Arabic Version Research Articles

Prevalence of adherence and its impact on quality of life in oral anticoagulant users in Egypt: A cross-sectional study from two Egyptian university hospitals

BackgroundOral anticoagulant therapy (OAT) is critical for managing thromboembolic disorders, but adherence challenges significantly impact its effectiveness and patients’ quality of life (QoL). This study explores the predictors of adherence and their effects on QoL among OAT users in Egypt.MethodsThis multi-center cross-sectional descriptive study with an analytical component was conducted at Mansoura University Hospital and Ain Shams University Hospital. Participants were adults over 18 years old, on OAT for at least one month, who provided informed consent. Convenience sampling was used to recruit 212 participants. Data were collected using a survey that included socio-demographic details, the Arabic Version of the Adherence to Refills and Medications Scale (ARMS), and the WHOQOL-BREF questionnaire. Statistical analyses included descriptive statistics, chi-square tests, Student’s t-tests, and multivariate logistic regression.ResultsThe study included 212 participants, with an average age of 55 years, 57% female and 43% male. Among the participants, 25.5% were adherent to their anticoagulant regimen, while 74.5% were non-adherent. Adherence was significantly higher among NOAC users (44.4%) compared to warfarin users (19.0%). Key predictors of adherence included the use of NOACs (OR = 2.7), residency in rural areas (OR = 2.4), and having first-degree relatives in medical specialties (OR = 2.4). Quality of life scores were significantly higher for NOAC users in psychological, social, and environmental domains compared to warfarin users. The overall QoL score was also higher in NOAC users. Poorer adherence was associated with lower scores in these QoL domains.ConclusionsOur study indicates that NOACs enhance adherence and quality of life relative to VKAs. Key adherence predictors include NOAC use, rural residency, and having relatives in medical professions. Educational level, initially significant, did not persist as a predictor in multivariate analysis. Targeted strategies are needed to improve adherence and patient outcomes.

Validation and assessment of the arabic psychological first aid scale among physicians, nurses, and counselors in Jordan

BackgroundPsychological first aid (PFA) involves strategies to tackle problems that occur as a result of disasters. This study aimed to validate the Arabic version of PFA scale through validity (face, content, convergent, discriminant validity, and confirmatory factor analysis) and reliability (Cronbach’s alpha). Furthermore, it aimed to assess the perceived levels of knowledge, skills, and attitudes of PFA among healthcare providers (HCPs). Moreover, it determined the differences between HCPs based on their knowledge, skills, and attitudes of PFA.MethodsA sample size of 389 HCPs (physicians = 68, nurses = 173, and counselors = 148) was conveniently selected to participate during the period of 10 December 2023 to 10 February 2024 after completing the translated PFA scale into the Arabic language. Descriptive, translation, validation process, and reliability were conducted.ResultsThe translation process was satisfied. The content validity index was 0.91, yielding proper clarity of items. Three constructs were loaded with a total variation of 63.43%, indicating a proper model fit. The goodness-of-fit indices for the PFA model revealed that relative chi-square was 1.47, comparative fit index was 0.91, Tucker-Lewis index was 0.89, and the root mean square of error approximation was 0.046. Cronbach alpha values for knowledge, skills, and attitudes of PFA were 0.90, 0.89, 0.87, respectively. We found that counselors have more knowledge (64.4%), skills (73.4%), and attitudes (73.4%) compared to physicians and nurses. There are significant differences (p < 0.001) between the selected HCP groups, particularly for the counselors’ group in terms of knowledge, skills, and attitudes of PFA.ConclusionsThe Arabic PFA scale is valid and reliable among HCPs. The results highlight the emergent need to provide knowledge, skills, and attitudes of PFA interventions among medical professionals, particularly for physicians and nurses. The Arabic version of PFA helps all HCPs in Arab countries to assess, apply, and implement PFA interventions.

