City of Hope-Quality of Life Questionnaire-Arabic Version: Assessment of Reliability and Validity

Abstract

BACKGROUND: Arabic is spoken as a native language by more than 400 million people worldwide. However, there is no specific Arabic language instrument to measure stoma-related quality of life. PURPOSE: This study was designed to assess the validity and reliability of the City of Hope-quality of life-Ostomy Questionnaire (COH-QOL-OQ) Arabic version. METHODS: A cross‑sectional design was used. Intra-class correlation coefficients were calculated to measure reliability, and Pearson’s correlations of an item with its own scale and other scales were scored to evaluate convergent and discriminant validity. Content validity was reviewed by a panel of 5 experts. RESULTS: There were 421 participants with colostomy, ileostomy, or urostomy (239 [56.8%] male and 182 [43.2%] female). All COH-QOL-OQ subscales for the Arabic version demonstrated a high level of internal consistency (Cronbach's α = 0.71–0.87). The initial administration of the confirmatory factor analysis model showed inadequate goodness-of-fit indices (χ² /df = 3.902, NFI = .845, CFI = .880, RMSEA = 0.083). However, after removing item 2 in the social dimension, the final administration of the confirmatory factor analysis model showed significant goodness-of-fit indices (χ² /df = 2.663, NFI = .900, CFI = .935, RMSEA = 0.063). CONCLUSION: The findings suggest that the COH-QOL-OQ Arabic version is a valid and reliable tool to measure quality of life among patients with an ostomy in Saudi Arabia.

Ostomy‐related problems and their impact on quality of life of Saudi ostomate patients: A mixed‐methods study

“…The questionnaire was translated into Arabic and modified based on religious observances. The COH‐QOL‐OQ Arabic version is a valid and reliable tool with Cronbach's alpha (.98) to measure quality of life among patients with an ostomy in Saudi Arabia (Alenezi et al, 2022). The (COH‐QOL‐OQ) Arabic version includes 4 domains: physical well‐being, psychological well‐being, social well‐being and spiritual well‐being.…”

“…The (COH‐QOL‐OQ) Arabic version includes 4 domains: physical well‐being, psychological well‐being, social well‐being and spiritual well‐being. The questionnaire is an adult self‐administered survey that was shown to have acceptable reliability and validity coefficients (Alenezi et al, 2022).…”

“…The interviews were audio recorded and transcribed by the primary researcher. (Alenezi et al, 2022). The (COH-QOL-OQ) Arabic version includes 4 domains: physical well-being, psychological wellbeing, social well-being and spiritual well-being.…”

“…In 2010, the highest incidence of colorectal cancer is recorded in Riyadh, the capital city of Saudi Arabia, where it was reached 14.5/100.000 (Alsanea et al, 2015). Additionally, Crohn disease (regional enteritis) prevalence has risen sharply in Saudi Arabia, and ostomy surgery is used in the management of complications associated with these diseases (Alenezi et al, 2022). Ostomy formation may be curative or palliative, designed to decrease symptoms, prevent disease progression.…”

“…It was the most dead cancer disease among males in Arab Gulf Countries include the following: Saudi Arabia, Oman and the United Arab Emirates, while it was the most dead cancer disease among females in Algeria, Belarus, Japan, Spain and Portugal (Rawla et al, 2019). There are no published national statistics for stoma surgery in Saudi Arabia even though colorectal cancer diagnosis is the leading cause of death among men (10.6%) and the third most common among women (8.9%) (Alenezi et al, 2022). In 2010, the highest incidence of colorectal cancer is recorded in Riyadh, the capital city of Saudi Arabia, where it was reached 14.5/100.000 (Alsanea et al, 2015).…”