ArticleJournal of chiropractic medicine2025
Physical Fatigue Assessment, Linguistic Adaptation, and Validation of Fatigue Severity Scale among Type 2 Diabetes Mellitus Population.
Article in Journal of chiropractic medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: The objective of this study was to conduct a cross-cultural adaptation of the Fatigue Severity Scale (FSS) from English to Kannada and to evaluate the content validity and reliability of the Kannada version among individuals with type 2 diabetes mellitus. Methods: This study was conducted in 2 phases. In phase 1, the original English version of the FSS was translated into Kannada using the forward-backward translation method to maintain conceptual equivalence. The preliminary Kannada version was reviewed by 5 healthcare professionals for clarity, cultural relevance, and content comprehensiveness. In phase 2, the final Kannada version (FSS-K) was administered to 80 individuals with type 2 diabetes mellitus, aged between 30 and 70 years, all with a disease duration of more than 10 years. Descriptive statistics were used to summarize demographic details. Internal consistency of the FSS-K was evaluated using Cronbach's alpha. Test-retest reliability was assessed using the Intraclass Correlation Coefficient (ICC), and inter-item correlation was determined using Pearson's correlation coefficient. One-way ANOVA was conducted to compare FSS scores across different subgroups, including gender, age, sleep duration, and clinical conditions. Results: The internal consistency of the Kannada version was high, with a Cronbach's alpha of 0.952. The test-retest reliability showed excellent agreement with an ICC of 0.999. A strong correlation was observed between pre-test and post-test scores of the Kannada FSS, indicating robust reliability. Conclusion: This study showed that the Kannada version of the Fatigue Severity Scale is a valid and reliable tool for assessing fatigue in individuals with type 2 diabetes mellitus.
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