TY  - JOUR
PY  - 2012//
TI  - The Italian Version of the Fear-Avoidance Beliefs Questionnaire (FABQ-I): Cross-Cultural Adaptation, Factor Analysis, Reliability, Validity, and Sensitivity to Change
JO  - Spine
A1  - Monticone, Marco
A1  - Baiardi, Paola
A1  - Bonetti, Francesca
A1  - Ferrari, Silvano
A1  - Foti, Calogero
A1  - Pillastrini, Paolo
A1  - Rocca, Barbara
A1  - Vanti, Carla
A1  - Zanoli, Gustavo
SP  - E374
EP  - E380
VL  - 37
IS  - 6
N2  - STUDY DESIGN.: Evaluation of the psychometric properties of a translated and culturally adapted questionnaire. OBJECTIVE.: Translating, culturally adapting, and validating the Italian version of the Fear-Avoidance Beliefs Questionnaire (FABQ-I) to allow its use with Italian-speaking patients with low-back pain (LBP). SUMMARY OF BACKGROUND DATA.: Growing attention is being given to standardized outcome measures to improve interventions for LBP. A translated form of the FABQ has never been validated in Italian patients with LBP. METHODS.: The FABQ-I questionnaire was developed by means of forward-backward translation, a final review by an expert committee, and a test of the prefinal version to establish its correspondence with the original English version. The psychometric testing included factor analysis, reliability by internal consistency (Cronbach α) and test-retest reliability (intraclass coefficient correlation), convergent validity by comparing FABQ-I with the Italian version of the Tampa Scale of Kinesiophobia (TSK-I), and discriminant validity by comparing FABQ-I with a visual analogue scale, the Roland Morris Disability Questionnaire, and the Hospital Anxiety and Depression Scale (Pearson correlation). RESULTS.: It took 4 months to develop a shared version of the FABQ-I. The questionnaire was administered to 180 subjects and proved to be acceptable. Factor analysis revealed a 2-factor, 12-item solution (57% of explained variance). The questionnaire showed good internal consistency (α = 0.822) and high test-retest reliability (intraclass coefficient correlation = 0.869). Convergent validity showed a moderate correlation with TSK-I (r = 0.440), and discriminant validity showed moderate-poor correlations with a visual analogue scale (r = 0.335), Roland Morris Disability Questionnaire (r = 0.414), and Hospital Anxiety and Depression Scale (r = 0.258 for the Anxiety score and r = 0.246 for the Depression score). The results of the psychometric analyses of the subscales were similar to those of the scale as a whole. CONCLUSION.: The FABQ outcome measure was successfully translated into Italian and proved to have a good factorial structure and psychometric properties that replicated the results of other existing versions. Its use is recommended for research purposes.<p />  <p>Language: en</p>
LA  - en
SN  - 0362-2436
UR  - http://dx.doi.org/10.1097/BRS.0b013e31822ff5a7
ID  - ref1
ER  -