Validity and Reliability of Turkish Version of Keele STarT MSK Tool
Condition: Musculoskeletal Diseases
MeSH terms: Musculoskeletal Diseases
Study type: Interventional

Summary: 
      The aim of this study is to investigate the usability of the Turkish version of the Keel
      Start Tool as a valid and reliable method in groups with 5 different types of musculoskeletal
      pain (knee, neck, shoulder, back, multiple painful areas). When the literature is examined,
      Turkish validity has not been made in this area.
    

Detailed description: 
      SK diseases are the 3 most common disease groups in Turkey, and it has been determined that
      the rate of discomfort in Turkey is 99%. Although MSK diseases are mostly caused by
      occupational problems in Turkey, there are clearly information losses and deficiencies in
      cases such as the risk factors of employers and employees, occupational therapy, lack of
      insurance payments due to job loss. The study was conducted with 582 office workers. As a
      result of the study, it was revealed that 55.1% of the participants had back pain and 5% of
      the participants had back pain, and the rate of women in low back pain was higher.

      Keel Start MSK Tool is a tool that provides patients with an appropriate treatment approach,
      minimizes harm and maximizes treatment benefit. Keele Start MSK Tool msk has been
      successfully developed for primary care in patients, and it categorizes patients by scoring 9
      items and categorizing them into subgroups. This tool is a validated prognostic tool (Keele
      STarT MSK) with established cut-off points to stratify patients with the five most common
      musculoskeletal (back, neck, knee, shoulder, multiple painful areas) pain into low,
      intermediate, and high-risk subgroups. provides 108 patients with low back pain were included
      in the French version of the Keele STarT Low Back Screening Tool (SBST).

      In the UK, which started in 2014, with 1200 patients on MSC pain, stratified; No significant
      change was achieved as a result of this study, which aims to investigate clinical and
      cost-effectiveness, as well as to reduce clinician's treatment variability and improve
      patient outcomes (quality of life, physical function, etc.) since the study has not been
      completed yet.

      In another study, general practitioners screened 3063 patients (1591 interventions, 1472
      controls). The EMR template included 1237 eligible patients (513 interventions, 724
      controls), while 524 consented to data collection (231 interventions, 293 controls). Although
      the target of participation was 12 weeks, it took 28 weeks. The target for follow-up was 75%
      and above and a follow-up rate of over 90% was achieved. As a result of this study, the
      applicability of the randomized controlled trial design was found to be successful. In
      addition, the accuracy rate of matched treatment options was also high.

      In another UK study, 8 general examinations were randomized (4' stratified care, 4 as regular
      care) and patients had CNS pain in one of the 5 most common sites. A baseline questionnaire
      was obtained from the patients, and >90% of these 524 patients were followed up for 8 months.
      Audio recording or video was taken during the examination. Some patients stated that they
      wanted to clarify the questions asked, but they could not express themselves well because
      they had to answer only "yes" or "no" because of this scale. The opinion of the doctors, on
      the other hand, stated that the result of the Keel Start MSK Tool scale and the treatment
      approach provided them clinically guiding and different perspectives.
    

Intervention name(s): Questionnaire
Intervention type(s): Other
Intervention description(s): 1st Stage Keele Start MSk tool translated into Turkish and its cultural adaptation, 2nd Stage Statistical analysis of reliability and validity of Turkish Keele start msk tool
Intervention model: Single Group Assignment
Intervention model description: Our work will be carried out in two stages. 1st stage Keele start msk tool translated into Turkish and its cultural adaptation, 2nd stage statistical analysis of the reliability and validity of the Turkish Keele start msk tool. Permission was obtained from Keele University, the developer of the scale, before starting the study.
Masking: None (Open Label)
Primary purpose: Health Services Research
Keywords: musculoskeletal diseases