PURPOSE: Previous research has suggested that an individual's mood response while receiving massage might be moderated by their underlying beliefs about massage. They speculated that those who have favourable beliefs towards massage are more likely to experience a positive change in mood during massage compared to those who have neutral or less favourable beliefs about massage. The purpose was to develop a reliable and valid questionnaire to measure beliefs about massage (BAM-Q). METHODS: A conceptual framework of modal salient beliefs about massage was constructed based on information gathered during a literature review and content analysis of semi-structured interviews with 16 people. The first version of the BAM-Q, derived from the conceptual framework, consisted of 57-items. Each item was carefully worded to avoid ambiguity, education bias, prestige bias, and acquiescence effects. Statements were sequenced to reduce order effects. BAM-Q responses were measured using a 5-point Likert scale (strongly agree to strongly disagree). The BAM-Q was administered to 275 respondents in the first trial and responses were analysed using principal component analysis (PCA). RESULTS: PCA identified five 6-item subscales reflecting beliefs about massage with respect to exercise recovery, exercise preparation, feelings of comfort-unease, treatment conditions, and feelings of relaxation-stress. The amended 30-item BAM-Q was re-administered to 207 of the 275 original respondents. Acceptable levels of test-retest reliability (r) and internal consistency (Cronbach's alpha, α) were established for each BAM-Q subscale. Recovery (r = .692, p < 0.01; α = 0.844), Preparation (r = .724, p < 0.01; α = 0.766), Comfort-unease (r = .787, p < 0.01; α = 0.894), Treatment conditions (r = .791, p <0.01; α= 0.787) and Relaxation (r = .636, p < 0.01; α = 0.747). A positive correlation between respondents BAM-Q total scores (sum or all subscales) and the number of massages they had voluntarily received in the past was used to indicate criterion-related validity (r = 0.367, p < 0.01). CONCLUSIONS: The BAM-Q is a reliable and valid method of evaluating beliefs about massage suitable for use for screening experimental participants or athletes in an applied context.
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