Arabic translation, cultural adaptation, and validation of the BDDQ-AS for rhinoplasty patients

Abstract Background Body Dysmorphic Disorder (BDD) is a significant aspect that compromises patient satisfaction after rhinoplasty. BDDQ-AS (Body Dysmorphic Disorder Questionnaire-Aesthetic Surgery) is a validated, simple, reliable patient-reported outcome measure. It is a screening tool to detect b...

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Main Authors: Ahmed S. Abdelhamid, Saad Elzayat, Mohamed A. Amer, Hossam S. Elsherif, Garyfalia Lekakis, Sam P. Most
Format: Article
Language:English
Published: BMC 2023-02-01
Series:Journal of Otolaryngology - Head and Neck Surgery
Subjects:
Online Access:https://doi.org/10.1186/s40463-022-00613-6
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author Ahmed S. Abdelhamid
Saad Elzayat
Mohamed A. Amer
Hossam S. Elsherif
Garyfalia Lekakis
Sam P. Most
author_facet Ahmed S. Abdelhamid
Saad Elzayat
Mohamed A. Amer
Hossam S. Elsherif
Garyfalia Lekakis
Sam P. Most
author_sort Ahmed S. Abdelhamid
collection DOAJ
description Abstract Background Body Dysmorphic Disorder (BDD) is a significant aspect that compromises patient satisfaction after rhinoplasty. BDDQ-AS (Body Dysmorphic Disorder Questionnaire-Aesthetic Surgery) is a validated, simple, reliable patient-reported outcome measure. It is a screening tool to detect body dysmorphic disorder in rhinoplasty patients. This study aimed to translate, culturally adapt, and validate BDDQ-AS to Arabic as a novel tool for screening and detecting BDD in Arabic rhinoplasty individuals. Methods BDDQ-AS was translated from English to Arabic following the international consensus guidelines. We tested the translation on ten Arabic-speaking rhinoplasty patients to ensure that the final version was understandable and acceptable. The proposed Arabic version was then completed by 112 patients whose average age was 28.79 ± 9.32 years. The screening is assumed positive if the patients expressed bother and preoccupation about their appearance (questions 1 and 2 “yes”), as well as a moderately disrupted everyday life (question 7 "yes" or questions 3, 4, 5, or 6 are equal to or greater than “3′′). The internal consistency, test–retest reliability, and item-response theory (IRT) were used to evaluate psychometric validations. Results The Arabic BDDQ had a high level of internal consistency, as measured by Cronbach's alpha 0.995. The A-BDDQ-AS was deemed reliable with an Intraclass Correlation Coefficient (ICC) of 0.989. A-BDDQ had good discrimination scores (above 2.0) with adequate difficulty parameters. The overall scale content validity average was 0.83, affirming that all items were relevant, clear, and straightforward. Conclusion The Arabic version of the BDDQ-AS is reliable, culturally adapted, and psychometrically validated to be readily used and incorporated into clinical practice. It is a beneficial tool that can guide the screening of Arabic rhinoplasty patients suffering from body dysmorphic disorder and be utilized in further studies to optimize patient outcomes. Graphical Abstract
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spelling doaj.art-f5fe0cf7ec374044808c45a22ac0fbbd2023-02-12T12:18:15ZengBMCJournal of Otolaryngology - Head and Neck Surgery1916-02162023-02-015211710.1186/s40463-022-00613-6Arabic translation, cultural adaptation, and validation of the BDDQ-AS for rhinoplasty patientsAhmed S. Abdelhamid0Saad Elzayat1Mohamed A. Amer2Hossam S. Elsherif3Garyfalia Lekakis4Sam P. Most5Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Kafrelsheikh UniversityDepartment of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Kafrelsheikh UniversityDepartment of Otorhinolaryngology, Faculty of Medicine, Tanta UniversityDepartment of Otorhinolaryngology, Faculty of Medicine, Tanta UniversityDepartment of Otorhinolaryngology, Head and Neck Surgery, Moliere Longchamp HospitalDivision of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Stanford University School of MedicineAbstract Background Body Dysmorphic Disorder (BDD) is a significant aspect that compromises patient satisfaction after rhinoplasty. BDDQ-AS (Body Dysmorphic Disorder Questionnaire-Aesthetic Surgery) is a validated, simple, reliable patient-reported outcome measure. It is a screening tool to detect body dysmorphic disorder in rhinoplasty patients. This study aimed to translate, culturally adapt, and validate BDDQ-AS to Arabic as a novel tool for screening and detecting BDD in Arabic rhinoplasty individuals. Methods BDDQ-AS was translated from English to Arabic following the international consensus guidelines. We tested the translation on ten Arabic-speaking rhinoplasty patients to ensure that the final version was understandable and acceptable. The proposed Arabic version was then completed by 112 patients whose average age was 28.79 ± 9.32 years. The screening is assumed positive if the patients expressed bother and preoccupation about their appearance (questions 1 and 2 “yes”), as well as a moderately disrupted everyday life (question 7 "yes" or questions 3, 4, 5, or 6 are equal to or greater than “3′′). The internal consistency, test–retest reliability, and item-response theory (IRT) were used to evaluate psychometric validations. Results The Arabic BDDQ had a high level of internal consistency, as measured by Cronbach's alpha 0.995. The A-BDDQ-AS was deemed reliable with an Intraclass Correlation Coefficient (ICC) of 0.989. A-BDDQ had good discrimination scores (above 2.0) with adequate difficulty parameters. The overall scale content validity average was 0.83, affirming that all items were relevant, clear, and straightforward. Conclusion The Arabic version of the BDDQ-AS is reliable, culturally adapted, and psychometrically validated to be readily used and incorporated into clinical practice. It is a beneficial tool that can guide the screening of Arabic rhinoplasty patients suffering from body dysmorphic disorder and be utilized in further studies to optimize patient outcomes. Graphical Abstracthttps://doi.org/10.1186/s40463-022-00613-6RhinoplastyBody dysmorphic disorderScreeningArabicQuestionnaireBDD
spellingShingle Ahmed S. Abdelhamid
Saad Elzayat
Mohamed A. Amer
Hossam S. Elsherif
Garyfalia Lekakis
Sam P. Most
Arabic translation, cultural adaptation, and validation of the BDDQ-AS for rhinoplasty patients
Journal of Otolaryngology - Head and Neck Surgery
Rhinoplasty
Body dysmorphic disorder
Screening
Arabic
Questionnaire
BDD
title Arabic translation, cultural adaptation, and validation of the BDDQ-AS for rhinoplasty patients
title_full Arabic translation, cultural adaptation, and validation of the BDDQ-AS for rhinoplasty patients
title_fullStr Arabic translation, cultural adaptation, and validation of the BDDQ-AS for rhinoplasty patients
title_full_unstemmed Arabic translation, cultural adaptation, and validation of the BDDQ-AS for rhinoplasty patients
title_short Arabic translation, cultural adaptation, and validation of the BDDQ-AS for rhinoplasty patients
title_sort arabic translation cultural adaptation and validation of the bddq as for rhinoplasty patients
topic Rhinoplasty
Body dysmorphic disorder
Screening
Arabic
Questionnaire
BDD
url https://doi.org/10.1186/s40463-022-00613-6
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