Phungwattanakul Nattawan, Boonyapo Uchukarn, Wiangkham Taweewat
Department of Physical Therapy, Faculty of Allied Health Sciences, Naresuan University, Phitsanulok, Thailand.
Exercise and Rehabilitation Sciences Research Unit, Faculty of Allied Health Sciences, Naresuan University, Phitsanulok, Thailand.
Physiother Theory Pract. 2023 Oct 3;39(10):2144-2153. doi: 10.1080/09593985.2022.2063773. Epub 2022 Apr 19.
The modified STarT Back Screening Tool (mSBST) can be used to classify individuals with neck pain (NP) into low, medium, and high risk for chronicity. However, the mSBST-Thai version (mSBST-TH) for NP does not exist.
The aims of this study were to adapt the SBST-TH into the mSBST-TH and evaluate its psychometric properties.
The adaptation process committee included one researcher, one musculoskeletal physical therapist, and one Thai linguistic expert. A total of 261 participants (aged 20-70 years) with NP in Phitsanulok Province were invited to complete the mSBST-TH, visual analogue scale, neck disability index, fear-avoidance beliefs questionnaire (FABQ), pain catastrophizing scale, EuroQol five-dimensions five-levels questionnaire (EQ5D-5L), and EQ5D-5L-visual analogue scale (EQ5D-5L-VAS). Fifty participants completed the mSBST-TH twice, with an interval of 48 hours to perform test-retest reliability.
The Cronbach's alpha coefficient of the mSBST-TH total score was 0.73. Factor analysis revealed two components, psychosocial and physical. The intraclass correlation coefficient of test-retest reliability was found to be 0.81 for the total score. Moderate correlations were found between the mSBST-TH and all questionnaires, except for the FABQ-work. The discriminative validity was excellent between the mSBST-TH total score and the EQ5D-5L-VAS. The standard error of measurement and minimal detectable change of the mSBST-TH total score were 0.56 and 1.56, respectively. No significant floor and ceiling effects were found.
The mSBST-TH was successfully adapted with no ambiguity reported. Furthermore, the mSBST-TH has presented acceptable psychometric evaluation.
改良版的STarT Back筛查工具（mSBST）可用于将颈部疼痛（NP）患者分为慢性疼痛的低、中、高风险人群。然而，目前尚无NP的泰语版mSBST（mSBST-TH）。
本研究旨在将SBST-TH改编为mSBST-TH并评估其心理测量特性。
改编过程委员会包括一名研究人员、一名肌肉骨骼物理治疗师和一名泰语语言专家。邀请了彭世洛府261名年龄在20至70岁之间的NP患者完成mSBST-TH、视觉模拟量表、颈部功能障碍指数、恐惧回避信念问卷（FABQ）、疼痛灾难化量表、欧洲五维健康量表（EQ5D-5L）和EQ5D-5L视觉模拟量表（EQ5D-5L-VAS）。50名参与者在间隔48小时的情况下完成了两次mSBST-TH测试，以进行重测信度分析。
mSBST-TH总分的克朗巴哈系数为0.73。因子分析揭示了两个组成部分，即心理社会因素和身体因素。总分的重测信度组内相关系数为0.81。除FABQ工作分量表外，mSBST-TH与所有问卷之间均存在中度相关性。mSBST-TH总分与EQ5D-5L-VAS之间的区分效度极佳。mSBST-TH总分的测量标准误和最小可检测变化分别为0.56和1.56。未发现明显的地板效应和天花板效应。
mSBST-TH成功改编，未出现歧义报告。此外，mSBST-TH的心理测量评估结果可接受。
