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The reliability, validity, and responsiveness of Cognitive Exercise Therapy Approach: Biopsychosocial Questionnaire for patients with psoriatic arthritis

  • Observational Research
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Abstract

Although the importance of the biopsychosocial model that aims the optimum treatment is emphasized in the literature, there is a lack of scales that evaluate individuals with PsA in a multi-dimensional way, including all areas of influence. This study aimed to determine the validity, reliability, and responsiveness of the Cognitive Exercise Therapy Approach-Biopsychosocial Questionnaire (BETY-BQ) in individuals diagnosed with Psoriatic Arthritis (PsA). Psoriatic Arthritis Quality of Life Questionnaire (PsAQoL), Health Assessment Questionnaire, Hospital Anxiety and Depression Scale, and Short Form-36 were used for the validity of the BETY-BQ. For scale reliability, the test–retest method was performed, Intraclass Correlation Coefficient (ICC) was calculated, and Cronbach’s alpha (α) coefficient was checked for internal consistency. For the responsiveness of the scale, all scales were re-applied with 3 months intervals. The correlations of BETY-BQ with the other scales were found medium to very high. ICC was analyzed to compare the reliability of the test–retest results and it was found to be excellent. Cronbach’s α value was found to be 0.940 which showed an excellent internal consistency. The time-dependent change sensitivity of BETY-BQ was found to be highly correlated with the PsA-specific scale, the PsAQoL questionnaire. BETY-BQ was determined as a valid, reliable, and sensitive assessment tool that health professionals can use in individuals with PsA diagnosis. In this study, a scale that will reveal the biopsychosocial responses of individuals with PsA to pharmacological and non-pharmacological treatments was presented to the literature.

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Data availability

The authors declare that data supporting the findings of this study are available within the article.

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Funding

No funds, grants, or other support were received.

Author information

Authors and Affiliations

  1. Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey

    Senem Bulut & Edibe Unal

  2. Faculty of Medicine, Department of Biostatistics, Hacettepe University, Ankara, Turkey

    Jale Karakaya

  3. Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Eastern Mediterranean University, North Cyprus via Mersin 10, 99628, Famagusta, Turkey

    Sevim Oksuz

  4. Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, Hacettepe University, Ankara, Turkey

    Umut Kalyoncu

Authors
  1. Senem Bulut
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  2. Jale Karakaya
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  3. Sevim Oksuz
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  4. Umut Kalyoncu
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  5. Edibe Unal
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by SB, JK, UK and EU. The first draft of the manuscript was written by SB, SO and EU and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Edibe Unal.

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Competing interest

All authors declare that they have no conflicts of interest.

Ethical approval

The ethics committee permission required for carrying out this study was received on 06.11.2018 from the Non-Interventional Research Ethics Committee of Hacettepe University under the registration number GO 18/816. Verbal and written consent was obtained from individuals who volunteered to participate in the study.

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Bulut, S., Karakaya, J., Oksuz, S. et al. The reliability, validity, and responsiveness of Cognitive Exercise Therapy Approach: Biopsychosocial Questionnaire for patients with psoriatic arthritis. Rheumatol Int 42, 1973–1981 (2022). https://doi.org/10.1007/s00296-022-05170-9

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  • DOI: https://doi.org/10.1007/s00296-022-05170-9

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