{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T06:12:27Z","timestamp":1790662347672,"version":"4.1.0"},"reference-count":44,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2021,12,2]],"date-time":"2021-12-02T00:00:00Z","timestamp":1638403200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","award":["001"],"award-info":[{"award-number":["001"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>The purpose of this study was to develop the Avoidance of Daily Activities Photo Scale (ADAP Shoulder Scale) to measure shoulder pain\u2013related avoidance behavior in patients with shoulder pain and evaluate and report the structural validity and internal consistency of the scale.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Potential daily activities involving the shoulder were selected from the activities and participation domain of the International Classification of Functioning, Disability and Health. The selected activities were presented to an expert panel, health care professionals, and patients with shoulder pain with the question \u201cHow much do you think it is important to ask patients with shoulder pain about this activity?\u201d Activities attaining a content validity index (CVI) \u2265 0.8 were represented using a digitally colored photograph. Activity photographs were evaluated by health care professionals and patients with shoulder pain. Photographs with a CVI \u2265 0.8 were included in the scale. To evaluate structural validity and internal consistency of the scale, exploratory factor analysis was performed to determine the presence of any scale domain. Cronbach alpha was calculated to indicate the internal consistency of each domain.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Of the 107 preselected activities, 21 attained a CVI \u2265 0.8. Eighteen photographs (CVI\u2009\u2265\u20090.8) were included in the scale after being analyzed by 120 health care professionals and 50 patients with shoulder pain. Exploratory factor analysis (N\u2009=\u2009156) showed that the ADAP Shoulder Scale consists of 3 domains: free movement, high effort, and self-care. The internal consistencies of the domains were 0.92, 0.89, and 0.92, respectively.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>The ADAP Shoulder Scale included 15 photographs distributed in 3 domains. All domains had a high internal consistency. The scale is easily applicable, well understood, and relevant for shoulder pain.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Impact<\/jats:title>\n                  <jats:p>The ADAP Shoulder Scale can be used to rate shoulder pain\u2013related avoidance behaviors.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ptj\/pzab268","type":"journal-article","created":{"date-parts":[[2021,11,30]],"date-time":"2021-11-30T12:07:43Z","timestamp":1638274063000},"source":"Crossref","is-referenced-by-count":16,"title":["Development of the Avoidance Daily Activities Photo Scale for Patients With Shoulder Pain"],"prefix":"10.1093","volume":"102","author":[{"given":"Walter","family":"Ansanello","sequence":"first","affiliation":[{"name":"Department of Health Sciences, Ribeir\u00e3o Preto Medical School, University of S\u00e3o Paulo, Ribeir\u00e3o Preto, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felipe Jos\u00e9 Jandre","family":"dos Reis","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Federal Institute of Rio de Janeiro, Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcela Camargo","family":"Tozzo","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Ribeir\u00e3o Preto Medical School, University of S\u00e3o Paulo, Ribeir\u00e3o Preto, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salom\u00e3o Chade Assan","family":"Zatiti","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Hospital Especializado de Ribeir\u00e3o Preto, Ribeir\u00e3o Preto, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann","family":"Meulders","sequence":"additional","affiliation":[{"name":"Department of Medical, Clinical and Experimental Psychology, University of Maastricht, Maastricht, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johan W S","family":"Vlaeyen","sequence":"additional","affiliation":[{"name":"Research Group Health Psychology, KU Leuven, Leuven, Belgium"},{"name":"Experimental Health Psychology, Department of Clinical Psychological Science, Maastricht University, Maastricht, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5854-0016","authenticated-orcid":false,"given":"Anamaria Siriani","family":"de Oliveira","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Ribeir\u00e3o Preto Medical School, University of S\u00e3o Paulo, Ribeir\u00e3o Preto, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,12,2]]},"reference":[{"key":"2022030109502419900_ref1","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1136\/ard.2003.019349","article-title":"Incidence and prevalence of complaints of the neck and upper extremity in general practice","volume":"64","author":"Bot","year":"2005","journal-title":"Ann Rheum Dis"},{"key":"2022030109502419900_ref2","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1136\/ard.57.11.649","article-title":"Estimating the burden of musculoskeletal disorders in the community: the comparative prevalence of symptoms at different anatomical sites, and the relation to social deprivation","volume":"57","author":"Urwin","year":"1998","journal-title":"Ann Rheum Dis"},{"key":"2022030109502419900_ref3","doi-asserted-by":"crossref","DOI":"10.1186\/1471-2474-7-83","article-title":"Costs of shoulder pain in primary care consulters: a prospective cohort study in the Netherlands","volume":"7","author":"Kuijpers","year":"2006","journal-title":"BMC Musculoskelet Disord"},{"key":"2022030109502419900_ref4","first-page":"519","article-title":"Shoulder disorders in general practice: prognostic indicators of outcome","volume":"46","author":"Van Der Windt","year":"1996","journal-title":"Br J Gen Pract"},{"key":"2022030109502419900_ref5","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1016\/j.msksp.2017.10.008","article-title":"Subacromial impingement syndrome \u2013 what does this mean to and for the patient? 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