Effectiveness of an Educational Program for Pain Management in Patients With Hemophilic Arthropathy

Measurement of Kinesiophobia

This variable will be assessed using the Spanish version of the Tampa Scale for Kinesiophobia (TSK). This scale evaluates kinesiophobia, defined as an excessive and irrational fear of movement and physical activity associated with the expectation of pain or injury. The instrument provides a total score reflecting the degree of fear-avoidance related to movement, with higher scores indicating greater levels of kinesiophobia.

Time frame: Baseline, in the week following completion of the intervention, and at the 6-month follow-up period

Measurement of Pain Catastrophizing

This variable will be assessed using the Spanish version of the Pain Catastrophizing Scale (PCS). This instrument measures pain catastrophizing, defined as a negative cognitive-affective response to actual or anticipated pain. The questionnaire evaluates dimensions such as rumination, magnification, and helplessness, providing a total score in which higher values reflect a greater degree of catastrophizing thinking.

Time frame: Baseline, in the week following completion of the intervention, and at the 6-month follow-up period

Measurement of Health-Related Quality of Life

This variable will be assessed using the Spanish version of the Short Form-36 Health Survey (SF-36). This instrument evaluates health-related quality of life and consists of 36 items covering eight domains: physical functioning, role limitations due to physical health, bodily pain, general health, vitality, social functioning, role limitations due to emotional problems, and mental health, including one health transition item. A specific score is calculated for each domain, with higher values indicating a better perceived health status. Scores range from 0 to 100 for each dimension.

Time frame: Baseline, in the week following completion of the intervention, and at the 6-month follow-up period

Measurement of Anxiety

This variable will be assessed using the Spanish version of the Hospital Anxiety and Depression Scale (HADS). This questionnaire evaluates anxiety symptomatology in clinical populations, providing a specific score for the anxiety subscale, with higher values indicating a greater presence of anxious symptoms.

Time frame: Baseline, in the week following completion of the intervention, and at the 6-month follow-up period

Measurement of Illness Perception

This variable will be assessed using the Spanish version of the Brief Illness Perception Questionnaire (BIPQ). This instrument evaluates illness perception, defined as the set of cognitive and emotional beliefs and representations that a patient holds regarding their disease. The questionnaire assesses dimensions such as perceived consequences, personal control, concern, illness coherence (understanding of the disease), and emotional response, yielding scores that reflect the degree of perceived illness threat.

Time frame: Baseline, in the week following completion of the intervention, and at the 6-month follow-up period

Measurement of Physical Activity Level

This variable will be assessed using the International Physical Activity Questionnaire (IPAQ). This instrument evaluates the level of physical activity, allowing participants to be classified according to their activity level and enabling quantification of physical activity performed across different contexts. This variable will be included to describe the study sample and to explore its potential influence on pain perception and on the outcomes of the intervention.

Time frame: Baseline, in the week following completion of the intervention, and at the 6-month follow-up period