PMID- 32420712
OWN - NLM
STAT- MEDLINE
DCOM- 20210302
LR  - 20210302
IS  - 1973-9095 (Electronic)
IS  - 1973-9087 (Linking)
VI  - 56
IP  - 5
DP  - 2020 Oct
TI  - Reliability, responsiveness and minimal clinically important difference of the 
      two Fear Avoidance and Beliefs Questionnaire scales in Italian subjects with 
      chronic low back pain undergoing multidisciplinary rehabilitation.
PG  - 600-606
LID - 10.23736/S1973-9087.20.06158-4 [doi]
AB  - BACKGROUND: The Fear-Avoidance Beliefs Questionnaire (FABQ) is a widely used 
      outcome measure. There is still a lack of information concerning responsiveness 
      and minimal clinically important difference (MCID), limiting its use for clinical 
      and research purposes. AIM: The aim of this study was to examine reliability, 
      responsiveness and MCID of the two FABQ scales in subjects with chronic low back 
      pain. DESIGN: Methodological research based on a prospective single-group 
      observational study. SETTING: Outpatient, Unit of rehabilitation. POPULATION: 
      Chronic non-specific low back pain. METHODS: At the beginning and the end of a 
      multidisciplinary program (8-week), 129 subjects completed the FABQ scales. 
      Reliability was determined as internal consistency (Cronbach's alpha) and 
      test-retest reliability (96-hour interval; N.=64; Interclass correlation 
      coefficient [ICC 2.1]). Responsiveness was calculated both by distribution-based 
      and anchor-based methods, using as external criterion the Global Perceived Effect 
      Scale (GPE: 7 levels), rated by each individual. RESULTS: Cronbach's alpha and 
      ICC(<inf>2,1</inf>) were respectively: 0.75 and 0.90 for FABQ-Physical Activity 
      Scale (FABQ-PA), and 0.85 and 0.95 for FABQ-Work Scale (FABQ-W). Minimum 
      detectable change (MDC<inf>95</inf>) values were 3.69 points for FABQ-PA, and 
      5.95 points for FABQ-W. In receiver-operating characteristic curves, splitting 
      GPE data into null/minimal/moderate improvement vs. large improvement (GPE 0-2 
      vs. GPE 3): 1) for FABQ-PA, the area under the curve (AUC) was 0.97 and the best 
      cutoff score identifying meaningful change in fear-avoidance beliefs about 
      physical activity was a change of 4 points; 2) for FABQ-W, the AUC was 0.97 and 
      the best cutoff score for meaningful change in fear-avoidance beliefs about work 
      activities was a change of 7 points. CONCLUSIONS: After triangulation of the 
      above results, a change of 4 points for FABQ-PA and 7 points for FABQ-W were 
      selected as MCID. These two values represent cutoffs that seem to accurately 
      identify meaningful change in fear-avoidance beliefs, according to subject's 
      judgement. CLINICAL REHABILITATION IMPACT: The present study calculated - in a 
      sample of people with chronic low back pain - the minimal clinically important 
      change of the two FABQ scales (FABQ-Physical Activity Scale and FABQ-Work Scale). 
      These values increase confidence in interpreting score changes, thus enhancing 
      their meaningful use in both research and clinical contexts.
FAU - Monticone, Marco
AU  - Monticone M
AD  - Department of Medical Sciences and Public Health, University of Cagliari, 
      Cagliari, Italy - marco.monticone@unica.it.
AD  - Unit of Neurorehabilitation, Department of Neuroscience and Rehabilitation, G. 
      Brotzu Hospital, Cagliari, Italy - marco.monticone@unica.it.
FAU - Frigau, Luca
AU  - Frigau L
AD  - Department of Economics and Business Science, University of Cagliari, Cagliari, 
      Italy.
FAU - Vernon, Howard
AU  - Vernon H
AD  - Canadian Memorial Chiropractic College, Toronto, ON, Canada.
FAU - Rocca, Barbara
AU  - Rocca B
AD  - Unit of Physical Medicine and Rehabilitation, IRCCS Maugeri, Institute of 
      Lissone, Lissone, Monza-Brianza, Italy.
FAU - Giordano, Andrea
AU  - Giordano A
AD  - Unit of Bioengineering, IRCCS Maugeri, Institute of Veruno, Veruno, Novara, 
      Italy.
FAU - Simone Vullo, Salvatore
AU  - Simone Vullo S
AD  - Department of Medical Sciences and Public Health, University of Cagliari, 
      Cagliari, Italy.
AD  - Unit of Neurorehabilitation, Department of Neuroscience and Rehabilitation, G. 
      Brotzu Hospital, Cagliari, Italy.
FAU - Mola, Francesco
AU  - Mola F
AD  - Department of Economics and Business Science, University of Cagliari, Cagliari, 
      Italy.
FAU - Franchignoni, Franco
AU  - Franchignoni F
AD  - Unit of Physical Medicine and Rehabilitation, IRCCS Maugeri, Institute of 
      Lissone, Lissone, Monza-Brianza, Italy.
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20200518
PL  - Italy
TA  - Eur J Phys Rehabil Med
JT  - European journal of physical and rehabilitation medicine
JID - 101465662
SB  - IM
MH  - Adult
MH  - Chronic Pain/*psychology/*rehabilitation
MH  - Disability Evaluation
MH  - Fear/*psychology
MH  - Female
MH  - Humans
MH  - Italy
MH  - Low Back Pain/*psychology/*rehabilitation
MH  - Male
MH  - Middle Aged
MH  - Minimal Clinically Important Difference
MH  - Pain Measurement
MH  - Prospective Studies
MH  - Psychometrics
MH  - Reproducibility of Results
MH  - Surveys and Questionnaires/*standards
EDAT- 2020/05/19 06:00
MHDA- 2021/03/03 06:00
CRDT- 2020/05/19 06:00
PHST- 2020/05/19 06:00 [pubmed]
PHST- 2021/03/03 06:00 [medline]
PHST- 2020/05/19 06:00 [entrez]
AID - S1973-9087.20.06158-4 [pii]
AID - 10.23736/S1973-9087.20.06158-4 [doi]
PST - ppublish
SO  - Eur J Phys Rehabil Med. 2020 Oct;56(5):600-606. doi: 
      10.23736/S1973-9087.20.06158-4. Epub 2020 May 18.