Capri Cardiac Rehabilitation and Department of Rehabilitation Medicine, Erasmus University Medical Centre, Rotterdam.
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.
J Rehabil Med. 2022 Aug 26;54:jrm00328. doi: 10.2340/jrm.v54.2519.
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.
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.
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).
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.
本研究的主要目的是确定荷兰版 13 项 Tampa 运动恐惧量表（TSK-NL Heart）用于心脏患者的反应度。次要目的是评估心脏康复过程中运动恐惧的变化。
109 名心脏患者（61 岁，76%为男性）在心脏康复前后使用 TSK-NL Heart 问卷进行运动恐惧测量。计算了全人群运动恐惧评分变化的效应量。对运动恐惧改善的患者，反应度好的测量方法应该会产生更高的效应量。因此，还为在特定外部测量中运动恐惧改善或未改善的患者计算了效应量。为此，在 58 名患者的亚样本中完成了心脏焦虑问卷（CAQ）和医院焦虑和抑郁量表（HADS）作为外部测量。
TSK-NL Heart 对全人群的效应量较小（0.29）。与研究假设一致，CAQ（0.52）和 HADS 评分改善（0.54）患者的效应量较高（中度）。心脏康复前高度运动恐惧水平的患病率为 40%，心脏康复后为 26%（p = 0.004）。
TSK-NL Heart 具有中度反应度，可用于测量运动恐惧的变化。在心脏康复过程中观察到运动恐惧的改善。然而，心脏康复后，运动恐惧的高发生率仍然很高。
