Validation of a questionnaire to detect kinesiophobia (fear of movement) in patients with coronary artery disease

J Rehabil Med. 2012 Apr;44(4):363-9. doi: 10.2340/16501977-0942.

Abstract

Objective: To investigate the validity and reliability of the Tampa Scale for Kinesiophobia Heart (TSK-SV Heart), a brief questionnaire to detect kinesiophobia (fear of movement) in patients with coronary artery disease.

Design: Methodological research (cross-sectional study).

Subjects: A total of 332 patients, mean age 65 years (standard deviation 9.1) diagnosed with coronary artery disease at a university hospital were included in the study.

Methods: The psychometric properties of the TSK-SV Heart were tested. The tests of validity comprised face, content, and construct validity. The reliability tests included composite reliability, internal consistency and stability over time.

Results: In terms of reliability, the TSK-SV Heart was found to be stable over time (intra-class correlation coefficient 0.83) and internally consistent (Cronbach's alpha 0.78). Confirmatory factor analysis provided acceptable fit for a hypothesized 4-factor model with inclusion of a method factor.

Conclusion: These results provide support for the reliability of the TSK-SV Heart. The questionnaire appears to be valid for use in patients with coronary artery disease. However, some items require further investigation due to low influence on some sub-dimensions of the test. The sub-dimensions of kinesiophobia require future research concerning their implications for the target group.

Publication types

  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Coronary Artery Disease / complications
  • Coronary Artery Disease / psychology*
  • Cross-Sectional Studies
  • Exercise Therapy / psychology*
  • Fear*
  • Female
  • Heart
  • Humans
  • Male
  • Middle Aged
  • Movement*
  • Phobic Disorders / diagnosis*
  • Phobic Disorders / etiology
  • Psychometrics
  • Reproducibility of Results
  • Surveys and Questionnaires / standards*