Citation

Wei X, Xu X, Zhao Y, Hu W, Bai Y, Li M. J. Clin. Epidemiol. 2015; 68(10): 1205-1212.

Affiliation

Orthopaedic Department of Changhai Hospital, Second Military Medical University, Shanghai, 200433, People's Republic of China. Electronic address: limingch@21cn.com.

Copyright

(Copyright © 2015, Elsevier Publishing)

DOI

10.1016/j.jclinepi.2015.07.003

PMID

26169840

Abstract

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