ArticlePloS one2015
German Translation and Cross-Cultural Adaptation of the STarT Back Screening Tool.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 43 citations in OpenAlex.
- Trial
- Prognostic ability of the German version of the STarT Back tool: analysis of 12-month follow-up data from a randomized controlled trial.BMC musculoskeletal disorders · 2019Trial
- Translation, validation, and reliability of Örebro Musculoskeletal Screening Questionnaire in Nepali.BMC musculoskeletal disorders · 2026Article
- Cross-sectional differences of physical and psychosocial measures in low back pain according to pain chronification risk groups.Journal of rehabilitation medicine · 2025Article
- On-Site Physiotherapy in Emergency Department Patients Presenting with Nonspecific Low Back Pain: A Randomized Controlled Trial.Journal of clinical medicine · 2024Article
- German translation, cultural adaptation and validation of the Person-Centred Practice Inventory-Staff (PCPI-S).BMC health services research · 2023Observational
- Validation of the German version of the STarT-MSK-Tool: A cohort study with patients from physiotherapy clinics.PloS one · 2022Article
- Translation, cross-cultural adaptation and psychometric validation of the Thai version of the STarT Back Screening Tool in patients with non-specific low back pain.BMC musculoskeletal disorders · 2021Article
- [Pain prevention in the primary care setting : Facts for resident physicians].Schmerz (Berlin, Germany) · 2021Review
- Artificial intelligence to improve back pain outcomes and lessons learnt from clinical classification approaches: three systematic reviews.NPJ digital medicine · 2020Review
- Cross-cultural adaptation and validation of the STarT back screening tool in isiZulu.The South African journal of physiotherapy · 2020Article
- Physiotherapists' views of implementing a stratified treatment approach for patients with low back pain in Germany: a qualitative study.BMC health services research · 2018Article
- Clinical Decision Support Tools for Selecting Interventions for Patients with Disabling Musculoskeletal Disorders: A Scoping Review.Journal of occupational rehabilitation · 2016Article
- Psychometric Properties of the Japanese Version of the STarT Back Tool in Patients with Low Back Pain.PloS one · 2016Article
- Validation of the German version of the STarT-Back Tool (STarT-G): a cohort study with patients from primary care practices.BMC musculoskeletal disorders · 2015Article
- Advancing practice for back pain through stratified care (STarT Back).Brazilian journal of physical therapyReview
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Authors and funding
4 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough evidence based treatment approaches for acute low back pain are available, the prevention of persistent disabling symptoms remains a challenge. Subgroup targeted treatment using adequate screening tools may be a key component for the development of new treatment concepts and is demonstrating promising early evidence. The Keele STarT Back Screening Tool is a practical instrument, developed to stratify patients with back pain according to their risk of persistent disabling symptoms. The aim of this study was to translate and cross-culturally adapt the STarT tool into German (STarT-G) and to investigate its psychometric properties.
methodsThe translation was performed according to internationally accepted guidelines and pretested to assess face validity among patients. Psychometric testing was then performed within a cross-sectional cohort of adult patients attending physiotherapy practices for back pain. Patients completed a booklet containing STarT-G and 5 reference standard questionnaires. Measurement properties of the STarT-G were explored including construct validity, floor and ceiling effects, and discriminative abilities.
resultsThe pretests (n=25) showed good face validity including strong comprehension and acceptability of the STarT-G with only item 5 (fear avoidance) manifesting some ambiguities. The questionnaires were sent to 74 and completed by 50 patients (68%) of whom mean age was 46 (SD 14.5) years and 52% were male. Spearman's rank correlations for construct validity ranged from 0.35 to 0.56. AUCs for discriminative ability ranged from 0.79 to 0.91. Neither floor nor ceiling effects were observed. There were 28 (57%) participants defined as low risk, 17 (35%) as medium risk, and 4 (8%) as high risk.
conclusionSTarT-G is linguistically valid for German speaking countries. For the selected population, the correlations indicate acceptable validity and AUC showed satisfying discrimination. Data for psychometric properties have to be confirmed in a large scale study with a representative sample.
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