ArticleFrontiers in neurology
Cross-cultural adaptation and validation of the brain injury vision symptom survey: bridging the gap with an Arabic version.
Article in Frontiers in neurology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Visual symptom burden after traumatic brain injury: a case-control evaluation of the Arabic BIVSS.Frontiers in neuroscience · 2026Article
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5 authors.
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Abstract
Background: Traumatic brain injury (TBI) often causes visual symptoms that hinder rehabilitation. The Brain Injury Vision Symptom Survey (BIVSS) is an established 28-item questionnaire for TBI-related visual symptoms, but it is only available in English. We aimed to create and validate an Arabic version to provide a culturally adapted tool for Arabic-speaking patients. Methods: The BIVSS was translated into Arabic using Beaton's cross-cultural adaptation model (forward-backward translation, expert committee review, cognitive debriefing). Twenty-nine TBI patients completed the Arabic BIVSS twice, one month apart. Internal consistency was measured with Cronbach's alpha. Test-retest reliability was assessed with an intraclass correlation coefficient [ICC(3,1)]. Agreement between test and retest was examined via Bland-Altman analysis (mean bias and 95% limits of agreement [LOA]). We also calculated the standard error of measurement (SEM) and the 95% minimal detectable change (MDC₉₅). Shapiro-Wilk tests were used to assess normality. Results: The Arabic BIVSS showed excellent internal consistency (Cronbach's Conclusion: The Arabic BIVSS is a reliable and valid instrument for assessing TBI-related visual symptoms. This cross-culturally adapted version can facilitate clinical screening and research in Arabic-speaking populations. However, given the small sample size and lack of a control group, further research is required to establish population-specific cut-off values and assess construct validity and responsiveness.
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