Evidence map›Paper›PMID 21484294›Full record

ArticleSchmerz (Berlin, Germany)2011

[Evaluation of a two-dimensional scale for the assessment of fear avoidance beliefs in elderly chronic low back pain patients].

S Quint, M Raich, J Luckmann

Abstract readValidation Study
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In one paragraph

Article in Schmerz (Berlin, Germany), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

3 authors.

S QuintInstitut für Medizinische Psychologie, Philipps-Universität Marburg, Karl v Frisch Str 4, 35032 Marburg, Deutschland. quints@staff.uni-marburg.de
M Raich
J Luckmann

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is evidence on the importance of fear avoidance beliefs (FAB) as prognostic risk factors in elderly patients suffering from chronic low back pain (CLBP). However, so far there is no validated German instrument for measuring FAB in elderly CLBP patients. The aim of the study presented was to evaluate the psychometric properties of the Catastrophizing Avoidance Scale D-65+ (CAS-D-65+) within a population of elderly patients with CLBP.

methodsA cross-sectional study was conducted with measurement repeated after 4 weeks in 68 CLBP patients aged 64 years and older. The CAS-D-65+ was analyzed performing an item analysis and retest reliability. For validation standardized assessment methods (Tampa Scale of Kinesiophobia [TSK], Photography of Daily Activity - Short electronic Version [Phoda-SeV], 5-Item-FAB, pain, disability, well-being and strain) were used.

resultsInternal consistency (Cronbach's α) ranged from 0.87 to 0.92 for total scale and from 0.71 to 0.89 for the sub-scales "catastrophizing" and "avoidance", retest reliability (r(tt)) ranged from 0.67 for the sub-scale "catastrophizing" to 0.70 for total scale and sub-scale "avoidance". The CAS-D-65+ showed moderate and strong effect sizes (Cohen's d) with other related FAB scales and external criteria.

conclusionAs shown in this study the CAS-D-65+ is a reliable and a valid instrument for the assessment of FAB in older patients with CLBP.

Indexed as

Avoidance LearningCultureFearSurveys and QuestionnairesActivities of Daily LivingAgedAged, 80 and overAnxietyCatastrophizationCross-Sectional StudiesFemaleHumansLow Back PainMaleMiddle AgedMotor Activity

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.