Validity and Reliability of Thai Tampa Scale for Kinesiophobia
Journal name: The Malaysian Journal of Medical Sciences
Original article title: Reliability and Validity of the Cross-Culturally Adapted Thai Version of the Tampa Scale for Kinesiophobia in Knee Osteoarthritis Patients
The Malaysian Journal of Medical Sciences (MJMS) is a peer-reviewed, open-access journal published online at least six times a year. It covers all aspects of medical sciences and prioritizes high-quality research.
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Original source:
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Pattanasin Areeudomwong, Vitsarut Buttagat
The Malaysian Journal of Medical Sciences:
(A peer-reviewed, open-access journal)
Full text available for: Reliability and Validity of the Cross-Culturally Adapted Thai Version of the Tampa Scale for Kinesiophobia in Knee Osteoarthritis Patients
Year: 2017 | Doi: 10.21315/mjms2017.24.2.8
Copyright (license): CC BY 4.0
Download the PDF file of the original publication
Summary of article contents:
Introduction
Knee osteoarthritis (OA) is a prevalent condition that causes significant pain, disability, and reduced quality of life globally, particularly among the elderly. In Thailand, the incidence of knee OA is notably high. Recognizing the role of pain-related fear in chronic pain conditions, the Tampa Scale for Kinesiophobia (TSK) was developed as a tool to assess the fear of movement and re-injury in patients. This study focused on creating and validating a Thai version of the TSK, ensuring its psychometric integrity through rigorous cross-cultural adaptation and testing in a sample of knee OA patients.
Assessing Pain-Related Fear
The Thai version of the TSK was systematically translated and culturally adapted to maintain the original's meaning while ensuring comprehension among Thai-speaking participants. Reliability measures indicated excellent internal consistency (Cronbach's alpha = 0.90) and high test-retest reliability (ICC = 0.934). The instrument's validity was affirmed through strong correlations with other established measures, such as the visual analogue scale for pain, the Western Ontario and McMaster Universities Osteoarthritis Index, and the State-Trait Anxiety Inventory. However, no significant correlation was found between TSK scores and performance in the Timed Up and Go Test, suggesting the latter may be influenced by factors beyond pain anxiety.
Conclusion
The study concluded that the Thai version of the TSK is a reliable and valid tool for assessing pain-related fear among patients with knee OA. Its psychometric properties make it suitable for clinical use, aiming to improve understanding and management of pain-related fear in this population. This adaptation not only enhances the capacity of Thai healthcare practitioners to evaluate and treat chronic pain conditions but also paves the way for further research across different contexts and patient populations.
FAQ section (important questions/answers):
What is the purpose of the study on the Thai TSK?
The study aimed to develop a cross-culturally adapted Thai version of the Tampa Scale for Kinesiophobia (TSK) and evaluate its reliability and validity among patients with knee osteoarthritis.
How was the Thai version of the TSK validated?
The Thai TSK was validated through reliability assessments like internal consistency and test-retest reliability. It was also compared to other established measures such as the visual analogue scale and the Western Ontario and McMaster Universities Osteoarthritis Index.
What were the results regarding the Thai TSK's reliability?
The Thai version of the TSK demonstrated good internal consistency with a Cronbach's alpha of 0.90 and high test-retest reliability (ICC = 0.934), indicating that the tool is reliable for assessing pain-related fear in knee osteoarthritis patients.
How did the Thai TSK correlate with other outcome measures?
The Thai TSK showed significant correlations with the visual analogue scale (r = 0.741), the Western Ontario and McMaster Universities Osteoarthritis Index (r = 0.856), and the State-Trait Anxiety Inventory (r = 0.817), indicating good convergent validity.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Validity and Reliability of Thai Tampa Scale for Kinesiophobia”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Pain:
Pain is a fundamental issue for patients with knee osteoarthritis, impacting mobility and quality of life. The study assesses psychological aspects related to pain, particularly fear of movement, which is crucial for understanding how pain perception affects functional outcomes and treatment efficacy in this patient population.
2) Tai:
The Thai version of the Tampa Scale for Kinesiophobia is a culturally adapted instrument designed to evaluate pain-related fear in Thai-speaking patients. This adaptation is crucial for ensuring the questionnaire's reliability and validity for local populations, allowing health care providers to gauge pain-related fear effectively.
