Development and Validation of a new questionnaire assessing the bio-psychosocial needs of patients with chronic neck pain. The Bio-psychosocial Neck Pain Questionnaire (BNPQ-30).

Anastasios Tzenalis1, Elena Michalopoulos1, Anastasia Beneka2, Paraskevi Malliou2, Georgios Godolias2, Sotiriadou Chryssanthi3, Eleni Almpani1, Stefanopoulos Nikolas1

1Department of Nursing, University of Patras, Greece, 2Department of Physical Education and Sport Science, Democritus University of Thrace, Komotini, Greece, 3 RN, ER,
Papageorgiou General Hospital Thessaloniki,


Bio-psychosocial factors are associated with increased risk of disabling chronic neck pain. The aim of this study was the development of a valid tool, in the form of a questionnaire, for the identification of patient’s biopsychosocial needs suffering from CNP. This study included a combination of a qualitative phenomenological approach with a quantitative pretest posttest-control group study design. The questionnaire contained 30 items thus comprising the Bio-psychosocial Neck Pain Questionnaire (BNPQ-30). The content validity of the questionnaire and the structural validity was calculated with the use of exploratory (n=150) and confirmatory (n=300) factor analysis. Results based on Batlett [χ2(435) = 5486,54, p < 0,001]. The values KMO = 0,77 were characterized as satisfactory. Internal consistency of the variables was assessed using Cronbach α. Values above 0.7 were considered satisfactory. Guttmann and Spearman-Brown values were > 0,7. S-Bχ2 = 1275,50, df = 382, p < 0,001, RCFI = 0,91, TLI = 0,90, SRMR = 0,081, RMSEA = 0,088, RMSEA 90% CI = 0,083 – 0,094. Additionally, the value AVE> 0,50. The Bio-psychosocial Neck Pain Questionnaire (BNPQ-30) was developed to assist healthcare professionals dealing with patients with CNP.


biopsychosocial, chronic neck pain, rehabilitation, multidisciplinary approach

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