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NCT Number: NCT06780800

Turkish Version of Back Pain Knowledge and Beliefs Survey

Low back pain (LBP) is a globally prevalent health issue, affecting the majority of individuals at some point in their lives. Misconceptions about LBP can prolong its chronicity, highlighting the importance of educating patients with accurate information. The Back Pain Knowledge and Beliefs Survey (BacKS), introduced in 2024, aims to measure individuals' knowledge about LBP based on updated scientific evidence. Given the high prevalence of LBP in Turkey and the lack of validated tools in Turkish, adapting BacKS to Turkish is essential. This study aims to conduct its cross-cultural adaptation, validation, and reliability analysis for clinical and community use.

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Key information

Conditions

Back Pain Beliefs Knowledge Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms Translation, Cultural Adaptation and Turkish Validation

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Ordu University

Ordu, altinordu, 52200, Turkey (Türkiye)

About this study

Low back pain (LBP) is one of the most prevalent health issues worldwide, with approximately three-quarters of individuals experiencing this condition at some point in their lives. Misconceptions, beliefs, and misinformation about LBP can prolong the duration of pain and contribute to its chronicity. Clinical guidelines emphasize the importance of educating patients with evidence-based information to remove potential barriers to recovery.

The Back Pain Knowledge and Beliefs Survey (BacKS) was introduced in October 2024 to assess individuals' knowledge and beliefs about LBP based on the most recent scientific evidence. Several tools in the literature aim to measure knowledge and beliefs related to LBP, including the Back Beliefs Questionnaire (BBQ) and the Back Pain Knowledge Questionnaire. However, these tools were developed in previous decades and may not reflect the current scientific literature. Additionally, the Turkish versions of some of these questionnaires have not yet undergone validation and reliability studies.

According to the 2016-2022 Turkish Health Survey conducted by the Turkish Statistical Institute (TÜİK), back-related problems rank first among all reported health issues, with a prevalence rate of 24.6%. Despite the high prevalence of LBP in Turkey, there is currently no systematically validated tool available in Turkish to measure the public's knowledge and beliefs regarding this condition.

The adaptation of BacKS into Turkish will help address this gap by providing a valid and reliable tool for both clinical and community-based research. Measuring and evaluating patient-reported outcomes accurately is crucial in managing LBP effectively. Therefore, the aim of this study is to conduct the cross-cultural adaptation, validation, and reliability analysis of the Turkish version of BacKS.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Having low back pain or having a history of low back pain in the last 12 months
  • To be able to read and write Turkish

Exclusion criteria

  • Having cognitive impairment that prevents communication
  • Pregnancy
  • Malignite
  • Infections
  • Fractures,
  • Inflammatory diseases

Treatment and study plan

The Back Belief Questionnaire Tr (BBQ) and Backs-tr

Other

200 people will be administered The Back Belief Questionnaire Tr (BBQ) and Backs-tr.

Backs-tr retest

Other

100 people will fill in the Backs-tr again after 1 week.

Primary outcomes

  1. Validation

    Time frame: 15.01.2025- 15.04.2025

    200 people will be compared with the scores obtained from the Backs-Tr questionnaire

  2. The Back Belief Questionnaire (BBQ).

    Time frame: 15.01.2025- 15.04.2025

    200 people will be compared with the scores obtained from The Back Belief Questionnaire (BBQ).

Secondary outcomes

  1. Reliability

    Time frame: 15.01.2025- 15.04.2025

    One hundred of the participants who were administered the Tr-BacKS will fill out the same form again after 1 week. The two measurement scores obtained from the participants will be compared using the Intraclass Correlation Coefficient (ICC).

  2. Internal Consistency Reliability

    Time frame: 15.01.2025- 15.04.2025

    Internal consistency will be assessed separately for the biomedical (9 items) and self-care factor (11 items) in the original questionnaire. Internal consistency reliability will also be assessed for all items. Cronbach's Alpha will be used in the evaluation.

Sponsors and collaborators

Lead sponsor

Ordu University

Other

Collaborators

  • Macquarie University, Australia

Registry information

Official study title

Validity, Reliability, and Cross-Cultural Adaptation of the Turkish Version of Back Pain Knowledge and Beliefs Survey (BacKS)

Acronym: BacKS-tr

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Jan 17, 2025
Registry last updated
Aug 15, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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