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Validity and Reliability of Arabic Version of Extended Aberdeen Spine Pain Scale

30 de junho de 2026 atualizado por: Sara Salah Ismaiel Elballat, Cairo University

The goal of this observational study is to determine whether the Arabic version of the Extended Aberdeen Spine Pain Scale (EASPS) is a valid and reliable tool for assessing spine-related pain and functional disability in Arabic-speaking adults with nonspecific spinal pain.

The main questions it aims to answer are:

  • Is the Arabic version of the EASPS a valid instrument for evaluating spine-related pain and disability among Arabic-speaking patients?
  • Is the Arabic version of the EASPS a reliable instrument with acceptable internal consistency and test-retest reliability?

Participants will:

  • Complete the Arabic version of the Extended Aberdeen Spine Pain Scale (EASPS).
  • Complete the Arabic version of the Short Form-36 (SF-36) questionnaire to assess construct validity.
  • Participate in the cultural adaptation and validation process of the Arabic EASPS.
  • A subgroup of participants will complete the Arabic EASPS again after 7 days to assess test-retest reliability.

Visão geral do estudo

Descrição detalhada

Spinal pain, including cervical, thoracic, and lumbar pain, is one of the most common musculoskeletal disorders worldwide and is associated with significant disability, reduced quality of life, and increased healthcare utilization. Accurate assessment of spinal pain and its impact on functional activities is essential for clinical decision-making, monitoring treatment outcomes, and conducting research. Patient-reported outcome measures provide a practical and efficient method for evaluating pain severity and disability; however, the availability of culturally adapted and validated assessment tools for Arabic-speaking populations remains limited.

The Extended Aberdeen Spine Pain Scale (EASPS) is a multidimensional self-administered questionnaire designed to assess pain intensity, functional limitations, and disability related to the cervical, thoracic, and lumbar regions of the spine. The instrument has demonstrated acceptable psychometric properties in its original English version and has been culturally adapted into other languages. However, an Arabic version has not yet been developed or validated.

The purpose of this prospective observational study is to translate, culturally adapt, and evaluate the validity and reliability of the Arabic version of the Extended Aberdeen Spine Pain Scale among Arabic-speaking adults with nonspecific spinal pain. The translation and cross-cultural adaptation process will follow internationally accepted guidelines and will include forward translation, reconciliation, backward translation, expert committee review, and cognitive debriefing with representatives of the target population.

A total of 300 Arabic-speaking adults aged 18 to 45 years with nonspecific cervical, thoracic, or lumbar spinal pain will be recruited. Participants will complete the Arabic version of the EASPS and the validated Arabic version of the Short Form-36 (SF-36) Health Survey. Construct validity will be assessed by examining the relationship between EASPS scores and SF-36 outcomes. Face and content validity will be evaluated by expert panels consisting of healthcare professionals and language specialists. Exploratory factor analysis will be conducted to investigate the underlying factor structure of the questionnaire.

Reliability testing will include assessment of internal consistency using Cronbach's alpha coefficient and test-retest reliability using intraclass correlation coefficients (ICC). A subgroup of participants will complete the Arabic EASPS for a second time after a seven-day interval, provided that no significant clinical changes occur during that period.

The findings of this study are expected to provide a culturally appropriate, valid, and reliable Arabic version of the Extended Aberdeen Spine Pain Scale, facilitating the assessment of spinal pain and disability in clinical practice and research settings across Arabic-speaking populations.

Tipo de estudo

Observacional

Inscrição (Real)

300

Contactos e Locais

Esta seção fornece os detalhes de contato para aqueles que conduzem o estudo e informações sobre onde este estudo está sendo realizado.

Locais de estudo

      • Giza, Egito
        • Cairo University

Critérios de participação

Os pesquisadores procuram pessoas que se encaixem em uma determinada descrição, chamada de critérios de elegibilidade. Alguns exemplos desses critérios são a condição geral de saúde de uma pessoa ou tratamentos anteriores.

Critérios de elegibilidade

Idades elegíveis para estudo

  • Adulto

Aceita Voluntários Saudáveis

Não

Método de amostragem

Amostra Não Probabilística

População do estudo

The study population will consist of Arabic-speaking adults aged 18 to 45 years diagnosed with nonspecific spinal pain involving the cervical, thoracic, and/or lumbar regions of the spine. Eligible participants will be recruited from outpatient physical therapy and musculoskeletal clinics. Participants must be able to read and understand Arabic and provide informed consent. Individuals with a history of spinal surgery, neurological deficits, serious spinal pathology (e.g., cancer or infection), cognitive impairment, or psychiatric conditions that may interfere with questionnaire completion will be excluded.

