Musculoskeletal science & practice · 2026
Psychometric properties of the Spanish adherence to exercise for musculoskeletal pain tool (ATEMPT) in people with musculoskeletal chronic pain.
СтатьяВалидационное исследованиеНазвание и аннотация: Перевод пока не подготовлен
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González-de-la-Flor Ángel, Estrada-Barranco Cecilia, Martínez-Lozano Pedro, López-Ruiz Javier, Jiménez-Aceña Adrián, García-Arrabé María
Аннотация
OBJECTIVE: To translate, culturally adapt, and validate the Spanish version of the Adherence to Exercise for Musculoskeletal Pain Tool (ATEMPT) for use in Spanish-speaking individuals with musculoskeletal pain.
METHODS: A cross-sectional psychometric validation study was conducted in accordance with COSMIN and international guidelines for cross-cultural adaptation. The translation process followed a forward-backward method and included expert review and pilot testing. Psychometric analyses included internal consistency (Cronbach's alpha), test-retest reliability (intraclass correlation coefficient, ICC), measurement error (standard error of measurement [SEM] and minimal detectable change [MDC]), and structural validity (exploratory and confirmatory factor analyses).
RESULTS: A total of 201 patients receiving physiotherapy for musculoskeletal pain completed the Spanish ATEMPT questionnaire. For test-retest reliability, 190 participants completed the questionnaire again after 14 days. The Spanish ATEMPT demonstrated excellent internal consistency (Cronbach's α = 0.898) and good test-retest reliability (ICC = 0.770). Structural validity supported a unidimensional model, confirmed by confirmatory factor analysis with excellent fit indices (CFI = 0.996, TLI = 0.994, RMSEA = 0.070, SRMR = 0.036). Measurement error was low (SEM = 1.76; MDC95 = 4.86). No floor or ceiling effects were identified.
CONCLUSIONS: The Spanish version of the ATEMPT is a valid, reliable, and culturally adapted instrument for assessing adherence to therapeutic exercise in individuals with musculoskeletal pain. Its implementation may enhance clinical decision-making, treatment planning, and monitoring of rehabilitation outcomes in Spanish-speaking populations.
METHODS: A cross-sectional psychometric validation study was conducted in accordance with COSMIN and international guidelines for cross-cultural adaptation. The translation process followed a forward-backward method and included expert review and pilot testing. Psychometric analyses included internal consistency (Cronbach's alpha), test-retest reliability (intraclass correlation coefficient, ICC), measurement error (standard error of measurement [SEM] and minimal detectable change [MDC]), and structural validity (exploratory and confirmatory factor analyses).
RESULTS: A total of 201 patients receiving physiotherapy for musculoskeletal pain completed the Spanish ATEMPT questionnaire. For test-retest reliability, 190 participants completed the questionnaire again after 14 days. The Spanish ATEMPT demonstrated excellent internal consistency (Cronbach's α = 0.898) and good test-retest reliability (ICC = 0.770). Structural validity supported a unidimensional model, confirmed by confirmatory factor analysis with excellent fit indices (CFI = 0.996, TLI = 0.994, RMSEA = 0.070, SRMR = 0.036). Measurement error was low (SEM = 1.76; MDC95 = 4.86). No floor or ceiling effects were identified.
CONCLUSIONS: The Spanish version of the ATEMPT is a valid, reliable, and culturally adapted instrument for assessing adherence to therapeutic exercise in individuals with musculoskeletal pain. Its implementation may enhance clinical decision-making, treatment planning, and monitoring of rehabilitation outcomes in Spanish-speaking populations.