Bulut Zeynep Irem, Unal Edibe, Oksuz Sevim, Dogru Atalay, Akyol Ahmet, Yakut Yavuz
Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Fenerbahce University, İstanbul, Turkey.
Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey.
Indian J Orthop. 2025 Feb 24;59(4):521-529. doi: 10.1007/s43465-025-01350-4. eCollection 2025 Apr.
This study was planned to test whether the Cognitive Exercise Therapy Approach- Biopsychosocial Questionnaire (BETY-BQ) is an appropriate questionnaire in assessing the biopsychosocial status in KOA.
Frequently used assessment tools, OA-specific scale The Western Ontario and McMaster Universities OA Index, the Hospital Anxiety and Depression Scale, and the Short Form-36 were utilized for the validity and responsiveness of BETY-BQ in individuals with KOA. The test-retest method, internal consistency analysis, and item analysis were used to test reliability. For the test-retest method, BETY-BQ was administered again to the same 30 individuals 1 week later. To assess the responsiveness of the BETY-BQ, individuals who underwent medical treatment were subjected to a second round of questionnaire administration after a 3-month interval.
Moderate to weak correlations between BETY-BQ and the other questionnaires ensued the divergent validity. According to the confirmatory factor analysis, all goodness-of-fit indices of BETY-BQ were acceptable (CMIN/df = 2.212; RMSEA = 0.080; SRMR = 0.08). Both Cronbach's α (0.900) and ICC value (0.941) showed that the BETY-BQ has excellent reliability in the KOA population. The Bland-Altman Plot showed high agreement as all differences between the first and second BETY-BQ were found between the 95% lower and upper limits. BETY-BQ demonstrated moderate responsiveness as the effect size and standardized mean response were 0.656 and 0.566, respectively.
A valid, reliable, responsive, multi-dimensional, and self-reported questionnaire for measuring biopsychosocial status in KOA was introduced to the use of healthcare professionals.
本研究旨在测试认知运动疗法方法-生物心理社会问卷（BETY-BQ）是否为评估膝骨关节炎（KOA）生物心理社会状况的合适问卷。
使用常用评估工具、骨关节炎特异性量表西安大略和麦克马斯特大学骨关节炎指数、医院焦虑抑郁量表以及简明健康调查问卷36项版本，来检验BETY-BQ在KOA患者中的有效性和反应性。采用重测法、内部一致性分析和项目分析来检验信度。对于重测法，1周后对相同的30名个体再次进行BETY-BQ测试。为评估BETY-BQ的反应性，接受治疗的个体在3个月间隔后接受第二轮问卷调查。
BETY-BQ与其他问卷之间存在中度至弱相关性，从而产生了区分效度。根据验证性因子分析，BETY-BQ的所有拟合优度指标均可接受（CMIN/df = 2.212；RMSEA = 0.080；SRMR = 0.08）。Cronbach's α（0.900）和组内相关系数值（ICC，0.941）均表明BETY-BQ在KOA人群中具有出色的信度。Bland-Altman图显示一致性较高，因为BETY-BQ第一次和第二次测试的所有差异均在95%下限和上限之间。BETY-BQ显示出中度反应性，效应大小和标准化平均反应分别为0.656和0.566。
向医疗保健专业人员介绍了一种有效、可靠、有反应性、多维度且自我报告的用于测量KOA生物心理社会状况的问卷。
