Table 1.
Final Version TSK-SI, Expert Consensus Agreement and Changes Based on Patient Interviews
| Final question proposed during the roundsa Changes made after patient interviews |
Expert Agreement Relevance | Construction |
Expert Consensusb, c, d Relevance | Construction |
|---|---|---|
| Q1: When I exercise, I am concerned that I will damage my shoulder. | 100% | 97% | UN | SC (round 2) |
| Q2: If I ignore my complaints related to my shoulder, the complaints will worsen. | 88% | 84% | C | C (round 4) |
| Q3: My body tells me that the situation related to my shoulder is serious. | 100% | 100% | UN | UN (round 2) |
|
Q4: When I exercise, the complaint related to my shoulder will likely decrease. Change of “If I would exercise” to “When I exercise” because patients often already exercise |
100% | 97% | UN | SC (round 2) |
| Q5: Others negate the seriousness of my complaint related to my shoulder. | 93% | 97% | SC | SC (round 2) |
| Q6: Because of my shoulder-related complaint, my body is in danger for the remainder of my life. | 93% | 78% | SC | C (round 3) |
|
Q7: Pain is a sign of damage. Change of “My pain means..” to “Pain is a sign of..” because not all patients experience pain with their shoulder |
97% | 83% | SC | C (round 2) |
| Q8: If my complaint related to my shoulder worsens, it doesn‘t mean that it is a dangerous development. | 97% | 93% | SC | SC (round 2) |
| Q9: I am scared to accidently cause damage. | 100% | 85% | UN | C (round 3) |
| Q10: A safe way to avoid increasing damage to my shoulder is to simply avoid unnecessary movements with my arm. | 100% | 83% | UN | C (round 2) |
| Q11: If I didn’t have serious issues related to my shoulder, it would be likely that my complaint would decrease. | 100% | 93% | UN | SC (round 3) |
| Q12: Although I have complaints related to my shoulder, my overall state would improve if I were more active. | 100% | 79 % | UN | C (round 2) |
| Q13: My complaints related to my shoulder inform me that I need to cease my exercises to avoid further damage. | 97% | 86% | SC | C (round 2) |
| Q14: For a person with my type of shoulder complaint, exercise is not a good idea. | 100% | 86% | UN | C (round 2) |
| Q15: I am not able to perform as well as others, as I am at an increased risk of developing damage to my shoulder. | 100% | 93% | UN | SC (round 3) |
| Q16: Even when my complaints related to my shoulder increase, I don’t consider this to be dangerous. | 93% | 93% | SC | SC (round 2) |
| Q17: I shouldn’t be required to exercise when I am experiencing shoulder-related complaints. | 97% | 86% | SC | C (round 2) |
| Q18: I am worried that I will dislocate my shoulder during my activities of daily life. | 100% | 79 % | UN | C (round 2) |
| Scoring questions: 4-point scale (similar to TSK) | 83% | C |
a
Q, question
b
C, consensus
c
SC, strong consensus
d
UN, unanimous.