Outcome of group physical therapy treatment for non-specific low back pain patients can be predicted with the cross-culturally adapted and validated Hungarian version STarT back screening tool.
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| Title: | Outcome of group physical therapy treatment for non-specific low back pain patients can be predicted with the cross-culturally adapted and validated Hungarian version STarT back screening tool. |
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| Authors: | Szita, Julia, Kiss, Laszlo, Biczo, Adam, Feher, Katalin, Varga, Peter P., Lazary, Aron |
| Source: | Disability & Rehabilitation. Apr2022, Vol. 44 Issue 8, p1427-1435. 9p. |
| Subjects: | Lumbar pain, Pilot projects, Research evaluation, Statistical reliability, Physical therapy, Research methodology evaluation, Research methodology, Discriminant analysis, Treatment effectiveness, Multitrait multimethod techniques, Psychometrics, Intraclass correlation, Descriptive statistics, Data analysis software, Group process, Longitudinal method |
| Abstract: | The STarT Back Tool was developed to identify the specific modifiable prognostic factors for non-specific low back pain and to classify the patients into risk groups; low, medium and high risk of chronicity. Applied therapeutic approaches often involve group physical therapy. The aim of this study was the cross-cultural adaptation and validation of the Hungarian version of the STarT Back Tool and to investigate the predictive ability for global treatment outcome. A prospective cohort study (N = 133) was carried out involving non-specific low back pain patients. Internal consistency, construct validity, reliability and prognostic discriminative ability have been investigated. After 3 months of treatment global outcome was evaluated. A 2-factor structure was found, with moderate internal consistency (Cronbach α = 0.89 for the total and psychosocial subscale 0.62). Between the Hungarian STarT Back Tool, the Oswestry Disability Index, leg pain, low back pain, Tampa Scale for Kinesiophobia, Fear Avoidance Beliefs Questionnaire and the physical subscale of the quality of life questionnaire, significant good to excellent- correlation was found (r > 0.41). The test-retest analysis showed excellent reliability (Intraclass Correlation Coefficient = 0.93) with standard error measurement being 0.49 (minimal detectable change = 1.37). The Area Under the Curve for baseline STarT Back Tool scores was 0.7 and 0.8 for global treatment outcome and distress, respectively. The Area Under the Curve for global treatment outcome versus STarT risk groups proved to be 0.76 representing adequate discriminative ability. The successful cross-cultural adaptation was followed by the validity analysis and as a result the Hungarian version of the STarT Back Tool proved to be a reliable and valid tool in the identification of risk groups of chronicity for patients with low back pain. Patients allocated to the high-risk group were more likely experiencing poor outcome at 3 months follow up, thus it can be used to predict outcome if treated with group physical therapy. Low back pain is a multifactorial disease where physical and psychosocial risk factors play a role in the development and prognosis of the disease. The STarT-H can be considered as a reliable, valid measurement tool in the identification of risk groups of chronicity for patients with low back pain. Clinical relevance of the STarT-H is that it can be used to stratify patients into risk groups of chronicity in different Hungarian speaking healthcare settings. According to our findings the STarT-H can also be applied to predict global treatment outcome in low back pain patients if treated with group physical therapy. [ABSTRACT FROM AUTHOR] |
| Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 156897818 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Outcome of group physical therapy treatment for non-specific low back pain patients can be predicted with the cross-culturally adapted and validated Hungarian version STarT back screening tool. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Szita%2C+Julia%22">Szita, Julia</searchLink><br /><searchLink fieldCode="AR" term="%22Kiss%2C+Laszlo%22">Kiss, Laszlo</searchLink><br /><searchLink fieldCode="AR" term="%22Biczo%2C+Adam%22">Biczo, Adam</searchLink><br /><searchLink fieldCode="AR" term="%22Feher%2C+Katalin%22">Feher, Katalin</searchLink><br /><searchLink fieldCode="AR" term="%22Varga%2C+Peter+P%2E%22">Varga, Peter P.</searchLink><br /><searchLink fieldCode="AR" term="%22Lazary%2C+Aron%22">Lazary, Aron</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Disability+%26+Rehabilitation%22">Disability & Rehabilitation</searchLink>. Apr2022, Vol. 44 Issue 8, p1427-1435. 