Bridging the gap: access to health care and control of type 2 diabetes mellitus, hypertension and bronchial asthma among Egyptian women

BackgroundNon-communicable diseases burden is rising globally; women are disproportionately affected by both non-communicable diseases burden and lack of access to health care. Research on the relationship between access to health care and non-communicable diseases control are limited. We aimed to assess the relationship between women’s access to health care and three non-communicable diseases control.MethodsA cross-sectional study was conducted on 420 women diagnosed with diabetes mellitus, hypertension and/or Asthma. Access to health care was assessed through pretested validated Arabic version of access 31 questionnaire. The control status of diabetes mellitus, hypertension, and asthma was assessed according to the American Diabetes Association HbA1c targets, World Health Organization Guidelines, and the Global Initiative for Asthma control assessment tool, respectively. The associations were assessed using univariate and multivariate logistic regression analysis.Results(83%) of the participants had poor access to health care, of those, (39.0%) achieved non-communicable diseases control, while (16.9%) participants had good access to health care, of them, (83.1%) had their non-communicable diseases controlled. This difference in non-communicable diseases control proportions across access to care groups was statistically significant (P < 0.001). Women with good access to health care had higher odds (Adjusted Odds Ratio 6.33, 95% confidence interval: 3.24–12.55) of having their non-communicable diseases controlled compared with those with poor access.ConclusionImproving access to health care is essential for achieving better non-communicable diseases control.

Risk of suicide in a sample of Egyptian high school adolescent students: a cross-sectional study

BackgroundA lethal incident of self-harm with desire to die is called suicide. Every year, suicide claims the lives of more than 800,000 individuals globally. Teenagers and younger adults commit suicide on a regular basis. In late childhood and early adulthood, it is one of the primary triggers of death. Negative social and economic consequences and negative psychological consequences have been linked to it. The objective of this study was to determine the frequency and risk factors of suicidal ideation and behavior in adolescents’ students attending high school in Cairo. Throughout the educational year (September 2021 to June 2022), a cross-sectional study was carried on 553 students. A detailed medical and sociodemographic information were obtained. The Suicide Possibility Scale (SPS) was used to assess the likelihood of suicide, while the General Health Questionnaire (GHQ-28), which consists of 28 items, was used to assess the likelihood of mental illness.ResultsScreening among 553 high school students, it was shown that 11.03 percent of high school students were likely to have suicidal ideas or attempted suicide (scores ≥ 25) based on the SPS (Arabic version); females were more probable to do so (12.9 percent) than males (8.2%). Results from the Arabic version of GHQ_28 survey showed that 17.54% of the assessed students had a moderate to high risk of having a mental illness issue (scores < 7). There was a significant positive correlation among the total GHQ-28 score and various SPS score components for students in their first, second, and third grades level. Age, non-suicidal self-injury, and positive personal history of suicidal ideas for the student in the whole study group were non-significantly correlated (P > 0.05) with larger Suicide Probability Scale scores. While positive personal history of suicidal attempts, positive psychiatric illnesses and positive family history of suicide showed a significant correlated (P ≤ 0.05) with larger Suicide Probability Scale scores.ConclusionsScreening among adolescent high school students found that 11.03% of them had a probable risk of suicide with higher risk in females than in males that increased with age. Risk of suicide among students was associated with history of attempted suicide and psychiatric illness. So, early detection and management of students with psychiatric illness could decrease risk of suicide among them.

The Newcastle Laryngeal Hypersensitivity Questionnaire: Translation and Cross-Cultural Adaptation to the Arabic Language.

