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

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

doi:10.1371/journal.pone.0260452

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

PLoS One. 2021 Dec 1;16(12):e0260452. doi: 10.1371/journal.pone.0260452. eCollection 2021.

Authors

Danilo Harudy Kamonseki¹, Melina Nevoeiro Haik¹, Larissa Pechincha Ribeiro¹, Rafaela Firmino de Almeida¹, Lucas Araújo de Almeida¹, Carlos Luques Fonseca², Paula Rezende Camargo¹

Affiliations

¹ Laboratory of Analysis and Intervention of the Shoulder Complex, Universidade Federal de São Carlos (UFSCar), São Carlos, (SP), Brazil.
² Faculdade Anhanguera, Sorocaba, São Paulo, Brazil.

Abstract

Purpose: To 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.

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. Floor or ceiling effects were also investigated. Responsiveness was verified by effect sizes and area under the receiver operating characteristic curve (AUC).

Results: Exploratory 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.

Conclusion: 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.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Adult
Avoidance Learning*
Brazil
Cultural Characteristics
Culture
Female
Humans
Male
Middle Aged
Movement
Phobic Disorders / etiology
Phobic Disorders / psychology*
Psychological Tests / standards
Shoulder Pain / complications
Shoulder Pain / psychology*
Surveys and Questionnaires / standards*

Grants and funding

This study was supported by Fundação de Amparo à Pesquisa do Estado de São Paulo – FAPESP (DHK: 2018/04911-1), Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil (DHK, MNH, LPR, RFA, LAA: CAPES), and Conselho Nacional de Desenvolvimento Científico e Tecnológico - CNPq (DHK: 142373/2018-4, https://www.gov.br/cnpq/pt-br). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.