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Validation and Reliability of the Slovenian Translation of the Adherence to Exercise for Musculoskeletal Pain Tool (ATEMPT) Cover

Validation and Reliability of the Slovenian Translation of the Adherence to Exercise for Musculoskeletal Pain Tool (ATEMPT)

Open Access
|Jun 2026

Figures & Tables

Figure 1.

Questionnaire administration flow.

Figure 2.

Flowchart of questionnaire validation process.

Correlations between test and retest scores for each item and correlations with the overall ATEMPT score_

ATEMPT item Same item
Overall score
RetestTestRetest
I feel my individual needs were considered when the exercise specialist recommended my exercise (Item 1)Spearman's rho0.5420.6930.760
p (Spearman's rho)0.0000.0000.000
I am doing enough exercise to produce a positive change in my musculoskeletal pain (Item 2)Spearman's rho0.7710.6580.720
p (Spearman's rho)0.0000.0000.000
I am doing my exercise as instructed (Item 3)Spearman's rho0.5330.5550.634
p (Spearman's rho)0.0000.0000.000
I understand how my exercises will help with my musculoskeletal pain (Item 4)Spearman's rho0.5480.7870.793
p (Spearman's rho)0.0000.0000.000
I understand the consequences of not doing my exercise (Item 5)Spearman's rho0.5450.6940.831
p (Spearman's rho)0.0000.0000.000
I believe in the efficacy of exercise that has been recommended to me (Item 6)Spearman's rho0.7060.7450.867
p (Spearman's rho)0.0000.0000.000
Overall scoreSpearman's rho0.730NaNa
p (Spearman's rho)0.000

Test-retest reliability for each item and the overall ATEMPT score_

ATEMPT item 95% CI of ICC
ICClower boundupper boundFp
I feel my individual needs were considered when the exercise specialist recommended my exercise (Item 1)0.6880.5430.7873.2070.000
I am doing enough exercise to produce a positive change in my musculoskeletal pain (Item 2)0.8520.7830.8996.7630.000
I am doing my exercise as instructed (Item 3)0.7010.5620.7963.3500.000
I understand how my exercises will help with my musculoskeletal pain (Item 4)0.7000.560.7953.3300.000
I understand the consequences of not doing my exercise (Item 5)0.6780.5270.783.1020.000
I believe in the efficacy of exercise that has been recommended to me (Item 6)0.8240.7420.885.6780.000
Overall score0.8520.7820.8996.7370.000

Differences between test and retest for each item and the overall ATEMPT score_

ATEMPT item MSDSEMdtp
I feel my individual needs were considered when the exercise specialist recommended my exercise (Item 1)Test3.291.240.12−0.318−3.0010.003
Retest3.611.000.10
I am doing enough exercise to produce a positive change in my musculoskeletal pain (Item 2)Test3.331.020.10−0.075−1.0900.278
Retest3.400.960.09
I am doing my exercise as instructed (Item 3)Test3.710.920.09−0.028−0.3240.747
Retest3.740.950.09
I understand how my exercises will help with my musculoskeletal pain (Item 4)Test3.801.070.10−0.15−1.5070.135
Retest3.951.070.10
I understand the consequences of not doing my exercise (Item 5)Test4.021.060.10−0.037−0.3700.356
Retest4.061.050.10
I believe in the efficacy of exercise that has been recommended to me (Item 6)Test3.801.050.100.0090.1200.452
Retest3.791.030.10
Overall scoreTest21.954.780.46−0.598−1.7530.082
Retest22.555.030.49

Exploratory factor analysis_

ATEMPT itemComponent 1
Factor loading
I feel my individual needs were considered when the exercise specialist recommended my exercise (Item 1)0.662
I am doing enough exercise to produce a positive change in my musculoskeletal pain (Item 2)0.605
I am doing my exercise as instructed (Item 3)0.706
I understand how my exercises will help with my musculoskeletal pain (Item 4)0.877
I understand the consequences of not doing my exercise (Item 5)0.814
I believe in the efficacy of exercise that has been recommended to me (Item 6)0.836
Eigenvalue3.433
% variance57.21
DOI: https://doi.org/10.2478/sjph-2026-0010 | Journal eISSN: 1854-2476 | Journal ISSN: 0351-0026
Language: English
Page range: 75 - 82
Submitted on: Oct 7, 2025
Accepted on: Mar 12, 2026
Published on: Jun 1, 2026
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2026 Suzana Pustivšek, Maja Dakskobler, Andraž Furlan, Tim Kambič, published by National Institute of Public Health, Slovenia
This work is licensed under the Creative Commons Attribution 4.0 License.