Changes in fear of movement in patients attending cardiac rehabilitation: responsiveness of the TSK-NL Heart

Abstract Funding Acknowledgements Type of funding sources: None. Background An important factor related to low physical activity in cardiac patients is fear movement (kinesiophobia). The setting rehabilitation (CR) seems suitable for targeting kinesiophobia. Nevertheless, the impact CR on kinesiophobia currently unknown, partly due absence information responsiveness instruments measure Purpose To determine Dutch version Tampa Scale Kinesiophobia questionnaire (TSK-NL Heart), asses changes during participation and assess predictors high levels at completion CR. Methods This study was performed among 109 (mean age: 61 years; 76% men) who participated a 6- till 12-week program. measured using TSK-NL Heart questionnaire. Heart, Cardiac Anxiety Questionnaire (CAQ) general anxiety scale Hospital Depression (HADS-A) were used as external measures. All questionnaires completed pre- post-CR. Internal estimated by calculating effect size (ES) standardized response mean (SRM). External determined correlation between change scores heart Furthermore, univariate logistic regression analysis with dichotomized score post-CR dependent variable (high vs scores) baseline characteristics (age, sex, reason referral pre-CR CAQ HADS) predictor variables. Results Prevalence improved from 40.4% 25.7% (p = 0.05). Both ES SRM TSK moderate an HADS-A (respectively 0.52; 0.57 0.54; 0.60) small stable (ES 0; 0 0.26; 0.36). There (Rs 0.30, p 0.023) =0.21, 0.107). odds having increased level (OR= 9.83, 95%CI: 3.52-27.46), higher (OR 1.12, 1.06-1.19), 1.26, 95% CI: 1.11-1.42). Conclusion has responsiveness. In addition, this shows that there are reductions course large number (26%) still had Interventions should focus enter kinesiophobia, generic anxiety.