Development of the Italian Version of the Pain Vigilance and Awareness Questionnaire in Subjects with Chronic Low Back Pain: Cross-cultural Adaptation, Confirmatory Factor Analysis, Reliability and Validity.

Background: Growing attention is being given to cognitive-behavioural measures to improve interventions for spinal disorders. The Pain Vigilance and Awareness Questionnaire (PVAQ) has never been validated in Italian subjects with chronic low back pain (LBP). Purpose: The purpose of this study is tra...

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Publicado en:International Journal of Behavioral Medicine Vol. 23; no. 2; pp. 214 - 224
Autores principales: Monticone, Marco, Ambrosini, Emilia, Rocca, Barbara, Nava, Tiziana, Terragni, Erica, Cerri, Cesare, McCracken, Lance
Formato: forms research tables/charts Journal Article
Publicado: Springer Nature Apr2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2016
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      pub: Springer Nature
      place: New York, New York
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        atl: Development of the Italian Version of the Pain Vigilance and Awareness Questionnaire in Subjects with Chronic Low Back Pain: Cross-cultural Adaptation, Confirmatory Factor Analysis, Reliability and Validity.
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          Monticone, Marco
          Ambrosini, Emilia
          Rocca, Barbara
          Nava, Tiziana
          Terragni, Erica
          Cerri, Cesare
          McCracken, Lance
        affil: Salvatore Maugeri Foundation, Institute of Care and Research, IRCCS, Scientific Institute of Lissone (Monza Brianza), Physical Medicine and Rehabilitation Unit, Via Monsignor Bernasconi 16 20851 Lissone Italy
      sug:
        subj:
          Instrument Validation
          Low Back Pain Diagnosis
          Reliability and Validity
          Questionnaires
          Cross Sectional Studies
          Psychometrics
          Internal Consistency
          Test-Retest Reliability
          Coefficient alpha
          Construct Validity
          Scales
          Human
          Male
          Female
          Adult
          Middle Age
          Factor Analysis
          Data Analysis Software
          Young Adult
          Aged
          Content Validity
          Pearson's Correlation Coefficient
          P-Value
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Background: Growing attention is being given to cognitive-behavioural measures to improve interventions for spinal disorders. The Pain Vigilance and Awareness Questionnaire (PVAQ) has never been validated in Italian subjects with chronic low back pain (LBP). Purpose: The purpose of this study is translating, culturally adapting and validating the Italian version of PVAQ (PVAQ-I). Methods: A cross-sectional evaluation of the psychometric properties of the PVAQ-I on patients with chronic LBP was conducted. The questionnaire was culturally adapted in accordance with international standards. The psychometric testing included confirmatory factor analysis, reliability by internal consistency (Cronbach's alpha) and test-retest reliability (intra-class correlation coefficient, ICC); construct validity by comparing the PVAQ-I with the Pain Catastrophising Scale (PCS), the Tampa Scale of Kinesiophobia (TSK), the Hospital Anxiety and Depression Score (HADS), the Chronic Pain Acceptance Questionnaire (CPAQ), a Numerical Rating Scale of pain intensity (NRS) and the Oswestry Disability Questionnaire (ODI); and sensitivity to change by calculating the smallest detectable change. Results: The PVAQ-I was administered to 131 subjects with chronic LBP (77 females, mean age of 48 ± 16 years, median symptoms duration of 12 months). Factor analysis confirmed a two-factor (passive awareness and active vigilance), 13-item solution, which led to an acceptable data-model fit. Internal consistency ( α = 0.91) and test-retest reliability (ICC = 0.92) were good. As a priori hypothesized, construct validity showed moderate correlations between the PVAQ-I and PCS ( r = 0.60), TSK ( r = 0.44) and HADS-Anxiety ( r = 0.53) and low correlations with HADS-Depression ( r = 0.28), NRS ( r = 0.28), ODI ( r = 0.23) and CPAQ ( r = −0.12). The smallest detectable change was 9. Conclusion: The PVAQ was successfully translated into Italian and proved to have satisfactory psychometric properties. Its use is recommended for clinical and research purposes.
      pubtype: Academic Journal
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    language: English
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