Cultural adaptation and validation of the Arabic version of the short 12-item stroke-specific quality of life scale
BackgroundGiven the excessive length and inconsistent validity of the existing long stroke-specific quality of life (SS-QOL) scales, there is a need to validate a shorter measuring tool. The aim of this study was to validate the Arabic version of the short 12-item SS-QOL (SS-QOL-12-AR) and examine i...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Frontiers Media S.A.
2023-10-01
|
Series: | Frontiers in Neurology |
Subjects: | |
Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2023.1232602/full |
_version_ | 1797663374852489216 |
---|---|
author | Fouad Sakr Fouad Sakr Fouad Sakr Fouad Sakr Mariam Dabbous Marwan Akel Marwan Akel Marwan Akel Pascale Salameh Pascale Salameh Pascale Salameh Pascale Salameh Hassan Hosseini Hassan Hosseini Hassan Hosseini |
author_facet | Fouad Sakr Fouad Sakr Fouad Sakr Fouad Sakr Mariam Dabbous Marwan Akel Marwan Akel Marwan Akel Pascale Salameh Pascale Salameh Pascale Salameh Pascale Salameh Hassan Hosseini Hassan Hosseini Hassan Hosseini |
author_sort | Fouad Sakr |
collection | DOAJ |
description | BackgroundGiven the excessive length and inconsistent validity of the existing long stroke-specific quality of life (SS-QOL) scales, there is a need to validate a shorter measuring tool. The aim of this study was to validate the Arabic version of the short 12-item SS-QOL (SS-QOL-12-AR) and examine its validity measures and psychometric properties. Additionally, the study aimed to assess the QOL after stroke and identify the sociodemographic and clinical factors that influence it in Lebanon.MethodsA cross-sectional study was conducted. The SS-QOL-12-AR structure was validated, and its reliability and internal consistency were assessed. The scale’s specificity and sensitivity were evaluated and then compared with those of other SS-QOL scales. The correlation between each item and the overall scale were examined, and its convergent validity was evaluated.ResultsA total of 172 stroke survivors were included. The SS-QOL-12-AR structure was validated with a solution of two factors, with a Kaiser-Meyer-Olkin measure of sampling adequacy of 0.850 and a significant Bartlett’s test of sphericity (p < 0.001). The Cronbach’s alpha of the scale was 0.917. According to ROC curve analysis, the optimal cut-off point for distinguishing between lower and better QOL was 32.50. At this cut-off, the sensitivity and specificity were 70.0% and 71.2%, respectively. The area under the curve was 0.779 (95% CI 0.704–0.855, p < 0.001). The SS-QOL-12-AR demonstrated a strong and highly significant correlation with existing versions of the SS-QOL, confirming its convergent validity. 61.6% of stroke survivors had a lower QOL, which was significantly associated with poor stroke prognosis, increased physical dependence, current smoking, and alcohol abstinence.ConclusionThe SS-QOL-12-AR exhibits strong validity and reliability, demonstrating excellent psychometric properties. The scale holds potential for application in clinical practice and research settings, enabling the measurement of stroke-related consequences and evaluation of management outcomes. |
first_indexed | 2024-03-11T19:13:35Z |
format | Article |
id | doaj.art-ea2273be35ca462b82775dd656756b63 |
institution | Directory Open Access Journal |
issn | 1664-2295 |
language | English |
last_indexed | 2024-03-11T19:13:35Z |
publishDate | 2023-10-01 |
publisher | Frontiers Media S.A. |
record_format | Article |
series | Frontiers in Neurology |
spelling | doaj.art-ea2273be35ca462b82775dd656756b632023-10-09T10:18:02ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-10-011410.3389/fneur.2023.12326021232602Cultural adaptation and validation of the Arabic version of the short 12-item stroke-specific quality of life scaleFouad Sakr0Fouad Sakr1Fouad Sakr2Fouad Sakr3Mariam Dabbous4Marwan Akel5Marwan Akel6Marwan Akel7Pascale Salameh8Pascale Salameh9Pascale Salameh10Pascale Salameh11Hassan Hosseini12Hassan Hosseini13Hassan Hosseini14École Doctorale Sciences de la Vie et de la Santé, Université Paris-Est Créteil, Créteil, FranceUMR U955 INSERM, Institut Mondor de Recherche Biomédicale, Université Paris-Est Créteil, Créteil, FranceSchool of Pharmacy, Lebanese International University, Beirut, LebanonINSPECT-LB: Institut National de Santé Publique, Épidémiologie Clinique et Toxicologie-Liban, Beirut, LebanonSchool of Pharmacy, Lebanese International University, Beirut, LebanonSchool of Pharmacy, Lebanese International University, Beirut, LebanonINSPECT-LB: Institut National de Santé Publique, Épidémiologie Clinique et Toxicologie-Liban, Beirut, LebanonInternational Pharmaceutical Federation (FIP), The Hague, NetherlandsINSPECT-LB: Institut National de Santé Publique, Épidémiologie Clinique et Toxicologie-Liban, Beirut, LebanonFaculty of Public Health, Lebanese University, Beirut, LebanonUniversity of Nicosia Medical School, Nicosia, CyprusSchool of Medicine, Lebanese American University, Byblos, LebanonÉcole Doctorale Sciences de la Vie et de la Santé, Université Paris-Est Créteil, Créteil, FranceUMR U955 INSERM, Institut Mondor de Recherche Biomédicale, Université Paris-Est Créteil, Créteil, FranceStroke Unit, Service de Neurologie, CHU Henri