Assessment of the Psychometric Properties of the Danish VISA-P

Overview

Journal Transl Sports Med

Publisher Wiley

Specialty Orthopedics

Date 2024 Apr 24

PMID 38654908

Authors

Anne-Sofie Agergaard

Jonathan D Comins

Volkert Siersma

Nikolaj M Malmgaard-Clausen

Christian Couppe

Mikkel H Hjortshoej

Jens L Olesen

S Peter Magnusson

Affiliations

Soon will be listed here.

Abstract

Purpose: The objective of the current study was to conduct a rigorous assessment of the psychometric properties of the Victorian Institute of Sports Assessment-patellar tendinopathy (VISA-P).

Methods: Rasch analysis, confirmatory factor analysis (CFA), and multivariable linear regression were used to assess the psychometric properties of the VISA-P questionnaire in 184 Danish patients with patellar tendinopathy who had symptoms ranging from under 3 months to over 1 year. A group of 100 healthy Danish persons was included as a reference for known-group validation.

Results: The analyses revealed that the 8-item VISA-P did not fit a unidimensional model, yielded at best a 3-factor model, and exhibited differential item functioning (DIF) across healthy subjects versus people with patellar tendinopathy.

Conclusion: VISA-P in its present form does not satisfy a measurement model and is not a robust scale for measuring patellar tendinopathy. A new PROM for patellar tendinopathy should be developed and appropriately validated, and meanwhile, simple pain scoring (e.g., numeric rating scales) and functional tests are suggested as more appropriate outcome measures for studies of patellar tendinopathy.

Citing Articles

Clinical Outcomes and Tendon Structure at 3- to 4-Year Follow-up After Exercise-Based Treatment of Patellar Tendinopathy: A Prospective Study.

Agergaard A, Svensson R, Malmgaard-Clausen N, Magnusson S Orthop J Sports Med. 2024; 12(10):23259671241280192.

PMID: 39430115 PMC: 11490973. DOI: 10.1177/23259671241280192.

References

Messick S . PERSONALITY MEASUREMENT AND THE ETHICS OF ASSESSMENT. Am Psychol. 1965; 20:136-42. DOI: 10.1037/h0021712. View

Olesen J, Hansen M, Turtumoygard I, Hoffner R, Schjerling P, Christensen J . No Treatment Benefits of Local Administration of Insulin-like Growth Factor-1 in Addition to Heavy Slow Resistance Training in Tendinopathic Human Patellar Tendons: A Randomized, Double-Blind, Placebo-Controlled Trial With 1-Year Follow-up. Am J Sports Med. 2021; 49(9):2361-2370. DOI: 10.1177/03635465211021056. View

Lian O, Engebretsen L, Bahr R . Prevalence of jumper's knee among elite athletes from different sports: a cross-sectional study. Am J Sports Med. 2005; 33(4):561-7. DOI: 10.1177/0363546504270454. View

Challoumas D, Pedret C, Biddle M, Ng N, Kirwan P, Cooper B . Management of patellar tendinopathy: a systematic review and network meta-analysis of randomised studies. BMJ Open Sport Exerc Med. 2021; 7(4):e001110. PMC: 8634001. DOI: 10.1136/bmjsem-2021-001110. View

Hernandez-Sanchez S, Abat F, Hidalgo M, Cuesta-Vargas A, Segarra V, Sanchez-Ibanez J . Confirmatory factor analysis of VISA-P scale and measurement invariance across sexes in athletes with patellar tendinopathy. J Sport Health Sci. 2018; 6(3):365-371. PMC: 6188995. DOI: 10.1016/j.jshs.2016.01.020. View

Christensen K, Comins J, Krogsgaard M, Brodersen J, Jensen J, Hansen C . Psychometric validation of PROM instruments. Scand J Med Sci Sports. 2020; 31(6):1225-1238. DOI: 10.1111/sms.13908. View

Bjorner J, Kreiner S, Ware J, Damsgaard M, Bech P . Differential item functioning in the Danish translation of the SF-36. J Clin Epidemiol. 1998; 51(11):1189-202. DOI: 10.1016/s0895-4356(98)00111-5. View

Nirschl R, Ashman E . Elbow tendinopathy: tennis elbow. Clin Sports Med. 2003; 22(4):813-36. DOI: 10.1016/s0278-5919(03)00051-6. View

Mendonca L, Ocarino J, Bittencourt N, Fernandes L, Verhagen E, Fonseca S . The Accuracy of the VISA-P Questionnaire, Single-Leg Decline Squat, and Tendon Pain History to Identify Patellar Tendon Abnormalities in Adult Athletes. J Orthop Sports Phys Ther. 2016; 46(8):673-80. DOI: 10.2519/jospt.2016.6192. View

10.

