Which Psychological and Psychosocial Constructs Are Important to Measure in Future Tendinopathy Clinical Trials? A Modified International Delphi Study With Expert Clinician/Researchers and People With Tendinopathy.
J Orthop Sports Phys Ther
; 54(1): 14-25, 2024 01.
Article
en En
| MEDLINE
| ID: mdl-37729020
ABSTRACT
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. doi10.2519/jospt.2023.11903.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Dolor
/
Tendinopatía
Tipo de estudio:
Prognostic_studies
Límite:
Humans
Idioma:
En
Revista:
J Orthop Sports Phys Ther
Año:
2024
Tipo del documento:
Article