Evidence map›Paper›PMID 42828725›Full record

ArticleInternational urology and nephrology2026

Cross-cultural translation and psychometric validation of the Arabic Intermittent Catheterization Adherence Scale (ICAS): a bicentric study.

Nedra El Feni, Ines Heni, Marwa Ghanmi, Mariam Gaddour, Sahbi Mtaoua, Mohammed Issa Alsaeed, Lolwa Barakat, Halil Ibrahim Ceylan, Valentina Stefanica, Ismail Dergaa

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Article in International urology and nephrology, 2026. 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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1 · What the graph read from it

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5 · Who and what money

Authors and funding

10 authors.

Nedra El FeniPhysical Medicine and Rehabilitation Department, Ibn El Jazzar University Hospital, Faculty of Medicine of Sousse, University of Sousse, Kairouan, Tunisia.
Ines HeniPhysical Medicine and Rehabilitation Department, Sahloul University Hospital, Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia.
Marwa GhanmiPhysical Medicine and Rehabilitation Department, Ibn El Jazzar University Hospital, Faculty of Medicine of Sousse, University of Sousse, Kairouan, Tunisia.
Mariam GaddourPhysical Medicine and Rehabilitation Department, Sahloul University Hospital, Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia.
Sahbi MtaouaPhysical Medicine and Rehabilitation Department, Ibn El Jazzar University Hospital, Faculty of Medicine of Sousse, University of Sousse, Kairouan, Tunisia.
Mohammed Issa AlsaeedDepartment of Biomechanics and Motor Behavior, College of Sport Sciences and Physical Activity, King Saud University, Riyadh, Saudi Arabia.
Lolwa BarakatClinical Research Center, USC Institute for Addiction Science, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Halil Ibrahim CeylanPhysical Education and Sports Teaching Department, Faculty of Sports Sciences, Ataturk University, 25240, Erzurum, Turkey. halil.ceylan@atauni.edu.tr.
Valentina StefanicaDepartment of Physical Education and Sport, Faculty of Sciences, Physical Education and Informatics, Pitesti University Center, National University of Science and Technology Politehnica Bucharest, 060042, Pitesti, Romania. valentina.stefanica@upb.ro.ORCID https://orcid.org/0000-0003-4031-1412
Ismail DergaaHigh Institute of Sport and Physical Education of Ksar Said, University of Manouba, Manouba, Tunisia.

Funding

King Saud University ORF-2026-262
6 · The paper itself

Abstract

Clean intermittent self-catheterization (CISC) is the reference treatment for neurogenic and non-neurogenic voiding dysfunction, yet adherence falls over time. The Intermittent Catheterization Adherence Scale (ICAS) measures this adherence, but no Arabic version has existed. We translated the ICAS into Modern Standard Arabic (MSA) and tested its psychometric properties in 84 Tunisian adults on CISC at 2 rehabilitation departments. Translation followed forward and back translation guidelines, with a 6-member expert committee and a pretest of 20 patients. We assessed content validity with the content validity index (CVI), structure with exploratory factor analysis (EFA), internal consistency with Cronbach's alpha, and 10-day test-retest reliability with the intraclass correlation coefficient (ICC). The mean total score was 3.12 ± 2.03 on the 0 to 8 scale, with no floor or ceiling effect. Content validity was strong (scale-level CVI by averaging 0.99). The correlation matrix was suitable for factor analysis (Kaiser-Meyer-Olkin 0.780; Bartlett p < 0.001). Parallel analysis supported a single factor explaining 40.1% of the variance, on which item 5 loaded weakly (0.25). Internal consistency was acceptable (alpha 0.75) and test-retest reliability excellent (single-measures ICC 0.97, 95% CI 0.95-0.98). Associations with clinical indicators were weak and non-significant. The Arabic ICAS reads best as a single-dimension screening measure for Tunisian patients and needs confirmation in larger, independent Arabic-speaking cohorts.

Indexed as

Cross-cultural adaptationIntermittent urethral catheterizationNeurogenic bladderPsychometricsTreatment adherence and compliance

Identifiers

PMID42828725

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