Descrição

Inclusion Criteria:

  • Adults aged 18-45 years.
  • Both sexes.
  • Diagnosed with nonspecific spinal pain (cervical, thoracic, or lumbar).
  • Arabic is a primary spoken and written language.
  • Ability to provide informed consent.

Inclusion criteria for experts:

  • Their experiences aren't less than ten years or at least master's degree in physical therapy.
  • Major part of their work is with the Arabic population.
  • They are fluent in Arabic and English language.
  • Both genders were included.

Exclusion Criteria:

  • History of spinal surgery.
  • Neurological deficits or serious pathology (e.g., cancer, infection).
  • Cognitive impairment or psychiatric conditions preventing questionnaire completion.
  • Undergoing active treatment changes during test-retest interval.

Plano de estudo

Esta seção fornece detalhes do plano de estudo, incluindo como o estudo é projetado e o que o estudo está medindo.

Como o estudo é projetado?

Detalhes do projeto

Coortes e Intervenções

Grupo / Coorte
Arabic-Speaking Adults with Nonspecific Spinal Pain
This cohort consists of Arabic-speaking adults aged 18 to 45 years diagnosed with nonspecific spinal pain affecting the cervical, thoracic, and/or lumbar regions of the spine. Participants will complete the Arabic version of the Extended Aberdeen Spine Pain Scale (EASPS) and the Arabic version of the SF-36 questionnaire. A subgroup of participants will complete the Arabic EASPS again after 7 days to evaluate test-retest reliability as part of the psychometric validation process.

O que o estudo está medindo?

Medidas de resultados primários

Medida de resultado
Descrição da medida
Prazo
Arabic Version of the Extended Aberdeen Spine Pain Scale (EASPS)
Prazo: Baseline and 7 Days
The Arabic version of the Extended Aberdeen Spine Pain Scale (EASPS) will be used to assess spine-related pain and disability. The questionnaire contains 30 items covering pain, physical impairment, and functional disability. Responses are summed and converted to a score ranging from 0 to 100, with higher scores indicating greater disability. The measure will be used to evaluate the validity and reliability of the Arabic version of the instrument.
Baseline and 7 Days

Medidas de resultados secundários

Medida de resultado
Descrição da medida
Prazo
Arabic Version of the Short Form-36 Health Survey (SF-36)
Prazo: Baseline
The Arabic version of the SF-36 questionnaire will be administered to assess construct validity of the Arabic EASPS. The SF-36 evaluates health-related quality of life across physical and mental health domains. The SF-36 yields domain scores ranging from 0 to 100, with higher scores indicating better health status and functioning. Correlations between SF-36 scores and EASPS scores will be analyzed to determine construct validity.
Baseline

Colaboradores e Investigadores

É aqui que você encontrará pessoas e organizações envolvidas com este estudo.

Patrocinador

Datas de registro do estudo

Essas datas acompanham o progresso do registro do estudo e os envios de resumo dos resultados para ClinicalTrials.gov. Os registros do estudo e os resultados relatados são revisados ​​pela National Library of Medicine (NLM) para garantir que atendam aos padrões específicos de controle de qualidade antes de serem publicados no site público.

Datas Principais do Estudo

Início do estudo (Real)

15 de setembro de 2025

Conclusão Primária (Real)

1 de abril de 2026

Conclusão do estudo (Real)

1 de abril de 2026

Datas de inscrição no estudo

Enviado pela primeira vez

22 de junho de 2026

Enviado pela primeira vez que atendeu aos critérios de CQ

22 de junho de 2026

Primeira postagem (Real)

26 de junho de 2026

Atualizações de registro de estudo

Última Atualização Postada (Real)

1 de julho de 2026

Última atualização enviada que atendeu aos critérios de controle de qualidade

30 de junho de 2026

Última verificação

1 de junho de 2026

Mais Informações

Termos relacionados a este estudo

Informações sobre medicamentos e dispositivos, documentos de estudo

Estuda um medicamento regulamentado pela FDA dos EUA

Não

Estuda um produto de dispositivo regulamentado pela FDA dos EUA

Não

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