A 7-item Tampa Scale for Kinesiophobia in people with femoroacetabular impingement syndrome: evaluation of structural validity, hypothesis testing, internal consistency and minimally important change

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice Pub Date : 2024-10-01 DOI:10.1016/j.msksp.2024.103200

Myles C. Murphy , Ebonie K. Rio , Mark J. Scholes , Denise M. Jones , Marcella Pazzinatto , Richie TJ. Johnston , Sally L. Coburn , Joanne L. Kemp

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引用次数: 0

Abstract

Background

The 17-item Tampa Scale for Kinesiophobia (TSK) is a commonly used patient-reported outcome measure (PROM) to assess kinesiophobia, but the measurement properties of the TSK in people with femoroacetabular impingement syndrome (FAIS) are unknown.

Objectives

1) Revise the existing TSK by removing items, as needed, with inadequate functioning to optimise the TSK for people with FAIS, and 2) evaluate construct validity (both structural validity and hypothesis testing), internal consistency, and minimal important change.

Methods

Cross-sectional cohort study including 153 young adults with FAIS. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to evaluate structural validity and the TSK was revised to remove items with poor function, improving CFA model fit. Hypothesis testing, internal consistency (Cronbach's α) and minimal important change (distribution-based method) were also evaluated.

Results

A 7-item version of the TSK provided the best CFA model fit with 10-items functioning poorly and needing to be removed. The 7-item TSK was uni-dimensional (single factor in EFA) and had adequate structural validity (Standardised Root Measure Square = 0.0771). The 7-item TSK had insufficient hypothesis testing with moderate correlations to 8/14 PROMs measuring different constructs. The 7-item TSK had adequate internal consistency (α = 0.783). The minimal important change of the 7-item TSK was 6.00 points (0–100 point scale).

Conclusion

We found that the ‘7-item TSK for FAIS’, had superior structural validity to the original 17-item scale, suggesting that it may be more appropriate for use in this population. Further studies should evaluate other measurement properties of the 7-item scale.

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股骨髋臼撞击综合征患者运动恐惧 7 项坦帕量表：结构有效性、假设检验、内部一致性和最小重要变化评估

背景：由17个项目组成的坦帕运动恐惧量表（TSK）是一种常用的患者报告结果测量法（PROM），用于评估运动恐惧，但该量表在股骨肩关节撞击综合征（FAIS）患者中的测量特性尚不清楚：1）修订现有的 TSK，根据需要删除功能不足的项目，以优化 TSK 对股骨外侧撞击综合征患者的适用性；2）评估构造效度（结构效度和假设检验）、内部一致性和最小重要变化：方法：横断面队列研究，包括 153 名患有 FAIS 的年轻人。采用探索性因子分析（EFA）和确证性因子分析（CFA）评估结构效度，并对TSK进行修订，删除功能不佳的项目，改善CFA模型的拟合度。此外，还对假设检验、内部一致性（Cronbach's α）和最小重要变化（基于分布的方法）进行了评估：结果：7 个条目版本的 TSK 提供了最佳 CFA 模型拟合，其中 10 个条目功能不佳，需要删除。7个项目的TSK是单维度的（EFA中的单因子），具有充分的结构效度（标准化测量平方根=0.0771）。7个项目的TSK与8/14个测量不同结构的PROM之间存在中等程度的相关性，假设检验不足。7 个项目的 TSK 具有充分的内部一致性（α = 0.783）。7 项 TSK 的最小重要变化为 6.00 分（0-100 分制）：我们发现，"FAIS 7 项 TSK "的结构效度优于原来的 17 项量表，这表明它可能更适合用于此类人群。进一步的研究应评估 7 个项目量表的其他测量特性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Musculoskeletal Science and Practice Health Professions-Physical Therapy, Sports Therapy and Rehabilitation

CiteScore

4.10

自引率

8.70%

发文量

152

审稿时长

48 days

期刊介绍： Musculoskeletal Science & Practice, international journal of musculoskeletal physiotherapy, is a peer-reviewed international journal (previously Manual Therapy), publishing high quality original research, review and Masterclass articles that contribute to improving the clinical understanding of appropriate care processes for musculoskeletal disorders. The journal publishes articles that influence or add to the body of evidence on diagnostic and therapeutic processes, patient centered care, guidelines for musculoskeletal therapeutics and theoretical models that support developments in assessment, diagnosis, clinical reasoning and interventions.