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Feasibility of the STarT back screening tool in chiropractic clinics: a cross-sectional study of patients with low back pain
The STarT back screening tool (SBT) allocates low back pain (LBP) patients into three risk groups and is intended to assist clinicians in their decisions about choice of treatment. The tool consists of domains from larger questionnaires that previously have been shown to be predictive of non-recover...
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2011
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3105955/ https://www.ncbi.nlm.nih.gov/pubmed/21526986 http://dx.doi.org/10.1186/2045-709X-19-10 |
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author | Kongsted, Alice Johannesen, Else Leboeuf-Yde, Charlotte |
author_facet | Kongsted, Alice Johannesen, Else Leboeuf-Yde, Charlotte |
author_sort | Kongsted, Alice |
collection | PubMed |
description | The STarT back screening tool (SBT) allocates low back pain (LBP) patients into three risk groups and is intended to assist clinicians in their decisions about choice of treatment. The tool consists of domains from larger questionnaires that previously have been shown to be predictive of non-recovery from LBP. This study was performed to describe the distribution of depression, fear avoidance and catastrophising in relation to the SBT risk groups. A total of 475 primary care patients were included from 19 chiropractic clinics. They completed the SBT, the Major Depression Inventory (MDI), the Fear Avoidance Beliefs Questionnaire (FABQ), and the Coping Strategies Questionnaire. Associations between the continuous scores of the psychological questionnaires and the SBT were tested by means of linear regression, and the diagnostic performance of the SBT in relation to the other questionnaires was described in terms of sensitivity, specificity and likelihood ratios. In this cohort 59% were in the SBT low risk, 29% in the medium risk and 11% in high risk group. The SBT risk groups were positively associated with all of the psychological questionnaires. The SBT high risk group had positive likelihood ratios for having a risk profile on the psychological scales ranging from 3.8 (95% CI 2.3 - 6.3) for the MDI to 7.6 (95% CI 4.9 - 11.7) for the FABQ. The SBT questionnaire was feasible to use in chiropractic practice and risk groups were related to the presence of well-established psychological prognostic factors. If the tool proves to predict prognosis in future studies, it would be a relevant alternative in clinical practice to other more comprehensive questionnaires. |
format | Text |
id | pubmed-3105955 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-31059552011-06-02 Feasibility of the STarT back screening tool in chiropractic clinics: a cross-sectional study of patients with low back pain Kongsted, Alice Johannesen, Else Leboeuf-Yde, Charlotte Chiropr Man Therap Research The STarT back screening tool (SBT) allocates low back pain (LBP) patients into three risk groups and is intended to assist clinicians in their decisions about choice of treatment. The tool consists of domains from larger questionnaires that previously have been shown to be predictive of non-recovery from LBP. This study was performed to describe the distribution of depression, fear avoidance and catastrophising in relation to the SBT risk groups. A total of 475 primary care patients were included from 19 chiropractic clinics. They completed the SBT, the Major Depression Inventory (MDI), the Fear Avoidance Beliefs Questionnaire (FABQ), and the Coping Strategies Questionnaire. Associations between the continuous scores of the psychological questionnaires and the SBT were tested by means of linear regression, and the diagnostic performance of the SBT in relation to the other questionnaires was described in terms of sensitivity, specificity and likelihood ratios. In this cohort 59% were in the SBT low risk, 29% in the medium risk and 11% in high risk group. The SBT risk groups were positively associated with all of the psychological questionnaires. The SBT high risk group had positive likelihood ratios for having a risk profile on the psychological scales ranging from 3.8 (95% CI 2.3 - 6.3) for the MDI to 7.6 (95% CI 4.9 - 11.7) for the FABQ. The SBT questionnaire was feasible to use in chiropractic practice and risk groups were related to the presence of well-established psychological prognostic factors. If the tool proves to predict prognosis in future studies, it would be a relevant alternative in clinical practice to other more comprehensive questionnaires. BioMed Central 2011-04-28 /pmc/articles/PMC3105955/ /pubmed/21526986 http://dx.doi.org/10.1186/2045-709X-19-10 Text en Copyright ©2011 Kongsted et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Kongsted, Alice Johannesen, Else Leboeuf-Yde, Charlotte Feasibility of the STarT back screening tool in chiropractic clinics: a cross-sectional study of patients with low back pain |
title | Feasibility of the STarT back screening tool in chiropractic clinics: a cross-sectional study of patients with low back pain |
title_full | Feasibility of the STarT back screening tool in chiropractic clinics: a cross-sectional study of patients with low back pain |
title_fullStr | Feasibility of the STarT back screening tool in chiropractic clinics: a cross-sectional study of patients with low back pain |
title_full_unstemmed | Feasibility of the STarT back screening tool in chiropractic clinics: a cross-sectional study of patients with low back pain |
title_short | Feasibility of the STarT back screening tool in chiropractic clinics: a cross-sectional study of patients with low back pain |
title_sort | feasibility of the start back screening tool in chiropractic clinics: a cross-sectional study of patients with low back pain |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3105955/ https://www.ncbi.nlm.nih.gov/pubmed/21526986 http://dx.doi.org/10.1186/2045-709X-19-10 |
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