Jia Yingying, Cui Nianqi, Jia Tingting, Jabbar Abdl Sattar Hamoudi Hammza, Song Jianping
Nursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Nursing Department, Zhejiang University School of Medicine, Hangzhou, China.
Int J Nurs Sci. 2024 Jan 2;11(1):57-65. doi: 10.1016/j.ijnss.2023.12.016. eCollection 2024 Jan.
This study aimed to evaluate the measurement properties and methodological quality of assessment tools for Kinesophobia among patients with cardiovascular disease and provide a reference for healthcare professionals in selecting high-quality assessment tools.
A systematic search was performed on specific databases: Embase, the Cochrane Library, PubMed, Web of Science, China National Knowledge Infrastructure, Wanfang database, China Biological Medicine disc, CINAHL, and China Science and Technology Journal Database, from inception to April 1, 2023. The researchers retrieved studies on the measurement attributes of the exercise fear scale in patients with cardiovascular diseases. They also traced back the references of the included studies to supplement relevant literature. According to the inclusion and exclusion criteria, screening and data extraction were independently undertaken by two reviewers. Two researchers individually used the Consensus-based Standards for the selection of health Measurement Instruments (COSMIN) Risk of Bias Checklist to assess the methodological quality of the scale, applied the COSMIN criteria to evaluate the measurement properties of the scale, and used a modified Grading, Recommendations, Assessment, Development, and Evaluation system to assess the certainty of evidence.
Seventeen studies were identified that reported the psychometric properties of six patient reported outcome measurement tools (included different languages version) The methodological quality of content validity was adequate in only two studies, the remaining patient-reported outcome measures demonstrated doubtful content validity. Limited information on cross-cultural validity/measurement invariance, measurement error, and responsiveness was retrieved. The Swedish version and the Chinese version of the Tampa Scale for Kinesiophobia Heart were graded "A." The remaining instruments were graded "B."
The methodological and measurement attributes of the Swedish and Chinese versions of the Tampa Scale for Kinesiophobia Heart are relatively high quality and can be tentatively recommended. The measurement properties of the remaining scales remain to be verified.
本研究旨在评估心血管疾病患者运动恐惧评估工具的测量属性和方法学质量，为医护人员选择高质量评估工具提供参考。
对Embase、Cochrane图书馆、PubMed、Web of Science、中国知网、万方数据库、中国生物医学文献数据库、CINAHL和中国科技期刊数据库等特定数据库进行系统检索，检索时间范围从建库至2023年4月1日。研究人员检索了关于心血管疾病患者运动恐惧量表测量属性的研究。他们还追溯了纳入研究的参考文献以补充相关文献。根据纳入和排除标准，由两名 reviewers 独立进行筛选和数据提取。两名研究人员分别使用基于共识的健康测量工具选择标准（COSMIN）偏倚风险清单来评估量表的方法学质量，应用COSMIN标准评估量表的测量属性，并使用改良的分级、推荐、评估、发展和评价系统来评估证据的确定性。
共识别出17项报告了6种患者报告结局测量工具（包括不同语言版本）心理测量属性的研究。仅两项研究的内容效度方法学质量足够，其余患者报告结局测量显示内容效度存疑。检索到的关于跨文化效度/测量不变性、测量误差和反应性的信息有限。运动恐惧坦帕量表心脏版的瑞典语版本和中文版被评为“A”级。其余工具被评为“B”级。
运动恐惧坦帕量表心脏版的瑞典语和中文版的方法学和测量属性质量相对较高，可以初步推荐。其余量表的测量属性仍有待验证。
