Development of the Avoidance Daily Activities Photo Scale for Patients With Shoulder Pain

Walter Ansanello; Felipe José Jandre Reis; Marcela Camargo Tozzo; Salomão Chade Assan Zatiti; Ann Meulders; Johan W. S. Vlaeyen; Anamaria Siriani de Oliveira

doi:10.1093/ptj/pzab268

Development of the Avoidance Daily Activities Photo Scale for Patients With Shoulder Pain

Walter Ansanello, Felipe José Jandre Reis, Marcela Camargo Tozzo, Salomão Chade Assan Zatiti, Ann Meulders, Johan W. S. Vlaeyen, Anamaria Siriani de Oliveira^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

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Abstract

OBJECTIVES: The purpose of this study was to develop the Avoidance of Daily Activities Photo Scale (ADAP shoulder scale) to measure shoulder pain-related avoidance behavior in patients with shoulder pain and evaluate and report the structural validity and internal consistency of the scale.

METHODS: Potential daily activities involving the shoulder were selected from the activities and participation domain of the International Classification of Functioning, Disability and Health (ICF). The selected activities were presented to an expert panel, health care professionals, and patients with shoulder pain with the question, "How much do you think it is important to ask patients with shoulder pain about this activity?" Activities attaining a content validity index (CVI) of ≥0.8 were represented using a digitally colored photograph. Activity photographs were evaluated by health care professionals and patients with shoulder pain. Photographs with a CVI of ≥0.8 were included in the scale. To evaluate structural validity and internal consistency of the scale, exploratory factor analysis was performed to determine the presence of any scale domain. Cronbach alpha was calculated to indicate the internal consistency of each domain.

RESULTS: Of the 107 preselected activities, 21 attained a CVI of ≥0.8. Eighteen photographs (CVI ≥ 0.8) were included in the scale after being analyzed by 120 health care professionals and 50 patients with shoulder pain. Exploratory factor analysis (N = 156) showed that the ADAP shoulder scale consists of 3 domains: "free movement," "high effort," and "self-care." The internal consistencies of the domains were 0.92, 0.89, and 0.92, respectively.

CONCLUSION: The ADAP shoulder scale included 15 photographs distributed in 3 domains. All domains had a high internal consistency. The scale is easily applicable, well understood, and relevant for shoulder pain.

IMPACT: The ADAP Shoulder Scale can be used to rate shoulder pain-related avoidance behaviors.

Original language	English
Article number	pzab268
Number of pages	11
Journal	Physical Therapy
Volume	102
Issue number	2
Early online date	2 Dec 2021
DOIs	https://doi.org/10.1093/ptj/pzab268
Publication status	Published - 1 Feb 2022

Keywords

Emotions
Fear
Rehabilitation
Reproducibility of Results
Shoulder Pain
Validation Studies
LOW-BACK-PAIN
EXPOSURE IN-VIVO
UPPER EXTREMITY
FEAR
MODEL
PREVALENCE
DISABILITY
DISORDERS
COSMIN
STATE

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10.1093/ptj/pzab268

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title = "Development of the Avoidance Daily Activities Photo Scale for Patients With Shoulder Pain",

abstract = "OBJECTIVES: The purpose of this study was to develop the Avoidance of Daily Activities Photo Scale (ADAP shoulder scale) to measure shoulder pain-related avoidance behavior in patients with shoulder pain and evaluate and report the structural validity and internal consistency of the scale.METHODS: Potential daily activities involving the shoulder were selected from the activities and participation domain of the International Classification of Functioning, Disability and Health (ICF). The selected activities were presented to an expert panel, health care professionals, and patients with shoulder pain with the question, {"}How much do you think it is important to ask patients with shoulder pain about this activity?{"} Activities attaining a content validity index (CVI) of ≥0.8 were represented using a digitally colored photograph. Activity photographs were evaluated by health care professionals and patients with shoulder pain. Photographs with a CVI of ≥0.8 were included in the scale. To evaluate structural validity and internal consistency of the scale, exploratory factor analysis was performed to determine the presence of any scale domain. Cronbach alpha was calculated to indicate the internal consistency of each domain.RESULTS: Of the 107 preselected activities, 21 attained a CVI of ≥0.8. Eighteen photographs (CVI ≥ 0.8) were included in the scale after being analyzed by 120 health care professionals and 50 patients with shoulder pain. Exploratory factor analysis (N = 156) showed that the ADAP shoulder scale consists of 3 domains: {"}free movement,{"} {"}high effort,{"} and {"}self-care.{"} The internal consistencies of the domains were 0.92, 0.89, and 0.92, respectively.CONCLUSION: The ADAP shoulder scale included 15 photographs distributed in 3 domains. All domains had a high internal consistency. The scale is easily applicable, well understood, and relevant for shoulder pain.IMPACT: The ADAP Shoulder Scale can be used to rate shoulder pain-related avoidance behaviors.",

keywords = "Emotions, Fear, Rehabilitation, Reproducibility of Results, Shoulder Pain, Validation Studies, LOW-BACK-PAIN, EXPOSURE IN-VIVO, UPPER EXTREMITY, FEAR, MODEL, PREVALENCE, DISABILITY, DISORDERS, COSMIN, STATE",

author = "Walter Ansanello and Reis, {Felipe Jos{\'e} Jandre} and Tozzo, {Marcela Camargo} and Zatiti, {Salom{\~a}o Chade Assan} and Ann Meulders and Vlaeyen, {Johan W. S.} and {de Oliveira}, {Anamaria Siriani}",

note = "{\textcopyright} The Author(s) 2021. Published by Oxford University Press on behalf of the American Physical Therapy Association. All rights reserved. For permissions, please email: [email protected].",

year = "2022",

month = feb,

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doi = "10.1093/ptj/pzab268",

language = "English",

volume = "102",

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issn = "0031-9023",

publisher = "Oxford University Press",

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T1 - Development of the Avoidance Daily Activities Photo Scale for Patients With Shoulder Pain

