{
  "abstract": "Background/Objectives: Chronic venous disease significantly impairs health-related quality of life (HRQoL). Although the Chronic Venous Insufficiency Questionnaire (CIVIQ-20) is widely used internationally, a validated Arabic version is lacking. The objectives of this study were to translate and culturally adapt the CIVIQ-20 into Arabic and to examine its reliability, construct, and discriminative validity in Arab patients with chronic venous disease. Methods: Following standardized guidelines, the CIVIQ-20 was translated and cross-culturally adapted. For psychometric evaluation, 139 participants with chronic venous disease were selected. They completed the Arabic version of Chronic Venous Insufficiency Questionnaire-20 (CIVIQ-20-Ar) and 36-Item Short Form Health Survey (SF-36). Psychometric evaluation included internal consistency (Cronbach's alpha) and test-retest reliability using the two-way random intraclass correlation coefficient ICC (2,1). Minimal detectable change (MDC₉₅) was assessed, along with both convergent validity (using the SF-36 as a comparator) and known-group validity (across CEAP severity stages), using seven predefined hypotheses. Results: The CIVIQ-20-Ar questionnaire had adequate internal consistency and very strong test-retest reliability. As hypothesized, the CIVIQ-20-Ar subscales and global index demonstrated a moderate-to-strong correlation with the SF-36 summary and domain scores (r = -0.42 to -0.79, p < 0.001), with the strongest correlation in the pain subscale (r = -0.79, p < 0.001). Known-group validity was established by significant score discrimination across advancing Clinical-Etiology-Anatomy-Pathophysiology (CEAP) severity stages (p < 0.01). Conclusions: The CIVIQ-20-Ar Questionnaire has adequate psychometric properties. Therefore, vascular surgeons, phlebologists, and rehabilitation specialists can use the CIVIQ-20-Ar in routine clinical practice and research to evaluate health-related quality of life in the Arabic-speaking population with chronic venous disease.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Physical Therapy, Prince Sultan Military Medical City, Riyadh 12233, Saudi Arabia.",
    "Department of Rehabilitation Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh 12372, Saudi Arabia."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "May S Alabdullateef"
    },
    {
      "affs": [
        1
      ],
      "name": "Rehab F M Gwada",
      "orcid": "0000-0001-5592-548X"
    },
    {
      "affs": [
        1
      ],
      "name": "Mohammed T A Omar",
      "orcid": "0000-0003-2965-4916"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/99r5e133v57vt.bib",
  "cited_by": 0,
  "doi": "10.3390/jcm15197558",
  "fulltext_url": "https://europepmc.org/articles/PMC13665721",
  "id": "99r5e133v57vt",
  "issns": [
    "2077-0383"
  ],
  "landing_url": "https://europepmc.org/article/MED/42882020",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2746|Diagnosis and Treatment of Venous Diseases"
    ]
  ],
  "openalex": "W7214711161",
  "pdf_url": "https://europepmc.org/articles/PMC13665721?pdf=render",
  "pmcid": "PMC13665721",
  "pmid": "42882020",
  "published": "2026-09-29",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/99r5e133v57vt.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:16Z",
      "native_id": "MED:42882020",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42882020"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Diagnosis and Treatment of Venous Diseases",
      "subfield": "surgery"
    }
  ],
  "title": "Cross-Cultural Adaptation and Psychometric Validation of the Arabic Chronic Venous Insufficiency Quality-of-Life Questionnaire (CIVIQ-20) in Saudi Arabia.",
  "title_text": "Cross-Cultural Adaptation and Psychometric Validation of the Arabic Chronic Venous Insufficiency Quality-of-Life Questionnaire (CIVIQ-20) in Saudi Arabia.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:19:16Z",
  "url": "https://research.draconitic.com/paper/99r5e133v57vt",
  "venue": "Journal of clinical medicine",
  "versions": []
}