Evidence map›Paper›PMID 24860003›Full record

ArticleBMJ open2014

The development and exploratory analysis of the Back Pain Attitudes Questionnaire (Back-PAQ).

Ben Darlow, Meredith Perry, Fiona Mathieson, James Stanley, Markus Melloh, Reginald Marsh, G David Baxter, Anthony Dowell

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMJ open, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05960760 (Assessing the Cross-cultural Validity and Reliability of the German Version of the Back Pain Attitudes Questionnaire), which is not on this map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
4.0field-weighted citation impact, top 7% of its field
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.

NCT05960760 completednot on this mapstarted 2023, after this paper: background citation

Assessing the Cross-cultural Validity and Reliability of the German Version of the Back Pain Attitudes Questionnaire (Back-PAQ_G) Within the German-speaking Swiss Population

TypeobservationalSponsorZurich University of Applied SciencesRan2023 to 2024Enrolled112ConditionsLow Back Pain
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 105 citations in OpenAlex.

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  17. Management of Low Back Pain: Do Physiotherapists Know the Evidence-Based Guidelines?International journal of environmental research and public health · 2023
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  18. An Exploration of the Influence of Non-Biomechanical Factors on Lifting-Related LBP.International journal of environmental research and public health · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Ben DarlowDepartment of Primary Health Care and General Practice, University of Otago, Wellington, New Zealand.
Meredith PerryCentre for Health Activity and Rehabilitation Research, School of Physiotherapy, University of Otago, Dunedin, New Zealand.
Fiona MathiesonDepartment of Psychological Medicine, University of Otago, Wellington, New Zealand.
James StanleyBiostatistical Group, University of Otago, Wellington, New Zealand.
Markus MellohCentre for Health Sciences, School of Health Professions, Zurich University of Applied Sciences, Winterthur, Switzerland.
Reginald MarshGillies McIndoe Research Institute, Newtown, Wellington South, New Zealand.
G David BaxterCentre for Health Activity and Rehabilitation Research, School of Physiotherapy, University of Otago, Dunedin, New Zealand.
Anthony DowellDepartment of Primary Health Care and General Practice, University of Otago, Wellington, New Zealand.
University of Otago · NZGillies McIndoe Research Institute · NZZHAW Zurich University of Applied Sciences · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo develop an instrument to assess attitudes and underlying beliefs about back pain, and subsequently investigate its internal consistency and underlying structures.

designThe instrument was developed by a multidisciplinary team of clinicians and researchers based on analysis of qualitative interviews with people experiencing acute and chronic back pain. Exploratory analysis was conducted using data from a population-based cross-sectional survey.

settingQualitative interviews with community-based participants and subsequent postal survey.

participantsInstrument development informed by interviews with 12 participants with acute back pain and 11 participants with chronic back pain. Data for exploratory analysis collected from New Zealand residents and citizens aged 18 years and above. 1000 participants were randomly selected from the New Zealand Electoral Roll. 602 valid responses were received. MEASURES: The 34-item Back Pain Attitudes Questionnaire (Back-PAQ) was developed. Internal consistency was evaluated by the Cronbach α coefficient. Exploratory analysis investigated the structure of the data using Principal Component Analysis.

resultsThe 34-item long form of the scale had acceptable internal consistency (α=0.70; 95% CI 0.66 to 0.73). Exploratory analysis identified five two-item principal components which accounted for 74% of the variance in the reduced data set: 'vulnerability of the back'; 'relationship between back pain and injury'; 'activity participation while experiencing back pain'; 'prognosis of back pain' and 'psychological influences on recovery'. Internal consistency was acceptable for the reduced 10-item scale (α=0.61; 95% CI 0.56 to 0.66) and the identified components (α between 0.50 and 0.78).

conclusionsThe 34-item long form of the scale may be appropriate for use in future cross-sectional studies. The 10-item short form may be appropriate for use as a screening tool, or an outcome assessment instrument. Further testing of the 10-item Back-PAQ's construct validity, reliability, responsiveness to change and predictive ability needs to be conducted.

Indexed as

Attitude to HealthDisability EvaluationSurveys and QuestionnairesAdolescentAdultAgedAged, 80 and overCross-Sectional StudiesFemaleHumansLow Back PainMaleMiddle AgedOutcome Assessment, Health CarePain MeasurementPsychometricsEpidemiologyPain ManagementPrimary Care

Identifiers

PMID24860003
PMCPMC4039861
OpenAlexW2105563310

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.