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Long Term Conditions Job Strain Scale– British-English

Hammond, Alison; Tennant, Alan; Prior, Yeliz; Gignac, Monique

Long Term Conditions Job Strain Scale– British-English Thumbnail


Alan Tennant

Monique Gignac


The British English version of the Long-Term Conditions Job Strain Scale (LTCJSS) has been psychometrically tested in rheumatoid arthritis (RA), axial spondyloarthritis (axSpA), osteoarthritis (OA) and fibromyalgia (FM). The LTCJSS was forward translated, reviewed by an expert panel and cognitive debriefing interviews conducted, with changes to the LTCJSS made. The LTCJSS was tested with 831 employed participants who completed questionnaires: 267 men; 564 women; 53.5 (SD 8.9) years of age; with condition duration 7.7 (SD 8.0) years. The LTCJSS satisfied Rasch model requirements, and a LTCJSS Rasch transformation table was created, and a Reference Metric equating scales with the WALS, were created. Concurrent validity was strong with the: WLQ-25 Time, Mental-Interpersonal and Output Demands scales (RA rs =0.63-0.70; axSpA rs = 0.69-0.75; OA rs = 0.61-0.72; FM rs = 0.65-0.74). Internal consistency was consistent with group use (α = 0.93-0.96). Test-retest reliability was excellent (ICC (2,1) at 0.93-0.96. The British-English version of the LTCJSS is reliable and valid and can be used in both clinical practice and research,
Ful details of testing of the LTCJSS and the LTCJSS Rasch transformation table (see supplementary materials for table) can be found at
Hammond A, Tennant A, Ching A, Parker J, Prior Y, Gignac M, Verstappen S, O’Brien R. (2023). Psychometric testing of the British-English Long Term Conditions Job Strain Scale, Arthritis Work Spillover Scale and Work – Health-Personal Life Perceptions Scale in four rheumatic and musculoskeletal conditions. Musculoskeletal Care published online 11.5.23 DOI: 10.1002/msc.1774


Hammond, A., Tennant, A., Prior, Y., & Gignac, M. (2023). Long Term Conditions Job Strain Scale– British-English. [Paper]. University of Salford

Other Type Manual / Guide
Online Publication Date Sep 27, 2023
Publication Date Sep 27, 2023
Deposit Date Sep 27, 2023
Publicly Available Date Sep 28, 2023
Pages 3
Keywords work; arthritis; musculoskeletal; patient reported outcome measure; work rehabilitation.


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