This study aims to validate and assess the reliability of the Arabic version of the Newcastle Laryngeal Hypersensitivity Questionnaire (LHQ) as a self-reported questionnaire for patients with laryngeal hypersensitivity syndrome (LHS). A prospective, observational, cross-sectional study was conducted in the ear, nose and throat Department of Kafr Elsheikh University Hospitals. The preliminary Arabic version of the LHQ (LHQ-Ar) was created using a rigorous forward and backward translation method. Native Arabic-speaking patients visiting outpatient pulmonology, speech pathology, and ear, nose and throat clinics in this tertiary referral center were invited to participate. Participants were divided into two groups: group 1, comprising patients with LHS, and group 2, consisting of healthy controls. All participants completed the LHQ-Ar questionnaire twice, with a two-week interval, to assess test-retest reliability. Additionally, LHS patients completed the Arabic Voice Handicap Index-10 to examine correlations with LHQ-Ar scores. The LHQ-Ar underwent rigorous testing for internal consistency, reliability, validity, sensitivity, and specificity to establish it as a validated patient questionnaire. The KMO test (KMO=0.955) and Bartlett's test (P<0.001) confirmed the sample's adequacy. The analysis identified only one factor with an eigenvalue greater than one, which explained 63.4% of the total variance. Items 13 (0.372) and 14 (0.306), which had commonalities below 0.5, were excluded. The final model, consisting of 12 items, accounted for 68.7% of the variance. Cronbach's alpha coefficients ranged from 0.933 to 0.988 for individual items and 0.995 for the total score, indicating excellent internal consistency. The Arabic version of the Newcastle LHQ (LHQ-Ar) proves to be a reliable and valid tool for assessing LHS in Arabic-speaking populations. The LHQ-Ar shows strong internal consistency, test-retest reliability, and good sensitivity and specificity in predicting LHS, thus making it a valuable instrument for clinical use and research in Arabic-speaking patients.

Control of Asthma and its Influencing Factors in Children Followed in Pneumo-pediatrics Consultation at the Mother-child Hospital in the City of Marrakech, Morocco

Introduction Evaluate asthma control and determine its influencing factors to ensure adequate management and improve the quality of life for asthmatic children. Method A prospective cross-sectional study was conducted over a two-month period, from 02/11/2022 to 01/01/2023, at the pneumo-pediatric consultation at the MCH. The target population was asthmatic children aged 4 to 11 and their parents. The Arabic version of the C-ACT and PMAQ-3W were used to assess asthma control and medication compliance, respectively. Statistical analysis was performed with SPSS, using descriptive and correlational analysis (bivariate and multivariate). Results 203 asthmatic children were included in the study, out of which 60.6% were male, with a mean age of 6 years. Asthma was uncontrolled in 53% of children. Factors associated with uncontrolled asthma were rural residence, low parental education, low monthly family income, lack of awareness of triggers, presence of conjunctivitis or allergic rhinitis, occurrence of respiratory infections, parental history of asthma, exposure to smoking, and non-compliance with treatment. Conclusion 53% of children had uncontrolled asthma. A range of predictive factors were significantly associated with suboptimal asthma control. Recommended actions to improve childhood asthma control include education on trigger prevention and medication compliance, treatment of comorbidities, and accessibility of care for all socio-economic classes.

Late talking in young children in Saudi Arabia: Identifying key risk factors

The development of language skills is critical to the academic success and overall well-being of children. Research shows that late talking, defined as delayed expressive language development in toddlers, negatively impacts future language and literacy skills. The early identification of children at risk of late talking can significantly improve long-term outcomes in language development. However, data on late talkers among Saudi children are scarce. The present study aimed to address this gap by examining the prevalence and risk factors of late talking among Saudi toddlers, focusing on biological and environmental factors and the influence of socioeconomic status (SES) on home literacy environment (HLE) practices. A sample of 270 children aged 16–36 months participated. Expressive vocabulary size was measured using JISH Arabic Communicative Development Inventory: Words &amp; Sentences–Short Form (JACDI: WS-SF), a Saudi Arabic adaptation of the MB-CDI. Caregivers completed a home-screening questionnaire that assessed various family and child variables, including SES, family history of language disorders, birth conditions, HLE practices, screen use, and parental self-efficacy in nurturing language development. The findings revealed that 11% of toddlers were at risk of late talking, with hearing or vision issues as key biological risks. While engagement in HLE practices significantly reduced the likelihood of late talking, excessive screen time increased such risks. The study did not find a significant association between SES factors, such as maternal education and household income, and participation in HLE practices. These insights have implications for researchers, clinicians, and policymakers in early childhood education and health.

Adaptation and psychometric assessment of the postpartum childcare stress checklist among Arab women in the United Arab Emirates.

