Development and measurement properties of the AxEL (attitude toward education and advice for low-back-pain) questionnaire

Health and Quality of Life Outcomes

Aidan G. Cashin¹  James H. McAuley¹  Matthew D. Jones¹  Edel T. O’Hagan¹  Siobhan M. Schabrun¹  Benedict M. Wand²  Emma L. Karran³  Adrian C. Traeger⁴  Ian A. Harris⁴  Ian W. Skinner⁵  Sean O’Neill⁶ 

[1] Centre for Pain IMPACT, Neuroscience Research Australia (NeuRA);Faculty of Medicine, Nursing and Midwifery and Health Sciences, The University of Notre Dame Australia;IIMPACT in Health, UniSA: Allied Health and Human Performance, The University of South Australia;Institute for Musculoskeletal Health, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney;School of Community Health, Charles Sturt University;South Western Sydney Clinical School, Liverpool Hospital, The University of New South Wales;

关键词: Low back pain;    Questionnaire development;    Measurement properties;    First-line care;   

DOI  :  10.1186/s12955-021-01908-4

来源: DOAJ

【 摘 要 】

Abstract Introduction Clinician time and resources may be underutilised if the treatment they offer does not match patient expectations and attitudes. We developed a questionnaire (AxEL-Q) to guide clinicians toward elements of first-line care that are pertinent to their patients with low back pain. Methods We used guidance from the COSMIN consortium to develop the questionnaire and evaluated it in a sample of people with low back pain of any duration. Participants were recruited from the community, were over 18 years and fluent in English. Statements that represented first-line care were identified. Semantic scales were used to measure attitude towards these statements. These items were combined to develop the questionnaire draft. Construct validity was evaluated with exploratory factor analysis and hypotheses testing, comparing to the Back Beliefs Questionnaire and modified Pain Self-Efficacy Questionnaire. Reliability was evaluated and floor and ceiling effects calculated. Results We recruited 345 participants, and had complete data for analysis for 313 participants. The questionnaire draft was reduced to a 3-Factor questionnaire through exploratory factor analysis. Factor 1 comprised 9 items and evaluated Attitude toward staying active, Factor 2 comprised 4 items and evaluated Attitude toward low back pain being rarely caused by a serious health problem, Factor 3 comprised 4 items and evaluated Attitude toward not needing to know the cause of back pain to manage it effectively. There was a strong inverse association between each factor and the Back Beliefs Questionnaire and a moderate positive association with the modified Pain Self-Efficacy Questionnaire. Each independent factor demonstrated acceptable internal consistency; Cronbach α Factor 1 = 0.92, Factor 2 = 0.91, Factor 3 = 0.90 and adequate interclass correlation coefficients; Factor 1 = 0.71, Factor 2 = 0.73, Factor 3 = 0.79. Conclusion This study demonstrates acceptable construct validity and reliability of the AxEL-Q, providing clinicians with an insight into the likelihood of patients following first-line care at the outset.

【 授权许可】

Unknown