{"title":"A New Biopsychosocial Questionnaire in Individuals with Chronic Neck Pain: A Psychometric Study.","authors":"Ozge Şahin, Sevim Oksüz, Ender Angın, Edibe Ünal","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>It is crucial to assess the extent of biopsychosocial involvement and consider how treatment affects it as the first step in providing care for individuals with neck pain.</p><p><strong>Objective: </strong>This study aimed to assess the validity, reliability, and responsiveness of a Cognitive Exercise Therapy Approach (BETY)-Biopsychosocial Questionnaire (BQ) in chronic neck pain.</p><p><strong>Method: </strong>The Neck Disability Index (NDI), the Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH), the Short Form-36 (SF-36), and the Hospital Anxiety and Depression Scale (HADS) were used for the validity analysis. For testing reliability, the Intraclass Correlation Coefficient (ICC) and the Cronbach's alpha coefficient were checked. For responsiveness, all scales were reapplied to individuals who were included in a 2-week physiotherapy intervention.</p><p><strong>Setting: </strong>Physiotherapy and Rehabilitation Department of the General Hospital, Cyprus.</p><p><strong>Participants: </strong>One hundred ninety-nine individuals with chronic neck pain were included in the study.</p><p><strong>Results: </strong>The Pearson's correlations between the BETY-Biopsychosocial Questionnaire and the NDI, DASH, HADS-Anxiety, and HADS-Depression scores were found to be moderate to high (r=0.64, P < .001; r=0.74, P < .001; r=0.64, P < .001; r=0.58, P < .001, respectively). A moderate to high negative correlation was identified between BETY-BQ and SF-36 (r=-0.45 to r=-0.68, P < .001). ICC values were found to be excellent (r=0.993, P < .001). The Cronbach's alpha value showed excellent internal consistency (0.997). There was a good agreement between the pre- and post-test BETY-BQ forms. The calculated effect size for the pre- and post-treatment clinical evaluations was moderate (0.5), and the standardized response mean was found to be large (2.1), indicating that BETY-BQ was responsive to change.</p><p><strong>Conclusion: </strong>The BETY-Biopsychosocial Questionnaire was found to be reliable, valid, and sensitive to change in individuals with chronic neck pain. This study proposes a practical, easily accessible, low-cost, multi-dimensional, and self-reported biopsychosocial questionnaire for healthcare professionals to holistically evaluate individuals with chronic neck pain using a single form.</p><p><strong>Keywords: </strong>chronic pain, disability, physiotherapy, exercise, neck pain, BETY-BQ.</p>","PeriodicalId":7571,"journal":{"name":"Alternative therapies in health and medicine","volume":" ","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Alternative therapies in health and medicine","FirstCategoryId":"3","ListUrlMain":"","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"INTEGRATIVE & COMPLEMENTARY MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
Background: It is crucial to assess the extent of biopsychosocial involvement and consider how treatment affects it as the first step in providing care for individuals with neck pain.
Objective: This study aimed to assess the validity, reliability, and responsiveness of a Cognitive Exercise Therapy Approach (BETY)-Biopsychosocial Questionnaire (BQ) in chronic neck pain.
Method: The Neck Disability Index (NDI), the Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH), the Short Form-36 (SF-36), and the Hospital Anxiety and Depression Scale (HADS) were used for the validity analysis. For testing reliability, the Intraclass Correlation Coefficient (ICC) and the Cronbach's alpha coefficient were checked. For responsiveness, all scales were reapplied to individuals who were included in a 2-week physiotherapy intervention.
Setting: Physiotherapy and Rehabilitation Department of the General Hospital, Cyprus.
Participants: One hundred ninety-nine individuals with chronic neck pain were included in the study.
Results: The Pearson's correlations between the BETY-Biopsychosocial Questionnaire and the NDI, DASH, HADS-Anxiety, and HADS-Depression scores were found to be moderate to high (r=0.64, P < .001; r=0.74, P < .001; r=0.64, P < .001; r=0.58, P < .001, respectively). A moderate to high negative correlation was identified between BETY-BQ and SF-36 (r=-0.45 to r=-0.68, P < .001). ICC values were found to be excellent (r=0.993, P < .001). The Cronbach's alpha value showed excellent internal consistency (0.997). There was a good agreement between the pre- and post-test BETY-BQ forms. The calculated effect size for the pre- and post-treatment clinical evaluations was moderate (0.5), and the standardized response mean was found to be large (2.1), indicating that BETY-BQ was responsive to change.
Conclusion: The BETY-Biopsychosocial Questionnaire was found to be reliable, valid, and sensitive to change in individuals with chronic neck pain. This study proposes a practical, easily accessible, low-cost, multi-dimensional, and self-reported biopsychosocial questionnaire for healthcare professionals to holistically evaluate individuals with chronic neck pain using a single form.
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Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field.
Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.
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