Fear of movement in patients attending cardiac rehabilitation: A validation study

Authors

  • Paul Keessen
  • Iris den Uijl
  • Bart Visser
  • Hendrika van den Berg-Emons
  • Corine H.M. Latour
  • Madoka Sunamura
  • Harald T. Jorstad
  • Gerben ter Riet
  • Wilma J. M. Scholte op Reimer
  • Roderik A. Kraaijenhagen
  • Nienke ter Hoeve

DOI:

https://doi.org/10.2340/16501977-2653

Keywords:

cardiovascular disease, Tampa Scale for Kinesiophobia, fear of movement, cardiac rehabilitation, physical activity, exercise.

Abstract

Objectives: To determine the psychometric properties of a questionnaire to assess fear of movement (kinesiophobia): the Tampa Scale for Kinesiophobia (TSK-NL Heart), and to investigate the prevalence of kinesiophobia in patients attending cardiac rehabilitation. Methods: A total of 152 patients were evaluated with the TSK-NL Heart during intake and 7 days later. Internal consistency, test-retest reliability and construct validity were assessed. For construct validity, the Cardiac Anxiety Questionnaire (CAQ) and the Hospital Anxiety and Depression Scale (HADS) were used. The factor structure of the TSK-NL Heart was determined by a principal component analysis (PCA). Results: After removal of 4 items due to low internal consistency, the TSK-NL Heart showed substantial reliability (intraclass correlation coefficient; ICC: 0.80). A strong positive correlation was found between the TSK-NL Heart and the CAQ (rs: 0.61). A strong negative correlation was found between the TSK-NL Heart and the HADS (Anxiety) (rs ?0.51). The PCA revealed a 3-factor structure as most suitable (fear of injury, avoidance of physical activity, perception of risk). High levels of kinesiophobia were found in 45.4% of patients. Conclusion: The 13-item TSK-NL Heart has good psychometric properties, and we recommend using this version to assess kinesiophobia, which is present in a substantial proportion of patients referred for cardiac rehabilitation.

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Published

2020-02-27

How to Cite

Keessen, P., den Uijl, I., Visser, B., van den Berg-Emons, H., H.M. Latour, C., Sunamura, M., T. Jorstad, H., ter Riet, G., J. M. Scholte op Reimer, W., Kraaijenhagen, R. A., & ter Hoeve, N. (2020). Fear of movement in patients attending cardiac rehabilitation: A validation study. Journal of Rehabilitation Medicine, 52(2), 1–7. https://doi.org/10.2340/16501977-2653

Issue

Vol. 52 No. 2 (2020)

Section

Original Report

License

Copyright (c) 2020 Paul Keessen, Iris den Uijl, Bart Visser, Hendrika van den Berg-Emons, Corine H.M. Latour, Madoka Sunamura, Harald T. Jorstad, Gerben ter Riet, Wilma J. M. Scholte op Reimer, Roderik A. Kraaijenhagen, Nienke ter Hoeve

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

All digitalized JRM contents is available freely online. The Foundation for Rehabilitation Medicine owns the copyright for all material published until volume 40 (2008), as from volume 41 (2009) authors retain copyright to their work and as from volume 49 (2017) the journal has been published Open Access, under CC-BY-NC licences (unless otherwise specified). The CC-BY-NC licenses allow third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for non-commercial purposes, provided proper attribution to the original work.
From 2024, articles are published under the CC-BY licence. This license permits sharing, adapting, and using the material for any purpose, including commercial use, with the condition of providing full attribution to the original publication.

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