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.

Stubbs, C; McAuliffe, S; Chimenti, RL; Coombes, BK; Haines, T; Heales, L; de Vos, RJ; Lehman, G; Mallows, A; Michner, LA; Millar, NL; O'Neill, S; O'Sullivan, K; Plinsinga, M; Rathleff, M; Rio, E; Ross, M; Roy, J-S; Silbernagel, KG; Thomson, A; Trevail, T; van den Akker-Scheek, I; Vicenzino, B; Vlaeyen, JWS; Pinto, RZ; Malliaras, P

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.

Stubbs, C McAuliffe, S Chimenti, RL Coombes, BK Haines, T Heales, L de Vos, RJ Lehman, G Mallows, A Michner, LA Millar, NL O'Neill, S O'Sullivan, K Plinsinga, M Rathleff, M Rio, E Ross, M Roy, J-S Silbernagel, KG Thomson, A Trevail, T van den Akker-Scheek, I Vicenzino, B Vlaeyen, JWS Pinto, RZ Malliaras, P

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Publisher:: J O S P T
Publication Type:: Journal Article
Citation:: J Orthop Sports Phys Ther, 2024, 54, (1), pp. 14-25
Issue Date:: 2024-01

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Field	Value	Language
dc.contributor.author	Stubbs, C
dc.contributor.author	McAuliffe, S
dc.contributor.author	Chimenti, RL
dc.contributor.author	Coombes, BK
dc.contributor.author	Haines, T
dc.contributor.author	Heales, L
dc.contributor.author	de Vos, RJ
dc.contributor.author	Lehman, G
dc.contributor.author	Mallows, A
dc.contributor.author	Michner, LA
dc.contributor.author	Millar, NL
dc.contributor.author	O'Neill, S
dc.contributor.author	O'Sullivan, K
dc.contributor.author	Plinsinga, M
dc.contributor.author	Rathleff, M
dc.contributor.author	Rio, E
dc.contributor.author	Ross, M
dc.contributor.author	Roy, J-S
dc.contributor.author	Silbernagel, KG
dc.contributor.author	Thomson, A
dc.contributor.author	Trevail, T
dc.contributor.author	van den Akker-Scheek, I
dc.contributor.author	Vicenzino, B
dc.contributor.author	Vlaeyen, JWS
dc.contributor.author	Pinto, RZ
dc.contributor.author	Malliaras, P
dc.date.accessioned	2025-03-10T01:37:49Z
dc.date.available	2025-03-10T01:37:49Z
dc.date.issued	2024-01
dc.identifier.citation	J Orthop Sports Phys Ther, 2024, 54, (1), pp. 14-25
dc.identifier.issn	0190-6011
dc.identifier.issn	1938-1344
dc.identifier.uri	http://hdl.handle.net/10453/185606
dc.description.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. doi:10.2519/jospt.2023.11903.
dc.format	Print
dc.language	eng
dc.publisher	J O S P T
dc.relation.ispartof	J Orthop Sports Phys Ther
dc.relation.isbasedon	10.2519/jospt.2023.11903
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences, 1106 Human Movement and Sports Sciences
dc.subject.classification	Orthopedics
dc.subject.classification	3202 Clinical sciences
dc.subject.classification	4201 Allied health and rehabilitation science
dc.subject.classification	4207 Sports science and exercise
dc.subject.mesh	Humans
dc.subject.mesh	Delphi Technique
dc.subject.mesh	Pain
dc.subject.mesh	Fear
dc.subject.mesh	Self Efficacy
dc.subject.mesh	Tendinopathy
dc.subject.mesh	Humans
dc.subject.mesh	Pain
dc.subject.mesh	Fear
dc.subject.mesh	Self Efficacy
dc.subject.mesh	Delphi Technique
dc.subject.mesh	Tendinopathy
dc.subject.mesh	Humans
dc.subject.mesh	Delphi Technique
dc.subject.mesh	Pain
dc.subject.mesh	Fear
dc.subject.mesh	Self Efficacy
dc.subject.mesh	Tendinopathy
dc.title	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.
dc.type	Journal Article
utslib.citation.volume	54
utslib.location.activity	United States
utslib.for	1103 Clinical Sciences
utslib.for	1106 Human Movement and Sports Sciences
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
pubs.organisational-group	University of Technology Sydney/Faculty of Health/Graduate School of Health
pubs.organisational-group	University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Physiotherapy
utslib.copyright.status	closed_access	*
dc.date.updated	2025-03-10T01:37:45Z
pubs.issue	1
pubs.publication-status	Published
pubs.volume	54
utslib.citation.issue	1

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. doi:10.2519/jospt.2023.11903.

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http://hdl.handle.net/10453/185606