9p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Lumbar+pain%22">Lumbar pain</searchLink><br /><searchLink fieldCode="DE" term="%22Pilot+projects%22">Pilot projects</searchLink><br /><searchLink fieldCode="DE" term="%22Research+evaluation%22">Research evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+reliability%22">Statistical reliability</searchLink><br /><searchLink fieldCode="DE" term="%22Physical+therapy%22">Physical therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology+evaluation%22">Research methodology evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Discriminant+analysis%22">Discriminant analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Multitrait+multimethod+techniques%22">Multitrait multimethod techniques</searchLink><br /><searchLink fieldCode="DE" term="%22Psychometrics%22">Psychometrics</searchLink><br /><searchLink fieldCode="DE" term="%22Intraclass+correlation%22">Intraclass correlation</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Group+process%22">Group process</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: The STarT Back Tool was developed to identify the specific modifiable prognostic factors for non-specific low back pain and to classify the patients into risk groups; low, medium and high risk of chronicity. Applied therapeutic approaches often involve group physical therapy. The aim of this study was the cross-cultural adaptation and validation of the Hungarian version of the STarT Back Tool and to investigate the predictive ability for global treatment outcome. A prospective cohort study (N = 133) was carried out involving non-specific low back pain patients. Internal consistency, construct validity, reliability and prognostic discriminative ability have been investigated. After 3 months of treatment global outcome was evaluated. A 2-factor structure was found, with moderate internal consistency (Cronbach α = 0.89 for the total and psychosocial subscale 0.62). Between the Hungarian STarT Back Tool, the Oswestry Disability Index, leg pain, low back pain, Tampa Scale for Kinesiophobia, Fear Avoidance Beliefs Questionnaire and the physical subscale of the quality of life questionnaire, significant good to excellent- correlation was found (r > 0.41). The test-retest analysis showed excellent reliability (Intraclass Correlation Coefficient = 0.93) with standard error measurement being 0.49 (minimal detectable change = 1.37). The Area Under the Curve for baseline STarT Back Tool scores was 0.7 and 0.8 for global treatment outcome and distress, respectively. The Area Under the Curve for global treatment outcome versus STarT risk groups proved to be 0.76 representing adequate discriminative ability. The successful cross-cultural adaptation was followed by the validity analysis and as a result the Hungarian version of the STarT Back Tool proved to be a reliable and valid tool in the identification of risk groups of chronicity for patients with low back pain. Patients allocated to the high-risk group were more likely experiencing poor outcome at 3 months follow up, thus it can be used to predict outcome if treated with group physical therapy. Low back pain is a multifactorial disease where physical and psychosocial risk factors play a role in the development and prognosis of the disease. The STarT-H can be considered as a reliable, valid measurement tool in the identification of risk groups of chronicity for patients with low back pain. Clinical relevance of the STarT-H is that it can be used to stratify patients into risk groups of chronicity in different Hungarian speaking healthcare settings. According to our findings the STarT-H can also be applied to predict global treatment outcome in low back pain patients if treated with group physical therapy. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1080/09638288.2020.1799248 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 9 StartPage: 1427 Subjects: – SubjectFull: Lumbar pain Type: general – SubjectFull: Pilot projects Type: general – SubjectFull: Research evaluation Type: general – SubjectFull: Statistical reliability Type: general – SubjectFull: Physical therapy Type: general – SubjectFull: Research methodology evaluation Type: general – SubjectFull: Research methodology Type: general – SubjectFull: Discriminant analysis Type: general – SubjectFull: Treatment effectiveness Type: general – SubjectFull: Multitrait multimethod techniques Type: general – SubjectFull: Psychometrics Type: general – SubjectFull: Intraclass correlation Type: general – SubjectFull: Descriptive statistics Type: general – SubjectFull: Data analysis software Type: general – SubjectFull: Group process Type: general – SubjectFull: Longitudinal method Type: general Titles: – TitleFull: Outcome of group physical therapy treatment for non-specific low back pain patients can be predicted with the cross-culturally adapted and validated Hungarian version STarT back screening tool. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Szita, Julia – PersonEntity: Name: NameFull: Kiss, Laszlo – PersonEntity: Name: NameFull: Biczo, Adam – PersonEntity: Name: NameFull: Feher, Katalin – PersonEntity: Name: NameFull: Varga, Peter P. – PersonEntity: Name: NameFull: Lazary, Aron IsPartOfRelationships: – BibEntity: Dates: – D: 15 M: 04 Text: Apr2022 Type: published Y: 2022 Identifiers: – Type: issn-print Value: 09638288 Numbering: – Type: volume Value: 44 – Type: issue Value: 8 Titles: – TitleFull: Disability & Rehabilitation Type: main |
| ResultId | 1 |