3) Table:
Tables in the research context organize data for easier interpretation and comparison. In this study, tables provide crucial information on the demographics of participants, correlations between various measures of pain and anxiety, as well as the psychometric properties of the adapted questionnaire, facilitating clearer insights.
4) Fear:
Fear, specifically concerning pain-related movement, significantly affects the quality of life and functional ability of patients with osteoarthritis. The study investigates how this fear correlates with overall pain, anxiety, and disability, highlighting its role in chronic pain management and rehabilitation efforts.
5) Reliability:
Reliability refers to the consistency of a measurement tool. For the Thai TSK, a high reliability score indicates that it can produce stable results across different measurements. Establishing reliability is vital for validating the scale's utility in clinical settings for assessing pain-related fear.
6) Study (Studying):
The study's aim is to develop and validate a culturally adapted Thai version of the TSK. This research is important in addressing the gap in cross-cultural assessments of pain-related fear among knee osteoarthritis patients in Thailand, contributing to improved clinical practices.
7) Anxiety:
Anxiety often coexists with chronic pain conditions, including knee osteoarthritis. This study seeks to determine the relationship between anxiety levels and fear of movement, which may exacerbate disability and diminish treatment outcomes, underlining the importance of psychological assessments in pain management.
8) Ter:
The abbreviation seems to refer to 'therapy,' which is relevant in the context of knee osteoarthritis treatment. Understanding the interplay of fear, pain, and therapy options can aid in developing more effective intervention strategies that address both physical and psychological challenges faced by patients.
9) Depression:
Depression frequently occurs alongside chronic pain, impacting overall health and treatment adherence. The study acknowledges this connection, as pain-related fear can contribute to increased feelings of depression, thereby complicating the clinical picture and signaling a need for comprehensive treatment approaches.
10) Language:
Language plays a critical role in the adaptation of questionnaires such as the TSK. Accurate translation and cultural adaptation ensure that the nuances of fear related to movement are effectively captured within the Thai context, crucial for achieving valid and reliable results.
11) Rules:
The guidelines for cross-cultural adaptation of the TSK follow specified rules to ensure the validity of the translation process. Adhering to these protocols mitigates discrepancies between the original and adapted versions, ensuring that the adapted tool adequately reflects the intended constructs.
12) Measurement:
Measurement refers to the process of quantifying psychological constructs such as pain-related fear. The study employs various established tools, like the TSK, to measure these constructs accurately, which is vital for assessing treatment effects and understanding the interplay of pain and fear.
13) Kori:
Kori and colleagues originally developed the Tampa Scale for Kinesiophobia to assess fear of movement in chronic pain conditions. The significance of their work lies in its broad application, including adaptations for different populations, which can enhance our understanding of pain-related fears.
14) Stiffness:
Knee stiffness is a common symptom in osteoarthritis that affects mobility and quality of life. Measuring morning stiffness as part of the diagnostic criteria helps establish the severity of the condition and is crucial for tailoring effective treatment strategies.
15) Learning:
Learning in a therapeutic context refers to patients acquiring knowledge about their conditions and coping strategies. Incorporating educational components into treatment can empower patients with knee osteoarthritis to manage their pain, reduce fear, and improve adherence to rehabilitation protocols.
16) Water:
While water does not seem directly related to the study's focus, it could be linked to fluidity in movement and physical rehabilitation exercises. Understanding hydration effects on physical performance may indirectly impact treatment strategies for knee osteoarthritis patients.
17) Line:
The term may refer to measurement scales, such as the visual analogue scale (VAS), which is used in the study to evaluate pain intensity. These linear scales serve as tools to quantify subjective experiences, aiding in the assessment of treatment outcomes.
18) Pur:
Poor outcomes related to knee osteoarthritis can stem from multiple factors, including unaddressed psychological issues like fear or anxiety. Understanding these dimensions can lead to more effective treatments and interventions, preventing progression and enhancing overall well-being.
19) Life:
Quality of life is a fundamental aspect of health that encompasses physical, psychological, and social well-being. The study aims to improve the quality of life for knee osteoarthritis patients by exploring and addressing factors such as pain-related fear and anxiety.
