Lee Kwok-Chung, Chiu Thomas T W, Lam Tai-Hing
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong.
Clin Rehabil. 2006 Oct;20(10):909-20. doi: 10.1177/026921550506072186.
To translate the Fear-Avoidance Beliefs Questionnaire and investigate the validity and reliability of the Chinese version of the questionnaire in patients with neck pain.
Observational cross-sectional and prospective study.
Physiotherapy outpatient departments.
Four samples with 476 consecutive adult patients with neck pain from four physiotherapy centres.
The original questionnaire was translated into Chinese by forward and backward translation and reviewed by a panel of experts. The subjects completed the Chinese version of the fear-avoidance questionnaire, Northwick Park Neck Pain Questionnaire, Medical Outcomes 36-Item Short-Form Health Survey and their pain intensity was measured using an 11-point pain numerical rating scale. They were observed and measured at the beginning of physiotherapy, at week 3 and at week 6 after treatment began.
The questionnaire had very good content validity and test-retest reliability with an intraclass correlation coefficient of 0.81 and Cronbach's alpha coefficient of 0.90. Spearman's correlation coefficients between fear-avoidance and the neck pain questionnaire, the health survey (physical), health survey (mental) and pain scale were 0.56, 0.45, 0.36 and 0.34, respectively. The standard response mean and effect size at week 6 were 0.38 and 0.32, respectively. Factor analysis yielded three factors which accounted for 61.6% of the total variance of the questionnaire.
The Fear-Avoidance Beliefs Questionnaire is a valid and reliable tool for patients with neck pain. It has been shown to demonstrate very good content validity, a high degree of test-retest reliability and internal consistency, good construct validity and medium responsiveness.
翻译恐惧回避信念问卷，并调查该问卷中文版在颈部疼痛患者中的有效性和可靠性。
观察性横断面和前瞻性研究。
物理治疗门诊部。
来自四个物理治疗中心的连续476例成年颈部疼痛患者的四个样本。
通过正向和反向翻译将原始问卷翻译成中文，并由专家小组进行审核。研究对象完成中文版恐惧回避问卷、诺斯威克公园颈部疼痛问卷、医学结局简明健康调查问卷36项版本，并使用11点疼痛数字评定量表测量其疼痛强度。在物理治疗开始时、治疗开始后第3周和第6周对他们进行观察和测量。
该问卷具有非常好的内容效度和重测信度，组内相关系数为0.81，克朗巴赫α系数为0.90。恐惧回避与颈部疼痛问卷、健康调查问卷（身体方面）、健康调查问卷（心理方面）和疼痛量表之间的斯皮尔曼相关系数分别为0.56、0.45、0.36和0.34。第6周时的标准反应均值和效应量分别为0.38和0.32。因子分析产生了三个因子，占问卷总方差的61.6%。
恐惧回避信念问卷是一种用于颈部疼痛患者的有效且可靠的工具。它已被证明具有非常好的内容效度、高度的重测信度和内部一致性、良好的结构效度以及中等反应度。
