Abstract
The purpose of this study was to qualitatively evaluate patients understanding and interpretation of the wording used in test items of the Tampa Scale of Kinesiophobia (TSK). The TSK was developed to measure fear of movement in patients suffering from low back pain. The TSK is being increasingly used for other pain conditions. Patients with sub-acute neck pain experience problems while completing this questionnaire. The aim of this study was to elicit these problems. The study was conducted within the framework of a randomised controlled trial. The Three-Step Test Interview (TSTI) was used to collect data on the thoughts or considerations of respondents while completing the TSK. In the analysis, each transcribed interview was divided into three segments. The thoughts and considerations were then analysed and categorised per item. During the TSTI two problems were identified. One concerned the meaning of specific words used, like “dangerous” and “injury”. The other problem was that several implicit assumptions within some items make it difficult for respondents to answer these items. It was concluded that in the development and validation of questionnaires like the TSK, not only quantitative psychometric properties are important, but also qualitative research has an important contribution to enhance applicability.
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References
Banister P., Burman E., Parker I., Taylor M., Tindall C.: Qualitative Methods in Psychology. A Research Guide. Open University Press, Buckinham/Philadelphia (1994)
Buer N., Linton S.J.: Fear-avoidance beliefs and catastrophizing: occurrence and risk factor in back pain and ADL in the general population. Pain 99(3), 485–491 (2002)
Butler D.S., Moseley G.L.: Explain Pain. Noigroup Publications, Adelaide (2003)
Collins D.: Pretesting survey instruments: an overview of cognitive methods. Qual. Life Res. 12(3), 229–238 (2003)
Crombez G., Vlaeyen J.W., Heuts P.H., Lysens R.: Pain-related fear is more disabling than pain itself: evidence on the role of pain-related fear in chronic back pain disability. Pain 80(1–2), 329–339 (1999)
Gatchel R.J.: Psychological disorders and chronic pain. Cause-and effect relationships. In: Gatchel, R.J., Turk, D.C. (eds) Psychological Approaches to Pain Management. A Practitioners’s Handbook., pp. 33–52. The Guilford Press, New York (1996)
Goubert L., Crombez G., Van Damme S., Vlaeyen J.W., Bijttebier P., Roelofs J.: Confirmatory factor analysis of the Tampa Scale for Kinesiophobia: invariant two-factor model across low back pain patients and fibromyalgia patients. Clin. J. Pain 20(2), 103–110 (2004)
Hak, T., Van der Veer, K., Jansen, H.: The Three-Step Test-Interview (TSTI). ERIM Report Research in Management (2004)
Hak T., Van der Veer K., Ommundsen R.: An application of the Three-Step Test-Interview (TSTI): a validation study of the Dutch and Norwegian versions of illegal aliens scale. Int. J. Soc. Res. Methodol. Theory Pract 9(3), 215–227 (2006)
Houben R.M., Leeuw M., Vlaeyen J.W., Goubert L., Picavet H.S.: Fear of movement/injury in the general population: factor structure and psychometric properties of an adapted version of the Tampa Scale for Kinesiophobia. J. Behav. Med. 28(5), 415–424 (2005)
Hoving J.L., Koes B.W., de Vet H.C., van der Windt D.A., Assendelft W.J., van Mameren H. et al.: Manual therapy, physical therapy, or continued care by a general practitioner for patients with neck pain. A randomized, controlled trial. Ann. Intern. Med. 136(10), 713–722 (2002)
Kori S.H., Miller R.P., Todd D.D.: Kinisophobia: a new view of chronic pain behavior. Pain Manage. 1, 35–43 (1990)
Nederhand M.J., IJzerman M.J., Hermens H.J., Turk D.C., Zilvold G.: Predictive value of fear avoidance in developing chronic neck pain disability: consequences for clinical decision making. Arch. Phys. Med. Rehabil. 85(3), 496–501 (2004)
Paterson C.: Seeking the patient’s perspective: a qualitative assessment of EuroQol, COOP-WONCA charts and MYMOP. Qual. Life Res. 13(4), 871–881 (2004)
Pool J.J.M., Ostelo R.W.J.G., Koke A.J., Bouter L.M., Vet de H.C.W.: Comparison of the effectiveness of a behavioural graded activity program and manual therapy in patients with sub-acute neck pain: design of a randomised clinical trial. Man. Ther. 11(4): 297–305 (2006)
Sterling M., Jull G., Vicenzino B., Kenardy J., Darnell R.: Physical and psychological factors predict outcome following whiplash injury. Pain 114(1–2), 141–148 (2005)
Swinkels-Meewisse E.J., Swinkels R.A., Verbeek A.L., Vlaeyen J.W., Oostendorp R.A.: Psychometric properties of the Tampa Scale for Kinesiophobia and the fear-avoidance beliefs questionnaire in acute low back pain. Man. Ther. 8(1), 29–36 (2003)
Van der Veer K., Ommundsen R., Hak T., Larson K.S.: Meaning shift of items in different language versions. A cross-national validation study of the illegal aliens scale. Qual. Quant. 37(2), 193–206 (2003)
Vlaeyen J.W., Linton S.J.: Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art. Pain 85(3), 317–332 (2000)
Vlaeyen J.W., Kole-Snijders A.M., Boeren R.G., van Eek H.: Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance. Pain 62(3), 363–372 (1995)
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Pool, J.J.M., Hiralal, S., Ostelo, R.W.J.G. et al. The applicability of the Tampa Scale of Kinesiophobia for patients with sub-acute neck pain: a qualitative study. Qual Quant 43, 773–780 (2009). https://doi.org/10.1007/s11135-008-9203-x
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DOI: https://doi.org/10.1007/s11135-008-9203-x