Development and validation of an ICF-based new scale—Atılım Kinesiophobia Scale: A methodological study

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dc.authorid0000-0002-3062-1655
dc.authorid0000-0002-0335-2330
dc.authorid0000-0003-2913-2712
dc.authorid0000-0002-6919-2720
dc.authorid0000-0002-8593-9871
dc.authorid0000-0002-5116-1467
dc.authorid0009-0009-2636-4818
dc.authorid0000-0002-6433-7548
dc.authorid0000-0002-3609-4534
dc.authorid0000-0002-0855-9541
dc.contributor.authorUluğ, Naime
dc.contributor.authorParmaksız, Ayhan
dc.contributor.authorBegen, Sena Nur
dc.contributor.authorCan Karahan, Zehra
dc.contributor.authorYılmaz, Seval
dc.contributor.authorAdalı, Mehmet Fatih
dc.contributor.authorAslan, Sema Nur
dc.contributor.authorUysal, Özgür Selim
dc.contributor.authorEr, Dudu Melek
dc.contributor.authorTunca, Öznur
dc.contributor.authorKılıç, Erden
dc.date.accessioned2025-10-15T13:27:37Z
dc.date.available2025-10-15T13:27:37Z
dc.date.issued2025
dc.departmentFakülteler, Sağlık Bilimleri Fakültesi, Beslenme ve Diyetetik Bölümü
dc.description.abstractIt is important to assess kinesiophobia, which increases the risk of disability by limiting physical activity. In this cross-sectional study, we aimed to develop a scale that assesses kinesiophobia with the multidimensional structure of International Classification of Functioning, Disability and Health (ICF). Atılım Kinesiophobia Scale (AKS) was developed in Turkish by an expert panel using questionnaires replied by 367 subjects. Finally, 38 questions based on the sub-domains of the ICF described by World Health Organization. In the scope of this cross-sectional study content validity and reliability were assessed; construct validity (both convergent and divergent validity) was checked against Tampa Kinesiophobia Scale-17 and Visual Analog Scale. AKS demonstrated good internal consistency and convergent validity, with significant correlations observed with the Tampa Scale for Kinesiophobia-17 (r = 0.478, P < .001). Divergent validity was supported by insignificant correlations with the Visual Analog Scale (r = 0.019, P = .855). The Cronbach alpha coefficient of 0.862 indicates a high level of internal consistency for the AKS. Based on these findings, the final version of AKS was refined to include 4 factors and 14 items, demonstrating good internal validity. We developed and validated the AKS to assess kinesophobia in patients with acute and/or chronic musculoskeletal pain. This new ICF-based scale can be used to assess kinesiophobia; however further studies are required to prove its validity and reliability in other languages. Abbreviations: AKS = Atılım Kinesiophobia Scale, CFA = confirmatory factor analysis, CFI = comparative fit index, EFA = exploratory factor analysis, ICF = International Classification of Functioning, Disability and Health, KMO = Kaiser–Meyer–Olkin, RMSEA = root mean square error of approximation, SRMR = standardized root mean square residual, TSK = Tampa Kinesiophobia Scale, VAS = Visual Analog Scale.
dc.identifier.citationUluğ, N., Parmaksız, A., Begen, S. N., Can Karahan, Z., Yılmaz, S., Adalı, M. F., Aslan, S. N., Uysal, Ö. S., Er, D. M., Tunca, Ö., & Kılıç, E. (2025). Development and validation of an ICF-based new scale—Atılım Kinesiophobia Scale: A methodological study. Medicine, 104(41), pp. 1-11. http://dx.doi.org/10.1097/MD.0000000000044834
dc.identifier.doi10.1097/MD.0000000000044834
dc.identifier.endpage11
dc.identifier.issn1536-5964
dc.identifier.issue41
dc.identifier.scopusqualityQ2
dc.identifier.startpage1
dc.identifier.urihttp://dx.doi.org/10.1097/MD.0000000000044834
dc.identifier.urihttps://hdl.handle.net/20.500.13055/1136
dc.identifier.volume104
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.indekslendigikaynak.otherSCI-E - Science Citation Index Expanded
dc.institutionauthorParmaksız, Ayhan
dc.institutionauthorid0000-0002-0335-2330
dc.language.isoen
dc.publisherWolters Kluwer
dc.relation.ispartofMedicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectFear of Movement
dc.subjectICF
dc.subjectKinesiophobia
dc.subjectPain
dc.subjectScale
dc.titleDevelopment and validation of an ICF-based new scale—Atılım Kinesiophobia Scale: A methodological study
dc.typeArticle
dspace.entity.typePublication

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