PLOS ONE · 9 authors, 6 centres
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Three research questionnaires (Sedentary Behavior Questionnaire, Dietary Habits Questionnaire, and Preclinical Mobility Limitation Questionnaire) were translated into Arabic and culturally adapted through forward translation, back-translation, expert review, and four rounds of cognitive interviews with Saudi Arabian participants. All 100% of participants confirmed the resulting Arabic versions were appropriate and fully understandable.
This study followed a systematic cross-cultural adaptation process to translate and culturally adapt the Sedentary Behavior Questionnaire, the Dietary Habits Questionnaire (adapted from the SHARE study), and the Preclinical Mobility Limitation Questionnaire into Arabic for use in Saudi Arabia. The process involved forward translation, synthesis, back-translation, expert panel review, and pre-testing via cognitive interviews. Four rounds of cognitive interviews were conducted with 40 of the 50 adult Saudi participants (mean age 41.7±9.6, 48% female), with an additional round required for the Preclinical Mobility Limitation Questionnaire due to participant difficulty estimating walking distances. 100% of participants confirmed the Arabic versions were appropriate and fully understandable. Minor modifications were made, including updating technology references in the SBQ, adapting food examples and measuring units in the Dietary Habits questionnaire, and adding time estimates for walking distances in the Preclinical Mobility Limitation Questionnaire. Limitations include the exclusion of participants under 30 or over 65 years of age and the absence of psychometric property testing. The study enables Saudi Arabia to join the ProPASS consortium.
