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International Journal for Quality in Health Care Advance Access published online on April 10, 2008
International Journal for Quality in Health Care, doi:10.1093/intqhc/mzn013
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© The Author 2008. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved

Arabic translation and adaptation of Critical Care Family Satisfaction Survey

Alison Brown1 and Mohammed Hijazi2

1 International Network for Cancer Treatment and Research, Rue Engeland 642, Brussels B-1180, Belgium
2 King Faisal Specialist Hospital and Research Center, PO Box 3354, Riyadh 11211, Saudi Arabia

Objective. To translate and adapt the Critical Care Family Satisfaction Survey (CCFSS), and test its validity and reliability for use in Saudi Arabia.

Setting. Seven hundred-bed tertiary care hospital in Saudi Arabia.

Participants. Seventy-six adult relatives of patients who had been cared for in an intensive care unit for 24 hrs or more.

Interventions. The CCFSS, a battery of 20 items divided into five subscales, was translated into Arabic. After transfer of patients to regular inpatient units, interviewers administered the survey to their next-of-kin. Respondents ranked their satisfaction with each item on a 5-point Likert scale.

Main outcome measures. Subscale scores were calculated as the average of the individual item scores. The total scale score was the sum of the subscale scores.

Results. The total scale and ‘Information’, ‘Support’, ‘Comfort’ and ‘Assurance’ subscales showed acceptable internal consistency (Spearman's correlation coefficient of the total score with each of the subscale scores = 0.52–0.81, P < 0.01; Cronbach's alpha = 0.67–0.88). But the ‘Proximity’ subscale performed poorly (r = 0.48, P < 0.01; Cronbach's alpha = 0.36). Discriminant validity was tested with a Spearman's rank correlation matrix of the subscales, and ranged from weak between ‘Support’ and both ‘Assurance’ and ‘Information’ (r = 0.80) to substantial between ‘Information’ and ‘Proximity’ (r = 0.54) (P < 0.01).

Conclusion. This Arabic translation and adaptation of the CCFSS is a valid, reliable and feasible tool to evaluate family satisfaction in Saudi Arabian intensive care units.

Keywords: intensive care, quality improvement, surveys

Address reprint requests to: Alison Brown, International Network for Cancer Treatment and Research, Rue Engeland 642, Brussels B-1180, Belgium. Tel: +32-2-373-9323/9322; Fax: +32-2-373-9313; E-mail: alisonbrown40{at}hotmail.com

Accepted for publication March 5, 2008.


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