URePSSS-Unité de Recherche Pluridisciplinaire Sport Santé Société, ULR 7369, Université du Littoral Côte d'Opale, Université d'Artois, Université de Lille, Calais, France.
Research Center on Aging, CIUSSS de l'Estrie-CHUS, Sherbrooke, Québec, Canada.
PLoS One. 2023 Oct 12;18(10):e0288899. doi: 10.1371/journal.pone.0288899. eCollection 2023.
The Fear-Avoidance Components Scale (FACS) is a reliable and valid instrument widely used to assess fear-avoidance beliefs related to pain and disability. However, there is a scarcity of validated translations of the FACS in different cultural and linguistic contexts, including the French population. This study aimed to translate and validate the French version of the FACS (FACS-Fr/CF), examining its psychometric properties among French-speaking individuals.
A cross-cultural translation process-including forward translation, backward translation, expert committee review, and pre-testing-was conducted to develop the FACS-Fr/CF. The translated version was administered to a sample of French-speaking adults (n = 55) with chronic musculoskeletal pain. Internal consistency (including confirmatory analyses of the 2 factors identified in the Serbian version), test-retest reliability and convergent validity were then assessed.
The FACS-Fr/CF demonstrated high global internal consistency (α = 0.94, 95% CI: 0.91-0.96) as well as high internal consistency of the 2 factors identified in the Serbian version (α = 0.90, 95% CI: 0.86-0.94 and α = 0.90, 95% CI: 0.85-0.94, respectively). Test-retest analysis revealed a moderate (close to high) reliability (ICC = 0.89; 95% CI: 0.82-0.94 and r = 0.89; p<0.005). Convergent validity was supported by significant correlations between the FACS-Fr/CF scores and the Tampa Scale for Kinesiophobia (r = 0.82; p < 0.005), the Pain Catastrophizing Scale (r = 0.72; p < 0.005) and the Hospital Anxiety and Depression Scale (r = 0.66; p < 0.005).
The present study provides evidence for the cross-cultural translation and psychometric validation of the FACS-Fr/CF. The FACS-Fr/CF exhibits a high internal consistency, a moderate (close to high) test-retest reliability, and good construct validity, suggesting its utility in assessing fear-avoidance beliefs in the French-speaking population. This validated tool can enhance the assessment and understanding of fear-avoidance behaviors and facilitate cross-cultural research in pain-related studies.
恐惧-回避成分量表（FACS）是一种可靠且有效的工具，广泛用于评估与疼痛和残疾相关的恐惧-回避信念。然而，在不同的文化和语言背景下，包括法语人群，FACS 的验证翻译版本稀缺。本研究旨在翻译和验证法语版 FACS（FACS-Fr/CF），并在法语人群中检验其心理测量学特性。
进行跨文化翻译过程，包括正向翻译、反向翻译、专家委员会审查和预测试，以开发 FACS-Fr/CF。然后对 55 名患有慢性肌肉骨骼疼痛的法语成年人进行了翻译版本的测试。接着评估了内部一致性（包括对塞尔维亚语版本中确定的 2 个因素进行验证性分析）、重测信度和聚合效度。
FACS-Fr/CF 显示出较高的整体内部一致性（α=0.94，95%CI：0.91-0.96）以及塞尔维亚语版本中确定的 2 个因素的高内部一致性（α=0.90，95%CI：0.86-0.94 和α=0.90，95%CI：0.85-0.94）。重测分析显示出中度（接近高度）可靠性（ICC=0.89；95%CI：0.82-0.94 和 r=0.89；p<0.005）。FACS-Fr/CF 评分与 Tampa 运动恐惧量表（r=0.82；p<0.005）、疼痛灾难化量表（r=0.72；p<0.005）和医院焦虑抑郁量表（r=0.66；p<0.005）之间存在显著相关性，支持了聚合效度。
本研究提供了 FACS-Fr/CF 跨文化翻译和心理测量学验证的证据。FACS-Fr/CF 表现出较高的内部一致性、中度（接近高度）重测信度和良好的结构效度，表明其在评估法语人群的恐惧回避信念方面具有实用性。这种经过验证的工具可以增强对恐惧回避行为的评估和理解，并促进疼痛相关研究中的跨文化研究。
