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Title Authors PubMed ID
1 Cultural Adaptation and Validation of the Athlete Fear-Avoidance Questionnaire in Arabic: Preliminary Analysis of Fear-Avoidance in ACL-Reconstructed Recreational Players Alanazi R; Kashoo FZ; Alrashdi N; Alanazi S; Shaik AR; Sirajudeen MS; Alenazi A; Nambi G; Dover G; Alanazi AD; 40190690
HKAP
2 Dispositional mindfulness profiles and psychological symptoms: a latent profile analysis Mehrabi F; Beshai S; 39944045
PSYCHOLOGY
3 Examining Dimensionality and Item-Quality of the Eating Disorder Examination Questionnaire in Individuals With Eating Disorders Using Item Response Theory Analysis Dufour R; Steiger H; Booij L; 39548958
PSYCHOLOGY
4 Single Digit Index Finger Amputation-To Replant or Not? Thibedeau M; Ramji M; McKenzie M; Yeung J; Nickerson DA; 36755823
BIOLOGY
5 Concurrent Validity of the Adult Eating Behavior Questionnaire in a Canadian Sample Cohen TR; Kakinami L; Plourde H; Hunot-Alexander C; Beeken RJ; 34925181
PERFORM
6 External validation of a shortened screening tool using individual participant data meta-analysis: A case study of the Patient Health Questionnaire-Dep-4 Harel D; Levis B; Sun Y; Fischer F; Ioannidis JPA; Cuijpers P; Patten SB; Ziegelstein RC; Markham S; Benedetti A; Thombs BD; 34780986
CONCORDIA
7 Shortening self-report mental health symptom measures through optimal test assembly methods: Development and validation of the Patient Health Questionnaire-Depression-4 Ishihara M; Harel D; Levis B; Levis AW; Riehm KE; Saadat N; Azar M; Rice DB; Sanchez TA; Chiovitti MJ; Cuijpers P; Gilbody S; Ioannidis JPA; Kloda LA; McMillan D; Patten SB; Shrier I; Arroll B; Bombardier CH; Butterworth P; Carter G; Clover K; Conwell Y; Goodyear-Smith F; Greeno CG; Hambridge J; Harrison PA; Hudson M; Jetté N; Kiely KM; McGuire A; Pence BW; Rooney AG; Sidebottom A; Simning A; Turner A; White J; Whooley MA; Winkley K; Benedetti A; Thombs BD; 30238571
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Title:Cultural Adaptation and Validation of the Athlete Fear-Avoidance Questionnaire in Arabic: Preliminary Analysis of Fear-Avoidance in ACL-Reconstructed Recreational Players
Authors:Alanazi RKashoo FZAlrashdi NAlanazi SShaik ARSirajudeen MSAlenazi ANambi GDover GAlanazi AD
Link:https://pubmed.ncbi.nlm.nih.gov/40190690/
DOI:10.1177/23259671251322776
Publication:Orthopaedic journal of sports medicine
Keywords:Arabic adaptationAthlete Fear-Avoidance Questionnaireanterior cruciate ligament reconstructioncross-cultural validationfear-avoidance
PMID:40190690 Category: Date Added:2025-04-07
Dept Affiliation: HKAP
1 Department of Physical Therapy and Rehabilitation, King Khaled Hospital, Al-Majma'ah, Saudi Arabia.
2 Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Majmaah University, AL-Majmaah, Saudi Arabia.
3 Department of Health and Rehabilitation Sciences, College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University, Al Kharj, Saudi Arabia.
4 Department of Exercise Science, Concordia University, Montreal, Quebec, Canada.

Description:

Background: The Athlete Fear-Avoidance Questionnaire (AFAQ) is a validated instrument that measures athletes' fear and avoidance behaviors after an injury, particularly regarding their sporting activities.

Purpose: This study aimed to adapt and validate the AFAQ for Arabic-speaking recreational players (AFAQ-Arabic) after anterior cruciate ligament reconstruction (ACLR).

Study design: Cohort study; level of evidence: 3.

Methods: The AFAQ underwent translation and cross-cultural adaptation according to the Beaton guidelines. A total of 104 male recreational players who had undergone ACLR completed the AFAQ-Arabic, the Fear-Avoidance Belief Questionnaire (FABQ), and the Numerical Pain Scale (NPS). To assess test-retest reliability, a subset of 38 recreational players were asked to complete the AFAQ-Arabic twice, 1 week apart. Statistical tests were conducted to test the internal consistency, reliability, and convergent validity of the AFAQ-Arabic.

Results: The AFAQ-Arabic demonstrated high internal consistency (Cronbach alpha, 0.854) and excellent test-retest reliability (intraclass correlation coefficient, 0.885) (95% CI, 0.784-0.942; P < .001). Minimal floor (4.8% scoring the minimum) and ceiling effects (1% scoring the maximum) were observed. Convergent validity showed significant positive weak correlations between the AFAQ-Arabic and (1) the FABQ-Physical Activity (r = 0.340; P < .01), (2) the FABQ-Work (r = 0.272; P < .01), and (3) the NPS (r = 0.383; P < .01). Cross-cultural adaptation of the AFAQ-Arabic revealed linguistic and cultural relevance.

Conclusion: Our study demonstrated that the AFAQ-Arabic was a reliable and valid tool for assessing fear avoidance in Arabic-speaking recreational players after ACLR. Future studies are needed to measure athlete fear-avoidance in injured Arabic-speaking athletes to understand its psychological aspects in rehabilitation and potentially aid in tailored interventions for improving outcomes.





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