Cross-Cultural Adaptation and Psychometric Validation of the Arabic Chronic Venous Insufficiency Quality-of-Life Questionnaire (CIVIQ-20) in Saudi Arabia.
- 1Department of Physical Therapy, Prince Sultan Military Medical City, Riyadh 12233, Saudi Arabia.
- 2Department of Rehabilitation Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh 12372, Saudi Arabia.
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.
Related
- Cross-cultural adaptation of the Young Disability Questionnaire-Spine into Turkish for children with spinal pain: a methodological validation study
- Cultural adaptation and validation of the Suicidal Behaviours Questionnaire – Autism Spectrum Conditions (SBQ-ASC) for use in Brazil
- Cross-cultural adaptation and psychometric evaluation of the Chinese version of the Digital and Technological Self-Efficacy Scale among nursing students: a three-phase validation study.
- Cross-Cultural Adaptation and Psychometric Validation of the Arabic Duruöz Hand Index: A Reliable Patient-Reported Measure for Hand Disability in Arabic-Speaking Populations
- Cross-cultural adaptation and preliminary validation of the adolescent obesity environmental questionnaire (AOEQ) in LMICs: family, school, and peer contexts
BibTeX
@article{alabdullateef2026crosscultural,
title = {{Cross-Cultural Adaptation and Psychometric Validation of the Arabic Chronic Venous Insufficiency Quality-of-Life Questionnaire (CIVIQ-20) in Saudi Arabia.}},
author = {May S Alabdullateef and Rehab F M Gwada and Mohammed T A Omar},
journal = {Journal of clinical medicine},
year = {2026},
month = sep,
doi = {10.3390/jcm15197558},
url = {https://europepmc.org/article/MED/42882020},
note = {CC BY},
}
RIS
TY - JOUR
TI - Cross-Cultural Adaptation and Psychometric Validation of the Arabic Chronic Venous Insufficiency Quality-of-Life Questionnaire (CIVIQ-20) in Saudi Arabia.
AU - May S Alabdullateef
AU - Rehab F M Gwada
AU - Mohammed T A Omar
PY - 2026
DA - 2026/09/29
JO - Journal of clinical medicine
DO - 10.3390/jcm15197558
UR - https://europepmc.org/article/MED/42882020
AB - 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.
SN - 2077-0383
ER -