The cross-cultural adaptation, validity, and reliability of the Spanish version of the Fremantle Back Awareness Questionnaire

IntroductionIn chronic low back pain (CLBP), disturbed body image has been highlighted as a contributor to the condition and a potential target for treatment. The Fremantle Back Awareness Questionnaire (FreBAQ) allows its assessment. Following international guidelines for the cross-cultural translat...

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Main Authors: Nuria García-Dopico, Alejandro De La Torre-Luque, Benedict Martin Wand, Olga Velasco-Roldán, Carolina Sitges
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1070411/full
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author Nuria García-Dopico
Nuria García-Dopico
Alejandro De La Torre-Luque
Benedict Martin Wand
Olga Velasco-Roldán
Olga Velasco-Roldán
Carolina Sitges
Carolina Sitges
author_facet Nuria García-Dopico
Nuria García-Dopico
Alejandro De La Torre-Luque
Benedict Martin Wand
Olga Velasco-Roldán
Olga Velasco-Roldán
Carolina Sitges
Carolina Sitges
author_sort Nuria García-Dopico
collection DOAJ
description IntroductionIn chronic low back pain (CLBP), disturbed body image has been highlighted as a contributor to the condition and a potential target for treatment. The Fremantle Back Awareness Questionnaire (FreBAQ) allows its assessment. Following international guidelines for the cross-cultural translation of questionnaires, we aimed to translate the FreBAQ into Spanish (FreBAQ-S) and validate the new questionnaire in a sample of Spanish-speaking people with CLBP.MethodsTwo hundred and sixty-four adults with CLBP (91 males) and 128 healthy controls (34 males) completed an online form including the FreBAQ-S and questionnaires related to the pain experience. All participants were Spanish and no gender identities differing from biological sex were reported. A week later, 113 CLBP participants and 45 healthy controls (41 and 13 males, respectively), re-answered the FreBAQ-S to evaluate test–retest reliability. Confirmatory factor and multigroup analysis assessed the scale consistency on the patient sample. Discriminant and convergent validity were explored by between-group differences and the relationship with clinical characteristics. Reliability relied on Cronbach’s alpha estimates and test–retest (intraclass correlation coefficient, standard error of measurement, minimal detectable change).Results and discussionConfirmatory factor analysis showed a one-factor structure of the questionnaire, without supporting evidence for item deletion (CFI = 0.97; TLI = 0.96; RMSEA = 0.06; SRMR = 0.07; SRMRu = 0.064). Multigroup analyses do not support mean invariance between groups regarding health condition or sex. The FreBAQ-S demonstrated good discriminant and convergent validity, internal consistency (α = 0.82), and test–retest reliability (ICC = 0.78; SE = 3.41; MDC = 5.12). The FreBAQ-S is a valid and reliable tool to assess back awareness in clinical and non-clinical samples.
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spelling doaj.art-546aed9a45174b1099ba7c968adb5daa2023-03-02T04:23:29ZengFrontiers Media S.A.Frontiers in Psychology1664-10782023-03-011410.3389/fpsyg.2023.10704111070411The cross-cultural adaptation, validity, and reliability of the Spanish version of the Fremantle Back Awareness QuestionnaireNuria García-Dopico0Nuria García-Dopico1Alejandro De La Torre-Luque2Benedict Martin Wand3Olga Velasco-Roldán4Olga Velasco-Roldán5Carolina Sitges6Carolina Sitges7University of the Balearic Islands (UIB), Research Institute of Health Sciences (IUNICS) and Balearic Islands Health Research Institute (IdISBa), Palma, SpainDepartment and Faculty of Nursing and Physiotherapy, University of the Balearic Islands (UIB), Palma, SpainDepartment of Legal Medicine, Psychiatry and Pathology, Faculty of Medicine, Complutense University of Madrid, Madrid, SpainFaculty of Medicine, Nursing and Midwifery and Health Sciences, University of Notre Dame Australia, Fremantle, WA, AustraliaUniversity of the Balearic Islands (UIB), Research Institute of Health Sciences (IUNICS) and Balearic Islands Health Research Institute (IdISBa), Palma, SpainDepartment and Faculty of Nursing and Physiotherapy, University of the Balearic Islands (UIB), Palma, SpainUniversity of the Balearic Islands (UIB), Research Institute of Health Sciences (IUNICS) and Balearic Islands Health Research Institute (IdISBa), Palma, SpainDepartment and Faculty of Psychology, University of the Balearic Islands (UIB), Palma, SpainIntroductionIn chronic low back pain (CLBP), disturbed body image has been highlighted as a contributor to the condition and a potential target for treatment. The Fremantle Back Awareness Questionnaire (FreBAQ) allows its assessment. Following international guidelines for the cross-cultural translation of questionnaires, we aimed to translate the FreBAQ into Spanish (FreBAQ-S) and validate the new questionnaire in a sample of Spanish-speaking people with CLBP.MethodsTwo hundred and sixty-four adults with CLBP (91 males) and 128 healthy controls (34 males) completed an online form including the FreBAQ-S and questionnaires related to the pain experience. All participants were Spanish and no gender identities differing from biological sex were reported. A week later, 113 CLBP participants and 45 healthy controls (41 and 13 males, respectively), re-answered the FreBAQ-S to evaluate test–retest reliability. Confirmatory factor and multigroup analysis assessed the scale consistency on the patient sample. Discriminant and convergent validity were explored by between-group differences and the relationship with clinical characteristics. Reliability relied on Cronbach’s alpha estimates and test–retest (intraclass correlation coefficient, standard error of measurement, minimal detectable change).Results and discussionConfirmatory factor analysis showed a one-factor structure of the questionnaire, without supporting evidence for item deletion (CFI = 0.97; TLI = 0.96; RMSEA = 0.06; SRMR = 0.07; SRMRu = 0.064). Multigroup analyses do not support mean invariance between groups regarding health condition or sex. The FreBAQ-S demonstrated good discriminant and convergent validity, internal consistency (α = 0.82), and test–retest reliability (ICC = 0.78; SE = 3.41; MDC = 5.12). The FreBAQ-S is a valid and reliable tool to assess back awareness in clinical and non-clinical samples.https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1070411/fulllow back painbody imageback awarenessproprioceptionself-conceptvalidity
spellingShingle Nuria García-Dopico
Nuria García-Dopico
Alejandro De La Torre-Luque
Benedict Martin Wand
Olga Velasco-Roldán
Olga Velasco-Roldán
Carolina Sitges
Carolina Sitges
The cross-cultural adaptation, validity, and reliability of the Spanish version of the Fremantle Back Awareness Questionnaire
Frontiers in Psychology
low back pain
body image
back awareness
proprioception
self-concept
validity
title The cross-cultural adaptation, validity, and reliability of the Spanish version of the Fremantle Back Awareness Questionnaire
title_full The cross-cultural adaptation, validity, and reliability of the Spanish version of the Fremantle Back Awareness Questionnaire
title_fullStr The cross-cultural adaptation, validity, and reliability of the Spanish version of the Fremantle Back Awareness Questionnaire
title_full_unstemmed The cross-cultural adaptation, validity, and reliability of the Spanish version of the Fremantle Back Awareness Questionnaire
title_short The cross-cultural adaptation, validity, and reliability of the Spanish version of the Fremantle Back Awareness Questionnaire
title_sort cross cultural adaptation validity and reliability of the spanish version of the fremantle back awareness questionnaire
topic low back pain
body image
back awareness
proprioception
self-concept
validity
url https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1070411/full
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