Measurement properties of the Brazilian versions of Fear-Avoidance Beliefs Questionnaire and Tampa Scale of Kinesiophobia in individuals with shoulder pain

Danilo Harudy Kamonseki,Paula Rezende Camargo,Melina Nevoeiro Haik,Larissa Pechincha Ribeiro,Lucas Araújo de Almeida,Rafaela Firmino de Almeida,Carlos Luques Fonseca,Yee Cheng Kueh

doi:10.1371/journal.pone.0260452

Danilo Harudy Kamonseki, Paula Rezende Camargo + Show 6 more

Open Access

https://doi.org/10.1371/journal.pone.0260452

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Abstract

PurposeTo verify the measurement properties of the Brazilian versions of Fear-avoidance Beliefs Questionnaire (FABQ) and Tampa Scale of Kinesiophobia (TSK) in individuals with shoulder pain.MethodsIndividuals with shoulder pain (>18 years) were included in this study. Structural validity was verified by exploratory factor analysis, which was used to identify dimensionality of the FABQ and TSK. Test-retest reliability was assessed with intraclass correlation coefficient(3,1) and internal consistency with Cronbach’s alpha. Floor or ceiling effects were also investigated. Responsiveness was verified by effect sizes and area under the receiver operating characteristic curve (AUC).ResultsExploratory factor analysis identified two and one factor in the FABQ and TSK, respectively. FABQ and TSK presented moderate to good reliability and adequate internal consistency (Cronbach’s alpha > 0.70). The floor effect was present in one factor of the FABQ. The FABQ and TSK showed small to moderate effect sizes and did not show adequate AUC.ConclusionFABQ and TSK are multidimensional and unidimensional instruments, respectively. Those instruments presented moderate to good reliability and the responsiveness was considered to be suboptimal in individuals with shoulder pain.

Highlights

Shoulder pain is a common complaint [1,2] that may have a negative impact on sports performance, work productivity [3,4], functional activities [5], and healthcare expenses over time [6]
Fear-Avoidance Beliefs Questionnaire (FABQ) and Tampa Scale of Kinesiophobia (TSK) presented moderate to good reliability and adequate internal consistency (Cronbach’s alpha > 0.70)
FABQ and TSK are multidimensional and unidimensional instruments, respectively. Those instruments presented moderate to good reliability and the responsiveness was considered to be suboptimal in individuals with shoulder pain

Summary

Methods

Individuals with shoulder pain (>18 years) were included in this study. Structural validity was verified by exploratory factor analysis, which was used to identify dimensionality of the FABQ and TSK. Test-retest reliability was assessed with intraclass correlation coefficient(3,1) and internal consistency with Cronbach’s alpha. Responsiveness was verified by effect sizes and area under the receiver operating characteristic curve (AUC)

Results

Conclusion

Introduction

Discussion