Development and validation of Arabic version of the postoperative quality of recovery scale

Abstract

Introduction:The postoperative quality of recovery scale (PostopQRS) is a widely used tool to assess the postoperative quality of recovery. Our aim was to translate, culturally adapt, and validate the PostopQRS questionnaire in Arabic.Methodology:A systematic translation process was used to translate the original English PostopQRS into Arabic. After the pilot study, the translated version was validated among patients who underwent different types of surgeries. We examined the reliability (using internal consistency) and validity of the translated version. To examine the responsiveness of the translated PostopQRS, the questionnaire was administered 6 times among the same group of patients (once before surgery as baseline measure, and 5 times after surgery, up to 1 week after surgery).Results:A total of 190 patients (10 men, 180 women) were included. Internal consistencies vary across each domain and overtime, with mostly good to excellent reliability. Most patients found the PostopQRS questions to be clear and easy to understand and thought the questionnaire items covered all their problem areas regarding their quality of recovery. In general, patients showed recovery across all five domains starting from postoperative day 1 (POD1). Patients showed the fastest recovery in the emotional domain, and the proportion of recovered patients remained stable over time. Most patients were recovered in the cognitive domain by POD1. Although only a small proportion of patients were recovered in the physiological and activities of daily living domains in POD1, most patients were recovered by POD3. The proportion of patients recovered in the nociceptive domain declined initially, but more patients showed recovery by POD3 and most were recovered by POD7. Furthermore, quality of recovery was related to the extent of surgery (major vs. minor).Conclusion:Our translated version of PostopQRS was reliable and valid for use among Arabic-speaking patients. In addition, we showed that the PostopQRS was able to track the changes in recovery among patients in our study.

Depression and Anxiety Disorders in a Sample of Saudi Persons with Brain Tumor

“…In this study, reliability estimates for both BDI-II and HADS were tested as follows: BDI-II Cronbach's alpha obtained was 0.89 (21 items) and HADS ranged from 0.82 (hospital anxiety; HADS-A; 7 items) to 0.84 (hospital depression; HADS-D; 7 items). The obtained reliabilities were almost comparable to Cronbach's alpha of the original version and other existing Arabic versions (Terkawi et al, 2017;Zigmond & Snaith, 1983). Table 1 shows the sociodemographic characteristics of the participants.…”

“…The Arabic version of HADS was validated recently by Terkawi et al (2017), in a sample of participants admitted for surgical procedure to two tertiary care centres in the capital city Riyadh. The HADS produces two scales, one for anxiety (HADS-A; 7 items) and one for depression (HADS-D; 7 items).…”

“…A score greater than or equal to 11 on either scale indicates a definitive case. A score of 0-7 is considered normal, 8-10 as a borderline case and 11-21 as a definite case of anxiety and/or depression (Terkawi et al, 2017;Zigmond & Snaith, 1983). Studies show that symptoms of DA in PBT measured by HADS is common practice with preoperative depressive symptoms as they are more likely to be associated with shorter survival time in certain types of tumors (Bunevicius, Tamasuskas, Deltuva, Tamasuskas, & Bunevicius, 2017;Huang et al, 2017).…”

The validation of a Japanese language version of the postoperative quality of recovery scale: a prospective observational study

“…In previous studies [ 2 , 10 ], the time taken to perform the assessments were around 5 min, consistent with the Japanese study. Acceptability was similar in the Japanese population to an Arabic population [ 9 ].…”

“…The PostopQRS has been translated into Spanish, French, Portuguese, German, Mandarin, Arabic, Japanese, and is in the process of undergoing translation into Malay, Korean, Greek, Swedish, Yugoslavian, and Russian. Validation studies have been separately published for the Chinese [ 8 ], Arabic [ 9 ], and Portuguese [ 10 ] versions. A Japanese version has been previously translated and published as a pilot study but had not considered the differences in the language styles within the word generation task of the cognitive domain in detail [ 11 ].…”