{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T08:50:59Z","timestamp":1777539059874,"version":"3.51.4"},"reference-count":39,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2011,5,2]],"date-time":"2011-05-02T00:00:00Z","timestamp":1304294400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2012,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Objective<\/jats:italic>: To date, there is no validated questionnaire to assess fear of movement in cancer survivors. We aim to validate the Modified Tampa Scale of Kinesiophobia\u2010Fatigue (TSK\u2010F) in Dutch cancer survivors participating in a rehabilitation programme. We first select the optimal model for cancer survivors. Subsequently, stability, internal consistency, and construct validity of the optimal model is tested.<\/jats:p><jats:p><jats:italic>Methods<\/jats:italic>: A sample of 658 cancer survivors participating in a rehabilitation programme was included. Out of nine models derived in chronic pain and chronic fatigue patients, the optimal model of the TSK\u2010F was selected in a calibration sample (<jats:italic>n<\/jats:italic><jats:sub>1<\/jats:sub> = 329) using confirmatory factor analysis. Stability of the derived optimal model was confirmed in a validation sample (<jats:italic>n<\/jats:italic><jats:sub>2<\/jats:sub> = 329). Internal consistency and construct validity were assessed in the full sample.<\/jats:p><jats:p><jats:italic>Results<\/jats:italic>: The 11\u2010item two\u2010factor model of the TSK\u2010F was the best\u2010fitting model for cancer survivors and it seemed to be invariant for sex and cancer diagnosis. Internal consistency of the model was acceptable (Cronbach's alpha between 0.62 and 0.74). Construct validity was illustrated by significant associations between TSK\u2010F total and TSK\u2010F somatic focus with perceived global health status (EORTC\u2010QOL\u2010C30) and fatigue (FACT\u2010F) (<jats:italic>p<\/jats:italic>&lt;0.001).<\/jats:p><jats:p><jats:italic>Conclusions<\/jats:italic>: The adjusted 11\u2010item TSK\u2010F consisting of two subscales \u2018somatic focus\u2019 and \u2018activity avoidance\u2019 seems to be a robust and valid tool in measuring fear of movement in cancer survivors with an acceptable internal consistency. Further psychometric testing of the TSK\u2010F in cancer survivors is recommended. In the future, TSK\u2010F scores may be used to customise rehabilitation programmes in cancer survivors.Copyright \u00a9 2011 John Wiley &amp; Sons, Ltd.<\/jats:p>","DOI":"10.1002\/pon.1971","type":"journal-article","created":{"date-parts":[[2011,5,2]],"date-time":"2011-05-02T09:36:54Z","timestamp":1304329014000},"page":"762-770","source":"Crossref","is-referenced-by-count":37,"title":["Fear of movement in cancer survivors: validation of the Modified Tampa Scale of Kinesiophobia\u2014Fatigue"],"prefix":"10.1002","volume":"21","author":[{"given":"Miranda J.","family":"Velthuis","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eva","family":"Van den Bussche","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne M.","family":"May","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brigitte C. 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