Content validity of STarTBack–Arabic.

BackgroundThe Keele STarT Back Tool (STarTBack) was developed to categorize people with low back pain based on disability risk. The tool was cross-culturally adapted and validated in different languages and countries, including Arabic in Saudi Arabia. However, the tool has not been cross-culturally adapted and validated among Arabic-Jordanian speakers.ObjectiveTo cross-culturally adapt and validate the Keele STarT Back Tool (STarTBack) for Arabic-speaking adults with low back pain (LBP) in Jordan.MethodsThis prospective cross-sectional study was conducted in hospitals and physical therapy departments. The STarTBack was translated following international guidelines. Cross-cultural adaptation was assessed through interviews with experts and individuals with LBP. Internal consistency, construct validity (via correlation with related measures), and discriminative validity (using Receiver Operating Characteristic curves) were examined.ResultsTwenty participants participated in the content validity assessment (mean age: 41.3 years; 50% female), while 107 participants took part in the pre-final version testing (mean age: 39.2 years; 54.2% female). One item required minor modification for clarity. Our preliminary results showed that the adapted STarTBack-AR demonstrated good internal consistency (Cronbach’s α = 0.73). Moderate-to-high correlations supported construct validity. Discriminative validity was acceptable-to-excellent for disability, catastrophizing, anxiety and depression.ConclusionThe culturally adapted STarTBack-AR is a reliable and valid tool for stratifying Arabic-speaking Jordanian patients with LBP according to their risk of disability. Its implementation has potential to improve care through targeted treatment approaches, thereby reducing the risk of disability.背景 基尔STarT背痛量表（Keele STarT Back Tool, STarTBack）旨在基于残疾风险对腰痛（low back pain, LBP）患者进行分类。该量表已在多种语言、多个国家完成跨文化调适与效度验证，其中包括沙特阿拉伯的阿拉伯语版本。但目前尚无针对约旦阿拉伯语使用者的该量表跨文化调适与效度验证研究。 研究目的 本研究旨在为约旦境内的阿拉伯语母语腰痛成人群体完成基尔STarT背痛量表（Keele STarT Back Tool, STarTBack）的跨文化调适与效度验证。 研究方法 本研究为前瞻性横断面研究，在多家医院及物理治疗科开展。研究团队依照国际指南完成了STarTBack的翻译流程。通过访谈临床专家与腰痛患者，对跨文化调适的质量进行评估。本研究评估了量表的内部一致性、结构效度（通过与同类评估工具的相关性分析）以及区分效度（采用受试者工作特征曲线（Receiver Operating Characteristic curves，简称ROC曲线））。 研究结果 共有20名受试者参与内容效度评估（平均年龄41.3岁，女性占比50%），另有107名受试者参与预最终版量表测试（平均年龄39.2岁，女性占比54.2%）。有1个条目需进行小幅修订以优化表述清晰度。初步结果显示，阿拉伯语调适版STarTBack（STarTBack-AR）具有良好的内部一致性（克朗巴哈α系数（Cronbach’s α）=0.73）。中等至较强的相关性结果证实了其结构效度。针对残疾程度、疼痛灾难化、焦虑及抑郁维度，该量表的区分效度均达到可接受至优秀水平。 研究结论 经文化调适后的阿拉伯语版STarTBack-AR是一款可靠且有效的评估工具，可用于根据残疾风险对约旦阿拉伯语母语腰痛患者进行分层。该量表的推广应用有望通过实施针对性治疗方案优化临床照护，进而降低患者的残疾风险。