with acute and sub-acute LBP, and to evaluate its ability to predict disability after three months. Design: Prospective study. Method: The SBT was transcultural adapted into Hebrew using published guidelines. A total of 150 patients receiving physical therapy for acute or subacute LBP were administered the SBT. Clinical outcomes included the Roland-Morris Disability Questionnaire (RMDQ), the Hospital Anxiety and Depression Scale (HADS), the Fear-Avoidance Beliefs Questionnaire (FABQ) and a numerical pain rating scale (NPRS), collected by an independent interviewer by phone at the start of the physical therapy treatment and after three months. Results: The test-retest reliability of the SBT total score and psychosocial subscale were excellent (intraclass correlation coefficient 0.89 and 0.82). Spearman's correlation coefficient between SBT total score and RMDQ was 0.82, HADS (Anxiety 0.66, Depression 0.76), FABQ (exercise 0.53), NPRS (severe pain 0.48, average pain 0.53). The SBT baseline score showed excellent predictive abilities in discriminating poor disability after three months (ROC curve = 0.825, P < 0.001, 95% CI 0.756–0.894). Conclusion: The Israeli translation and cross-cultural adaptation of the SBT is a valid and reliable instrument. The SBT discriminated low, medium and high-risk groups, and predicts disability after three months.
Low back pain, Prognosis, STarT back screening tool, Translation, Validation
2468-8630
Ben Ami, Noa
43371c2c-0da3-4782-b8ad-0def01e01c37
Weisman, Asaf
afd6f4c1-840b-41de-a5f9-31883daebc5b
Yona, Tomer
ef113383-dc4a-4005-ae96-707226dc521a
Shashua, Anat
492b9acb-fc7f-4770-af14-0dc1955f087f
Hill, Jonathan
8e544af1-9ac0-46d3-9821-2c0014a61a85
Pincus, Tamar
55388347-5d71-4fc0-9fd2-66fbba080e0c
Ben Ami, Noa
43371c2c-0da3-4782-b8ad-0def01e01c37
Weisman, Asaf
afd6f4c1-840b-41de-a5f9-31883daebc5b
Yona, Tomer
ef113383-dc4a-4005-ae96-707226dc521a
Shashua, Anat
492b9acb-fc7f-4770-af14-0dc1955f087f
Hill, Jonathan
8e544af1-9ac0-46d3-9821-2c0014a61a85
Pincus, Tamar
55388347-5d71-4fc0-9fd2-66fbba080e0c

Ben Ami, Noa, Weisman, Asaf, Yona, Tomer, Shashua, Anat, Hill, Jonathan and Pincus, Tamar (2020) STarT back tool retained its predicting abilities in patients with acute and sub-acute low back pain patients after a transcultural adaptation and validation to Hebrew. Musculoskeletal Science and Practice, 46, [102134]. (doi:10.1016/j.msksp.2020.102134).

Record type: Article

Abstract

Background: The STarT Back Screening Tool (SBT) distributes low back pain (LBP) patients into three prognostic groups for stratified care. This approach has demonstrated beneficial clinical and cost-effectiveness. Objectives: To translate and validate the SBT by investigating its psychometric properties among Israelis with acute and sub-acute LBP, and to evaluate its ability to predict disability after three months. Design: Prospective study. Method: The SBT was transcultural adapted into Hebrew using published guidelines. A total of 150 patients receiving physical therapy for acute or subacute LBP were administered the SBT. Clinical outcomes included the Roland-Morris Disability Questionnaire (RMDQ), the Hospital Anxiety and Depression Scale (HADS), the Fear-Avoidance Beliefs Questionnaire (FABQ) and a numerical pain rating scale (NPRS), collected by an independent interviewer by phone at the start of the physical therapy treatment and after three months. Results: The test-retest reliability of the SBT total score and psychosocial subscale were excellent (intraclass correlation coefficient 0.89 and 0.82). Spearman's correlation coefficient between SBT total score and RMDQ was 0.82, HADS (Anxiety 0.66, Depression 0.76), FABQ (exercise 0.53), NPRS (severe pain 0.48, average pain 0.53). The SBT baseline score showed excellent predictive abilities in discriminating poor disability after three months (ROC curve = 0.825, P < 0.001, 95% CI 0.756–0.894). Conclusion: The Israeli translation and cross-cultural adaptation of the SBT is a valid and reliable instrument. The SBT discriminated low, medium and high-risk groups, and predicts disability after three months.

This record has no associated files available for download.

More information

Accepted/In Press date: 19 February 2020
e-pub ahead of print date: 20 February 2020
Published date: 1 April 2020
Additional Information: M1 - 102134 © 2020 Elsevier Ltd. All rights reserved.
Keywords: Low back pain, Prognosis, STarT back screening tool, Translation, Validation

Identifiers

Local EPrints ID: 469403
URI: http://eprints.soton.ac.uk/id/eprint/469403
ISSN: 2468-8630
PURE UUID: 6f08df02-a50d-4b1b-acd3-30fc8b63185d
ORCID for Tamar Pincus: ORCID iD orcid.org/0000-0002-3172-5624

Catalogue record

Date deposited: 14 Sep 2022 16:44
Last modified: 17 Mar 2024 04:11

Export record

Altmetrics

Contributors

Author: Noa Ben Ami
Author: Asaf Weisman
Author: Tomer Yona
Author: Anat Shashua
Author: Jonathan Hill
Author: Tamar Pincus ORCID iD

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×