There is currently no validated version of the Postpartum Childcare Stress Checklist (PCSC) in the context of Arabic-speaking women in the United Arab Emirates (UAE). The postpartum period is a transformative phase in a woman's life, during which mothers are highly vulnerable to mental health problems, compounded by childcare demands. Childcare stress is a strong predictor of postpartum depression. Thus, there is a need for a validated Arabic measure of childcare stress. This study aims to translate and psychometrically evaluate the Arabic version of the PCSC among mothers residing in the UAE. The PCSC was psychometrically assessed in a cohort of 399 women in the UAE between February 2017 and September 2018. Using best practices in instrument translation; psychometric evaluation included item-test and item-total correlations, confirmatory factor analysis, tests at two-time points, and validity tests. The analysis produced a 19-item scale in both unidimensional and multidimensional formats, with Geomin rotated factor loadings ranging from 0.31 to 0.84 and an average variance of 0.46, demonstrating adequate validity. The Arabic PCSC had acceptable reliability coefficients at three (α= = 0.79) and six (α=0.80) months and adequate concurrent and predictive validity at three and six months postpartum. Childcare stress is an internationally reliable and validated construct. The PCSC was also positively correlated with depressive and anxiety symptoms. The Arabic PCSC is a psychometrically validated measure which can be used in future Arabic-language studies and may lead to improved interventions for maternal mental health across Arab-speaking communities.

Avicenna’s Dental Anatomy: Bridging Ancient Insights with Modern Knowledge

Objective: This study examines Avicenna’s knowledge of dental anatomy and compares it with modern dental anatomy. The aim is to identify similarities and differences between ancient and contemporary understandings of dental structure. Materials and Methods: The original Arabic text of Canon of Medicine (القانون في الطب) and its English translation (1973, AMS Press) were used. Additionally, the Turkish translation of Tahbiz al-Mathun, a commentary on Canon by Tokadī Mustafa Efendi, was referenced. The dental anatomy sections from the first book and the basic anatomy of the mouth and tongue from the third book were analyzed, translated, and compared across the Arabic, English, and Turkish versions. Results: Despite some differences, Avicenna’s dental and oral anatomy descriptions largely align with modern knowledge. The sutures and structures of the jaw bones are similar, and Avicenna notes that teeth can sense temperature, a concept consistent with the contemporary understanding of dental nerves. However, his descriptions of the nerves and their functions do not fully match current anatomical knowledge. The arteries and veins of the mouth, as described by Avicenna, generally align with today’s anatomical understanding. Conclusion: The study reveals both agreement and discrepancies between Avicenna's dental anatomy and modern knowledge. While his insights into specific structures and functions are accurate, his explanations of nerve pathways and muscle anatomy require further clarification. This work emphasizes the importance of integrating ancient medical knowledge with modern scientific understanding, providing a foundation for future research in the history of medicine.

Prevalence, correlates of postpartum depression during the COVID-19 pandemic; and validation of the arabic edinburgh postnatal depression scale among Lebanese women

BackgroundCultural variations in pregnancy and childbirth experiences can influence the causes and contributing factors of postpartum depression (PPD). However, research on this issue remains scarce in Arab countries, especially in Lebanon. This study aimed to assess the prevalence of PPD and explore socio-contextual factors affecting it in Lebanon during the COVID-19 pandemic. It also sought to validate the psychometric reliability of the Arabic version of the Edinburgh Postnatal Depression Scale (EPDS) among Lebanese women.MethodsA cross-sectional study was conducted between May 2022 and July 2022, with 402 Lebanese adult postpartum women (mean age 31.46 ± 4.88 years) enrolled from the maternity ward at CHU-Notre Dame des Secours Hospital in Byblos, Lebanon by responding to an online survey after obtaining informed concent. Along with the EPDS, the following measures were administered to participants: The Multidimensional Scale of Perceived Social Support, the Fear of COVID-19 Scale, and the Lebanese Anxiety Scale-10.ResultsOur findings demonstrated appropriate psychometric properties of the Arabic one-factor, 10-item EPDS in our sample of Lebanese women. The scale yielded good composite reliability (ω = 0.97), and appropriate patterns of correlations with anxiety and social support measures, thus attesting for its convergent validity. A total of 239 women (59.5%) had potential postpartum depression. Multivariate analysis showed that perceived childbirth experience (as “normal” (Beta= -2.57), “good” (Beta= -3.45) and “very good” (Beta= -4.14)), with worries that the newborn will get hurt/die during labor (“rarely” (Beta = 1.43) and “never” (Beta = 1.24)), a lower financial burden (Beta = − 0.19) and a higher social support (Beta = − 0.02) were significantly associated with lower rates of PPD; while higher levels of anxiety (Beta = 0.32) were associated with increased symptoms of PPD.ConclusionThe study highlights the significant burden of PPD among Lebanese women, with an alarmingly high prevalence. Key factors associated with PPD—such as anxiety, childbirth experience, and social support—are largely preventable and modifiable. Nonetheless, there is an imperative need for future longitudinal and qualitative research, to better understand obstetrical experiences, address PPD and confirm causality of the associations found.

