Test-retest reliability and comparability of paper and computer questionnaires for the Finnish version of the Tampa Scale of Kinesiophobia

Physiotherapy. 2014 Dec;100(4):356-62. doi: 10.1016/j.physio.2013.11.007. Epub 2014 Jan 30.


Objectives: To estimate the internal consistency, test-retest reliability and comparability of paper and computer versions of the Finnish version of the Tampa Scale of Kinesiophobia (TSK-FIN) among patients with chronic pain. In addition, patients' personal experiences of completing both versions of the TSK-FIN and preferences between these two methods of data collection were studied.

Design: Test-retest reliability study. Paper and computer versions of the TSK-FIN were completed twice on two consecutive days.

Participants: The sample comprised 94 consecutive patients with chronic musculoskeletal pain participating in a pain management or individual rehabilitation programme. The group rehabilitation design consisted of physical and functional exercises, evaluation of the social situation, psychological assessment of pain-related stress factors, and personal pain management training in order to regain overall function and mitigate the inconvenience of pain and fear-avoidance behaviour.

Results: The mean TSK-FIN score was 37.1 [standard deviation (SD) 8.1] for the computer version and 35.3 (SD 7.9) for the paper version. The mean difference between the two versions was 1.9 (95% confidence interval 0.8 to 2.9). Test-retest reliability was 0.89 for the paper version and 0.88 for the computer version. Internal consistency was considered to be good for both versions. The intraclass correlation coefficient for comparability was 0.77 (95% confidence interval 0.66 to 0.85), indicating substantial reliability between the two methods.

Conclusion: Both versions of the TSK-FIN demonstrated substantial intertest reliability, good test-retest reliability, good internal consistency and acceptable limits of agreement, suggesting their suitability for clinical use. However, subjects tended to score higher when using the computer version. As such, in an ideal situation, data should be collected in a similar manner throughout the course of rehabilitation or clinical research.

Keywords: Chronic pain; Fear avoidance; Intraclass correlation; Test–retest.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Chronic Pain / diagnosis*
  • Chronic Pain / rehabilitation*
  • Confidence Intervals
  • Diagnosis, Computer-Assisted*
  • Female
  • Finland
  • Humans
  • Kinesiology, Applied / methods*
  • Male
  • Middle Aged
  • Paper
  • Psychometrics
  • Reproducibility of Results
  • Severity of Illness Index
  • Surveys and Questionnaires*