Hambleton R . Good practices for identifying differential item functioning. Med Care. 2006; 44(11 Suppl 3):S182-8. DOI: 10.1097/01.mlr.0000245443.86671.c4. View

11.

Hansen C, Jensen J, Siersma V, Brodersen J, Comins J, Krogsgaard M . A catalogue of PROMs in sports science: Quality assessment of PROM development and validation. Scand J Med Sci Sports. 2021; 31(5):991-998. PMC: 8251933. DOI: 10.1111/sms.13923. View

12.

Vicenzino B, Vos R, Alfredson H, Bahr R, Cook J, Coombes B . ICON 2019-International Scientific Tendinopathy Symposium Consensus: There are nine core health-related domains for tendinopathy (CORE DOMAINS): Delphi study of healthcare professionals and patients. Br J Sports Med. 2019; 54(8):444-451. DOI: 10.1136/bjsports-2019-100894. View

13.

Korakakis V, Kotsifaki A, Stefanakis M, Sotiralis Y, Whiteley R, Thorborg K . Evaluating lower limb tendinopathy with Victorian Institute of Sport Assessment (VISA) questionnaires: a systematic review shows very-low-quality evidence for their content and structural validity-part I. Knee Surg Sports Traumatol Arthrosc. 2021; 29(9):2749-2764. PMC: 8384789. DOI: 10.1007/s00167-021-06598-5. View

14.

Palazon-Bru A, Tomas Rodriguez M, Mares-Garcia E, Hernandez-Sanchez S, Carbonell-Torregrosa M, Gil-Guillen V . The Victorian Institute of Sport Assessment Scale for Patellar Tendinopathy (VISA-P): A Reliability Generalization Meta-analysis. Clin J Sport Med. 2020; 31(5):455-464. DOI: 10.1097/JSM.0000000000000810. View

15.

Comins J, Siersma V, Couppe C, Svensson R, Johansen F, Malmgaard-Clausen N . Assessment of content validity and psychometric properties of VISA-A for Achilles tendinopathy. PLoS One. 2021; 16(3):e0247152. PMC: 7951845. DOI: 10.1371/journal.pone.0247152. View

16.

Scott A, Docking S, Vicenzino B, Alfredson H, Murphy R, Carr A . Sports and exercise-related tendinopathies: a review of selected topical issues by participants of the second International Scientific Tendinopathy Symposium (ISTS) Vancouver 2012. Br J Sports Med. 2013; 47(9):536-44. PMC: 3664390. DOI: 10.1136/bjsports-2013-092329. View

17.

Pallant J, Tennant A . An introduction to the Rasch measurement model: an example using the Hospital Anxiety and Depression Scale (HADS). Br J Clin Psychol. 2007; 46(Pt 1):1-18. DOI: 10.1348/014466506x96931. View

18.

Visentini P, Khan K, Cook J, Kiss Z, Harcourt P, Wark J . The VISA score: an index of severity of symptoms in patients with jumper's knee (patellar tendinosis). Victorian Institute of Sport Tendon Study Group. J Sci Med Sport. 1998; 1(1):22-8. DOI: 10.1016/s1440-2440(98)80005-4. View

19.

Korakakis V, Whiteley R, Kotsifaki A, Stefanakis M, Sotiralis Y, Thorborg K . A systematic review evaluating the clinimetric properties of the Victorian Institute of Sport Assessment (VISA) questionnaires for lower limb tendinopathy shows moderate to high-quality evidence for sufficient reliability, validity and.... Knee Surg Sports Traumatol Arthrosc. 2021; 29(9):2765-2788. PMC: 8384816. DOI: 10.1007/s00167-021-06557-0. View

20.

Hansen C, Jensen J, Brodersen J, Siersma V, Comins J, Krogsgaard M . Are adequate PROMs used as outcomes in randomized controlled trials? an analysis of 54 trials. Scand J Med Sci Sports. 2020; 31(5):972-981. DOI: 10.1111/sms.13896. View