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Repeatability and reliability of the diabetic foot self-care questionnaire in Arabic patients: A transcultural adaptation
Institution:1. Department of Neonatal Intensive Care Unit, The First Affiliated Hosptal of Wenzhou Medical University, Wenzhou, Zhejiang Province, China;2. Department of Neonatal Intensive Care Unit, The Second Affiliated Hospital and Yuying Children’ s Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province, China;3. Department of Thoracic Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province, China;4. Department of Pediatric Respiratory, The Second Affiliated Hospital and Yuying Children’ s Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province, China;5. Department of Clinical Skill Training, The Second Affiliated Hospital and Yuying Children’ s Hospital of Wenzhou Medical University, Zhejiang Province, China;6. School of Nursing, Wenzhou Medical University, Wenzhou, Zhejiang Province, China;1. Radiology Service FGS Hospital de Sant Pau, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain;2. Department of Public Health, Mental Health and Maternity/Childhood Nursing, School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, L’Hospitalet de Llobregat, Barcelona, Spain;3. Emergency Service of Hospital Dos de Maig, Barcelona, Spain;4. Department of Fundamental and Medical-Surgical Nursing, School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, L’Hospitalet de Llobregat, Barcelona, Spain;5. Consolidated Research Group Quantitative Psychology (2017-SGR-269), Spain;6. Nursing and Health Doctorate Program at the University of Barcelona, Spain;1. School of Nursing, Hallym University, Hallymdaehak-gil, Chuncheon, Gangwon-do, 24252, South Korea;2. College of Nursing, Gachon University, 191 Hambakmoeiro, Yeonsu-Gu, Incheon, 21936, Republic of Korea;1. Department of Veterinary Pharmacology & Toxicology, COVSc. & A.H., CAU, Jalukie, 797110, Nagaland, India;2. Department of Entomology, SASRD, Medziphema Campus, 797106, Nagaland, NU, India;3. Division of Pharmacology & Toxicology, ICAR-Indian Veterinary Research Institute, Izatnagar, 243122, U.P, India
Abstract:PurposeThe diabetic foot self-care questionnaire is considered a self-care evaluation tool with 16 questions for assessing diabetic foot health disorders. To date, the DFSQ has been validated in different languages, but an Arabic version was lacking. Consequently, the purpose of this study was to translate and validate the Arabic version of the DFSQ (DFSQ-AR).MethodA suitable method was developed for the translation protocol and cross-cultural validation from Spanish to Arabic. Regarding the total marks from each sub-scale, agreement degrees and confidence were analyzed using Cronbach's α and intraclass correlation coefficient (ICC), respectively. In addition, the mean ± standard deviation differences between pre and post-tests were calculated and completed using Bland-Altman distribution plots.ResultsExcellent agreement between the two versions was demonstrated based on Cronbach's α. Three sub-scales consisting of knowledge of foot hygiene, the appropriate use of footwear and socks, and podiatric self-care were added together to obtain the total score. Excellent retest reliability was shown for the total score. Test/retest reliability was excellent for the self-care and shoe and socks sub-scales. There were no significant differences among any domains (p > 0.05). There were no statistically significant differences (P = 0.000) for the mean ± standard deviations (SD) between pre- and post-tests (98.09 ± 15.42) 93.75–102.43] and 97.96 ± 13.88 94.5–101.86] points, respectively). Bland-Altman plots or clinically pertinent variations were not statistically significantly different.ConclusionsThe DFSQ-AR is considered a strong and valid questionnaire with adequate repeatability in the Arabic language population.
Keywords:Questionnaire  Diabetic foot  Self-care  Self-management
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