Assessing Changes in Fear of Movement in Patients attending Cardiac Rehabilitation: Responsiveness of the TSK-NL Heart Questionnaire.

Autor:	Ter Hoeve N; Capri Cardiac Rehabilitation and Department of Rehabilitation Medicine, Erasmus University Medical Centre, Rotterdam., Keessen P; Department of Cardiology, Heart Center, Amsterdam Cardiovascular Sciences, Amsterdam UMC, University of Amsterdam and Centre of Expertise Urban Vitality, Faculty of Health, Amsterdam University of Applied Sciences, Amsterdam. p.keessen@hva.nl., Den Uijl I; Capri Cardiac Rehabilitation, Rotterdam and Department of Rehabilitation Medicine, Erasmus University Medical Centre Rotterdam., Visser B; Centre of Expertise Urban Vitality, Faculty of Health, Amsterdam University of Applied Sciences., Kraaijenhagen RA; Cardiovitaal Cardiac Rehabilitation, Amsterdam., Sunamura M; Capri Cardiac Rehabilitation, Rotterdam., Scholte Op Reimer WJM; Department of Cardiology, Heart Center, Amsterdam Cardiovascular Sciences, Amsterdam UMC, University of Amsterdam, and Research Group Chronic Diseases, HU University of Applied Sciences Utrecht, Utrecht., Latour CHM; Centre of Expertise Urban Vitality, Faculty of Health, Amsterdam University of Applied Sciences., Jørstad HT; Department of Cardiology, Heart Center, Amsterdam Cardiovascular Sciences, Amsterdam UMC, University of Amsterdam, Amsterdam., Van den Berg-Emons HJG; Department of Rehabilitation Medicine, Erasmus University Medical Centre Rotterdam, The Netherlands.
Jazyk:	angličtina
Zdroj:	Journal of rehabilitation medicine [J Rehabil Med] 2022 Aug 26; Vol. 54, pp. jrm00328. Date of Electronic Publication: 2022 Aug 26.
DOI:	10.2340/jrm.v54.2519
Abstrakt:	Objectives: The primary objective was to determine the responsiveness of the Dutch version of the 13-item Tampa Scale for Kinesiophobia for cardiac patients (TSK-NL Heart). The secondary objective was to assess changes in kinesiophobia during cardiac rehabilitation. Methods: Kinesiophobia was measured pre- and post-cardiac rehabilitation using the TSK-NL Heart questionnaire in 109 cardiac patients (61 years; 76% men). The effect size of kinesiophobia score changes was calculated for the full population. A measure that is responsive to change should produce higher effects sizes in patients in whom kinesiophobia improves. Therefore, effect sizes were also calculated for patients who did or did not improve on selected external measures. For this step, the Cardiac Anxiety Questionnaire (CAQ) and the Hospital Anxiety and Depression Scale (HADS) were completed as external measures in a subsample of 58 patients. Results: The effect size of the TSK-NL Heart for the full study population was small (0.29). In line with the study hypothesis the effect size was higher (moderate) for patients with improved CAQ (0.52) and HADS scores (0.54). Prevalence of high kinesiophobia levels decreased from 40% pre-cardiac rehabilitation to 26% post-cardiac rehabilitation (p = 0.004). Conclusion: The TSK-NL Heart has moderate responsiveness and can be used to measure changes in kinesiophobia. Improvements in kinesiophobia were observed during cardiac rehabilitation. Nevertheless, high levels of kinesiophobia were still highly prevalent post-cardiac rehabilitation.
Databáze:	MEDLINE
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