Tampa Scale of Kinesiophobia for Heart Taiwan Version Validation

NCT06432153 | Not Yet Recruiting

• 1 other identifier: N_112_0424
• Study Type: observational
• Target: 400
• Locations: 0 countries
• Sites: N/A

Brief Summary

Early assessment of kinesiophobia in cardiovascular disease patients is essential. However, measurement tools are scarce for assessing activity fear in cardiovascular disease patients domestically. Currently, the Tampa Scale of Kinesiophobia for the Heart, developed by Bäck et al. (2012), is the most commonly used scale for measuring kinesiophobia among cardiovascular disease patients. As there is no tool available domestically to measure kinesiophobia in cardiovascular disease patients, this research aims to translate, revise, and establish the Taiwanese version of the Tampa Scale of Kinesiophobia for Heart and subsequently verify its reliability and validity for clinical assessment of kinesiophobia among cardiovascular disease patients. The methodology involves following the translation model by Jones et al. (2001) to translate the Tampa Scale of Kinesiophobia for Heart from the English version to the Taiwan version. Structured questionnaires, including demographic and disease-related information, the Tampa Scale of Kinesiophobia for Heart Taiwan Version, the International Physical Activity Questionnaire, the Six-Minute Walk Test, the Taiwan version of the World Health Organization Quality of Life Questionnaire-BREF, the Hospital Anxiety and Depression Scale, and the Pain Catastrophizing Scale will be used at the cardiological outpatient clinic and inpatient ward of a medical center in Central Taiwan. Patients meeting the study's inclusion criteria and consent to participate in this study will be interviewed. Tampa Scale of Kinesiophobia for Heart Taiwan Version will be examined for content validity, construct validity, internal consistency, and test-retest reliability.

Conditions

Cardiovascular Diseases

Keywords

Cardiovascular disease; Kinesiophobia; Scale reliability and validity

Outcome Measures

Primary Outcomes (1)

• Tampa Scale of Kinesiophobia for Heart

  This scale, developed by Bäck et al. (2012), assesses fear of movement in patients with coronary artery disease. It comprises four dimensions: exercise avoidance, fear of injury, dysfunctional self-perception, and perceived risk of heart problems, with 17 items. Each item is scored on a 4-point Likert scale (1 = strongly disagree to 4 = strongly agree), and items 4, 8, 12, and 16 are reverse scored. The total score ranges from 17 to 68, with higher scores indicating greater fear of movement. A TSK Heart score below 37 indicates a low fear of movement, while a score of 37 or higher indicates a high fear of movement. The scale's intra-class correlation coefficient is 0.83, and its internal consistency (Cronbach's alpha) is 0.78 (Bäck et al., 2012).

  baseline and at the end of the third month

Secondary Outcomes (4)

• International Physical Activity Questionnaire

  baseline and at the end of the third month

• 6-Minute Walk Test

  baseline and at the end of the third month

• Taiwan Brief Version of the World Health Organization Quality of Life Questionnaire (WHOQOL-BREF)

  baseline and at the end of the third month

• Hospital Anxiety and Depression Scale (HADS)

  baseline and at the end of the third month

Study Arms (1)

participant

The only group of participant. Participants are outpatient clinical patients diagnosed with cardiovascular disease.

Other: observation

Interventions

observation OTHER

Participants who receive routine clinical care, without additional intervention from the study

participant

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

clinical patients diagnosed with cardiovascular diseases.

You may qualify if:

• (1) diagnosed with cardiovascular diseases by a specialist, including coronary artery disease, arrhythmia, valvular heart disease, and heart failure, with stable conditions;
• (2) aged 18 or above;
• (3) clear consciousness and able to communicate in Mandarin or Taiwanese;
• (4) willing and consent to participate after being informed of the study purpose and procedures.

You may not qualify if:

• (1) cognitive impairment
• (2) psychiatric disorders
• (3) long-term bedridden patients who rely on others for daily activities.

Sponsors & Collaborators

• Changhua Christian Hospital: lead
• Da-Yeh University: collaborator

Related Publications (7)

• ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002 Jul 1;166(1):111-7. doi: 10.1164/ajrccm.166.1.at1102. No abstract available.

  PMID: 12091180 RESULT

• Back M, Jansson B, Cider A, Herlitz J, Lundberg M. 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.

  PMID: 22366980 RESULT

• Cakal B, Yildirim M, Emren SV. Kinesiophobia, physical performance, and health-related quality of life in patients with coronary artery disease. Postepy Kardiol Interwencyjnej. 2022 Sep;18(3):246-254. doi: 10.5114/aic.2022.122892. Epub 2022 Dec 17.

  PMID: 36751297 RESULT

• Keessen P, Kan KJ, Ter Riet G, Visser B, Jorstad H, Latour C, van Duijvenbode I, Scholte Op Reimer W. Impact of kinesiophobia on initiation of cardiac rehabilitation: a prospective cohort path analysis. BMJ Open. 2022 Nov 25;12(11):e066435. doi: 10.1136/bmjopen-2022-066435.

  PMID: 36428018 RESULT

• Jones PS, Lee JW, Phillips LR, Zhang XE, Jaceldo KB. An adaptation of Brislin's translation model for cross-cultural research. Nurs Res. 2001 Sep-Oct;50(5):300-4. doi: 10.1097/00006199-200109000-00008.

  PMID: 11570715 RESULT

• Liou YM, Jwo CJ, Yao KG, Chiang LC, Huang LH. Selection of appropriate Chinese terms to represent intensity and types of physical activity terms for use in the Taiwan version of IPAQ. J Nurs Res. 2008 Dec;16(4):252-63. doi: 10.1097/01.jnr.0000387313.20386.0a.

  PMID: 19061172 RESULT

• Lynn MR. Determination and quantification of content validity. Nurs Res. 1986 Nov-Dec;35(6):382-5. No abstract available.

  PMID: 3640358 RESULT

Related Links

• WHOQOL BREF

MeSH Terms

Conditions

Cardiovascular Diseases; Kinesiophobia

Interventions

Observation

Condition Hierarchy (Ancestors)

Phobic Disorders; Anxiety Disorders; Mental Disorders

Intervention Hierarchy (Ancestors)

Methods; Investigative Techniques

Study Officials

• Ai-Ling Chang, MSc

  Changhua Christian Hospital

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Ai-Ling Chang, MSc

CONTACT

+886-048336558; 23570@cch.org.tw

Wan-Ting Huang, PhD

CONTACT

+886-0953860172; wanting@mail.dyu.edu.tw

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 22, 2024
• First Posted: May 29, 2024
• Study Start: June 16, 2024
• Primary Completion: June 15, 2025
• Study Completion: July 31, 2025
• Last Updated: May 29, 2024

Record last verified: 2024-05

Data Sharing

• IPD Sharing: Will not share