TY - JOUR
T1 - Which psychological and psychosocial constructs are important to measure in future tendinopathy clinical trials?
T2 - A modified international Delphi study with expert clinician/researchers and people with tendinopathy
AU - Stubbs, Carl
AU - Mc Auliffe, Sean
AU - Chimenti, Ruth L
AU - Coombes, Brooke K
AU - Haines, Terry
AU - Heales, Luke
AU - Vos, Robert Jan
AU - Lehman, Greg
AU - Mallows, Adrian
AU - Michner, Lori A
AU - Millar, Neal B W
AU - O'Neill, Seth
AU - O'Sullivan, Kieran
AU - Plinsinga, Melanie
AU - Rathleff, Michael
AU - Rio, Ebonie
AU - Ross, Megan
AU - Roy, Jean-Sebastien
AU - Silbernagel, Karin Gravare
AU - Thomson, Athol
AU - Trevail, Tim
AU - Akker-Scheek, Inge
AU - Vicenzino, Bill
AU - Vlaeyen, Johan W. S.
AU - Pinto, Rafael Zambelli
AU - Malliaras, Peter
PY - 2024/1/1
Y1 - 2024/1/1
N2 - OBJECTIVE: To identify which psychological and psychosocial constructs to include in a core outcome set to guide future clinical trials in the tendinopathy field. DESIGN: Modified International Delphi study. METHODS: In 3 online Delphi rounds, we presented 35 psychological and psychosocial constructs to an international panel of 38 clinician/researchers and people with tendinopathy. Using a 9-point Likert scale (1 = not important to include, 9 = critical to include), consensus for construct inclusion required ≥70% of respondents rating "extremely critical to include" (score ≥7) and ≤15% rating "not important to include" (score ≤3). Consensus for exclusion required ≥70% of respondents rating "not important to include" (score ≤3) and ≤15% of rating "critical to include" (score ≥7). RESULTS: Thirty-six participants (95% of 38) completed round 1, 90% (n = 34) completed round 2, and 87% (n = 33) completed round 3. Four constructs were deemed important to include as part of a core outcome set: kinesiophobia (82%, median: 8, interquartile range [IQR]: 1.0), pain beliefs (76%, median: -7, IQR: 1.0), pain-related self-efficacy (71%, median: 7, IQR: 2.0), and fear-avoidance beliefs (73%, median: -7, IQR: 1.0). Six constructs were deemed not important to include: perceived injustice (82%), individual attitudes of family members (74%), social isolation and loneliness (73%), job satisfaction (73%), coping (70%), and educational attainment (70%). Clinician/researchers and people with tendinopathy reached consensus that kinesiophobia, pain beliefs, pain self-efficacy, and fear-avoidance beliefs were important psychological constructs to measure in tendinopathy clinical trials. J Orthop Sports Phys Ther 2024;54(1):1-12. Epub 20 September 2023. doi:10.2519/jospt.2023.11903.
AB - OBJECTIVE: To identify which psychological and psychosocial constructs to include in a core outcome set to guide future clinical trials in the tendinopathy field. DESIGN: Modified International Delphi study. METHODS: In 3 online Delphi rounds, we presented 35 psychological and psychosocial constructs to an international panel of 38 clinician/researchers and people with tendinopathy. Using a 9-point Likert scale (1 = not important to include, 9 = critical to include), consensus for construct inclusion required ≥70% of respondents rating "extremely critical to include" (score ≥7) and ≤15% rating "not important to include" (score ≤3). Consensus for exclusion required ≥70% of respondents rating "not important to include" (score ≤3) and ≤15% of rating "critical to include" (score ≥7). RESULTS: Thirty-six participants (95% of 38) completed round 1, 90% (n = 34) completed round 2, and 87% (n = 33) completed round 3. Four constructs were deemed important to include as part of a core outcome set: kinesiophobia (82%, median: 8, interquartile range [IQR]: 1.0), pain beliefs (76%, median: -7, IQR: 1.0), pain-related self-efficacy (71%, median: 7, IQR: 2.0), and fear-avoidance beliefs (73%, median: -7, IQR: 1.0). Six constructs were deemed not important to include: perceived injustice (82%), individual attitudes of family members (74%), social isolation and loneliness (73%), job satisfaction (73%), coping (70%), and educational attainment (70%). Clinician/researchers and people with tendinopathy reached consensus that kinesiophobia, pain beliefs, pain self-efficacy, and fear-avoidance beliefs were important psychological constructs to measure in tendinopathy clinical trials. J Orthop Sports Phys Ther 2024;54(1):1-12. Epub 20 September 2023. doi:10.2519/jospt.2023.11903.
KW - Fear-avoidance beliefs
KW - Kinesiophobia
KW - Pain beliefs
KW - Pain self -efficacy
U2 - 10.2519/jospt.2023.11903
DO - 10.2519/jospt.2023.11903
M3 - Article
SN - 0190-6011
VL - 54
SP - 14
EP - 25
JO - Journal of Orthopaedic & Sports Physical Therapy
JF - Journal of Orthopaedic & Sports Physical Therapy
IS - 1
ER -