TY - JOUR PY - 2015// TI - The Chinese version of the Tampa Scale for kinesiophobia was cross-culturally adapted and validated in patients with low back pain JO - Journal of clinical epidemiology A1 - Wei, Xianzhao A1 - Xu, Ximing A1 - Zhao, Yongfei A1 - Hu, Wen A1 - Bai, Yushu A1 - Li, Ming SP - 1205 EP - 1212 VL - 68 IS - 10 N2 - OBJECTIVE: The aim of the present study was to obtain a cross-cultural adaptation and evaluation of a Simplified Chinese (SC) version of the Tampa Scale for Kinesiophobia (TSK) for use in patients with low back pain (LBP). STUDY DESIGN AND SETTING: The TSK was translated and adapted cross-culturally following international guidelines. It was administered to 150 patients with LBP along with the Fear Avoidance Beliefs Questionnaire (FABQ), Oswestry Disability Index (ODI), Short Form Health Survey (SF-12), and a pain visual analog scale (VAS) assessment. Measurement properties, including content validity, construct validity (structural validity and hypotheses testing), internal consistency, and test-retest reliability were tested.

RESULTS: The final analysis included data from 142 patients. Content validity analysis led to the exclusion of four reverse-scored items due to low item-total correlation. Structural validity analysis favored a three-factor structure: Somatic Focus, Activity Avoidance, and Avoidance Belief. Construct validity analysis confirmed nine of 11 a priori hypotheses. Both the 17-item and 13-item versions of the SC-TSK had excellent internal consistency (Cronbach's α = 0.74 and 0.82, all values respectively) and test-retest reliability (ICC = 0.86, 0.90).

CONCLUSION: TSK was adapted successfully into a SC version with excellent internal consistency and test-retest reliability and with acceptable construct validity. A 13-item, three-factored SC-TSK structure was deemed to be a good fit for Chinese patients and appropriate for clinical and research use in mainland China.

Language: en

LA - en SN - 0895-4356 UR - http://dx.doi.org/10.1016/j.jclinepi.2015.07.003 ID - ref1 ER -