Mondor, Créteil, FranceBackgroundGiven the excessive length and inconsistent validity of the existing long stroke-specific quality of life (SS-QOL) scales, there is a need to validate a shorter measuring tool. The aim of this study was to validate the Arabic version of the short 12-item SS-QOL (SS-QOL-12-AR) and examine its validity measures and psychometric properties. Additionally, the study aimed to assess the QOL after stroke and identify the sociodemographic and clinical factors that influence it in Lebanon.MethodsA cross-sectional study was conducted. The SS-QOL-12-AR structure was validated, and its reliability and internal consistency were assessed. The scale’s specificity and sensitivity were evaluated and then compared with those of other SS-QOL scales. The correlation between each item and the overall scale were examined, and its convergent validity was evaluated.ResultsA total of 172 stroke survivors were included. The SS-QOL-12-AR structure was validated with a solution of two factors, with a Kaiser-Meyer-Olkin measure of sampling adequacy of 0.850 and a significant Bartlett’s test of sphericity (p < 0.001). The Cronbach’s alpha of the scale was 0.917. According to ROC curve analysis, the optimal cut-off point for distinguishing between lower and better QOL was 32.50. At this cut-off, the sensitivity and specificity were 70.0% and 71.2%, respectively. The area under the curve was 0.779 (95% CI 0.704–0.855, p < 0.001). The SS-QOL-12-AR demonstrated a strong and highly significant correlation with existing versions of the SS-QOL, confirming its convergent validity. 61.6% of stroke survivors had a lower QOL, which was significantly associated with poor stroke prognosis, increased physical dependence, current smoking, and alcohol abstinence.ConclusionThe SS-QOL-12-AR exhibits strong validity and reliability, demonstrating excellent psychometric properties. The scale holds potential for application in clinical practice and research settings, enabling the measurement of stroke-related consequences and evaluation of management outcomes.https://www.frontiersin.org/articles/10.3389/fneur.2023.1232602/fullstrokestroke-specificvalidated scalequality of lifeSS-QOLshort scale |
spellingShingle | Fouad Sakr Fouad Sakr Fouad Sakr Fouad Sakr Mariam Dabbous Marwan Akel Marwan Akel Marwan Akel Pascale Salameh Pascale Salameh Pascale Salameh Pascale Salameh Hassan Hosseini Hassan Hosseini Hassan Hosseini Cultural adaptation and validation of the Arabic version of the short 12-item stroke-specific quality of life scale Frontiers in Neurology stroke stroke-specific validated scale quality of life SS-QOL short scale |
title | Cultural adaptation and validation of the Arabic version of the short 12-item stroke-specific quality of life scale |
title_full | Cultural adaptation and validation of the Arabic version of the short 12-item stroke-specific quality of life scale |
title_fullStr | Cultural adaptation and validation of the Arabic version of the short 12-item stroke-specific quality of life scale |
title_full_unstemmed | Cultural adaptation and validation of the Arabic version of the short 12-item stroke-specific quality of life scale |
title_short | Cultural adaptation and validation of the Arabic version of the short 12-item stroke-specific quality of life scale |
title_sort | cultural adaptation and validation of the arabic version of the short 12 item stroke specific quality of life scale |
topic | stroke stroke-specific validated scale quality of life SS-QOL short scale |
url | https://www.frontiersin.org/articles/10.3389/fneur.2023.1232602/full |
work_keys_str_mv | AT fouadsakr culturaladaptationandvalidationofthearabicversionoftheshort12itemstrokespecificqualityoflifescale AT fouadsakr culturaladaptationandvalidationofthearabicversionoftheshort12itemstrokespecificqualityoflifescale AT fouadsakr culturaladaptationandvalidationofthearabicversionoftheshort12itemstrokespecificqualityoflifescale AT fouadsakr culturaladaptationandvalidationofthearabicversionoftheshort12itemstrokespecificqualityoflifescale AT mariamdabbous culturaladaptationandvalidationofthearabicversionoftheshort12itemstrokespecificqualityoflifescale AT marwanakel culturaladaptationandvalidationofthearabicversionoftheshort12itemstrokespecificqualityoflifescale AT marwanakel culturaladaptationandvalidationofthearabicversionoftheshort12itemstrokespecificqualityoflifescale AT marwanakel culturaladaptationandvalidationofthearabicversionoftheshort12itemstrokespecificqualityoflifescale AT pascalesalameh culturaladaptationandvalidationofthearabicversionoftheshort12itemstrokespecificqualityoflifescale AT pascalesalameh culturaladaptationandvalidationofthearabicversionoftheshort12itemstrokespecificqualityoflifescale AT pascalesalameh culturaladaptationandvalidationofthearabicversionoftheshort12itemstrokespecificqualityoflifescale AT pascalesalameh culturaladaptationandvalidationofthearabicversionoftheshort12itemstrokespecificqualityoflifescale AT hassanhosseini culturaladaptationandvalidationofthearabicversionoftheshort12itemstrokespecificqualityoflifescale AT hassanhosseini culturaladaptationandvalidationofthearabicversionoftheshort12itemstrokespecificqualityoflifescale AT hassanhosseini culturaladaptationandvalidationofthearabicversionoftheshort12itemstrokespecificqualityoflifescale |