RT Journal Article
T1 Cross-cultural adaptation and validity of the Spanish fear-avoidance components scale and clinical implications in primary care
A1 Cuesta-Vargas, Antonio I.
A1 Neblett, Randy
A1 Gatchel, Robert J.
A1 Roldán-Jiménez, Cristina
K1 Fear-avoidance
K1 The fear-avoidance components scale
K1 FACS
K1 Chronic musculoskeletal pain disorders
K1 Patient health questionnaire
K1 Decision making
K1 Primary care
K1 Citometría de flujo
K1 Dolor musculoesquelético
K1 Cuestionario de salud del paciente
K1 Toma de decisiones
K1 Atención primaria de salud
K1 Andalucía
AB Background: Pain-related fear-avoidance (FA) is a common problem affecting many patients with painful medical conditions. As there is great interest in the clinical importance of the relationship between FA and disability, severalquestionnaires have been developed to measure FA. The Fear-Avoidance Components Scale (FACS) is a recently developed patient-reported instrument that addresses critical issues not previously considered in previous FA related questionnaires. The original English version of the FACS demonstrated good reliability, internal consistency, and construct, criterion, and predictive validity. Two factors were determined: General Fear Avoidance and Types of Activities That are Avoided. The aim of this study was to to translate the FACS into European-style Spanish (FACSSp), and validate its psychometric properties.Methods: This two-stage psychometric study included 330 subjects with various chronic musculoskeletal paindisorders. An initial translation and cross-cultural adaptation of the FACS, from English to Spanish, was performed.Then, critical psychometric properties were analysed, including internal consistency by Cronbach’s α coefficients, structural validity from the Maximum Likelihood Extraction (MLE), and convergent validity by Pearson correlation with the Central Sensitization Inventory (CSI).Results: This study reports for the first time the psychometric properties of the Spanish version of the FACS. Total scores ranged from 0 to 88 points, with a mean of 30.49 (±17.18). The FACS-Sp showed a high internal consistency for factor 1 (α = 0.902) and factor 2 (α = 0.88). Factor structure was two-dimensional and supported structural validity, accounting for 48.75% of the total variance. Convergent validity analysis found a significant Pearson correlation r = 0.414.Conclusion: This study reports for the first time the psychometric properties of the Spanish version of the FACS-Sp. Psychometric properties supported the validation of FACS-Sp and ensured the conceptual equivalence with the original English version. In primary care and chronic pain rehabilitation, FA assessment is crucial for clinical decisionmaking and treatment guidance. The FACS-Sp offers a new measure of FA in Spanish speaking populations. Future research on the FACS-Sp should evaluate test-retest reliability, treatment responsiveness and psychometric comparisons with other translated versions.
PB BioMed Central, Springer Nature
YR 2020
FD 2020-02-27
LK http://hdl.handle.net/10668/4029
UL http://hdl.handle.net/10668/4029
LA en
NO Cuesta-Vargas AI, Neblett R, Gatchel RJ, Roldán-Jiménez C. Cross-cultural adaptation and validity of the Spanish fear-avoidance components scale and clinical implications in primary care. BMC Fam Pract. 2020 Feb 27;21(1):44
DS RISalud
RD Apr 6, 2025