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Translation, adaptation and psychometric properties of the Arabic version of the numerical rating scale when used with children and adolescents

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Abstract Objective The 0–10 Numerical Rating Scale (NRS-11) is widely used with Arabic-speaking pediatric populations. However, there is no data about its validity or reliability. Thus, the aims of this… Click to show full abstract

Abstract Objective The 0–10 Numerical Rating Scale (NRS-11) is widely used with Arabic-speaking pediatric populations. However, there is no data about its validity or reliability. Thus, the aims of this research were to translate the NRS-11 into Arabic and study its dimensionality and construct (convergent and discriminant) validity, and reliability. Methods A group of 190 Lebanese students between 8 and 18 years old participated. Participants were interviewed online and asked to imagine themselves in a hypothetical painful situation and rate the expected pain intensity using the NRS-11-Arabic and an Arabic version of the Visual Analogue Scale (VAS-Arabic). They were also requested to respond to the pediatric Arabic version of the Pain Catastrophizing Scale (PCS-Arabic). Data collection lasted for a month. Results Data showed that the NRS-11-Arabic and the VAS-Arabic scores measure the same common construct. In addition, they showed strong statistically significant correlations between NRS-11 and VAS (ranging from 0.83 for the whole sample and 0.83 and 0.84 for the 8–12-year-olds and the 13–18-year-olds, which support its construct validity). These correlations were higher than those between the NRS-11-Arabic and the PCS-Arabic, which support the discriminant validity of NRS-11-Arabic scores. Test-retest reliability was 0.86 for the whole sample, and 0.89 and 0.82 for the 8–12-year-olds and the 13–18-year-olds, respectively, which shows the reliability of the NRS-11-Arabic scores. Conclusions The data provide preliminary evidence of the unidimensionality, validity and reliability of the NRS-11-Arabic scores, thus supporting its use in clinical and research activities involving Arabic-speaking pediatric samples.

Keywords: scale; reliability; arabic version; nrs arabic; validity

Journal Title: Current Medical Research and Opinion
Year Published: 2022

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