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J Pain Res. 2016 Jan 11;9:9-15. doi: 10.2147/JPR.S92615. eCollection 2016.

Cross-cultural adaption of the German Quebec Back Pain Disability Scale: an exposure-specific measurement for back pain patients.

Journal of pain research

Jenny Riecke, Sebastian Holzapfel, Winfried Rief, Harald Lachnit, Julia A Glombiewski

Affiliations

  1. Department for Clinical Psychology and Psychotherapy, University of Marburg, Marburg, Germany.
  2. Department for Associative Learning, University of Marburg, Marburg, Germany.

PMID: 26811693 PMCID: PMC4714739 DOI: 10.2147/JPR.S92615

Abstract

STUDY DESIGN: Cross-cultural translation and psychometric testing.

OBJECTIVE: The purpose of the present study was to examine reliability and validity of a cross-cultural adaption of the German Quebec Back Pain Disability Scale (QBPDS) in a context of a randomized controlled trial evaluating the effectiveness of graded in vivo exposure in chronic low back pain patients.

BACKGROUND: The QBPDS is one of the most widely used disease-specific disability questionnaires. In particular, for cognitive behavioral treatments with a clear focus on behavioral aspects such as graded in vivo exposure, the QBPDS provides an ascertained strategy with a sound conceptual basis and excellent quality criteria. Nevertheless, there is conflicting evidence concerning factor structure and a German adaption is missing.

METHODS: The cross-cultural adaption followed international guidelines. Psychometric testing was performed using data from 180 participants with chronic low back pain. The psychometric analyses included internal consistency, convergent, and divergent validity. Exploratory factor analysis was used to determine the underlying factor structure.

RESULTS: The QBPDS showed strong psychometric properties, with high internal consistency for the full scale (α=0.94) and good convergent and divergent validity. The factor analysis revealed a four-factor solution (bending, ambulation, brief effortful movements, and long-lasting postures).

CONCLUSION: The translation and cross-cultural adaption of the QBPDS into German was successful. The German version proved to be a valid and reliable instrument and is well suited for use in the context of an exposure-based psychological treatment.

Keywords: Chronic pain; German; back pain; functional disability; questionnaire; validation

References

  1. Spine (Phila Pa 1976). 1995 Feb 1;20(3):341-52 - PubMed
  2. Spine (Phila Pa 1976). 2012 Dec 15;37(26):E1645-50 - PubMed
  3. Eur Spine J. 2013 May;22(5):1010-8 - PubMed
  4. J Clin Epidemiol. 2012 Dec;65(12):1321-8 - PubMed
  5. Spine (Phila Pa 1976). 1983 Mar;8(2):141-4 - PubMed
  6. Behav Res Ther. 2001 Feb;39(2):151-66 - PubMed
  7. Phys Ther. 1996 Mar;76(3):268-75 - PubMed
  8. Spine (Phila Pa 1976). 2007 Apr 20;32(9):1028-37 - PubMed
  9. J Clin Epidemiol. 2007 Jan;60(1):34-42 - PubMed
  10. Pain. 2008 Aug 15;138(1):192-207 - PubMed
  11. Spine (Phila Pa 1976). 2009 Mar 15;34(6):E219-24 - PubMed
  12. J Clin Epidemiol. 1996 Feb;49(2):151-61 - PubMed
  13. Spine (Phila Pa 1976). 2011 Dec 15;36(26):E1722-9 - PubMed
  14. Arthritis Care Res (Hoboken). 2011 Nov;63 Suppl 11:S158-73 - PubMed
  15. J Back Musculoskelet Rehabil. 2011;24(3):145-54 - PubMed
  16. Pain. 2005 Jan;113(1-2):9-19 - PubMed
  17. Cochrane Database Syst Rev. 2012 Nov 14;11:CD007407 - PubMed
  18. Spine (Phila Pa 1976). 2000 Dec 15;25(24):3186-91 - PubMed
  19. Eur J Pain. 2008 Aug;12(6):722-30 - PubMed
  20. BMC Musculoskelet Disord. 2014 Aug 19;15:280 - PubMed
  21. Spine (Phila Pa 1976). 1999 Jun 1;24(11):1099-103 - PubMed
  22. J Psychosom Res. 2008 May;64(5):469-78 - PubMed
  23. Behav Res Methods Instrum Comput. 2000 Aug;32(3):396-402 - PubMed
  24. Schmerz. 1994 Jun;8(2):100-10 - PubMed
  25. Physiotherapy. 1980 Aug;66(8):271-3 - PubMed
  26. Pain. 1990 Feb;40(2):171-82 - PubMed
  27. Spine (Phila Pa 1976). 2009 Jun 1;34(13):E459-64 - PubMed

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