AU - Ansanello, Walter

AU - Reis, Felipe José Jandre

AU - Tozzo, Marcela Camargo

AU - Zatiti, Salomão Chade Assan

AU - Meulders, Ann

AU - Vlaeyen, Johan W. S.

AU - de Oliveira, Anamaria Siriani

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N2 - OBJECTIVES: The purpose of this study was to develop the Avoidance of Daily Activities Photo Scale (ADAP shoulder scale) to measure shoulder pain-related avoidance behavior in patients with shoulder pain and evaluate and report the structural validity and internal consistency of the scale.METHODS: Potential daily activities involving the shoulder were selected from the activities and participation domain of the International Classification of Functioning, Disability and Health (ICF). The selected activities were presented to an expert panel, health care professionals, and patients with shoulder pain with the question, "How much do you think it is important to ask patients with shoulder pain about this activity?" Activities attaining a content validity index (CVI) of ≥0.8 were represented using a digitally colored photograph. Activity photographs were evaluated by health care professionals and patients with shoulder pain. Photographs with a CVI of ≥0.8 were included in the scale. To evaluate structural validity and internal consistency of the scale, exploratory factor analysis was performed to determine the presence of any scale domain. Cronbach alpha was calculated to indicate the internal consistency of each domain.RESULTS: Of the 107 preselected activities, 21 attained a CVI of ≥0.8. Eighteen photographs (CVI ≥ 0.8) were included in the scale after being analyzed by 120 health care professionals and 50 patients with shoulder pain. Exploratory factor analysis (N = 156) showed that the ADAP shoulder scale consists of 3 domains: "free movement," "high effort," and "self-care." The internal consistencies of the domains were 0.92, 0.89, and 0.92, respectively.CONCLUSION: The ADAP shoulder scale included 15 photographs distributed in 3 domains. All domains had a high internal consistency. The scale is easily applicable, well understood, and relevant for shoulder pain.IMPACT: The ADAP Shoulder Scale can be used to rate shoulder pain-related avoidance behaviors.

AB - OBJECTIVES: The purpose of this study was to develop the Avoidance of Daily Activities Photo Scale (ADAP shoulder scale) to measure shoulder pain-related avoidance behavior in patients with shoulder pain and evaluate and report the structural validity and internal consistency of the scale.METHODS: Potential daily activities involving the shoulder were selected from the activities and participation domain of the International Classification of Functioning, Disability and Health (ICF). The selected activities were presented to an expert panel, health care professionals, and patients with shoulder pain with the question, "How much do you think it is important to ask patients with shoulder pain about this activity?" Activities attaining a content validity index (CVI) of ≥0.8 were represented using a digitally colored photograph. Activity photographs were evaluated by health care professionals and patients with shoulder pain. Photographs with a CVI of ≥0.8 were included in the scale. To evaluate structural validity and internal consistency of the scale, exploratory factor analysis was performed to determine the presence of any scale domain. Cronbach alpha was calculated to indicate the internal consistency of each domain.RESULTS: Of the 107 preselected activities, 21 attained a CVI of ≥0.8. Eighteen photographs (CVI ≥ 0.8) were included in the scale after being analyzed by 120 health care professionals and 50 patients with shoulder pain. Exploratory factor analysis (N = 156) showed that the ADAP shoulder scale consists of 3 domains: "free movement," "high effort," and "self-care." The internal consistencies of the domains were 0.92, 0.89, and 0.92, respectively.CONCLUSION: The ADAP shoulder scale included 15 photographs distributed in 3 domains. All domains had a high internal consistency. The scale is easily applicable, well understood, and relevant for shoulder pain.IMPACT: The ADAP Shoulder Scale can be used to rate shoulder pain-related avoidance behaviors.

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KW - Fear

KW - Rehabilitation

KW - Reproducibility of Results

KW - Shoulder Pain

KW - Validation Studies

KW - LOW-BACK-PAIN

KW - EXPOSURE IN-VIVO

KW - UPPER EXTREMITY

KW - FEAR

KW - MODEL

KW - PREVALENCE

KW - DISABILITY

KW - DISORDERS

KW - COSMIN

KW - STATE

U2 - 10.1093/ptj/pzab268

DO - 10.1093/ptj/pzab268

M3 - Article

C2 - 34935976

SN - 0031-9023

VL - 102

JO - Physical Therapy

JF - Physical Therapy

IS - 2

M1 - pzab268

ER -

Development of the Avoidance Daily Activities Photo Scale for Patients With Shoulder Pain

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Keywords

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