Migraine and ergot use increase plasma pentraxin 3 levels: an Egyptian study

ABSTRACT Background Endothelial dysfunction and inflammation are linked to migraine, which may contribute to atherogenesis and increase the risk of ischemia. In migraineurs, preclinical vascular involvement manifested as compromised structural characteristics of vessel wall has not received enough attention or evaluation. Objectives To measure plasma pentraxin 3 as an indicator of endothelial dysfunction in migraine in comparison to controls and to examine its correlation with clinical characteristics, headache severity, and brain magnetic resonance imaging findings. Subjects and methods This study was conducted on 40 migraineurs and 40 healthy matched control subjects. The severity and intensity of headaches were quantified using the Headache Impact Test and the translated Arabic version of Migraine Disability assessment questionnaires. Both patients and controls underwent routine laboratory assessment, brain MR imaging, and measurement of plasma pentraxin 3 level. Results Patients with migraine had a significantly higher mean plasma pentraxin 3 when compared to controls. Patients with chronic migraine and those taking ergots also had significantly higher plasma pentraxin 3 levels. Additionally, there were statistically significant positive correlation between frequency of headaches and duration of the disease with plasma pentraxin 3 level. For diagnosing endothelial dysfunction in migraine patients, the sensitivity and specificity of pentraxin 3 levels were 85% and 95%, respectively, with cut-off value of 3.100 ng/ml. Conclusion Pentraxin 3 levels could be used as a chemical biomarker for endothelial dysfunction in migraines with high sensitivity and specificity. Higher plasma levels of pentraxin 3 in patients receiving ergots may influence the selection of treatment for migraine patients.

Psychometric testing of the Arabic version of the arrhythmia-specific questionnaire in tachycardia and arrhythmia among older adult arrhythmic patients.

We aimed to translate and culturally adapt the Arrhythmia Specific Questionnaire in Tachycardia and Arrhythmia Health-Related Quality of Life (ASTA-HRQOL) scale into Arabic among older adult patients with any type of arrhythmia. A forward-backward translation method was used in translating the scale to Arabic. 130 older adults diagnosed with arrhythmia were recruited by convenience sampling from February 2023 to January 2024. Psychometric analysis involved internal consistency, test-retest reliability, convergent validity, floor and ceiling effects, discriminant validity, factorial validity, diagnosis accuracy, and calibration. The scale showed excellent internal consistency and reliability. Convergent and discriminant validity were emphasized, and confirmatory factor analysis demonstrated a good fit of the model following modification. The cut-off point for discriminating between poor and good quality of life was 13.5, and the area under the curve was 0.95. The ASTA-HRQOL Arabic questionnaire presented globally good psychometric properties among older adult patients with arrhythmia.

Psychometric Properties of the Arabic Flourishing Scale

Background: Psychological flourishing has significant attention within positive psychology, emphasizing the need for reliable tools across diverse cultural contexts. Purpose: This study examines the psychometric properties of the Arabic version of the Flourishing Scale (FS) among Algerian and Moroccan populations. Methods: A total of 758 university students from Algeria and Morocco, representing various academic disciplines, participated. Confirmatory factor analysis (CFA) was employed to evaluate the scale's structure and measurement invariance. Results: The CFA demonstrated good fit indices (χ² = 114.578, CFI = 0.93, RMSEA = 0.08). Reliability estimates were satisfactory (Cronbach's α = 0.79). Measurement invariance confirmed the scale's cross-cultural reliability and validity, supporting its consistency across Algerian and Moroccan samples. Discussion: The Arabic version of the FS is a reliable, valid, and culturally adaptable tool for assessing psychological flourishing. It offers valuable insights for research and applications in positive psychology within Arab contexts, ensuring relevance for diverse groups.

