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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 R, Kashoo FZ, Alrashdi N, Alanazi S, Shaik AR, Sirajudeen MS, Alenazi A, Nambi G, Dover G, Alanazi AD | ||||
| Link: | https://pubmed.ncbi.nlm.nih.gov/40190690/ | ||||
| DOI: | 10.1177/23259671251322776 | ||||
| Publication: | Orthopaedic journal of sports medicine | ||||
| Keywords: | Arabic adaptation; Athlete Fear-Avoidance Questionnaire; anterior cruciate ligament reconstruction; cross-cultural validation; fear-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. |
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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. |
