{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T07:46:37Z","timestamp":1764315997390,"version":"3.46.0"},"reference-count":66,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T00:00:00Z","timestamp":1728518400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction\/Objective<\/jats:title>\n                    <jats:p>The STarT Back Screening Tool (SBST) stratifies low back pain (LBP) patients based on their risk of chronicity to guide treatment accordingly. The absence of its validated Nepali version limits stratified LBP care in Nepal. The study aimed to translate and cross\u2010culturally adapt the SBST into Nepali and evaluate its measurement properties in adults with LBP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The measurement properties of the Nepali SBST were evaluated in 102 Nepali adults with non\u2010specific LBP. We assessed content validity, internal consistency, test\u2010retest reliability, construct and discriminant validity. Item redundancy was evaluated using Cronbach's alpha (\n                      <jats:italic>\u03b1\u00a0&gt;<\/jats:italic>\n                      \u00a00.90), test\u2010retest reliability using Intraclass Correlation Coefficient (ICC\n                      <jats:sub>2,1<\/jats:sub>\n                      ) and Cohen's kappa using established cutoffs score for categorising patients into risk groups, construct validity using hypothesis testing (if a minimum of 75% of the hypotheses were supported), and discriminant validity using Area Under the Curve (AUC) with the reference scales administered at baseline.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Cronbach's alpha\u00a0scores were 0.72 for the overall scale and 0.66 for the psychosocial subscale. Test\u2010retest reliability values were good to excellent with ICC\n                      <jats:sub>2,1<\/jats:sub>\n                      of 0.94 (95% CI: 0.87\u20130.97) for the overall scale and 0.87 (95% CI: 0.73\u20130.94) for the psychosocial subscale and Kappa values of 0.68 (95% CI: 0.43\u20130.93) for the overall scale and 0.79 (95% CI: 0.52\u20131.00) for psychosocial subscale. Construct validity was confirmed as 100% of a priori hypotheses were met. Acceptable discriminative validity was observed with reference scales with AUCs (0.75\u20130.80).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Nepali SBST demonstrates the reliability and validity of screening for chronicity risk in Nepali adults with LBP. Future studies should evaluate its responsiveness, predictive abilities, and effectiveness in stratifying LBP patients in the Nepalese context.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/msc.1952","type":"journal-article","created":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T22:54:37Z","timestamp":1728600877000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The STarT Back Screening Tool: The Nepali Translation, Cross\u2010Cultural Adaptation and Measurement Properties in Adults With Non\u2010Specific Low Back Pain"],"prefix":"10.1002","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-6103-9156","authenticated-orcid":false,"given":"Riju","family":"Maharjan","sequence":"first","affiliation":[{"name":"Faculty of Physical Therapy Mahidol University  Salaya Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1044-3174","authenticated-orcid":false,"given":"Sunee","family":"Bovonsunthonchai","sequence":"additional","affiliation":[{"name":"Faculty of Physical Therapy Mahidol University  Salaya Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4626-1463","authenticated-orcid":false,"given":"Roongtiwa","family":"Vachalathiti","sequence":"additional","affiliation":[{"name":"Faculty of Physical Therapy Mahidol University  Salaya Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ritu","family":"Basnet","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Mental Health Maharjgunj Medical Campus T.U. Institute of Medicine  Maharajganj Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5050-8940","authenticated-orcid":false,"given":"Anupa","family":"Pathak","sequence":"additional","affiliation":[{"name":"School of Public Health Faculty of Medicine and Health University of Sydney  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Hill","sequence":"additional","affiliation":[{"name":"School of Medicine Faculty of Medicine and Health Sciences Keele University  Keele UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9817-5372","authenticated-orcid":false,"given":"Saurab","family":"Sharma","sequence":"additional","affiliation":[{"name":"Michael J Cousins Pain Management and Research Centre Royal North Shore Hospital  Sydney Australia"},{"name":"School of Health Sciences Faculty of Medicine and Health University of New South Wales  Sydney Australia"},{"name":"Kolling Institute, Faculty of Medicine and Health The University of Sydney  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,10]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.math.2015.04.006"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.5958\/j.0973\u20105674.8.2.079"},{"volume-title":"Low Back Pain Clinical Care Standard","year":"2022","author":"Australian Commission for Safety and Quality in Health Care","key":"e_1_2_13_4_1"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00776\u2010013\u20100506\u2010y"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(11)60610\u20107"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2023.10.012"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632\u2010200012150\u201000014"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/pzx023"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.msksp.2021.102352"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/brs.0000000000000062"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(18)30488\u20104"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586\u2010006\u20101070\u20103"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000001117"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.nmd.0000230392.83607.c5"},{"volume-title":"Statistical Power Analysis for the Behavioral Sciences","year":"1988","author":"Cohen J.","key":"e_1_2_13_16_1"},{"volume-title":"IBM SPSS Statistics for Windows","year":"2017","author":"Corp I.","key":"e_1_2_13_17_1"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000003174"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/0163278705275342"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632\u2010200011150\u201000017"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2665\u20109913(23)00098\u2010X"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.1625"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010022\u201024703\u20107"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.3329\/bsmmuj.v13i3.49265"},{"volume-title":"PROMIS Scoring Manuals","year":"2011","author":"HealthMeasures","key":"e_1_2_13_25_1"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.a171"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.23563"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(11)60937\u20109"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118548387"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.24162"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1179\/jmt.2009.17.3.163"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891\u2010015\u20100806\u20109"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018\u2010019\u20101285\u20108"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12955\u2010019\u20101105\u20101"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.1097\/brs.0000000000000413"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.7416\/ai.2019.2260"},{"key":"e_1_2_13_37_1","unstructured":"Maharjan S. 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