Sociodemographic and Clinical Determinants of the Quality of Life of Moroccan People With Multiple Sclerosis.

The quality of life (QOL) of people with multiple sclerosis (MS) is considerably poorer than the QOL of people with other chronic diseases. QOL management should not be restricted to only clinical aspects but also factors modifying QOL. The aim of this study was to identify the sociodemographic and clinical determinants of QOL in people with MS. A cross-sectional study conducted from 2022 to 2023 included 200 participants aged 18 and over recruited from the Hassan II University Medical Hospital in Fez, Morocco. QOL assessment was performed using the Arabic version of the Multiple Sclerosis Quality of Life-54 (MSQOL-54) questionnaire. Univariate analysis using Student t test, analysis of variance, and Pearson correlation was performed, followed by multiple linear regression analysis to determine the main factors associated with QOL. QOL was impaired in the physical health (PH) (48.51±22.08) and mental health (MH) (48.69±17.18) components of the MSQOL-54. Male sex, unemployment, and high scores on the Expanded Disability Status Scale (EDSS) were factors significantly associated with lower scores on both the PH and MH components. In contrast, later age at MS diagnosis and older age were significantly associated with worse PH and MH, respectively. EDSS score was a strong predictor of QOL (PH: β = -34.983; 95% CI, -39.64 to -30.31; MH: β = -23.383; 95% CI, -27.62 to -19.14). The results highlight the importance of sociodemographic and clinical determinants of QOL. Clinicians need to integrate a biopsychosocial approach into therapeutic education programs, considering the risk factors and specific needs of people with MS to optimize their QOL.

Psychometric properties of an arabic translation of the short boredom proneness scale (SBPS) in adults

BackgroundThe Short Boredom Proneness Scale (SBPS) is a common tool for assessing individuals’ inclination toward Boredom. The Arabic version of the SBPS has not been validated despite the language being spoken by over 420 million people worldwide. Therefore, this study aims to translate the SBPS into Arabic and prove its psychometric properties on a sample of Arabic-speaking adults from Lebanon.MethodsIn this cross-sectional study, 410 participants (72.4% females, aged 18–52 years) were recruited to participate by completing the translated Arabic version of the SBPS through an online Google Forms survey. The validation of the scale was carried out using the Confirmatory Factor Analysis approach.ResultsConfirmatory Factor Analysis revealed a better fit after adding a correlation between residuals of items 2 and 6. The SBPS showed high internal reliability (ω = 0.81; α = 0.81). No significant differences were found in SBPS scores between males and females. Concurrent validity indicated that higher levels of anxiety, loneliness, and smartphone addiction were significantly associated with greater boredom proneness.ConclusionOur results confirm the reliability and validity of the Arabic version of the SBPS, suggesting its suitability for use among Lebanese general population adults. Further research is needed to assess its applicability in clinical settings and diverse Arabic-speaking populations. This concise and user-friendly tool potentially promotes cross-cultural research on boredom proneness.

Factors influencing the efficacy and implementation of teletherapy for stuttering

Purpose: Telepractice is a promising alternative to treat children who stutter. This study aimed to investigate factors influencing telepractice for treating stuttering in a group of school-aged children. Methods: This study involved 20 children aged 7 to 9 years diagnosed with moderate to severe stuttering using the Stuttering Severity Instrument (SSI) - Arabic version. The Stanford-Binet Intelligence Scales (SB-5), Fifth Edition was applied. Speech teletherapy via Zoom application was employed for 9 months by the same speech pathologists. After treatment, SSI was measured to check the improvement and to correlate the results to age, sex, and IQ subtests. Results: The SSI scores decreased significantly after treatment (p < 0.001) with a mean percentage of change of 57.4 ± 27.1% (21.7%-100%). Stuttering severity decreased significantly after teletherapy (p < 0.001); all children with moderate stuttering (n = 12) were converted to slight severity. Three out of eight of those with severe stuttering (37.5%), had slight severity after the end of treatment. The children’s attendance and attention during treatment sessions were excellent sessions. The scores on all components of the SB scales and the full-scale IQ were average scores in all children. The treatment outcome was not affected by the children’s age, sex, or IQ. Conclusion: Teletherapy for 9 months is successful in reducing stuttering scores and severity in school-age children. The outcome of treatment was not affected by the child’s age, sex, and IQ.

