Validation of the Czech version of the Patterns of Activity Measure – Pain in patients with chronic low back pain
Authors:
L. Sikorová 1; A. Polanská 2; R. Zoubková 1; A. Mátlová 1; J. Divák 1; M. Parma 1
Authors‘ workplace:
Centrum léčby bolesti, Klinika anesteziologie, resuscitace a intenzivní medicíny, FN Ostrava
1; Útvar náměstka ředitele pro ošetřovatelskou péči, FN Ostrava
2
Published in:
Cesk Slov Neurol N 2025; 88(6): 365-372
Category:
Original Paper
doi:
https://doi.org/10.48095/cccsnn2025365
Overview
Objective: The aim of this study was to translate and validate the psychometric properties of the Patterns of Activity Measure – Pain in the Czech language. This tool assesses behavioral patterns related to physical activity in patients with chronic pain. As no validated instrument of this kind currently exists in the Czech context, the adaptation of the assessment tool represents an important contribution to diagnostic assessment and the individualization of therapeutic interventions in this population. Methods: A total of 151 patients (18–65 years) with chronic low back pain were included in the study. The instrument was linguistically adapted following international guidelines. Subsequently, exploratory and confirmatory factor analyses were conducted. Internal consistency was evaluated using Cronbach’s alpha, and convergent and concurrent validity were assessed through correlations with other validated instruments. Results: A three-factor structure of the tool (avoidance, overdoing, and activity pacing) was confirmed. The final confirmatory factor analysis model, after removing three items, showed an acceptable model fit. Internal consistency for the domains ranged from 0.89 to 0.94. Convergent and concurrent validity were supported by correlations with pain intensity, quality of life, psychological distress, and physical activity level. Conclusions: The Czech version of the Patterns of Activity Measure – Pain demonstrates good psychometric properties and can be considered as a reliable instrument for both clinical and research use in assessing activity-related behavioral patterns in patients with chronic low back pain.
Keywords:
Psychometrics – validation study – pain measurement – low back pain – activity pacing
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Paediatric neurology Neurosurgery NeurologyArticle was published in
Czech and Slovak Neurology and Neurosurgery
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