Psychometric properties of the Spanish adherence to exercise for musculoskeletal pain tool (ATEMPT) in people with musculoskeletal chronic pain

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice Pub Date : 2026-04-01 Epub Date: 2026-02-09 DOI:10.1016/j.msksp.2026.103514

Ángel González-de-la-Flor , Cecilia Estrada-Barranco , Pedro Martínez-Lozano , Javier López-Ruiz , Adrián Jiménez-Aceña , María García-Arrabé

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引用次数: 0

Abstract

Objective

To translate, culturally adapt, and validate the Spanish version of the Adherence to Exercise for Musculoskeletal Pain Tool (ATEMPT) for use in Spanish-speaking individuals with musculoskeletal pain.

Methods

A cross-sectional psychometric validation study was conducted in accordance with COSMIN and international guidelines for cross-cultural adaptation. The translation process followed a forward–backward method and included expert review and pilot testing. Psychometric analyses included internal consistency (Cronbach's alpha), test–retest reliability (intraclass correlation coefficient, ICC), measurement error (standard error of measurement [SEM] and minimal detectable change [MDC]), and structural validity (exploratory and confirmatory factor analyses).

Results

A total of 201 patients receiving physiotherapy for musculoskeletal pain completed the Spanish ATEMPT questionnaire. For test–retest reliability, 190 participants completed the questionnaire again after 14 days. The Spanish ATEMPT demonstrated excellent internal consistency (Cronbach's α = 0.898) and good test–retest reliability (ICC = 0.770). Structural validity supported a unidimensional model, confirmed by confirmatory factor analysis with excellent fit indices (CFI = 0.996, TLI = 0.994, RMSEA = 0.070, SRMR = 0.036). Measurement error was low (SEM = 1.76; MDC95 = 4.86). No floor or ceiling effects were identified.

Conclusions

The Spanish version of the ATEMPT is a valid, reliable, and culturally adapted instrument for assessing adherence to therapeutic exercise in individuals with musculoskeletal pain. Its implementation may enhance clinical decision-making, treatment planning, and monitoring of rehabilitation outcomes in Spanish-speaking populations.

查看原文本刊更多论文

西班牙人坚持锻炼肌肉骨骼疼痛工具（ATEMPT）的心理测量特性与肌肉骨骼慢性疼痛的人。

目的：翻译，文化适应，并验证西班牙语版本的坚持锻炼肌肉骨骼疼痛工具（ATEMPT），用于西班牙语的肌肉骨骼疼痛患者。方法：根据COSMIN和国际跨文化适应指南进行横断面心理测量验证研究。翻译过程采用前向向后的方法，包括专家审查和试点测试。心理测量分析包括内部一致性（Cronbach’s alpha）、重测信度（类内相关系数，ICC）、测量误差（测量标准误差[SEM]和最小可检测变化[MDC]）和结构效度（探索性和验证性因素分析）。结果：共有201例接受肌肉骨骼疼痛物理治疗的患者完成了西班牙语的tempt问卷。为了测试重测信度，190名参与者在14天后再次完成问卷。西班牙语的temppt具有良好的内部一致性（Cronbach’s α = 0.898）和良好的重测信度（ICC = 0.770）。结构效度支持一维模型，验证性因子分析证实模型具有良好的拟合指标（CFI = 0.996, TLI = 0.994, RMSEA = 0.070, SRMR = 0.036）。测量误差低（SEM = 1.76; MDC95 = 4.86）。没有发现地板或天花板效应。结论：西班牙语版的ATEMPT是一种有效的、可靠的、适应文化的工具，用于评估患有肌肉骨骼疼痛的个体对治疗性运动的依从性。它的实施可以提高西班牙语人群的临床决策、治疗计划和康复结果监测。

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.