Standardization of the Arabic Version of the Adult ADHD Self-Report Screening Scale for DSM-5 (ASRS-5) Among Adults in Saudi Arabia: Variability of ADHD Screening According to Sociodemographic Variables.

This study investigated the psychometric properties of the Arabic version of the Adult Self-Report Scale-5 (the ASRS-5-AR) within a large sample of adults residing in Saudi Arabia. This cross-sectional study applied the ASRS-5-AR to a random sample of 4,299 Saudi and non-Saudi adults, aged 19 to 66 years (31.16 ± 9.26 years), living in the regions of Riyadh, Makkah, and the Eastern Province in Saudi Arabia. Collected data were analyzed using IBM SPSS Statistics 26, JASP 0.18.3.0 software, and MedCalc 22.030 statistical software. The ASRS-5-AR demonstrated strong internal consistency, with all six items showing significant positive correlation with the total score (.675-.735). Results of confirmatory factor analysis revealed a goodness-of-fit coefficient of 0.983 for the one-factor model and McDonald's omega, Cronbach's α, and Spearman-Brown coefficients of 0.786, 0.788, and 0.724, respectively. In addition, the findings revealed statistically significant differences in self-reported ADHD symptoms based on age (F = 18.68; p < .001), level of education (F = 2.61; p < .05), and marital status (F = 22.30; p < .001). However, there were no significant differences in self-reported ADHD symptoms between males and females (t = 0.625; p > .05) or Saudi and non-Saudi participants (t = 0.409; p > .05) or based on region of residence (t = 2.19; p > .05). This study provides valuable insights into the psychometric properties of the ASRS-5-AR within a large sample of adults in Saudi Arabia. The findings demonstrate acceptable reliability of the ASRS-5-AR within this population. While these findings suggest the ASRS-5-AR may be a useful tool for initial assessment, further research is crucial. Future studies should focus on establishing accurate cutoff scores by comparing a general population sample with a clinically diagnosed sample of adults with ADHD in Saudi Arabia. This will allow for a more accurate evaluation of the scale's utility in identifying individuals who may require further clinical assessment.

Arabic version of Pediatric Sleep Questionnaire (PSQ)

BackgroundLaboratory studies are costly in diagnosing OSA, particularly in research studies.ObjectivesThis study seeks to validate the Arabic version of the Pediatric Sleep Questionnaire (PSQ) in Arabic for an OSA screening test.MethodsThe PSQ was translated into Arabic and culturally adapted to develop the APSQ. The application of the APSQ was made for 66 children with OSA, wherein 33 children were retested after 15 days, and 66 children without OSA.ResultsAPSQ was highly reliable for each subdomain, and the total questionnaire used Cronbach’s alpha. It also shows high reliability for each questionnaire and each subdomain. The area under the curve showed high accuracy for the APSQ with a specificity of 100% and a sensitivity of 96.9%.ConclusionThe Arabic Pediatric Sleep Questionnaire (APSQ) is a reliable and valid instrument for screening for obstructive sleep apnea in children; it is additionally sensitive in identifying manifestations of obstructive sleep apnea in children.

