Translation, cultural adaptation, and evaluation of the psychometric properties of an Arabic diabetes distress scale

Abstract

Objectives: To translate, validate, and adapt the diabetes distress scale (DDS)-17 to a Saudi Arabian (SA) DDS (SADDS-17). Also, to evaluate the psychometric properties of the newly adapted SADDS-17. Methods: This was a cross-sectional study evaluating the psychometric properties of the DDS. The DDS was translated using the forward-backward translation from English to Arabic at King Saud University Medical City (KSUMC), Riyadh, Saudi Arabia, in January 2016. Statistical analyses included exploratory factor analysis, internal consistency, testretest reliability, and construct validity. Moreover, contingent validity was evaluated using hospital anxiety and depression scale, visual analogue scale, and the World Health Organization quality of life assessment instrument. Results: A total of 109 participants were included in this study. The exploratory factor analysis of our Arabic scale supported the original DDS with 4 sub-scales. Correlations ranged from 0.376 to 0.718 for items in regimen-related distress, 0.327 to 0.533 for items in emotional burden, 0.413 to 0.722 for items in physician-related distress, and 0.492 to 0.556 for items in interpersonal distress. The Cronbach’s alpha value of the SADDS was 0.848 for the total scale. The test-retest reliability value was 0.78. Conclusion: Our SADDS is a valid and reliable instrument for detecting diabetes distress among Saudi Arabian patients with type 2 diabetes.

Assessing the Prevalence of Diabetes Distress and Determining Its Psychosocial Predictors Among Saudi Adults With Type 2 Diabetes: A Cross-Sectional Study

“…The Saudi Arabian Diabetes Distress Scale (SADDS-17) was first validated and translated into the Arabic language ( Batais et al, 2021 ). Two bilingual native Arabic speakers translated this scale after gaining Lawrence Fisher’s permission ( Fisher et al, 2012 ).…”

Patient-reported outcome measures for assessing health-related quality of life in people with type 2 diabetes: A systematic review

“…Burden of diet therapy 3. Perceived merits of diet therapy 1.3 items 2.3 items 3.3 items Not applicable Fisher et al [ 106 ] Brief Diabetes Distress Screening (DDS)-2 English Spanish Type 2 diabetes patients Diabetes distress Diabetes distress 2 items in total The DDS-2 was derived from the DDS-17 questionnaire Chew et al [ 107 ] Chin et al [ 108 ] Curcio et al [ 109 ] Farm et al [ 110 ] Fenwick et al [ 111 ] Graue, 2012 [ 112 ] Martinez-Vega et al [ 113 ] Mocan and Bāban [ 114 ] Polonsky et al [ 115 ] Batais et al [ 116 ] Krzemińska et al [ 117 ] 17-item Diabetes Distress Scale (DDS-17) English Diabetes patients Diabetes distress 1. Emotional burden 2.…”

“…Physician- and nurse-related distress 3. Diabetes-related interpersonal distress 1.10 items 2.4 items 3.3 items Not applicable Batais et al [ 116 ] Diabetes Distress Scale (DDS)-Saudi-Arabian Saudi-Arabian Type 2 Diabetes patients Diabetes distress 1. Emotional burden 2.…”

Content Validity of Patient-Reported Outcome Measures Developed for Assessing Health-Related Quality of Life in People with Type 2 Diabetes Mellitus: a Systematic Review

“…For measuring distress , we found sufficient content validity of the DD Core [ 28 ], three subscales of the DDS [ 45 , 46 ], three subscales of the SADDS-17 [ 47 ], one subscale of the DFS [ 29 ], one of the DFS-SF [ 30 ], and the PAID [ 48 ]. The quality of the evidence was very low to low for relevance and comprehensiveness and very low to moderate for comprehensibility across languages.…”