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  4. Rasch validation of the revised body awareness rating questionnaire (BARQ-R) in adults with and without musculoskeletal pain

Rasch validation of the revised body awareness rating questionnaire (BARQ-R) in adults with and without musculoskeletal pain

BMC Musculoskeletal Disorders, 2024 · DOI: https://doi.org/10.1186/s12891-024-07893-1 · Published: September 23, 2024

Patient ExperienceResearch Methodology & DesignMusculoskeletal Medicine

Simple Explanation

This study aimed to assess the validity of the Revised Body Awareness Rating Questionnaire (BARQ-R) in measuring body awareness among adults with and without musculoskeletal pain in the United States. The BARQ-R is a self-report questionnaire with 12 items, where higher scores indicate lower body awareness. The researchers used Rasch analysis to evaluate the questionnaire's structural validity. The findings suggest that after some modifications, the BARQ-R has good structural validity for both adults with and without musculoskeletal pain, but its measurement precision could be improved to better distinguish individual differences in body awareness.

Study Duration
July 20th, 2019, through July 3rd, 2023
Participants
623 adults with and without musculoskeletal pain
Evidence Level
Not specified

Key Findings

  • 1
    The 9-item Rasch-based BARQ-R had no misfitting items after rescoring 1 item and deleting 3 items in community-dwelling adults with and without musculoskeletal pain.
  • 2
    The person mean location was − 0.62 ± 1.03 logits, indicating good targeting, with minimal floor and ceiling effects in the community-dwelling adults with and without musculoskeletal pain.
  • 3
    For the subgroup of adults with musculoskeletal pain, the 12-item BARQ-R showed good targeting with a person mean location of -0.36 ± 0.88 logits after rescoring 2 items.

Research Summary

This study validated the structural validity of the BARQ-R using Rasch analysis in community-dwelling adults with and without musculoskeletal pain in the US, and validated previous Rasch analysis results on the BARQ-R in adults with musculoskeletal pain. The BARQ-R showed good structural validity after modifications (item rescoring and deletion) in both the group of adults with and without musculoskeletal pain and the subgroup of adults with musculoskeletal pain. The study concluded that while the BARQ-R has good item and person fit, targeting, and reliability, its modest measurement precision hinders distinguishing body awareness ability among individual persons.

Practical Implications

Clinical Assessment

The BARQ-R can be used as a tool in clinical settings to assess body awareness in adults with and without musculoskeletal pain, although further refinement is needed.

Treatment Evaluation

The BARQ-R can potentially be used to measure changes in body awareness after treatments aimed at reducing pain, but the current version has limitations in precision.

Future Research

Future studies should focus on adding and revising items to cover a wider range of body awareness and address concepts of internal body awareness and body movements.

Study Limitations

  • 1
    Underrepresentation of data from adults of diverse backgrounds.
  • 2
    Data was collected from adults in Minnesota, USA, where the majority of the population is non-Hispanic White.
  • 3
    Future studies should test the structural validity of BARQ-R in adults with reported body awareness deficits, such as adults with spinal cord injury or stroke.

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