Validation of the Arabic version of the Contact Lens Dry-Eye Questionnaire-8 in Palestine

Background: The Tear Film and Ocular Surface Society International Workshop on Contact Lens Discomfort has stated that the Contact Lens Dry Eyes Questionnaire (CLDEQ-8) is the only validated clinical tool for assessing dry eye related to the use of soft contact lenses. Although translations of this questionnaire into various languages have been validated, the translation into Arabic has not been validated. We aimed to translate and validate the Arabic version of the CLDEQ-8 questionnaire in a clinical context among a sample of Arabic-speaking soft contact lens wearers residing in Palestine. Methods: The CLDEQ-8 was translated into Arabic via a five-stage process: forward translation, translation revision, backward translation, refinement, and prefinal testing. The content validity of the questionnaire was assessed by a panel of 19 experts by using the Content Validity Ratio (CVR) and the Content Validity Index (CVI). After reviewing the pre-test results, the Arabic-CLDEQ-8 was finalized. For clinical validation, a web-based version of the Arabic-CLDEQ-8 was distributed to eligible soft contact lens wearers in Gaza, Palestine. Internal consistency was evaluated using Cronbach’s alpha and the Corrected Homogeneity Index. Results: Thirty-four soft contact lens wearers, with a mean (standard deviation [SD]) age of 23.9 (5.7) years and with a mean (SD) contact lens-wear time was 10.5 (7.5) hours, including 30 (88.2%) women, completed the questionnaires. The mean (SD) score on the Arabic-CLDEQ-8 was 17.00 (6.69) (range: 2–30). Cronbach's alpha, indicating internal consistency, was 0.900, and the corrected homogeneity index exceeded 0.50 for all assessed domains, except for domain 4 (D4). The CVI and CVR were 0.73 and 0.87, respectively. Domains D1a, D1b, D2a, D3a, D3b, and D4 were found to be clear and simple, while domain D2b demonstrated an average level of content validity. Conclusions: The trans-cultural adaptation of the CLDEQ-8 questionnaire led to the development of a reliable and valid tool for assessing the contact lens comfort among Arabic-speaking soft contact lens wearers. This Arabic-CLDEQ-8 was culturally adapted for Arabic-speaking contact lens wearers living in Palestine; thus, future studies should aim to confirm its validity in other Arabic-speaking regions.

P1038 Establishing a Tertiary-Level Inflammatory Bowel Disease Service in the UAE: A Response to Rising Incidence and Service Gaps

Abstract Background Inflammatory bowel disease (IBD) is a growing public health concern in the Middle East, with the UAE experiencing a rapid rise in its incidence. Due to the predominance of private healthcare facilities, dedicated IBD services are exceedingly rare, and care is often fragmented. We outline the key initiatives undertaken to establish one of the few structured and comprehensive IBD services in the region. Methods Post-2023, our hospital initiated targeted changes to establish a tertiary care IBD service in the UAE. Through an analysis of service modifications and organizational strategies, we detail efforts to improve care delivery towards providing excellence in IBD care. Results The introduction of a structured care model has significantly improved IBD outcomes through a dedicated team of IBD-trained physicians, IBD clinical nurse specialist (CNS), and an administrator. Multidisciplinary meetings have standardized care, enabling early diagnosis, initiation and optimisation of advanced therapies (AT). The service has notably reduced corticosteroid use, indicating effective disease control. A growing comprehensive IBD registry now prospectively tracks over 320 patients on AT, providing valuable data for clinical and research needs. High-risk patient lists and virtual flare clinics have decreased hospital admissions by nearly 90%, facilitating proactive management. The service has early adoption of novel ATs and is supported by an active clinical trials program. Early initiation of AT, particularly for moderate to severe Crohn’s disease, has reduced the median time to treatment from diagnosis to 1.54 months (IQR 2.23) in 2024. Holistic IBD clinics, with access to a specialist dietitian and psychologist, have improved patient satisfaction and outcomes. CNS-led initiatives, including educational sessions on medication use, disease management, preconception and pregnancy care have significantly boosted patient engagement and health outcomes. Patient support and advocacy groups have been established, providing a platform for education and shared experiences. Additionally, Arabic versions of disease and AT patient information leaflets have been developed to enhance accessibility and understanding. Advanced IBD endoscopy, including chromoendoscopy, is now offered as standard care. Conclusion The establishment of a structured, multidisciplinary IBD service has transformed care delivery, addressing critical gaps in the regional healthcare landscape. Key initiatives have led to improved clinical outcomes, reduced hospital admissions, and enhanced patient satisfaction. This model serves as a benchmark for comprehensive IBD care in the region, demonstrating the impact of specialized, patient-centred services.