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Psychometric Features of the Polish Version of TSK Heart in Elderly Patients with Coronary Artery Disease

Andrzej Knapik1, Józefa Dąbek2, Weronika Gallert-Kopyto3

  • 1Department of Adapted Physical Activity and Sport, Chair of Physiotherapy, School of Health Sciences in Katowice, Medical University of Silesia, 40-055 Katowice, Poland.

Medicina (Kaunas, Lithuania)
|September 16, 2020
PubMed

Insights

Fear of movement, or kinesiophobia, is a significant barrier to physical activity in coronary artery disease (CAD) patients. The Polish version of the Tampa Scale for Kinesiophobia Heart (TSK Heart) is a reliable tool for assessing this fear in CAD patients.

Area of Science:

  • Cardiology
  • Psychology
  • Rehabilitation

Background:

  • Physical activity (PA) is crucial for managing coronary artery disease (CAD), but many patients do not meet recommended levels.
  • Psychological factors, particularly fear of movement (kinesiophobia), may contribute to low PA in CAD patients.
  • Assessing kinesiophobia is important for improving PA adherence and rehabilitation outcomes.

Purpose of the Study:

  • To evaluate the psychometric properties of the Polish version of the Tampa Scale for Kinesiophobia Heart (TSK Heart) in patients with stable CAD.
  • To determine the reliability and validity of the TSK Heart for use in a Polish cardiac population.
  • To explore the relationship between kinesiophobia, physical activity, and psychological distress in CAD patients.

Main Methods:

  • A study involving 287 patients with stable CAD (112 women, 175 men; mean age 63.50 years).
  • Kinesiophobia assessed using the TSK Heart, PA using the International Physical Activity Questionnaire (IPAQ), and anxiety/depression using the Hospital Anxiety and Depression Scale (HADS).
  • Psychometric evaluation included principal component analysis (PCA), Cronbach's alpha (AC) for reliability, and linear regression for validity.

Main Results:

  • PCA revealed a three-factor structure for the TSK Heart.
  • The Polish version of TSK Heart demonstrated satisfactory reliability (AC = 0.878) and one-dimensionality.
  • Kinesiophobia significantly predicted PA (R² = 0.162, p < 0.000001) and was associated with anxiety and depression (R² = 0.093, p < 0.00000).

Conclusions:

  • The Polish version of the TSK Heart exhibits good psychometric properties for assessing kinesiophobia in cardiac patients.
  • This validated scale can aid rehabilitation teams in identifying and addressing fear of movement in CAD patients.
  • Improved assessment of kinesiophobia may enhance patient cooperation and outcomes in cardiac rehabilitation programs.

Keywords:
CADTSK Heartkinesiophobiaphysical activity

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