ICON 2020—International Scientific Tendinopathy Symposium Consensus: A scoping review of Psychological and psychosocial constructs and outcome measures reported in clinical trials tendinopathy

Sean Mc Auliffe, Peter Malliaras, Adrian Mallows, Leanne Bisset, Rachel Chester, Brook Coombes, Angie Fearon, Paul Kirwan, Karen McCresh, Kieren Mitham, Dylan Morrissey, Seth O'Neill, Megan Ross, Igor Sancho, Gareth Stephens, Carl Stubbs, Patrick Vallance, Inge van den Akker-Sceek, Bill Vicenzino, Viana VuvanMelanie Plinsinga

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Background: Psychological and psychosocial factors are widely recognised as determinants of health, and are associated with poor recovery in musculoskeletal conditions, including tendinopathies. The importance to measure psychological and psychosocial factors in tendinopathy research was recently recognised by the international consensus on tendinopathy group (ICON tendinopathy).

Objective: To scope the literature to identify and describe the psychological and psychosocial constructs and outcome measures that have been used in tendinopathy research to date.

Methods: A systematic, electronic search was undertaken in PubMed, EMBASE, Scopus, Web of Science, PEDro, CINAHL, and APA PsychNet, for any tendinopathy studies measuring psychological and psychosocial factors that were published prior to 10th of July 2021. Studies utilising a clinical diagnosis of the most reported tendinopathies with or without imaging confirmation were eligible. A descriptive-analytical method was utilised to present information on the volume, nature, distribution and characteristics of psychological and psychosocial outcomes.

Results: Twenty-nine constructs were identified, including 16 psychological and 13 psychosocial constructs. The most reported constructs across all included studies were work-related outcomes (32%), quality of life (31%), depression (30%), anxiety (18%), and fear (14%). Outcome measures consisted of validated and non-validated questionnaires, and 1-item custom questions (including demographics). The number of different outcome measures used to assess a certain construct ranged between one (emotional distress) and eleven (quality of life) per construct.

Conclusions: There is a large variability in constructs and outcome measures, which limits the ability to make strong conclusions about relationship between psychological and psychosocial constructs, measures and tendinopathies. Due to the wide range of psychological and psychosocial constructs reported, future research should assess which constructs are important to measure in tendinopathy specific research and clinical practice, and validated outcome measures should be used consistently across studies.
Original languageEnglish
JournalJournal of Orthopaedic and Sports Physical Therapy
Publication statusAccepted/In press - 8 Mar 2022

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