20) Inflammation:
Inflammation is a key pathological feature of osteoarthritis, contributing to symptoms like pain and stiffness. Understanding the relationship between inflammation and psychological factors can inform treatment strategies, particularly in managing pain-related fear and enhancing movement.
21) Performance:
Performance in this context refers to the functional capacity of individuals with knee osteoarthritis. Evaluating performance through standardized tests can provide essential insights into the effects of pain-related fear, guiding personalized rehabilitation approaches.
22) Discussion:
The discussion section interprets findings from the study, connecting results to existing literature and exploring implications for practice. Here, researchers can propose ways to integrate findings into clinical settings, enhancing understanding of pain-related fears in specific populations.
23) Activity:
Activity level, especially of physical movement, can be greatly hindered by pain-related fear in osteoarthritis patients. Understanding how to encourage safer engagement in activities is essential for improving outcomes and preventing disability in this population.
24) Quality:
Quality, particularly of life, is a central concern in managing knee osteoarthritis. By addressing pain-related fear and its psychological impacts, interventions can significantly enhance patients' overall quality of life, making it essential to evaluate these dimensions effectively.
25) Disease:
Knee osteoarthritis is a degenerative disease that poses significant challenges for affected individuals. Understanding disease progression and associated fears can inform treatment strategies aimed at mitigating symptoms and improving psychological resilience.
26) Farmer:
Many participants in the study were farmers, indicating a demographic variation that may influence the prevalence and impact of knee osteoarthritis. Occupational factors can affect exposure to physical stressors, leading to distinct treatment needs and health outcomes.
27) Trader:
Traders, like farmers, represent another demographic within the study. Understanding different occupations and their physical demands can help tailor interventions that consider the unique lifestyle factors influencing the knee osteoarthritis experience among diverse populations.
28) Seat (Seated):
Seated postures often relate to the assessments done in functional tests such as the Timed Up and Go Test, where the patient stands from a seated position. The ability to rise from sitting is essential for evaluating mobility and independence.
29) Mitra:
Asst. Prof. Dr. Mitra Cassely is acknowledged for her contributions in reviewing the study's manuscript, highlighting the importance of collaborative efforts in ensuring research quality and integrity through professional oversight and expertise in the relevant fields.
30) Post:
Post refers to the period following the study, encompassing ongoing research efforts. Understanding the outcomes and implications of the study can foster further inquiries into related topics, ultimately enhancing care strategies for knee osteoarthritis patients.
Other Health Sciences Concepts:
Discover the significance of concepts within the article: ‘Validity and Reliability of Thai Tampa Scale for Kinesiophobia’. Further sources in the context of Health Sciences might help you critically compare this page with similair documents:
Chinese version, Reliability and validity, Elderly women, Chronic pain, Informed consent, Statistical analysis, Research Assistant, Research limitations, Psychological factor, Health status, Inclusion criteria, Exclusion criteria, Sample size, Neck pain, Test-retest reliability, Pain assessment, Visual analogue scale, Cross-sectional study, Knee osteoarthritis, Physical dysfunction, Convenience sampling, Low Back Pain, Pain intensity, Psychometric properties, Correlation coefficient, Significant correlation, Self-administered questionnaire, Sample selection, Convergent validity, Western Ontario and McMaster Universities Osteoarthritis Index, Internal Consistency, Acute low back pain, Physical function, Knee pain, Timed Up and Go test, Pearson product-moment correlation coefficient, Psychometric testing, Correlation analyses, Functional balance, Cross-cultural adaptation, Psychosocial factor, Intraclass correlation coefficient, Secondary school student, Persian version, Pain-related fear, State-Trait Anxiety Inventory, Chronic knee pain, Self-efficacy scale, Clinical outcome measure, 4-point Likert scale, SPSS statistical package, Chronic pain patients, Alpha level, Knee osteoarthritis patients, Fear-Avoidance Beliefs Questionnaire, Measurement properties, Spanish version, Factorial validity, Self-regulated learning, Demographic characteristic, Original version, Good psychometric properties, Swedish version, Self-report measure, Fear avoidance belief, Anxiety inventory, Outcome measure, Physical therapist, Pearson product-moment correlation, Tampa Scale, Kinesiophobia, Fear of movement, Physical and psychological factors, Low back pain disability.